TEST BANK FOR Lehne’s
Pharmacotherapeutics for Advanced Practice
Nurses and Physician Assistants 3rd Edition
by Laura D. Rosenthal ,
,TEST BANK FOR Lehne's Pharmacotherapeutics for Advanced Practice Nurses and
Physician Assistants 3rd Edition by Laura D. Rosenthal ,
Chapter1: Prescriptive Authority
Test Bank
Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician who does no
,, ,, ,,, , ,,, ,, , ,,, ,
t restrict the types of medications the APRN is allowed to prescribe. State law doe
,,,, ,, ,,,,,,,,,,
s not require the APRNto practice under physician supervision. Howwouldthe APRN’s pr ,,,,,,,,,,,, ,,,,,,,,,,, ,, ,,,,,,,,,,,,,,,,,,,
escriptiveauthoritybedescribed?
a. Fullauthority
b. Independent
c. Without limitation
d. Limited authority
ANS: B
The APRN has independent prescriptive authority because the regulating body does not ,,,,,,
require that the APRN work under physician supervision. Full prescriptive authority gi ,,,,
ves the provider the right to prescribe independently and without limitation. Limited au ,,,,,,,,,,
thority places restrictions on the types of drugs that can be prescribed.DIF: Cognitive Le ,,,, ,,, ,,, ,,
vel: ComprehensionREF: p. 1TOP:Nursing Process: I MSC: NCLEX Client Needs Categ ,,
ory: Physiologic Integrity: Pharmacologic and ParenteralTherapies
2. Which factors increase the need for APRNs to have fullprescriptive , , authority?
a. More patients willhave access to health care.
b. Enrollment in medicalschools ispredicted to
, ,,,,,,decrease. , ,, ,,,,
c. Physician’s assistantsare being utilized less
,,,,, often. ,, ,,,,, , ,
d. APRNeducation ismore complex thaneducation forphysicians. , ,,,,,
ANS: A
Implementation of the Affordable Care Act has increased the number of individuals wit ,,, ,
h health care coverage, and thus the number who have access to health care services.
,,, ,,
The increase in the number
,,, ofpatients createsthe need for more providerswith prescri
,, ,,,,, , ,,,,,,
ptive authority. APRNs can fill this practice gap.DIF: Cognitive Level: Comprehension ,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,
REF: p. 2TOP: Nursing Process: ImplementationMSC:NCLEX ClientNeedsCategory: Phy ,,
siologicIntegrity: PharmacologicandParenteral Therapies ,,,,,,,,,,,
3. Whichfactors couldbeattributed to limited prescriptive authorityfor APRNs?Sele
,,,,,,,,,, ,,,, ,,, ,,,,,,,,,
ct allthat , apply.
, a. Inaccessibilityof patient care ,,,,,,
b. Higher healthcare costs
c. Higher quality medicaltreatment
d. Improved collaborative care ,,,,,,,,,
e. Enhanced health literacy ,
ANS: A , B ,,,,,,,,,,,
Limiting prescriptive authorityfor APRNs cancreatebarriers toquality, affordable, and accessib
,,,,,, ,,,,, ,,,,,, ,,,,,, ,,,,,,
lepatient care. It may also lead to poor collaboration among providers and higher healt ,,,,, ,
h care costs. It would not directlyimpact patient’shealth literacy.DIF:CognitiveLevel:Compreh
,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,
ensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Phys
iologic Integrity: Pharmacologic and Parenteral Therapies ,,,,,,,,,,,,,,,,,,
4. Which aspects support the APRN’s provision for fullprescriptiveauthori
,,,,,, ,,,,,, ,,,,, , ,
ty?Select allthat apply. ,
a. Clinical education includes prescription of medications and disease processes.
,,, ,, , , ,,,,,,
b. Federal regulations support the provision of full authority forAPRNs.
,,,,,,,,,,,,,,,,,,, ,, ,
c. Nationalexaminations provide validation ofthe APRN’s ability to provide safecare. , ,,,,,,,
d. Licensure ensures compliance with health care and safetystandards. , ,, ,
e. Limiting provisioncan decrease healthcareaffordability. ,,,,, ,
ANS: A, C , D
APRNs are educated to practice and prescribe independently without supervision. Nati
,,, ,,,, ,,,
onal examinations validate the ability to provide safe and competent care. Licensure
,, ,
ensures compliance with standards to promote public health and safety. Limited prescri
,
ptive authority creates numerousbarriers to quality, affordable, andaccessible patient care.DIF ,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,, ,,,,,,,,,,, ,,
:CognitiveLevel:ComprehensionREF: pp. 1-
2TOP: Nursing Process: Implementation MSC: NCLEX Client NeedsCategory: Physiolog
,,
ic Integrity: Pharmacologic and Parenteral Therapies , ,,,,,,
5. Which aspects support the APRN’s provision for fullprescriptiveauthori
,,,,,, ,,,,,, ,,,,, , ,
ty?Select allthat apply. ,
a. Clinical education includes prescription of medications and diseaseprocesses.
,,, ,, , ,
b. Federal regulations support the provision of full authorityforAPRNs.
,,,,, ,, ,,,,,,
c. Nationalexaminations provide validation ofthe APRN’s ability to provide safecare. ,
d. Licensure ensures compliance with healthcare and safetystandards. ,
ANS: A, C , D
APRNs are educated to practice and prescribe independently without supervision. Nati ,,,, ,,,
onal examinations validate the ability to provide safe and competent care. Licensure
,, ,
ensures compliance with standards to promote public health and safety. Limited prescri
,
ptive authority creates numerous barriersto quality, affordable, and accessiblepatient care.DI ,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,
F:CognitiveLevel:
, ComprehensionREF: pp. 1-
2TOP: Implementation Nursing , Process:
MSC:NCLEX Client , ,
Needs Category: Physiologic Integrity: Pharmacologic and ParenteralTherapies
6. A family nurse practitioner practicing in Maine is hired at a practice across state ,, ,, ,, , ,,, ,,,, ,,,
lines in Virginia. Which aspect ofpractice maychange for the
,,,,,,,,,,,,,,,,,, APRN ,, ,
?
a. The APRN willhave lessprescriptive authority inthe new
,,, position. , ,
b. The APRN willhave more prescriptive authorityin the newposition.
,,,, , ,,,,,,
c. The APRN will have equalprescriptive authority in the newposition. , ,, ,,,,,,,,,,,,
d. The APRN’s authoritywilldepend on federalregulations. ,,,,, ,
ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certifi
,,
ed nurse practitioners. The federal government does not regulate prescriptive authority. ,,,,,,,,,,,
DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation ,
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parent ,,
eral Therapies
,,,,,,
2nd
Rosenthal: Lehne'sPharmacotherapeuticsfor Advanced PracticeProviders, , Ed.Chapte
r2: Rational Drug Selection and Prescription Writing ,,,,,,
Test Bank M ,,,,,
ultiple Choice
,,,,,,
7. Howcan collaborationwith apharmacist improvepositiveoutcomesforpatients?S
,,,,, ,,,,,,
elect allthat ,apply.
a. Pharmacists can suggest foods that will help with the patient’scondition. ,,,,,, ,,,,,, , ,,,,,, ,,,, ,,,,,,
b. Pharmacists have additionalinformationondrug interactions. ,,,,,,
c. Thepharmacist can suggest adequatemedication dosing. , ,,,,,, ,,
d. Pharmacists have firsthand knowledge ofthe facility formulary. ,,,,,,
e. Pharmacycan alter prescriptions when necessaryto prevent patient harm. ,,,,,, ,,,,,, ,,
ANS: B , C , D
Providers should collaboratewithpharmacistsbecausetheywilllikelyhaveadditionalinformationon f
,,,,, ,,,,,,,, , , ,
ormulary, drug interactions, and suggestions for adequate medication dosing. Dietitians c
an make foods recommendations to treat the patient’s condition. The pharmacist can c
ontact the prescriber about questionable prescriptions, but cannot alter the prescription
,
without notification of and approval by the provider.DIF: Cognitive Level: Comprehensi , ,,,,,,
onREF: p. 9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: P ,
hysiologic Integrity: Reduction of Risk Potential
Pharmacotherapeutics for Advanced Practice
Nurses and Physician Assistants 3rd Edition
by Laura D. Rosenthal ,
,TEST BANK FOR Lehne's Pharmacotherapeutics for Advanced Practice Nurses and
Physician Assistants 3rd Edition by Laura D. Rosenthal ,
Chapter1: Prescriptive Authority
Test Bank
Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician who does no
,, ,, ,,, , ,,, ,, , ,,, ,
t restrict the types of medications the APRN is allowed to prescribe. State law doe
,,,, ,, ,,,,,,,,,,
s not require the APRNto practice under physician supervision. Howwouldthe APRN’s pr ,,,,,,,,,,,, ,,,,,,,,,,, ,, ,,,,,,,,,,,,,,,,,,,
escriptiveauthoritybedescribed?
