Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants (2nd Edition) by Laura D. Rosenthal (ISBN 978-0323554954) — Complete Test Bank with Questions and Answers for Advanced Pharmacology and Therapeutic Management

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TEST BANK FOR LEHNE’S
PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION
ROSENTHAL |ISBN-13; 978-0323554954




LEHNES PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES & PHYSICIAN ASSISTANTS 2ND EDITION

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CHAPTER 1: PRESCRIPTIVE
AUTHORITY

Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician
who does not restrict the types of medications the APRN is allowed to
prescribe. State law does not require the APRN to practice under physician
supervision. How would the APRN‘s prescriptive authority be described?
a. Full authority
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 gives the provider the right to prescribe independently
and without limitation. Limited authority places restrictions on the types of
drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category:
Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?


a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician‘s assistants are being utilized less often.
d. APRN education is more complex than education for physicians.


ANS: A
Implementation of the Affordable Care Act has increased the number of
individuals with health care coverage, and thus the number who have access
to health care services. The increase in the number of patients creates the
need for more providers with prescriptive authority. APRNs can fill this
practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing
Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies

LEHNES PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES & PHYSICIAN ASSISTANTS 2ND EDITION

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3. Which factors could be attributed to limited prescriptive authority for
APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy


ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible patient care. It may also lead to poor collaboration
among providers and higher health care costs. It would not directly impact
patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
Physiologic Integrity: Pharmacologic and Parenteral Therapies


4. Which aspects support the APRN‘s provision for full prescriptive
authority? Select all that apply.


a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.


ANS: A , C , D
APRNs are educated to practice and prescribe independently without
supervision. National examinations validate the ability to provide safe and
competent care. Licensure ensures compliance with standards to promote
public health and safety. Limited prescriptive authority creates numerous
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies


LEHNES PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES & PHYSICIAN ASSISTANTS 2ND EDITION

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


a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.


ANS: A , C , D
APRNs are educated to practice and prescribe independently without
supervision. National examinations validate the ability to provide safe and
competent care. Licensure ensures compliance with standards to promote
public health and safety. Limited prescriptive authority creates numerous
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:


Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation MSC:
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies




6. A family nurse practitioner practicing in Maine is hired at a practice
across state lines in Virginia. Which aspect of practice may change for the
APRN?
a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the new position.
d. The APRN‘s authority will depend on federal
regulations. ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to
certified 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 Parenteral Therapies





LEHNES PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES & PHYSICIAN ASSISTANTS 2ND EDITION