TEST BANK FOR LEHNE’S
la la la
PHARMACOTHERAPEUTICS FOR ADVANCED
la la la
PRACTICE NURSING ATTENDANTS AND PHYSICIAN
la la la la la
ASSISTANTS 3ND EDITION ROSENTHAL
la la la la
,Chapter la 1: la Prescriptive
la AuthorityMultiple Choice la la
1. An APRN works in a urology clinic under the supervision of a physician who does not
la la la la la la la la la la la la la la la
restrict the types of medications the APRN is allowed to prescribe. State law does not
la la la la la la la la la la la la la la la
require the APRN to practice under physician supervision. How would the APRN‘s
la la la la la la la la la la la la
prescriptive authoritybe described?
la la la la
a. Full authority la
b. Independent
c. Without limitation la
d. Limited authority la
CORRECT RESPONSE:- B la l a
Reasoning :->>> The APRN has independent prescriptive authority because the regulating
la la la la la la la la la la
body does not require that the APRN work under physician supervision. Full prescriptive
la la la la la la la la la la la la la
authority gives the provider the right to prescribe independently and without limitation.
la la la la la la la la la la la la
Limited authority places restrictions on the types of hospital medications that can be
la la la la la la la la la la la la la
prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC:
la la la la la la la la la la
NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
la la la l a l a l a l a la la
Parenteral Therapies
la la
2. Which factors increase the need for APRNs to have full prescriptive authority?
la la la la la la la la la la la
a. More clients will have access to health care.
la la la la la la la
b. Enrollment in medical schools is predicted to decrease. la la la la la la la
c. Physician‘s assistants are being utilized less often. la la la la la la
d. APRN education is more complex than education for physicians.
la la la la la la la la
CORRECT RESPONSE:- A la l a
Reasoning :->>> Implementation of the Affordable Care Act has increased the number of
la la la la la la la la la la la la
individuals with health care coverage, and thus the number who have access to health care
la la la la la la la la la la la la la la la
services. The increase in the number of clients creates the need for more providers with
la la la la la la la la la la la la la la la
prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level:
la la la la la la la la la la
ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital
la la la la la la l a la la
client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
la la la la la la la la la
,3. Which factors could be attributed to limited prescriptive authority for
la la la la la la la la la
APRNs?Select all that apply.
la la la la la
a. Inaccessibility of client care la la la
b. Higher health care costs la la la
c. Higher quality medical treatment la la la
d. Improved collaborative care la la
e. Enhanced health literacy la la
CORRECT RESPONSE:- A , B la l a la la
Reasoning :->>> Limiting prescriptive authority for APRNs can create barriers to quality,
la la la la la la la la la la la
affordable, and accessible client care. It may also lead to poor collaboration among providers
la la la la la la la la la la la la la la
and higher health care costs. It would not directly impact client‘s health literacy.DIF:
la la la la la la la la la la la la la
Cognitive Level: ComprehensionREF:
la la la
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category:
la la la la la la la la la la
Physiologic Integrity: Pharmacologic and Parenteral Therapies
la la la la la la
4. Which aspects support the APRN‘s provision for full prescriptive
la la la la la la la la
authority?Select all that apply.
la la la la la
a. Clinical education includes prescription of medications andillness processes.
la la la la la la la
b. Federal regulations support the provision of full authority for APRNs.
la la la la la la la la la
c. National examinations provide validation of the APRN‘s ability to provide safe care.
la la la la la la la la la la la
d. Licensure ensures compliance with health care and safety standards.
la la la la la la la la
e. Limiting provision can decrease health care affordability.
la la la la la la
CORRECT RESPONSE:- A , C , D la l a la la la la
Reasoning :->>> APRNs are educated to practice and prescribe independently without
la la la la la la la la la la
supervision. National examinations validate the ability to provide safe and competent care.
la la la la la la la la la la la la
Licensure ensures compliance with standards to promote public health and safety. Limited
la la la la la la la la la la la la
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
la la la la la la la la la la la
care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation
la la la la la la la la la
MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
la l a l a la la la la la la la
Parenteral Therapies
la la
5. Which aspects support the APRN‘s provision for full prescriptive
la la la la la la la la
authority?Select all that apply.