a. Fullauthority
b. Independent
c. Without limitation
d. Limited authority
ANS: B
The APRN has independent prescriptive authority because the regulating body does not ,,,,,,
require that the APRN work under physician supervision. Full prescriptive authority gi ,,,,
ves the provider the right to prescribe independently and without limitation. Limited au ,,,,,,,,,,
thority places restrictions on the types of drugs that can be prescribed.DIF: Cognitive Le ,,,, ,,, ,,, ,,
vel: ComprehensionREF: p. 1TOP:Nursing Process: I MSC: NCLEX Client Needs Categ ,,
ory: Physiologic Integrity: Pharmacologic and ParenteralTherapies
2. Which factors increase the need for APRNs to have fullprescriptive , , authority?
a. More patients willhave access to health care.
b. Enrollment in medicalschools ispredicted to
, ,,,,,,decrease. , ,, ,,,,
c. Physician’s assistantsare being utilized less
,,,,, often. ,, ,,,,, , ,
d. APRNeducation ismore complex thaneducation forphysicians. , ,,,,,
ANS: A
Implementation of the Affordable Care Act has increased the number of individuals wit ,,, ,
h health care coverage, and thus the number who have access to health care services.
,,, ,,
The increase in the number
,,, ofpatients createsthe need for more providerswith prescri
,, ,,,,, , ,,,,,,
ptive authority. APRNs can fill this practice gap.DIF: Cognitive Level: Comprehension ,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,
REF: p. 2TOP: Nursing Process: ImplementationMSC:NCLEX ClientNeedsCategory: Phy ,,
siologicIntegrity: PharmacologicandParenteral Therapies ,,,,,,,,,,,
3. Whichfactors couldbeattributed to limited prescriptive authorityfor APRNs?Sele
,,,,,,,,,, ,,,, ,,, ,,,,,,,,,
ct allthat , apply.
, a. Inaccessibilityof patient care ,,,,,,
b. Higher healthcare costs
c. Higher quality medicaltreatment
d. Improved collaborative care ,,,,,,,,,
e. Enhanced health literacy ,
ANS: A , B ,,,,,,,,,,,
Limiting prescriptive authorityfor APRNs cancreatebarriers toquality, affordable, and accessib
,,,,,, ,,,,, ,,,,,, ,,,,,, ,,,,,,
lepatient care. It may also lead to poor collaboration among providers and higher healt ,,,,, ,
h care costs. It would not directlyimpact patient’shealth literacy.DIF:CognitiveLevel:Compreh
,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,
ensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Phys
iologic Integrity: Pharmacologic and Parenteral Therapies ,,,,,,,,,,,,,,,,,,
4. Which aspects support the APRN’s provision for fullprescriptiveauthori
,,,,,, ,,,,,, ,,,,, , ,
ty?Select allthat apply. ,
a. Clinical education includes prescription of medications and disease processes.
,,, ,, , , ,,,,,,
b. Federal regulations support the provision of full authority forAPRNs.
