1 1
R ADVANCED PRACTICE NURSES AND PH
1 1 1 1 1
YSICIAN ASSISTANTS 2ND EDITION ROSE
1 1 1 1
NTHAL TEST BANK. 1 1
LEHNE’S1PHARMACOTHERAPEUTICS1FOR1ADVANCED1PRACTICE1NURSES1AND
PHYSICIAN1ASSISTANTS12ND1EDITION1ROSENTHAL1TEST1BANK
Chapter11:1Prescriptive1Authority1
Test1Bank
Multiple1Choice
1. An1APRN1works1in1a1urology1clinic1under1the1supervision1of1a1physician1who1does1not1restrict1
the1types1of1medications1the1APRN1is1allowed1to1prescribe.1State1law1does1not1require1the1AP
RN1to1practice1under1physician1supervision.1How1would1the1APRN’s1prescriptive1authority1be1
described?
a. Full1authority
b. Independent
c. Without1limitation
d. Limited1authority
ANS:1B
The1APRN1has1independent1prescriptive1authority1because1the1regulating1body1does1not1require1t
hat1the1APRN1work1under1physician1supervision.1Full1prescriptive1authority1gives1the1provider1th
e1right1to1prescribe1independently1and1without1limitation.1Limited1authority1places1restrictions1on1
the1types1of1drugs1that1can1be1prescribed.DIF:1Cognitive1Level:1ComprehensionREF:1p.11TOP:1Nu
rsing1Process:1I1MSC:1NCLEX1Client1Needs1Category:1Physiologic1Integrity:1Pharmacologic1and
1Parenteral1Therapies
2. Which1factors1increase1the1need1for1APRNs1to1have1full1prescriptive1 authority?
a. More1patients1will1have1access1to1health1care.
b. Enrollment1in1medical1schools1is1predicted1to1 decrease.
c. Physician’s1assistants1are1being1utilized1less1 often.
d. APRN1education1is1more1complex1than1education1for1physicians.
ANS:1A
Implementation1of1the1Affordable1Care1Act1has1increased1the1number1of1individuals1with1health1c
are1coverage,1and1thus1the1number1who1have1access1to1health1care1services.1The1increase1in1the1nu
mber1of1patients1creates1the1need1 for1more1providers1with1prescriptive1authority.1 APRNs1can1fill1thi
s1practice1gap.DIF:1Cognitive1Level:1ComprehensionREF:1p.12TOP:1Nursing1Process:1Implement
ation1MSC:1NCLEX1Client1Needs1Category:1Physiologic1Integrity:1Pharmacologic1and1Parenteral1
,LEHNE’S PHARMACOTHERAPEUTICS FO
1 1
R ADVANCED PRACTICE NURSES AND PH
1 1 1 1 1
YSICIAN ASSISTANTS 2ND EDITION ROSE
1 1 1 1
NTHAL TEST BANK.
1 1
Therapies
3. Which1factors1could1be1attributed1to1limited1prescriptive1authority1for1APRNs?1
Select1all1that1 apply.
,LEHNE’S PHARMACOTHERAPEUTICS FO
1 1
R ADVANCED PRACTICE NURSES AND PH
1 1 1 1 1
YSICIAN ASSISTANTS 2ND EDITION ROSE
1 1 1 1
NTHAL TEST BANK. 1 1
a. Inaccessibility1of1 patient1care
b. Higher1health1care1costs
c. Higher1quality1medical1treatment
d. Improved1collaborative1care
e. Enhanced1health1 literacy
ANS:1A1,1B
Limiting1prescriptive1authority1for1APRNs1can1create1barriers1to1quality,1 affordable,1and1accessible1
patient1care.1It1may1also1lead1to1poor1collaboration1among1providers1and1higher1health1care1costs.1
It1would1not1directly1impact1patient’s1health1literacy.DIF:1Cognitive1Level:1ComprehensionREF:
p.12TOP:1Nursing1Process:1Implementation1MSC:1NCLEX1Client1Needs1Category:1Physiologic1I
ntegrity:1Pharmacologic1and1Parenteral1Therapies
4. Which1aspects1support1the1APRN’s1provision1for1full1prescriptive1authority?1
Select1all1that1 apply.
a. Clinical1education1includes1prescription1of1 medications1and1disease1processes.
b. Federal1regulations1support1the1provision1of1full1authority1 for1APRNs.
c. National1examinations1provide1validation1of1the1APRN’s1ability1to1 provide1safecare.
d. Licensure1ensures1compliance1with1health1care1and1 safety1standards.
e. Limiting1provision1can1decrease1health1care1affordability.
ANS:1A1,1C1,1D
APRNs1are1educated1to1practice1and1prescribe1independently1without1supervision.1National1exam
inations1validate1the1ability1to1provide1safe1and1competent1care.1Licensure1ensures1compliance1wi
th1standards1to1promote1public1health1and1safety.1Limited1prescriptive1authority1creates1numerous1
barriers1to1quality,1affordable,1and1accessible1patient1care.DIF:1Cognitive1Level:1ComprehensionR
EF:1pp.11-
2TOP:1Nursing1Process:1Implementation1MSC:1NCLEX1Client1Needs1Category:1Physiologic1Inte
grity:1Pharmacologic1and1Parenteral1Therapies
5. Which1aspects1support1the1APRN’s1provision1for1full1prescriptive1authority?1
Select1all1that1 apply.
a. Clinical1education1includes1prescription1of1 medications1and1disease1processes.
b. Federal1regulations1support1the1provision1of1full1authority1for1APRNs.
c. National1examinations1provide1validation1of1the1APRN’s1ability1to1 provide1safecare.
d. Licensure1ensures1compliance1with1health1care1and1safety1standards.
ANS:1A1,1C1,1D
, LEHNE’S PHARMACOTHERAPEUTICS FO
1 1
R ADVANCED PRACTICE NURSES AND PH
1 1 1 1 1
YSICIAN ASSISTANTS 2ND EDITION ROSE
1 1 1 1
NTHAL TEST BANK.
1 1
APRNs1are1educated1to1practice1and1prescribe1independently1without1supervision.1National1exam
inations1validate1the1ability1to1provide1safe1and1competent1care.1Licensure1ensures1compliance1wi
th1standards1to1promote1public1health1and1safety.1Limited1prescriptive1authority1creates1numerous1
barriers1to1quality,1affordable,1and1accessible1patient1care.DIF:1Cognitive1Level: