Pharmacology Nursing |Test Bank Lehnes
|\ |\ |\ |\
Pharmacotherapeutics for Advanced
|\ |\ |\
Practice Nurses and Physician Assistants
|\ |\ |\ |\ |\
2nd Edition.
|\ |\
, Rosenthal |\Lehne’s |\Pharmacotherapeutics |\for |\Advanced |\Practice |\Providers: |\2nd
|\Edition |\(TestBank)
LEHNE’S |\PHARMACOTHERAPEUTICS |\FOR |\ADVANCED |\PRACTICE |\NURSES |\AND
|\PHYSICIAN |\ASSISTANTS |\2ND |\EDITION |\ROSENTHAL |\TEST |\BANK
Chapter|\1: |\Prescriptive |\Authority
|\ Test |\Bank
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:
|\ComprehensionREF: |\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 |\ofpatients |\creates |\the |\ need | \ for |\ more |\providers |\with |\prescriptive |\authority. |\ APRNs |\can |\fill
|\this |\practice |\gap.DIF: |\Cognitive |\Level: |\ComprehensionREF: |\p. |\2TOP: |\Nursing |\Process:
|\Implementation |\MSC: |\NCLEX |\Client |\Needs |\ Category: |\Physiologic |\Integrity: |\Pharmacologic |\and
|\Parenteral |\Therapies
3. Which |\factors |\could |\be |\attributed |\to |\limited |\prescriptive |\authority |\for |\APRNs?
|\Select |\all |\that | \ apply.
, Rosenthal |\Lehne’s |\Pharmacotherapeutics |\for |\Advanced |\Practice |\Providers: |\2nd
|\Edition |\(TestBank)
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
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 |\t o |\quality, |\affordable, |\ and |\accessible |\patient |\care.DIF: |\Cognitive |\Level:
, Rosenthal |\Lehne’s |\Pharmacotherapeutics |\for |\Advanced |\Practice |\Providers: |\2nd
|\Edition |\(TestBank)
ComprehensionREF: | \ 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 |\ newposition.
d. The |\ APRN‘s |\authority|\will |\depend |\on |\federalregulations.
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
Rosenthal: |\Lehne's |\Pharmacotherapeutics |\for |\Advanced |\Practice |\Providers, |\2nd |\Ed.
|\ Chapter |\2: |\Rational |\Drug |\Selection |\and |\Prescription |\Writing
Test |\Bank
Multiple |\Choice
|\
7. How |\can|\collaboration|\with |\a |\pharmacist |\improve |\positive |\outcomes |\for |\patients?
|\Select |\all |\that | \ apply.
a. Pharmacists |\can |\suggest |\foods |\that |\will |\help |\ with |\the |\patient‘s |\condition.
b. Pharmacists |\ have |\additional |\information |\on|\drug |\interactions.
c. The |\pharmacist |\can |\suggest |\adequate |\ medication |\ dosing.
d. Pharmacists |\have |\firsthand |\knowledge |\of|\the |\facility |\formulary.
e. Pharmacy |\can |\alter |\prescriptions |\ when |\necessary |\to |\prevent |\patient |\ harm.
ANS: |\B |\, |\C |\, |\D
Providers |\should |\collaborate |\with |\pharmacists |\because |\they |\will |\likely |\have |\additional |\information
|\on |\ formulary, |\drug |\ interactions, |\and |\suggestions |\ for |\adequate |\ medication |\dosing. |\Dietitians |\can
|\ make |\ foods |\recommendations |\to |\treat |\the |\patient‘s |\condition. |\The |\pharmacist |\can |\contact |\the
|\prescriber |\ about |\questionable |\prescriptions, |\ but |\cannot |\alter |\the |\prescription |\without |\notification
|\of |\and |\approval |\by |\the |\provider.DIF: |\Cognitive |\Level: |\ ComprehensionREF: |\p. |\9TOP: |\Nursing
|\Process: |\Diagnosis |\MSC: |\NCLEX |\Client |\Needs |\ Category: |\Physiologic |\Integrity: |\Reduction |\of
|\Risk |\Potential
|\ |\ |\ |\
Pharmacotherapeutics for Advanced
|\ |\ |\
Practice Nurses and Physician Assistants
|\ |\ |\ |\ |\
2nd Edition.
