Test Bank: Lehne's w# w#
Pharmacotherapeutics for Advanced Pra w# w# w#
ctice Nurses and Physician Assistants, 3
w# w# w# w# w#
rd
Edition
w #
Authors : w#
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
w# w# w# w# w# w#
@2024
w#
,Chapter 1: Prescriptive Authority
w# w# w#
1. An APRN works in a urology clinic under the supervision of a physicia
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n who does not restrict the types of medications the APRN is allowed t
w# w# w# w# w# w# w# w# w# w# w# w# w#
o prescribe. State law does not require the APRN to practice under physi
w# w# w# w# w# w# w# w# w# w# w# w#
cian supervision. How would the APRN’s prescriptive authority be desc
w# w# w# w# w# w# w# w# w#
ribed?
a. Full authority w#
b. Independent
c. Without limitation w#
d. Limited authority w#
ANS: B w#
Rationale: The APRN has independent prescriptive authority because the
w# w# w# w# w# w# w# w# w#
regulating body does not require that the APRN work under physician su
w# w# w# w# w# w# w# w# w# w# w#
pervision. Full prescriptive authority gives the provider the right to prescr
w# w# w# w# w# w# w# w# w# w#
ibe independently and without limitation. Limited authority places restrict
w# w# w# w# w# w# w# w#
ions on the types of drugs that can be prescribed.
w# w# w# w# w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
2. Which factors increase the need for APRNs to have full prescripti
w# w# w# w# w# w# w# w# w# w#
ve 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.
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d. APRN education is more complex than education for physicians.
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ANS: A w#
Rationale: Implementation of the Affordable Care Act has increased the
w# w# w# w# w# w# w# w# w# w#
number of individuals with health care coverage, thus increasing the numb
w# w# w# w# w# w# w# w# w# w#
er of patients who require access to health care services. The increase in p
w# w# w# w# w# w# w# w# w# w# w# w# w#
atient numbers creates the need for more providers with prescriptive autho
w# w# w# w# w# w# w# w# w# w#
rity.
APRNs can fill this practice gap.
w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
3. Which factors could be attributed to limited prescriptive authority f
w# w# w# w# w# w# w# w# w#
or APRNs? (Select all that apply)
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a. Inaccessibility of patient care w# w# w#
b. Higher health care costs w# w# w#
, c. Higher quality medical treatment
w# w# w#
d. Improved collaborative care w# w#
e. Enhanced health literacy w# w#
ANS: A, B w# w#
Rationale: Limiting prescriptive authority for APRNs can create barriers t
w# w# w# w# w# w# w# w# w#
o quality, affordable, and accessible patient care. It may also lead to poor
w# w# w# w# w# w# w# w# w# w# w# w# w#
collaboration among providers and higher health care costs. Enhanced heal
w# w# w# w# w# w# w# w# w#
th literacy and improved collaborative care are not directly impacted by li
w# w# w# w# w# w# w# w# w# w# w#
mited prescriptive authority.
w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
REF: p. 2 w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
4. Which aspects support the APRN’s provision for full prescriptive authorit
w# w# w# w# w# w# w# w# w#
y? (Select all that apply)
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a. Clinical education includes prescription of medications and diseas
w# w# w# w# w# w# w#
e 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 provi
w# w# w# w# w# w# w# w# w#
de safe care.
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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 w# w# w#
Rationale: APRNs are educated to practice and prescribe independently
w# w# w# w# w# w# w# w# w#
without supervision. National examinations validate their ability to provid
w# w# w# w# w# w# w# w#
e safe and competent care. Licensure ensures compliance with standards t
w# w# w# w# w# w# w# w# w# w#
hat promote public health and safety. Limited prescriptive authority creat
w# w# w# w# w# w# w# w# w#
es barriers to quality, affordable, and accessible patient care.
w# w# w# w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
REF: pp. 1-2 w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
5. Which aspects support the APRN’s provision for full prescriptive authorit
w# w# w# w# w# w# w# w# w#
y? (Select all that apply)
w# w# w# w#
a. Clinical education includes prescription of medications and diseas
w# w# w# w# w# w# w#
e processes.
w#
b. Federal regulations support the provision of full authority for APRNs.
w# w# w# w# w# w# w# w# w#
c. National examinations provide validation of the APRN’s ability to provide
w# w# w# w# w# w# w# w# w#
, safe care. w#
d. Licensure ensures compliance with health care and safety standards.
