Test Bank Complete_ Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants (3rd Edition, 2024) By Rosenthal| All Chapters 1–94 with Detailed Answers| Grade A+

TEST BANK FOR LEHNE’S
PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSING ATTENDANTS AND PHYSICIAN
ASSISTANTS 3RD EDITION ROSENTHAL

,Chapter 1: Prescriptive Authority
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v Multiple Choice v




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
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APRN to practice under physician supervision. How would the APRN’s prescriptive authority
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be described?
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a. Full authority v


b. Independent
c. Without limitation v


d. Limited authority v




CORRECT RESPONSE:- B v v


Reasoning :->>> The APRN has independent prescriptive authority because the regulating body
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does not require that the APRN work under physician supervision. Full prescriptive authority
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gives the provider the right to prescribe independently and without limitation. Limited authority
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places restrictions on the types of hospital medications that can be prescribed.DIF: Cognitive
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Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Hospital client Needs
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Category: Physiologic Integrity: 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. v v v v v v v


c. Physician’s assistants are being utilized less often. v v v v v v


d. APRN education is more complex than education for physicians.
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CORRECT RESPONSE:- A v v


Reasoning :->>> Implementation of the Affordable Care Act has increased the number of
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individuals with health care coverage, and thus the number who have access to health care
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services. The increase in the number of clients creates the need for more providers with
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prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level:
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ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client
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Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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,3. Which factors could be attributed to limited prescriptive authority for APRNs?
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Select all that apply.
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a. Inaccessibility of client care v v v


b. Higher health care costs v v v


c. Higher quality medical treatment
v v v


d. Improved collaborative care v v


e. Enhanced health literacy v v




CORRECT RESPONSE:- A , B v v v v


Reasoning :->>> Limiting prescriptive authority for APRNs can create barriers to quality,
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affordable, and accessibleclient care. It may also lead to poor collaboration among providers and
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higher health care costs. It would not directly impact client’s health literacy.DIF: Cognitive
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Level: ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category:
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Physiologic Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN’s provision for full prescriptive authority?
v v v v v v v v v


Select all that apply.
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a. Clinical education includes prescription of medications andillness processes.
v v v v v v v


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 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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CORRECT RESPONSE:- A , C , D v v v v v v


Reasoning :->>> APRNs are educated to practice and prescribe independently without
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supervision. National examinations validate the ability to provide safe and competent care.
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Licensure ensures compliance with standards to promote public health and safety. Limited
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prescriptive authority creates numerous barriers to quality, affordable, and accessible client
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care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation
v v v v v v v v v


MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
v v v v v v v v v v


Parenteral Therapies
v v




5. Which aspects support the APRN’s provision for full prescriptive authority?
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Select all that apply.
v v v v




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 ability to 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 v v v v v v


Reasoning :->>> APRNs are educated to practice and prescribe independently without
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supervision. National examinations validate the ability to provide safe and competent care.
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Licensure ensures compliance with standards to promote public health and safety. Limited
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prescriptive authority creates numerous barriers to quality, affordable, and accessible
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vclient

, care.DIF: Cognitive Level:
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3

ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Hospital
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client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nursing attendant practicing in Maine is hired at a practice across state
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lines 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 v v


Reasoning :->>>Virginia allows limited prescriptive authority, while Maine gives full authority
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to certified nursing attendants. The federal government does not regulate prescriptive
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authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation
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MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
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Parenteral Therapies
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