Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
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2nd Edition Rosenthal Test Bank
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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCE
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DPRACTICE NURSES AND PHYSICIAN ASSISTANTS 2N
!M M! M! M! M! M!
D EDITION ROSENTHAL TEST BANK
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
M! M! M! M! M! M! M! M! M!
2nd Edition Rosenthal Test Bank
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Chapter 1: Prescriptive Authority Test Ba
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nk Multiple Choice
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1. An APRN works in a urology clinic under the supervision of a physician who does
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not restrict the types of medications the APRN is allowed to prescribe. State law does not
M! M! M! M! M! M! M! M! M! M! M! M! M! M! M! M!
require the APRN to practice under physician supervision. How would the APRN‘s prescripti
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ve authority be described?
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a. Full authority M!
b. Independent
c. Without limitation M!
d. Limited authority M!
ANS: B M!
The APRN has independent prescriptive authority because the regulating body does not re
M! M! M! M! M! M! M! M! M! M! M! M!
quire that the APRN work under physician supervision. Full prescriptive authority gives the
M
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provider the right to prescribe independently and without limitation. Limited authority plac
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es restrictions on the types of drugs that can be prescribed .DIF: Cognitive Level: Compreh
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ension REF: p. M! M!
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integr
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ity: 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 patients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease.
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c. Physician‘s assistants are being utilized less often.
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d. APRN education is more complex than education for physicians.
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ANS: A M!
Implementation of the Affordable Care Act has increased the number of individuals with
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health care coverage, and thus the number who have access to health care services. The inc
M
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rease in the number of patients creates the need for more providers with prescriptive author
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ity. APRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TO
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P: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Int
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egrity: Pharmacologic and Parenteral Therapies
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
M! M! M! M! M! M! M! M! M!
2nd Edition Rosenthal Test Bank
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3. Which factors could be attributed to limited prescriptive authority for APRNs? Selec
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t all that apply.
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a. Inaccessibility of patient care M! M! M!
b. Higher health care costsM! M! M!
c. Higher quality medical treatment
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d. Improved collaborative care M! M!
e. Enhanced health literacy M! M!
ANS: A , B M! M! M!
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acc
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essible patient care. It may also lead to poor collaboration among providers and higher healt
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
h care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Co
M
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mprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolog
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ic Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
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all that apply.
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a. Clinical education includes prescription of medications and disease 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 safecare.
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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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ANS: A , C , D M! M! M! M! M!
APRNs are educated to practice and prescribe independently without supervision. Nation
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al examinations validate the ability to provide safe and competent care. Licensure ensure
M! M! M! M! M! M! M! M! M! M! M! M!
s compliance with standards to promote public health and safety. Limited prescriptive au
M! M! M! M! M! M! M! M! M! M! M! M!
thority creates numerous barriers to quality, affordable, and accessible patient care.DIF: C
M
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ognitive Level: ComprehensionREF: pp. 1-
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2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolo
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gic Integrity: Pharmacologic and Parenteral Therapies
M! M! M! M! M!
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
M! M! M! M! M! M! M! M! M!
2nd Edition Rosenthal Test Bank
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5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
M! M! M! M! M! M! M! M! M! M!
all that apply.
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a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
M! M! M! M! M! M! M! M! M!
c. National examinations provide validation of the APRN‘s ability to provide safecare.
M! M! M! M! M! M! M! M! M! M!
d. Licensure ensures compliance with health care and safety standards.
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ANS: A , C , D M! M! M! M! M!
APRNs are educated to practice and prescribe independently without
M! M! M! M! M! M! M! M! M! supervision. National M! M!
examinations validate the ability to provide safe and competent care.
