PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSING ATTENDANTS AND PHYSICIAN
ASSISTANTS 3RD EDITION ROSENTHAL
,Chapter 1: Prescriptive Authority wq wq wq wq
Multiple Choice wq
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict th
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e types of medications the APRN is allowed to prescribe. State law does not require the APRN t
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o practice under physician supervision. How would the APRN’s prescriptive authority be descri
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bed?
a. Full authority wq
b. Independent
c. Without limitation wq
d. Limited authority wq
CORRECT RESPONSE:- B wq w q
Reasoning :- wq
>>> The APRN has independent prescriptive authority because the regulating body does not requir
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e that the APRN work under physician supervision. Full prescriptive authority gives the provider t
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he right to prescribe independently and without limitation. Limited authority places restrictions on
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the types of hospital medications that can be prescribed.DIF: Cognitive Level: ComprehensionRE
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F: p. 1TOP: Nursing Process: I MSC: NCLEX Hospital client Needs Category: Physiologic Inte
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grity: 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 clients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease. wq wq wq wq wq wq wq
c. Physician’s assistants are being utilized less often. wq wq wq wq wq wq
d. APRN education is more complex than education for physicians.
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CORRECT RESPONSE:- A wq w q
Reasoning :- wq
>>> Implementation of the Affordable Care Act has increased the number of individuals with healt
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h care coverage, and thus the number who have access to health care services. The increase in the n
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umber of clients creates the need for more providers with prescriptive authority. APRNs can fill thi
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s practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementa
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tion MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and Pa
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renteral Therapies wq
,3. Which factors could be attributed to limited prescriptive authority for APRNs? S
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elect all that apply. wq wq wq
a. Inaccessibility of client care wq wq wq
b. Higher health care costs wq wq wq
c. Higher quality medical treatment wq wq wq
d. Improved collaborative care wq wq
e. Enhanced health literacy wq wq
CORRECT RESPONSE:- A , B wq w q wq wq
Reasoning :- wq
>>> Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
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sibleclient care. It may also lead to poor collaboration among providers and higher health care cost
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s. It would not directly impact client’s health literacy.DIF: Cognitive Level: ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category: Physio
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logic Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN’s provision for full prescriptive authority? S
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elect all that apply. wq wq wq
a. Clinical education includes prescription of medications andillness 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 abilityto provide 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.wq wq wq wq wq wq
CORRECT RESPONSE:- A , C , D wq w q wq wq wq wq
Reasoning :- wq
>>> APRNs are educated to practice and prescribe independently without supervision. National ex
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aminations validate the ability to provide safe and competent care. Licensure ensures compliance
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with standards to promote public health and safety. Limited prescriptive authority creates numerou
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s barriers to quality, affordable, and accessible client care.DIF: Cognitive Level: ComprehensionR
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EF: pp. 1- wq wq
2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category: Physiolo
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gic Integrity: Pharmacologic and Parenteral Therapies
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5. Which aspects support the APRN’s provision for full prescriptive authority? S
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elect all that apply. wq wq wq
a. Clinical education includes prescription of medications andillness 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 abilityto provide safe care.
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d. Licensure ensures compliance with health care and safety standards.
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CORRECT RESPONSE:- A , C , D wq w q wq wq wq wq
Reasoning :- wq
>>> APRNs are educated to practice and prescribe independently without supervision. National ex
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aminations validate the ability to provide safe and competent care. Licensure ensures compliance
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with standards to promote public health and safety. Limited prescriptive authority creates num
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erous barriers to quality, affordable, and accessible client
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, care.DIF: Cognitive Level: wq wq
3
ComprehensionREF: pp. 1- wq wq
2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category: Physiol
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ogic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nursing attendant practicing in Maine is hired at a practice across state lines
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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 regulations.
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CORRECT RESPONSE:- A wq w q
Reasoning :- wq
>>>Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
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sing attendants. The federal government does not regulate prescriptive authority.DIF: Cognitive L
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evel: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Hospital cli
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ent Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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