w# w# w# w# w# w# w# w#
ANS: A, C, D w# w# w#
Rationale: APRNs are educated to practice and prescribe independently
w# w# w# w# w# w# w# w# w#
without supervision. National examinations validate their ability to provid
w# w# w# w# w# w# w# w#
e safe and competent care. Licensure ensures compliance with standards t
w# w# w# w# w# w# w# w# w# w#
o promote public health and safety. Limited prescriptive authority creates
w# w# w# w# w# w# w# w# w#
barriers to quality, affordable, and accessible patient care.
w# w# w# w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
6. What is the primary benefit of APRNs having full prescriptive authority?
w# w# w# w# w# w# w# w# w# w#
a. Increased job satisfaction w# w#
b. Improved patient outcomes w# w#
c. Decreased need for collaboration w# w# w#
d. Reduced medication costs w# w#
ANS: B w#
Rationale: Full prescriptive authority allows APRNs to make timely deci
w# w# w# w# w# w# w# w# w#
sions regarding patient care, leading to improved patient outcomes. While
w# w# w# w# w# w# w# w# w#
job satisfaction and reduced medication costs may also be benefits, the p
w# w# w# w# w# w# w# w# w# w# w# w#
rimary focus is on patient outcomes.
w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
7. Which of the following describes a challenge faced by APRNs seeking f
w# w# w# w# w# w# w# w# w# w# w#
ull prescriptive authority?
w# w#
a. Increased demand for primary care services w# w# w# w# w#
b. Variability in state regulations w# w# w#
c. Enhanced education programs w# w#
d. Collaboration with physicians w# w#
ANS: B w#
Rationale: Variability in state regulations can create challenges for APR
w# w# w# w# w# w# w# w# w#
Ns seeking full prescriptive authority, as laws differ regarding what APR
w# w# w# w# w# w# w# w# w# w#
Ns are allowed to prescribe and under what circumstances.
w# w# w# w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
Pharmacotherapeutics for Advanced Pra w# w# w#
ctice Nurses and Physician Assistants, 3
w# w# w# w# w#
rd
Edition
w #
Authors : w#
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
w# w# w# w# w# w#
@2024
w#
,Chapter 1: Prescriptive Authority
w# w# w#
1. An APRN works in a urology clinic under the supervision of a physicia
w# w# w# w# w# w# w# w# w# w# w# w#
n who does not restrict the types of medications the APRN is allowed t
w# w# w# w# w# w# w# w# w# w# w# w# w#
o prescribe. State law does not require the APRN to practice under physi
w# w# w# w# w# w# w# w# w# w# w# w#
cian supervision. How would the APRN’s prescriptive authority be desc
w# w# w# w# w# w# w# w# w#
ribed?
a. Full authority w#
b. Independent
c. Without limitation w#
d. Limited authority w#
ANS: B w#
Rationale: The APRN has independent prescriptive authority because the
w# w# w# w# w# w# w# w# w#
regulating body does not require that the APRN work under physician su
w# w# w# w# w# w# w# w# w# w# w#
pervision. Full prescriptive authority gives the provider the right to prescr
w# w# w# w# w# w# w# w# w# w#
ibe independently and without limitation. Limited authority places restrict
w# w# w# w# w# w# w# w#
ions on the types of drugs that can be prescribed.
w# w# w# w# w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
2. Which factors increase the need for APRNs to have full prescripti
w# w# w# w# w# w# w# w# w# w#
ve authority?
w#
a. More patients will have access to health care.
w# w# w# w# w# w# w#
b. Enrollment in medical schools is predicted to decrease.
w# w# w# w# w# w# w#
c. Physician’s assistants are being utilized less often.
w# w# w# w# w# w#
d. APRN education is more complex than education for physicians.
w# w# w# w# w# w# w# w#
ANS: A w#
Rationale: Implementation of the Affordable Care Act has increased the
w# w# w# w# w# w# w# w# w# w#
number of individuals with health care coverage, thus increasing the numb
w# w# w# w# w# w# w# w# w# w#
er of patients who require access to health care services. The increase in p
w# w# w# w# w# w# w# w# w# w# w# w# w#
atient numbers creates the need for more providers with prescriptive autho
w# w# w# w# w# w# w# w# w# w#
rity.
