Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
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ndEdition Rosenthal Test Bank
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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCE
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DPRACTICE NURSES AND PHYSICIAN ASSISTANTS 2N
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D EDITION ROSENTHAL TEST BANK
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
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ndEdition Rosenthal Test Bank
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Chapter 1: Prescriptive Authority Test Ban
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k Multiple Choice
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1. An APRN works in a urology clinic under the supervision of a physician who does n
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ot restrict the types of medications the APRN is allowed to prescribe. State law does not req
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uire theAPRN to practice under physician supervision. How would the APRN‘s prescriptive a
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uthority bedescribed? /& /&
a. Full authority /&
b. Independent
c. Without limitation /&
d. Limited authority /&
ANS: B /&
The APRN has independent prescriptive authority because the regulating body does not req
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uirethat the APRN work under physician supervision. Full prescriptive authority gives the p
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roviderthe right to prescribe independently and without limitation. Limited authority places r
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estrictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehensio
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n REF: p.
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1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrit
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y: Pharmacologic and Parenteral Therapies
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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.
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b. Enrollment in medical schools is predicted to decrease.
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c. Physician‘s assistants are being utilized less often. /& /& /& /& /& /&
d. APRN education is more complex than education for physicians.
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ANS: A /&
Implementation of the Affordable Care Act has increased the number of individuals with he
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althcare coverage, and thus the number who have access to health care services. The increas
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e in thenumber of patients creates the need for more providers with prescriptive authority. A
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
PRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursi
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ng Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Ph
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armacologic and Parenteral Therapies /& /& /&
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
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ndEdition Rosenthal Test Bank
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3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
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allthat apply.
/& /&
a. Inaccessibility of patient care /& /& /&
b. Higher health care costs /& /& /&
c. Higher quality medical treatment
/& /& /&
d. Improved collaborative care /& /&
e. Enhanced health literacy /& /&
ANS: A , B /& /& /&
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
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sible patient care. It may also lead to poor collaboration among providers and higher health car
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
e costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Comprehe
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nsionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologi
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cIntegrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
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allthat apply.
/& /&
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.
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e. Limiting provision can decrease health care affordability.
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ANS: A , C , D /& /& /& /& /&
APRNs are educated to practice and prescribe independently without supervision. National
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&examinations validate the ability to provide safe and competent care. Licensure ensures co
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mpliance with standards to promote public health and safety. Limited prescriptive authorit
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ycreates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitiv
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e Level: ComprehensionREF: pp. 1-
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2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolog
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ic Integrity: Pharmacologic and Parenteral Therapies
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, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
/& /& /& /& /& /& /& /& /&
ndEdition Rosenthal Test Bank
/& /& /& /& 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
/& /& /& /& /& /& /& /& /& /& /&
allthat apply.
/& /&
a. Clinical education includes prescription of medications and disease processes.
/& /& /& /& /& /& /& /&
b. Federal regulations support the provision of full authority for APRNs.
/& /& /& /& /& /& /& /& /&
c. National examinations provide validation of the APRN‘s ability to provide safecare.
/& /& /& /& /& /& /& /& /& /&
d. Licensure ensures compliance with health care and safety standards.
/& /& /& /& /& /& /& /&
ANS: A , C , D /& /& /& /& /&
APRNs are educated to practice and prescribe independently without supervision. National e
/& /& /& /& /& /& /& /& /& /& /&
xaminations validate the ability to provide safe and competent care. Licensure ensures compl
/& /& /& /& /& /& /& /& /& /& /& /&
iance with standards to promote public health and safety. Limited prescriptive authoritycreate
/& /& /& /& /& /& /& /& /& /& /& /&
s numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
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Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation /& /& / & /& /& /&
MSC: NCLEX Clien /& /&
tNeeds 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 line
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s inVirginia. 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 regulation
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s.ANS: A
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Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
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sepractitioners. The federal government does not regulate prescriptive authority.DIF: Cogniti
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ve Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Cl
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ient Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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ndEdition Rosenthal Test Bank
/& /& /& /& 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCE
/& /& /&
DPRACTICE NURSES AND PHYSICIAN ASSISTANTS 2N
/& /& /& /& /& /&
D EDITION ROSENTHAL TEST BANK
/& /& /& /&
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
/& /& /& /& /& /& /& /& /&
ndEdition Rosenthal Test Bank
/& /& /& /& 2
Chapter 1: Prescriptive Authority Test Ban
/& /& /& /& /&
k Multiple Choice
/& /&
1. An APRN works in a urology clinic under the supervision of a physician who does n
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
ot restrict the types of medications the APRN is allowed to prescribe. State law does not req
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
uire theAPRN to practice under physician supervision. How would the APRN‘s prescriptive a
/& /& /& /& /& /& /& /& /& /& /& /& /&
uthority bedescribed? /& /&
a. Full authority /&
b. Independent
c. Without limitation /&
d. Limited authority /&
ANS: B /&
The APRN has independent prescriptive authority because the regulating body does not req
/& /& /& /& /& /& /& /& /& /& /& /&
uirethat the APRN work under physician supervision. Full prescriptive authority gives the p
/& /& /& /& /& /& /& /& /& /& /& /& /&
roviderthe right to prescribe independently and without limitation. Limited authority places r
/& /& /& /& /& /& /& /& /& /& /& /&
estrictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehensio
/& /& /& /& /& /& /& /& /& /& /& /& /&
n REF: p.
