LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK,,,,Complete Latest Edition

Test Bank for Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and
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Physician Assistants 2nd Edition Rosenthal
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REVISED EDITION
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
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V2nd Edition Rosenthal Test Bank REVISED EDITION
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Chapter 1: Prescriptive Authority Test Bank
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V Multiple Choice V




1. An APRN works in a urology clinic under the supervision of a physician who
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Vdoes not restrict the types of medications the APRN is allowed to prescribe. State law
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Vdoes not require the APRN to practice under physician supervision. How would the
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APRN‘s prescriptive authority be described? V V V V




a. Full authority V




b. Independent
c. Without limitation V




d. Limited authority V




ANS: B V




The APRN has independent prescriptive authority because the regulating body does not require
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V that the APRN work under physician supervision. Full prescriptive authority gives the
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Vprovider the right to prescribe independently and without limitation. Limited authority places
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V restrictions on the types of drugs that can be prescribed .DIF: Cognitive Level: V V V V V V V V V V V V




VComprehension REF: p. V V




1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
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VPharmacologic and Parenteral Therapies V V V




2. Which factors increase the need for APRNs to have full prescriptive authority?
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a. More patients will have access to health care. V V V V V V V




b. Enrollment in medical schools is predicted to decrease. V V V V V V V




c. Physician‘s assistants are being utilized less often. V V V V V V




d. APRN education is more complex than education for physicians. V V V V V V V V




ANS: A V




Implementation of the Affordable Care Act has increased the number of individuals with health V V V V V V V V V V V V V




Vcare coverage, and thus the number who have access to health care services. The increase in the
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Vnumber of patients creates the need for more providers with prescriptive authority. APRNs can
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V fill this practice gap. DIF: Cognitive Level: Comprehension REF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
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VPhysiologic Integrity: Pharmacologic and Parenteral Therapies V V V V V

,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
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V2nd Edition Rosenthal Test Bank REVISED EDITION
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3. Which factors could be attributed to limited prescriptive authority for APRNs?
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VSelect all that apply.
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a. Inaccessibility of patient care V V V




b. Higher health care costs V V V




c. Higher quality medical treatment V V V




d. Improved collaborative care V V




e. Enhanced health literacy V V




ANS: A , B V V V




Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
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Vaccessible patient care. It may also lead to poor collaboration among providers and
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Vhigher health care costs. It would not directly impact patient‘s health literacy.DIF:
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VCognitive Level: ComprehensionREF: V V




p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
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VPhysiologic Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN‘s provision for full prescriptive authority?
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VSelect all that apply.
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a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s ability to provide safecare.
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d. Licensure ensures compliance with health care and safety standards. V V V V V V V V




e. Limiting provision can decrease health care affordability. V V V V V V




ANS: A , C , D
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APRNs are educated to practice and prescribe independently without supervision.
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VNational examinations validate the ability to provide safe and competent care. Licensure
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Vensures compliance with standards to promote public health and safety. Limited
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Vprescriptive authority creates numerous barriers to quality, affordable, and accessible
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Vpatient care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process:
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VImplementation MSC: NCLEX Client Needs Category: Physiologic Integrity: V V V V V V V




VPharmacologic and Parenteral Therapies V V V

, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
V V V V V V V V




V2nd Edition Rosenthal Test Bank REVISED EDITION
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5. Which aspects support the APRN‘s provision for full prescriptive authority?
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VSelect all that apply.V V V




a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s ability to provide safecare.
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d. Licensure ensures compliance with health care and safety standards. V V V V V V V V




ANS: A , C , D V V V V V




APRNs are educated to practice and prescribe independently without supervision.
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VNational examinations validate the ability to provide safe and competent care. Licensure
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Vensures compliance with standards to promote public health and safety. Limited
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Vprescriptive authority creates numerous barriers to quality, affordable, and accessible
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Vpatient care.DIF: Cognitive Level:
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Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX V V V V V V V




VClient Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nurse practitioner practicing in Maine is hired at a practice across state
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Vlines in Virginia. Which aspect of practice may change for the APRN?
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a. The APRN will have less prescriptive authority in the new position.
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b. The APRN will have more prescriptive authority in the new position.
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c. The APRN will have equal prescriptive authority in the new position.
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d. The APRN‘s authority will depend on federal
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V regulations. ANS: A V V




Virginia allows limited prescriptive authority, while Maine gives full authority to certified
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Vnurse practitioners. The federal government does not regulate prescriptive authority.DIF:
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VCognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC:
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VNCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
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VTherapies