M! M! M! M! M! M! M! M! M! M! Licensure ensures co M! M!
mpliance with standards to promote public health and safety. Limited
M! M! M! M! M! M! M! M! M! M! prescriptive authority c M! M
!
reates numerous barriers to quality, affordable, and accessible patient
M! M! M! M! M! M! M! M! M! care.DIF: Cognitive L M! M!
evel:
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation
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MSC: NCLEX Clien M! M!
t Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nurse practitioner practicing in Maine is hired at a practice across state li
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nes 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 regulatio
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ns. ANS: AM
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Virginia allows limited prescriptive authority, while Maine gives full authority to certified n
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urse practitioners. The federal government does not regulate prescriptive authority.DIF: Cog
M
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nitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLE
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X Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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M! M! M! M! M! M! M! M! M!
2nd Edition Rosenthal Test Bank
M
! M! M! M! 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCE
M! M! M!
DPRACTICE NURSES AND PHYSICIAN ASSISTANTS 2N
!M M! M! M! M! M!
D EDITION ROSENTHAL TEST BANK
M! M! M! M!
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
M! M! M! M! M! M! M! M! M!
2nd Edition Rosenthal Test Bank
M
! M! M! M! 2
Chapter 1: Prescriptive Authority Test Ba
M! M! M! M! M!
nk Multiple Choice
M
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1. An APRN works in a urology clinic under the supervision of a physician who does
M! M! M! M! M! M! M! M! M! M! M! M! M! M! M!
not restrict the types of medications the APRN is allowed to prescribe. State law does not
M! M! M! M! M! M! M! M! M! M! M! M! M! M! M! M!
require the APRN to practice under physician supervision. How would the APRN‘s prescripti
M! M
! M! M! M! M! M! M! M! M! M! M!
ve authority be described?
M! M! M
!
a. Full authority M!
b. Independent
c. Without limitation M!
d. Limited authority M!
ANS: B M!
The APRN has independent prescriptive authority because the regulating body does not re
M! M! M! M! M! M! M! M! M! M! M! M!
quire that the APRN work under physician supervision. Full prescriptive authority gives the
M
! M! M! M! M! M! M! M! M! M! M! M!
provider the right to prescribe independently and without limitation. Limited authority plac
M! M
! M! M! M! M! M! M! M! M! M! M!
es restrictions on the types of drugs that can be prescribed .DIF: Cognitive Level: Compreh
M! M
! M! M! M! M! M! M! M! M! M! M! M! M!
ension REF: p. M! M!
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integr
M! M! M! M! M! M! M! M! M! M!
ity: Pharmacologic and Parenteral Therapies
M
! M! M! M!
2. Which factors increase the need for APRNs to have full prescriptive authority?
M! M! M! M! M! M! M! M! M! M! M!
a. More patients will have access to health care.
M! M! M! M! M! M! M!
b. Enrollment in medical schools is predicted to decrease.
M! M! M! M! M! M! M!
c. Physician‘s assistants are being utilized less often.
M! M! M! M! M! M!
d. APRN education is more complex than education for physicians.
M! M! M! M! M! M! M! M!
ANS: A M!
Implementation of the Affordable Care Act has increased the number of individuals with
M! M! M! M! M! M! M! M! M! M! M! M! M!
health care coverage, and thus the number who have access to health care services. The inc
M
! M! M! M! M! M! M! M! M! M! M! M! M! M! M!
rease in the number of patients creates the need for more providers with prescriptive author
M! M! M
! M! M! M! M! M! M! M! M! M! M! M!
ity. APRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TO
M! M! M! M! M! M! M! M! M! M! M! M! M!
P: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Int
M! M! M! M! M! M! M! M! M! M!
egrity: Pharmacologic and Parenteral Therapies
M! M! M! M!
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
M! M! M! M! M! M! M! M! M!
2nd Edition Rosenthal Test Bank
M
! M! M! M! 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Selec
M! M! M! M! M! M! M! M! M! M! M!
t all that apply.
M! M
! M!
a. Inaccessibility of patient care M! M! M!
b. Higher health care costsM! M! M!
c. Higher quality medical treatment
M! M! M!
d. Improved collaborative care M! M!
e. Enhanced health literacy M! M!
ANS: A , B M! M! M!