/& /&
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrit
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y: Pharmacologic and Parenteral Therapies
/& /& /& /&
2. Which factors increase the need for APRNs to have full prescriptive authority?
/& /& /& /& /& /& /& /& /& /& /&
a. More patients will have access to health care.
/& /& /& /& /& /& /&
b. Enrollment in medical schools is predicted to decrease.
/& /& /& /& /& /& /&
c. Physician‘s assistants are being utilized less often. /& /& /& /& /& /&
d. APRN education is more complex than education for physicians.
/& /& /& /& /& /& /& /&
ANS: A /&
Implementation of the Affordable Care Act has increased the number of individuals with he
/& /& /& /& /& /& /& /& /& /& /& /& /&
althcare coverage, and thus the number who have access to health care services. The increas
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
e in thenumber of patients creates the need for more providers with prescriptive authority. A
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
PRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursi
/& /& /& /& /& /& /& /& /& /& /& /& /&
ng Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Ph
/& /& /& /& /& /& /& /& /& /&
armacologic and Parenteral Therapies /& /& /&
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
/& /& /& /& /& /& /& /& /&
ndEdition Rosenthal Test Bank
/& /& /& /& 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
/& /& /& /& /& /& /& /& /& /& /& /&
allthat apply.
/& /&
a. Inaccessibility of patient care /& /& /&
b. Higher health care costs /& /& /&
c. Higher quality medical treatment
/& /& /&
d. Improved collaborative care /& /&
e. Enhanced health literacy /& /&
ANS: A , B /& /& /&
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
/& /& /& /& /& /& /& /& /& /& /& /&
sible patient care. It may also lead to poor collaboration among providers and higher health car
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
e costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Comprehe
/& /& /& /& /& /& /& /& /& /& /& /&
nsionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologi
/& /& /& /& /& /& /& /& /& /&
cIntegrity: Pharmacologic and Parenteral Therapies
/& /& /& /& /&
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
/& /& /& /& /& /& /& /& /& /& /&
allthat apply.
/& /&
a. Clinical education includes prescription of medications and disease processes.
/& /& /& /& /& /& /& /&
b. Federal regulations support the provision of full authority for APRNs.
/& /& /& /& /& /& /& /& /&
c. National examinations provide validation of the APRN‘s ability to provide safecare.
/& /& /& /& /& /& /& /& /& /&
d. Licensure ensures compliance with health care and safety standards.
/& /& /& /& /& /& /& /&
e. Limiting provision can decrease health care affordability.
/& /& /& /& /& /&
ANS: A , C , D /& /& /& /& /&
APRNs are educated to practice and prescribe independently without supervision. National
/& /& /& /& /& /& /& /& /& /& /
&examinations validate the ability to provide safe and competent care. Licensure ensures co
/& /& /& /& /& /& /& /& /& /& /& /&
mpliance with standards to promote public health and safety. Limited prescriptive authorit
/& /& /& /& /& /& /& /& /& /& /&
ycreates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitiv
/& /& /& /& /& /& /& /& /& /& /&
e Level: ComprehensionREF: pp. 1-
/& /& /& /&
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolog
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ic Integrity: Pharmacologic and Parenteral Therapies
/& /& /& /& /&
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
/& /& /& /& /& /& /& /& /&
ndEdition Rosenthal Test Bank
/& /& /& /& 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
/& /& /& /& /& /& /& /& /& /& /&
allthat apply.
/& /&
a. Clinical education includes prescription of medications and disease processes.
/& /& /& /& /& /& /& /&
b. Federal regulations support the provision of full authority for APRNs.
/& /& /& /& /& /& /& /& /&
c. National examinations provide validation of the APRN‘s ability to provide safecare.
/& /& /& /& /& /& /& /& /& /&
d. Licensure ensures compliance with health care and safety standards.
/& /& /& /& /& /& /& /&
ANS: A , C , D /& /& /& /& /&
APRNs are educated to practice and prescribe independently without supervision. National e
/& /& /& /& /& /& /& /& /& /& /&
xaminations validate the ability to provide safe and competent care. Licensure ensures compl
/& /& /& /& /& /& /& /& /& /& /& /&
iance with standards to promote public health and safety. Limited prescriptive authoritycreate
/& /& /& /& /& /& /& /& /& /& /& /&
s numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
/& /& /& /& /& /& /& /& /& /& /&
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation /& /& / & /& /& /&
MSC: NCLEX Clien /& /&
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
/& /& /& /& /& /& /& /&
6. A family nurse practitioner practicing in Maine is hired at a practice across state line
/& /& /& /& /& /& /& /& /& /& /& /& /& /&
s inVirginia. Which aspect of practice may change for the APRN?
/& /& /& /& /& /& /& /& /& /& /&
a. The APRN will have less prescriptive authority in the new position.
/& /& /& /& /& /& /& /& /& /&
b. The APRN will have more prescriptive authority in the new position.
/& /& /& /& /& /& /& /& /& /&
c. The APRN will have equal prescriptive authority in the new position.
/& /& /& /& /& /& /& /& /& /&
d. The APRN‘s authority will depend on federal regulation
/& /& /& /& /& /& /&
s.ANS: A
/& /&
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
/& /& /& /& /& /& /& /& /& /& /& /&
sepractitioners. The federal government does not regulate prescriptive authority.DIF: Cogniti
/& /& /& /& /& /& /& /& /& /&
ve Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Cl
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ient Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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