la la la la la
a. Clinical education includes prescription of medications andillness processes.
la la la la la la la
b. Federal regulations support the provision of full authority for APRNs.
la la la la la la la la la
c. National examinations provide validation of the APRN‘s ability to provide safe care.
la la la la la la la la la la la
d. Licensure ensures compliance with health care and safety standards.
la la la la la la la la
CORRECT RESPONSE:- A , C , D la l a la la la la
Reasoning :->>> APRNs are educated to practice and prescribe independently without
la la la la la la la la la la
supervision. National examinations validate the ability to provide safe and competent care.
la la la la la la la la la la la la
Licensure ensures compliance with standards to promote public health and safety. Limited
la la la la la la la la la la la la
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
la la la la la la la la la la la
, care.DIF: Cognitive Level:
la la la
3
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEXla la la la la la l a
Hospital client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
l a la la la la la la la la
Therapies
la
6. A family nursing attendant practicing in Maine is hired at a practice across
l a la la l a l a la l a la l a l a la l a
state lines inVirginia. Which aspect of practice may change for the APRN?
l a la l a la la la la la la la la la la
a. The APRN will have less prescriptive authority in the new position.
la la la la la la la la la la
b. The APRN will have more prescriptive authority in the new position.
la la la la la la la la la la
c. The APRN will have equal prescriptive authority in the new position.
la la la la la la la la la la
d. The APRN‘s authority will depend on federal regulations.
la la la la la la la
CORRECT RESPONSE:- A la l a
Reasoning :->>>Virginia allows limited prescriptive authority, while Maine gives full
la la la la la la la la la
authority to certified nursing attendants. The federal government does not regulate prescriptive
la la la la la la la la la la la la
authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process:
la la la la la la la la
Implementation MSC: NCLEX Hospital client Needs Category: Physiologic Integrity:
la la la la la la la la la
Pharmacologic and Parenteral Therapies
la la la la
la la la
PHARMACOTHERAPEUTICS FOR ADVANCED
la la la
PRACTICE NURSING ATTENDANTS AND PHYSICIAN
la la la la la
ASSISTANTS 3ND EDITION ROSENTHAL
la la la la
,Chapter la 1: la Prescriptive
la AuthorityMultiple Choice la la
1. An APRN works in a urology clinic under the supervision of a physician who does not
la la la la la la la la la la la la la la la
restrict the types of medications the APRN is allowed to prescribe. State law does not
la la la la la la la la la la la la la la la
require the APRN to practice under physician supervision. How would the APRN‘s
la la la la la la la la la la la la
prescriptive authoritybe described?
la la la la
a. Full authority la
b. Independent
c. Without limitation la
d. Limited authority la
CORRECT RESPONSE:- B la l a
Reasoning :->>> The APRN has independent prescriptive authority because the regulating
la la la la la la la la la la
body does not require that the APRN work under physician supervision. Full prescriptive
la la la la la la la la la la la la la
authority gives the provider the right to prescribe independently and without limitation.
la la la la la la la la la la la la
Limited authority places restrictions on the types of hospital medications that can be
la la la la la la la la la la la la la
prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC:
la la la la la la la la la la
NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
la la la l a l a l a l a la la
Parenteral Therapies
la la
2. Which factors increase the need for APRNs to have full prescriptive authority?
la la la la la la la la la la la
a. More clients will have access to health care.
la la la la la la la
b. Enrollment in medical schools is predicted to decrease. la la la la la la la
c. Physician‘s assistants are being utilized less often. la la la la la la
d. APRN education is more complex than education for physicians.
la la la la la la la la
CORRECT RESPONSE:- A la l a
Reasoning :->>> Implementation of the Affordable Care Act has increased the number of
la la la la la la la la la la la la
individuals with health care coverage, and thus the number who have access to health care
la la la la la la la la la la la la la la la
services. The increase in the number of clients creates the need for more providers with
la la la la la la la la la la la la la la la
prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level:
la la la la la la la la la la
ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital
la la la la la la l a la la
client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
la la la la la la la la la
,3. Which factors could be attributed to limited prescriptive authority for
la la la la la la la la la
APRNs?Select all that apply.
