LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
az
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES b b b b b
AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
b b b b b b b b
Chapter 1: Prescriptive Authority b b b
b Test Bank b
Multiple Choice b
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
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the types of medications the APRN is allowed to prescribe. State law does not require the
b b b b b b b b b b b b b b b b
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority
b b b b b b b b b b b b
be described?
b b
a. Full authority b
b. Independent
c. Without limitation b
d. Limited authority b
ANS: B b
The APRN has independent prescriptive authority because the regulating body does not require
b b b b b b b b b b b b
that the APRN work under physician supervision. Full prescriptive authority gives the provider
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the right to prescribe independently and without limitation. Limited authority places restrictions
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on the types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP:
b b b b b b b b b b b b b b
Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
b b b b b b b b b b b
and Parenteral Therapies
b b b
2. Which factors increase the need for APRNs to have full prescriptive authority?
b b b b b b b b b b b
a. More patients will have access to health care.
b b b b b b b
b. Enrollment in medical schools is predicted to decrease. b b b b b b b
c. Physician‘s assistants are being utilized less often. b b b b b b
d. APRN education is more complex than education for physicians.
b b b b b b b b
ANS: A b
Implementation of the Affordable Care Act has increased the number of individuals with health
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bcare coverage, and thus the number who have access to health care services. The increase in the
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bnumber of patients creates the need for more providers with prescriptive authority. APRNs can fill
b b b b b b b b b b b b b b
bthis practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
b b b b b b b b b
bImplementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and b b b b b b b b b
bParenteral Therapies b
3. Which factors could be attributed to limited prescriptive authority for APRNs?
b b b b b b b b b b
Select all that apply.
b b b b
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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
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a. Inaccessibility of patient care b b b
b. Higher health care costs b b b
c. Higher quality medical treatmentb b b
d. Improved collaborative care b b
e. Enhanced health literacy b b
ANS: A , B b b b
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
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patient care. It may also lead to poor collaboration among providers and higher health care costs.
b b b b b b b b b b b b b b b b
It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
b b b b b b b b b b b
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
b b b b b b b b b b
Integrity: Pharmacologic and Parenteral Therapies
b b b b b
4. Which aspects support the APRN‘s provision for full prescriptive authority?
b b b b b b b b b
Select all that apply.
b b b b
a. Clinical education includes prescription of medications and disease processes.
b b b b b b b b
b. Federal regulations support the provision of full authority for APRNs.
b b b b b b b b b
c. National examinations provide validation of the APRN‘s ability to provide safecare.
b b b b b b b b b b
d. Licensure ensures compliance with health care and safetystandards.
b b b b b b b
e. Limiting provision can decrease health care affordability.
b b b b b b
ANS: A , C , D
b b b b b
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
b b b b b b b b b b b b
compliance with standards to promote public health and safety. Limited prescriptive authority
b b b b b b b b b b b b
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
b b b b b b b b b b b b
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
b b b b b b b b b b
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b
5. Which aspects support the APRN‘s provision for full prescriptive authority?
b b b b b b b b b
Select all that apply.
b b b b
a. Clinical education includes prescription of medications and disease processes.
b b b b b b b b
b. Federal regulations support the provision of full authority for APRNs.
b b b b b b b b b
c. National examinations provide validation of the APRN‘s ability to provide safecare.
b b b b b b b b b b
d. Licensure ensures compliance with health care and safety standards.
b b b b b b b b
ANS: A , C , D
b b b b b
APRNs are educated to practice and prescribe independently without supervision. National
b b b b b b b b b b
examinations validate the ability to provide safe and competent care. Licensure ensures
b b b b b b b b b b b b
compliance with standards to promote public health and safety. Limited prescriptive authority
b b b b b b b b b b b b
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
b b b b b b b b b b b b
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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
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ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client b b b b b b b
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
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Virginia. Which aspect of practice may change for the APRN?
b b b b b b b b b b
a. The APRN will have less prescriptive authority in the new position.
b b b b b b b b b b
b. The APRN will have more prescriptive authority in the new position.
b b b b b b b b b b
c. The APRN will have equal prescriptive authority in the newposition.
b b b b b b b b b
d. The APRN‘s authority will depend on federalregulations.
b b b b b b
ANS: A b
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
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practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
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Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
b b b b b b b b b b
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
b b b b b b b b
b Chapter 2: Rational Drug Selection and Prescription Writing
b b b b b b b
Test Bank b
b Multiple Choice b
7. How can collaboration with a pharmacist improve positive outcomes for patients?
b b b b b b b b b b
Select all that apply.
b b b b
a. Pharmacists can suggest foods that will help with the patient‘s condition.
b b b b b b b b b b
b. Pharmacists have additional information on drug interactions. b b b b b b
c. The pharmacist can suggest adequate medication dosing.
b b b b b b
d. Pharmacists have firsthand knowledge of the facility formulary. b b b b b b b
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
b b b b b b b b b
ANS: B , C , D b b b b b
Providers should collaborate with pharmacists because they will likely have additional information
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on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can
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make foods recommendations to treat the patient‘s condition. The pharmacist can contact the
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prescriber about questionable prescriptions, but cannot alter the prescription without notification
b b b b b b b b b b b
of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing
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Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of
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Risk Potential
b b