|\ |\
, Rosenthal |\Lehne’s |\Pharmacotherapeutics |\for |\Advanced |\Practice |\Providers: |\2nd
|\Edition |\(TestBank)
LEHNE’S |\PHARMACOTHERAPEUTICS |\FOR |\ADVANCED |\PRACTICE |\NURSES |\AND
|\PHYSICIAN |\ASSISTANTS |\2ND |\EDITION |\ROSENTHAL |\TEST |\BANK
Chapter|\1: |\Prescriptive |\Authority
|\ Test |\Bank
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:
|\ComprehensionREF: |\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 |\ofpatients |\creates |\the |\ need | \ for |\ more |\providers |\with |\prescriptive |\authority. |\ APRNs |\can |\fill
|\this |\practice |\gap.DIF: |\Cognitive |\Level: |\ComprehensionREF: |\p. |\2TOP: |\Nursing |\Process:
|\Implementation |\MSC: |\NCLEX |\Client |\Needs |\ Category: |\Physiologic |\Integrity: |\Pharmacologic |\and
|\Parenteral |\Therapies
3. Which |\factors |\could |\be |\attributed |\to |\limited |\prescriptive |\authority |\for |\APRNs?
|\Select |\all |\that | \ apply.
, Rosenthal |\Lehne’s |\Pharmacotherapeutics |\for |\Advanced |\Practice |\Providers: |\2nd
|\Edition |\(TestBank)
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
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 |\t o |\quality, |\affordable, |\ and |\accessible |\patient |\care.DIF: |\Cognitive |\Level:
, Rosenthal |\Lehne’s |\Pharmacotherapeutics |\for |\Advanced |\Practice |\Providers: |\2nd
|\Edition |\(TestBank)
ComprehensionREF: | \ 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 |\ newposition.
d. The |\ APRN‘s |\authority|\will |\depend |\on |\federalregulations.
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
Rosenthal: |\Lehne's |\Pharmacotherapeutics |\for |\Advanced |\Practice |\Providers, |\2nd |\Ed.
|\ Chapter |\2: |\Rational |\Drug |\Selection |\and |\Prescription |\Writing
Test |\Bank
Multiple |\Choice
|\
7. How |\can|\collaboration|\with |\a |\pharmacist |\improve |\positive |\outcomes |\for |\patients?
|\Select |\all |\that | \ apply.
a. Pharmacists |\can |\suggest |\foods |\that |\will |\help |\ with |\the |\patient‘s |\condition.
b. Pharmacists |\ have |\additional |\information |\on|\drug |\interactions.
c. The |\pharmacist |\can |\suggest |\adequate |\ medication |\ dosing.
d. Pharmacists |\have |\firsthand |\knowledge |\of|\the |\facility |\formulary.
e. Pharmacy |\can |\alter |\prescriptions |\ when |\necessary |\to |\prevent |\patient |\ harm.
ANS: |\B |\, |\C |\, |\D
Providers |\should |\collaborate |\with |\pharmacists |\because |\they |\will |\likely |\have |\additional |\information
|\on |\ formulary, |\drug |\ interactions, |\and |\suggestions |\ for |\adequate |\ medication |\dosing. |\Dietitians |\can
|\ make |\ foods |\recommendations |\to |\treat |\the |\patient‘s |\condition. |\The |\pharmacist |\can |\contact |\the
|\prescriber |\ about |\questionable |\prescriptions, |\ but |\cannot |\alter |\the |\prescription |\without |\notification
|\of |\and |\approval |\by |\the |\provider.DIF: |\Cognitive |\Level: |\ ComprehensionREF: |\p. |\9TOP: |\Nursing
|\Process: |\Diagnosis |\MSC: |\NCLEX |\Client |\Needs |\ Category: |\Physiologic |\Integrity: |\Reduction |\of
|\Risk |\Potential
