Test bank for lehne’s pharmacotherapeutics for advanced practice nurses and physician
assistants 3rd edition rosenthal
Independent prescriptive authority - -The APRN has independent prescriptive authority because the
regulating body does not require that the APRN work under physician supervision.
--Full prescriptive authority - -Full prescriptive authority gives the provider the right to prescribe
independently and without limitation.
--Limited authority - -Limited authority places restrictions on the types of drugs that can be
prescribed.
--Factors increasing need for full prescriptive authority - -Implementation of the Affordable Care Act
has increased the number of individuals with health care coverage, thus increasing access to health
care services.
--Barriers to quality care - -Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible patient care.
--Aspects supporting full prescriptive authority - -APRNs are educated to practice and prescribe
independently without supervision.
--National examinations - -National examinations provide validation of the APRN's ability to provide
safe care.
--Licensure - -Licensure ensures compliance with health care and safety standards.
--Impact of limited prescriptive authority - -Limited prescriptive authority creates numerous barriers
to quality, affordable, and accessible patient care.
--Prescriptive authority in Virginia vs. Maine - -Virginia allows limited prescriptive authority, while
Maine gives full authority to certified nurse practitioners.
--Cognitive Level: Comprehension - -This refers to the level of understanding required to answer
questions regarding prescriptive authority.
--Physiologic Integrity - -This category relates to pharmacologic and parenteral therapies in nursing.
--Affordable Care Act - -Legislation that increased the number of individuals with health care
coverage.
--Higher health care costs - -Limiting prescriptive authority may lead to higher health care costs.
--Inaccessibility of patient care - -A factor attributed to limited prescriptive authority for APRNs.
--Higher quality medical treatment - -Not directly impacted by limiting prescriptive authority.
--Improved collaborative care - -Not directly impacted by limiting prescriptive authority.
--Enhanced health literacy - -Not directly impacted by limiting prescriptive authority.
--Clinical education - -Includes prescription of medications and disease processes.
, --Federal regulations - -Support the provision of full authority for APRNs.
--Practice gap - -The increase in the number of patients creates the need for more providers with
prescriptive authority.
--State law requirements - -State law does not require the APRN to practice under physician
supervision.
--Physician's assistants utilization - -The trend of physician's assistants being utilized less often may
increase the need for APRNs with full prescriptive authority.
--Nursing Process: Implementation - -Refers to the application of nursing knowledge in practice.
--NCLEX Client Needs Category - -Categories that guide the development of nursing examinations.
--Practice across state lines - -An APRN may experience changes in prescriptive authority when
practicing in a different state.
--Prescriptive authority changes - -The APRN will have less prescriptive authority in the new position
if moving from Maine to Virginia.
--Collaboration with Pharmacists - -Enhances patient outcomes through drug information.
--Formulary Knowledge - -Pharmacists understand available medications in facilities.
--Medication Dosing - -Pharmacists suggest appropriate doses for medications.
--Drug Interactions - -Pharmacists provide insights on medication interactions.
--Telephone Orders - -Emergency orders permitted without written approval.
--Delirium Tremens - -Severe alcohol withdrawal requiring immediate treatment.
--Schedule II Medications - -Require handwritten prescriptions; no refills allowed.
--Patient Adherence - -Verify compliance with prescribed medication regimens.
--Amoxicillin Rash - -Flat, itchy rash may indicate allergic reaction.
--Discontinuation of Medication - -Priority action to prevent worsening patient symptoms.
--COPD Treatment - -Assess medication history before prescribing new drugs.
--Diabetes Medication Access - -Consider alternative pharmacies for cost-effective options.
--Hydrocodone Prescription Issues - -Missing DEA number prevents filling prescriptions.
--Electronic Prescriptions - -May not be accepted for Schedule II medications.
--Prescriber License Number - -Essential for validating prescriptions for controlled substances.
assistants 3rd edition rosenthal
Independent prescriptive authority - -The APRN has independent prescriptive authority because the
regulating body does not require that the APRN work under physician supervision.
--Full prescriptive authority - -Full prescriptive authority gives the provider the right to prescribe
independently and without limitation.
--Limited authority - -Limited authority places restrictions on the types of drugs that can be
prescribed.
--Factors increasing need for full prescriptive authority - -Implementation of the Affordable Care Act
has increased the number of individuals with health care coverage, thus increasing access to health
care services.
--Barriers to quality care - -Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible patient care.
--Aspects supporting full prescriptive authority - -APRNs are educated to practice and prescribe
independently without supervision.
--National examinations - -National examinations provide validation of the APRN's ability to provide
safe care.
--Licensure - -Licensure ensures compliance with health care and safety standards.
--Impact of limited prescriptive authority - -Limited prescriptive authority creates numerous barriers
to quality, affordable, and accessible patient care.
--Prescriptive authority in Virginia vs. Maine - -Virginia allows limited prescriptive authority, while
Maine gives full authority to certified nurse practitioners.
--Cognitive Level: Comprehension - -This refers to the level of understanding required to answer
questions regarding prescriptive authority.
--Physiologic Integrity - -This category relates to pharmacologic and parenteral therapies in nursing.
--Affordable Care Act - -Legislation that increased the number of individuals with health care
coverage.
--Higher health care costs - -Limiting prescriptive authority may lead to higher health care costs.
--Inaccessibility of patient care - -A factor attributed to limited prescriptive authority for APRNs.
--Higher quality medical treatment - -Not directly impacted by limiting prescriptive authority.
--Improved collaborative care - -Not directly impacted by limiting prescriptive authority.
--Enhanced health literacy - -Not directly impacted by limiting prescriptive authority.
--Clinical education - -Includes prescription of medications and disease processes.
, --Federal regulations - -Support the provision of full authority for APRNs.
--Practice gap - -The increase in the number of patients creates the need for more providers with
prescriptive authority.
--State law requirements - -State law does not require the APRN to practice under physician
supervision.
--Physician's assistants utilization - -The trend of physician's assistants being utilized less often may
increase the need for APRNs with full prescriptive authority.
--Nursing Process: Implementation - -Refers to the application of nursing knowledge in practice.
--NCLEX Client Needs Category - -Categories that guide the development of nursing examinations.
--Practice across state lines - -An APRN may experience changes in prescriptive authority when
practicing in a different state.
--Prescriptive authority changes - -The APRN will have less prescriptive authority in the new position
if moving from Maine to Virginia.
--Collaboration with Pharmacists - -Enhances patient outcomes through drug information.
--Formulary Knowledge - -Pharmacists understand available medications in facilities.
--Medication Dosing - -Pharmacists suggest appropriate doses for medications.
--Drug Interactions - -Pharmacists provide insights on medication interactions.
--Telephone Orders - -Emergency orders permitted without written approval.
--Delirium Tremens - -Severe alcohol withdrawal requiring immediate treatment.
--Schedule II Medications - -Require handwritten prescriptions; no refills allowed.
--Patient Adherence - -Verify compliance with prescribed medication regimens.
--Amoxicillin Rash - -Flat, itchy rash may indicate allergic reaction.
--Discontinuation of Medication - -Priority action to prevent worsening patient symptoms.
--COPD Treatment - -Assess medication history before prescribing new drugs.
--Diabetes Medication Access - -Consider alternative pharmacies for cost-effective options.
--Hydrocodone Prescription Issues - -Missing DEA number prevents filling prescriptions.
--Electronic Prescriptions - -May not be accepted for Schedule II medications.
--Prescriber License Number - -Essential for validating prescriptions for controlled substances.