APRNs can fill this practice gap.
w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
3. Which factors could be attributed to limited prescriptive authority f
w# w# w# w# w# w# w# w# w#
or APRNs? (Select all that apply)
w# w# w# w# w#
a. Inaccessibility of patient care w# w# w#
b. Higher health care costs w# w# w#
, c. Higher quality medical treatment
w# w# w#
d. Improved collaborative care w# w#
e. Enhanced health literacy w# w#
ANS: A, B w# w#
Rationale: Limiting prescriptive authority for APRNs can create barriers t
w# w# w# w# w# w# w# w# w#
o quality, affordable, and accessible patient care. It may also lead to poor
w# w# w# w# w# w# w# w# w# w# w# w# w#
collaboration among providers and higher health care costs. Enhanced heal
w# w# w# w# w# w# w# w# w#
th literacy and improved collaborative care are not directly impacted by li
w# w# w# w# w# w# w# w# w# w# w#
mited prescriptive authority.
w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
REF: p. 2 w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
4. Which aspects support the APRN’s provision for full prescriptive authorit
w# w# w# w# w# w# w# w# w#
y? (Select all that apply)
w# w# w# w#
a. Clinical education includes prescription of medications and diseas
w# w# w# w# w# w# w#
e processes.
w#
b. Federal regulations support the provision of full authority for APRNs.
w# w# w# w# w# w# w# w# w#
c. National examinations provide validation of the APRN’s ability to provi
w# w# w# w# w# w# w# w# w#
de safe care.
w# w#
d. Licensure ensures compliance with health care and safety standards.
w# w# w# w# w# w# w# w#
e. Limiting provision can decrease health care affordability.
w# w# w# w# w# w#
ANS: A, C, D w# w# w#
Rationale: APRNs are educated to practice and prescribe independently
w# w# w# w# w# w# w# w# w#
without supervision. National examinations validate their ability to provid
w# w# w# w# w# w# w# w#
e safe and competent care. Licensure ensures compliance with standards t
w# w# w# w# w# w# w# w# w# w#
hat promote public health and safety. Limited prescriptive authority creat
w# w# w# w# w# w# w# w# w#
es barriers to quality, affordable, and accessible patient care.
w# w# w# w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
REF: pp. 1-2 w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
5. Which aspects support the APRN’s provision for full prescriptive authorit
w# w# w# w# w# w# w# w# w#
y? (Select all that apply)
w# w# w# w#
a. Clinical education includes prescription of medications and diseas
w# w# w# w# w# w# w#
e processes.
w#
b. Federal regulations support the provision of full authority for APRNs.
w# w# w# w# w# w# w# w# w#
c. National examinations provide validation of the APRN’s ability to provide
w# w# w# w# w# w# w# w# w#
, safe care. w#
d. Licensure ensures compliance with health care and safety standards.
w# w# w# w# w# w# w# w#
ANS: A, C, D w# w# w#
Rationale: APRNs are educated to practice and prescribe independently
w# w# w# w# w# w# w# w# w#
without supervision. National examinations validate their ability to provid
w# w# w# w# w# w# w# w#
e safe and competent care. Licensure ensures compliance with standards t
w# w# w# w# w# w# w# w# w# w#
o promote public health and safety. Limited prescriptive authority creates
w# w# w# w# w# w# w# w# w#
barriers to quality, affordable, and accessible patient care.
w# w# w# w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
6. What is the primary benefit of APRNs having full prescriptive authority?
w# w# w# w# w# w# w# w# w# w#
a. Increased job satisfaction w# w#
b. Improved patient outcomes w# w#
c. Decreased need for collaboration w# w# w#
d. Reduced medication costs w# w#
ANS: B w#
Rationale: Full prescriptive authority allows APRNs to make timely deci
w# w# w# w# w# w# w# w# w#
sions regarding patient care, leading to improved patient outcomes. While
w# w# w# w# w# w# w# w# w#
job satisfaction and reduced medication costs may also be benefits, the p
w# w# w# w# w# w# w# w# w# w# w# w#
rimary focus is on patient outcomes.
w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
7. Which of the following describes a challenge faced by APRNs seeking f
w# w# w# w# w# w# w# w# w# w# w#
ull prescriptive authority?
w# w#
a. Increased demand for primary care services w# w# w# w# w#
b. Variability in state regulations w# w# w#
c. Enhanced education programs w# w#
d. Collaboration with physicians w# w#
ANS: B w#
Rationale: Variability in state regulations can create challenges for APR
w# w# w# w# w# w# w# w# w#
Ns seeking full prescriptive authority, as laws differ regarding what APR
w# w# w# w# w# w# w# w# w# w#
Ns are allowed to prescribe and under what circumstances.
w# w# w# w# w# w# w# w#
DIF: Cognitive Level: Comprehension
w# w# w#
TOP: Nursing Process: Implementation
w# w# w#
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
w# w# w# w# w# w# w#
gic and Parenteral Therapies
w# w# w#