la la la la la
a. Inaccessibility of client care la la la
b. Higher health care costs la la la
c. Higher quality medical treatment la la la
d. Improved collaborative care la la
e. Enhanced health literacy la la
CORRECT RESPONSE:- A , B la l a la la
Reasoning :->>> Limiting prescriptive authority for APRNs can create barriers to quality,
la la la la la la la la la la la
affordable, and accessible client care. It may also lead to poor collaboration among providers
la la la la la la la la la la la la la la
and higher health care costs. It would not directly impact client‘s health literacy.DIF:
la la la la la la la la la la la la la
Cognitive Level: ComprehensionREF:
la la la
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category:
la la la la la la la la la la
Physiologic Integrity: Pharmacologic and Parenteral Therapies
la la la la la la
4. Which aspects support the APRN‘s provision for full prescriptive
la la la la la la la la
authority?Select all that apply.
la la la la la
a. Clinical education includes prescription of medications andillness processes.
la la la la la la la
b. Federal regulations support the provision of full authority for APRNs.
la la la la la la la la la
c. National examinations provide validation of the APRN‘s ability to provide safe care.
la la la la la la la la la la la
d. Licensure ensures compliance with health care and safety standards.
la la la la la la la la
e. Limiting provision can decrease health care affordability.
la la la la la la
CORRECT RESPONSE:- A , C , D la l a la la la la
Reasoning :->>> APRNs are educated to practice and prescribe independently without
la la la la la la la la la la
supervision. National examinations validate the ability to provide safe and competent care.
la la la la la la la la la la la la
Licensure ensures compliance with standards to promote public health and safety. Limited
la la la la la la la la la la la la
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
la la la la la la la la la la la
care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation
la la la la la la la la la
MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
la l a l a la la la la la la la
Parenteral Therapies
la la
5. Which aspects support the APRN‘s provision for full prescriptive
la la la la la la la la
authority?Select all that apply.
la la la la la
a. Clinical education includes prescription of medications andillness processes.
la la la la la la la
b. Federal regulations support the provision of full authority for APRNs.
la la la la la la la la la
c. National examinations provide validation of the APRN‘s ability to provide safe care.
la la la la la la la la la la la
d. Licensure ensures compliance with health care and safety standards.
la la la la la la la la
CORRECT RESPONSE:- A , C , D la l a la la la la
Reasoning :->>> APRNs are educated to practice and prescribe independently without
la la la la la la la la la la
supervision. National examinations validate the ability to provide safe and competent care.
la la la la la la la la la la la la
Licensure ensures compliance with standards to promote public health and safety. Limited
la la la la la la la la la la la la
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
la la la la la la la la la la la
, care.DIF: Cognitive Level:
la la la
3
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEXla la la la la la l a
Hospital client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
l a la la la la la la la la
Therapies
la
6. A family nursing attendant practicing in Maine is hired at a practice across
l a la la l a l a la l a la l a l a la l a
state lines inVirginia. Which aspect of practice may change for the APRN?
l a la l a la la la la la la la la la la
a. The APRN will have less prescriptive authority in the new position.
la la la la la la la la la la
b. The APRN will have more prescriptive authority in the new position.
la la la la la la la la la la
c. The APRN will have equal prescriptive authority in the new position.
la la la la la la la la la la
d. The APRN‘s authority will depend on federal regulations.
la la la la la la la
CORRECT RESPONSE:- A la l a
Reasoning :->>>Virginia allows limited prescriptive authority, while Maine gives full
la la la la la la la la la
authority to certified nursing attendants. The federal government does not regulate prescriptive
la la la la la la la la la la la la
authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process:
la la la la la la la la
Implementation MSC: NCLEX Hospital client Needs Category: Physiologic Integrity:
la la la la la la la la la
Pharmacologic and Parenteral Therapies
la la la la