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acc
M! M! M! M! M! M! M! M! M! M! M! M!
essible patient care. It may also lead to poor collaboration among providers and higher healt
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
h care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Co
M
! M! M! M! M! M! M! M! M! M! M! M! M!
mprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolog
M! M! M! M! M! M! M! M! M! M!
ic Integrity: Pharmacologic and Parenteral Therapies
M
! M! M! M! M!
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
M! M! M! M! M! M! M! M! M! M!
all that apply.
M! M
! M!
a. Clinical education includes prescription of medications and disease processes.
M! M! M! M! M! M! M! M!
b. Federal regulations support the provision of full authority for APRNs.
M! M! M! M! M! M! M! M! M!
c. National examinations provide validation of the APRN‘s ability to provide safecare.
M! M! M! M! M! M! M! M! M! M!
d. Licensure ensures compliance with health care and safety standards.
M! M! M! M! M! M! M! M!
e. Limiting provision can decrease health care affordability.
M! M! M! M! M! M!
ANS: A , C , D M! M! M! M! M!
APRNs are educated to practice and prescribe independently without supervision. Nation
M! M! M! M! M! M! M! M! M! M!
al examinations validate the ability to provide safe and competent care. Licensure ensure
M! M! M! M! M! M! M! M! M! M! M! M!
s compliance with standards to promote public health and safety. Limited prescriptive au
M! M! M! M! M! M! M! M! M! M! M! M!
thority creates numerous barriers to quality, affordable, and accessible patient care.DIF: C
M
! M! M! M! M! M! M! M! M! M! M!
ognitive Level: ComprehensionREF: pp. 1-
M! M! M! M!
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolo
M! M! M! M! M! M! M! M! M!
gic Integrity: Pharmacologic and Parenteral Therapies
M! M! M! M! M!
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
M! M! M! M! M! M! M! M! M!
2nd Edition Rosenthal Test Bank
M
! M! M! M! 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
M! M! M! M! M! M! M! M! M! M!
all that apply.
M! M
! M!
a. Clinical education includes prescription of medications and disease processes.
M! M! M! M! M! M! M! M!
b. Federal regulations support the provision of full authority for APRNs.
M! M! M! M! M! M! M! M! M!
c. National examinations provide validation of the APRN‘s ability to provide safecare.
M! M! M! M! M! M! M! M! M! M!
d. Licensure ensures compliance with health care and safety standards.
M! M! M! M! M! M! M! M!
ANS: A , C , D M! M! M! M! M!
APRNs are educated to practice and prescribe independently without
M! M! M! M! M! M! M! M! M! supervision. National M! M!
examinations validate the ability to provide safe and competent care.
M! M! M! M! M! M! M! M! M! M! Licensure ensures co M! M!
mpliance with standards to promote public health and safety. Limited
M! M! M! M! M! M! M! M! M! M! prescriptive authority c M! M
!
reates numerous barriers to quality, affordable, and accessible patient
M! M! M! M! M! M! M! M! M! care.DIF: Cognitive L M! M!
evel:
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation
M! M! M ! M! M! M!
MSC: NCLEX Clien M! M!
t Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
M
! M! M! M! M! M! M! M!
6. A family nurse practitioner practicing in Maine is hired at a practice across state li
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
nes in Virginia. Which aspect of practice may change for the APRN?
M! M
! M! M! M! M! M! M! M! M! M!
a. The APRN will have less prescriptive authority in the new position.
M! M! M! M! M! M! M! M! M! M!
b. The APRN will have more prescriptive authority in the new position.
M! M! M! M! M! M! M! M! M! M!
c. The APRN will have equal prescriptive authority in the new position.
M! M! M! M! M! M! M! M! M! M!
d. The APRN‘s authority will depend on federal regulatio
M! M! M! M! M! M! M!
ns. ANS: AM
! M!
Virginia allows limited prescriptive authority, while Maine gives full authority to certified n
M! M! M! M! M! M! M! M! M! M! M! M!
urse practitioners. The federal government does not regulate prescriptive authority.DIF: Cog
M
! M! M! M! M! M! M! M! M! M!
nitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLE
M! M! M! M! M! M! M! M! M!
X Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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