,,,,,,,,,,,,,,,,,,, ,, ,
c. Nationalexaminations provide validation ofthe APRN’s ability to provide safecare. , ,,,,,,,
d. Licensure ensures compliance with health care and safetystandards. , ,, ,
e. Limiting provisioncan decrease healthcareaffordability. ,,,,, ,
ANS: A, C , D
APRNs are educated to practice and prescribe independently without supervision. Nati
,,, ,,,, ,,,
onal examinations validate the ability to provide safe and competent care. Licensure
,, ,
ensures compliance with standards to promote public health and safety. Limited prescri
,
ptive authority creates numerousbarriers to quality, affordable, andaccessible patient care.DIF ,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,, ,,,,,,,,,,, ,,
:CognitiveLevel:ComprehensionREF: pp. 1-
2TOP: Nursing Process: Implementation MSC: NCLEX Client NeedsCategory: Physiolog
,,
ic Integrity: Pharmacologic and Parenteral Therapies , ,,,,,,
5. Which aspects support the APRN’s provision for fullprescriptiveauthori
,,,,,, ,,,,,, ,,,,, , ,
ty?Select allthat apply. ,
a. Clinical education includes prescription of medications and diseaseprocesses.
,,, ,, , ,
b. Federal regulations support the provision of full authorityforAPRNs.
,,,,, ,, ,,,,,,
c. Nationalexaminations provide validation ofthe APRN’s ability to provide safecare. ,
d. Licensure ensures compliance with healthcare and safetystandards. ,
ANS: A, C , D
APRNs are educated to practice and prescribe independently without supervision. Nati ,,,, ,,,
onal examinations validate the ability to provide safe and competent care. Licensure
,, ,
ensures compliance with standards to promote public health and safety. Limited prescri
,
ptive authority creates numerous barriersto quality, affordable, and accessiblepatient care.DI ,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,
F:CognitiveLevel:
, ComprehensionREF: pp. 1-
2TOP: Implementation Nursing , Process:
MSC:NCLEX Client , ,
Needs Category: Physiologic Integrity: Pharmacologic and ParenteralTherapies
6. A family nurse practitioner practicing in Maine is hired at a practice across state ,, ,, ,, , ,,, ,,,, ,,,
lines in Virginia. Which aspect ofpractice maychange for the
,,,,,,,,,,,,,,,,,, APRN ,, ,
?
a. The APRN willhave lessprescriptive authority inthe new
,,, position. , ,
b. The APRN willhave more prescriptive authorityin the newposition.
,,,, , ,,,,,,
c. The APRN will have equalprescriptive authority in the newposition. , ,, ,,,,,,,,,,,,
d. The APRN’s authoritywilldepend on federalregulations. ,,,,, ,
ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certifi
,,
ed nurse practitioners. The federal government does not regulate prescriptive authority. ,,,,,,,,,,,
DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation ,
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parent ,,
eral Therapies
,,,,,,
2nd
Rosenthal: Lehne'sPharmacotherapeuticsfor Advanced PracticeProviders, , Ed.Chapte
r2: Rational Drug Selection and Prescription Writing ,,,,,,
Test Bank M ,,,,,
ultiple Choice
,,,,,,
7. Howcan collaborationwith apharmacist improvepositiveoutcomesforpatients?S
,,,,, ,,,,,,
elect allthat ,apply.
a. Pharmacists can suggest foods that will help with the patient’scondition. ,,,,,, ,,,,,, , ,,,,,, ,,,, ,,,,,,
b. Pharmacists have additionalinformationondrug interactions. ,,,,,,
c. Thepharmacist can suggest adequatemedication dosing. , ,,,,,, ,,
d. Pharmacists have firsthand knowledge ofthe facility formulary. ,,,,,,
e. Pharmacycan alter prescriptions when necessaryto prevent patient harm. ,,,,,, ,,,,,, ,,
ANS: B , C , D
Providers should collaboratewithpharmacistsbecausetheywilllikelyhaveadditionalinformationon f
,,,,, ,,,,,,,, , , ,
ormulary, drug interactions, and suggestions for adequate medication dosing. Dietitians c
an make foods recommendations to treat the patient’s condition. The pharmacist can c
ontact the prescriber about questionable prescriptions, but cannot alter the prescription
,
without notification of and approval by the provider.DIF: Cognitive Level: Comprehensi , ,,,,,,
onREF: p. 9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: P ,
hysiologic Integrity: Reduction of Risk Potential
