andtPhysiciantAssistantst2ndtEditiontRosenthal
REVISEDtEDITION
,Lehne’stPharmacotherapeuticstfortAdvancedtPracticetNursestandtPhysiciantAssistantst2n
dtEditiontRosenthaltTesttBanktREVISEDtEDITION 2
Chaptert1:tPrescriptivetAuthoritytTesttBan
ktMultipletChoice
1. AntAPRNtworkstintaturologytclinictundertthetsupervisiontoftatphysiciantwhotdoestnottr
estricttthettypestoftmedicationstthetAPRNtistallowedttotprescribe.tStatetlawtdoestnottrequiretth
etAPRNttotpracticetundertphysiciantsupervision.tHowtwouldtthetAPRN‘stprescriptivetauthorityt
betdescribed?
a. Fulltauthority
b. Independent
c. Withouttlimitation
d. Limitedtauthority
ANS:tB
ThetAPRNthastindependenttprescriptivetauthoritytbecausetthetregulatingtbodytdoestnottrequir
etthattthetAPRNtworktundertphysiciantsupervision.tFulltprescriptivetauthoritytgivestthetprovid
ertthetrightttotprescribetindependentlytandtwithouttlimitation.tLimitedtauthoritytplacestrestricti
onstontthettypestoftdrugstthattcantbetprescribedt.DIF:tCognitivetLevel:tComprehensiontREF:tp
.
1TOP:tNursingtProcess:tItMSC:tNCLEXtClienttNeedstCategory:tPhysiologictIntegrity
:tPharmacologictandtParenteraltTherapies
2. WhichtfactorstincreasetthetneedtfortAPRNsttothavetfulltprescriptivetauthority?
a. Moretpatientstwillthavetaccessttothealthtcare.
b. Enrollmenttintmedicaltschoolstistpredictedttotdecrease.
c. Physician‘stassistantstaretbeingtutilizedtlesstoften.
d. APRNteducationtistmoretcomplextthanteducationtfortphysicians.
ANS:tA
ImplementationtoftthetAffordabletCaretActthastincreasedtthetnumbertoftindividualstwiththealt
htcaretcoverage,tandtthustthetnumbertwhothavetaccessttothealthtcaretservices.tThetincreasetintt
hetnumbertoftpatientstcreatestthetneedtfortmoretproviderstwithtprescriptivetauthority.tAPRNst
cantfilltthistpracticetgap.tDIF:tCognitivetLevel:tComprehensiontREF:tp.t2TOP:tNursingtProce
ss:tImplementationtMSC:tNCLEXtClienttNeedstCategory:tPhysiologictIntegrity:tPharmacolog
ictandtParenteraltTherapies
,Lehne’stPharmacotherapeuticstfortAdvancedtPracticetNursestandtPhysiciantAssistantst2n
dtEditiontRosenthaltTesttBanktREVISEDtEDITION 3
3. WhichtfactorstcouldtbetattributedttotlimitedtprescriptivetauthoritytfortAPRNs?tSelecttal
ltthattapply.
a. Inaccessibilitytoftpatienttcare
b. Higherthealthtcaretcosts
c. Highertqualitytmedicalttreatment
d. Improvedtcollaborativetcare
e. Enhancedthealthtliteracy
ANS:tAt,tB
LimitingtprescriptivetauthoritytfortAPRNstcantcreatetbarriersttotquality,taffordable,tandtaccess
ibletpatienttcare.tIttmaytalsotleadttotpoortcollaborationtamongtproviderstandthigherthealthtcaret
costs.tIttwouldtnottdirectlytimpacttpatient‘sthealthtliteracy.DIF:tCognitivetLevel:tComprehensi
onREF:
p.t2TOP:tNursingtProcess:tImplementationtMSC:tNCLEXtClienttNeedstCategory:tPhysiologictInte
grity:tPharmacologictandtParenteraltTherapies
4. WhichtaspectstsupporttthetAPRN‘stprovisiontfortfulltprescriptivetauthority?tSelecttal
ltthattapply.
a. Clinicalteducationtincludestprescriptiontoftmedicationstandtdiseasetprocesses.
b. FederaltregulationstsupporttthetprovisiontoftfulltauthoritytfortAPRNs.
c. NationaltexaminationstprovidetvalidationtoftthetAPRN‘stabilityttotprovidetsafecare.
d. Licensuretensurestcompliancetwiththealthtcaretandtsafetytstandards.
e. Limitingtprovisiontcantdecreasethealthtcaretaffordability.
ANS:tAt,tCt,tD
APRNstareteducatedttotpracticetandtprescribetindependentlytwithouttsupervision.tNationalte
xaminationstvalidatetthetabilityttotprovidetsafetandtcompetenttcare.tLicensuretensurestcompl
iancetwithtstandardsttotpromotetpublicthealthtandtsafety.tLimitedtprescriptivetauthoritytcreat
estnumeroustbarriersttotquality,taffordable,tandtaccessibletpatienttcare.DIF:tCognitivetLevel:
tComprehensionREF:tpp.t1-
2TOP:tNursingtProcess:tImplementationtMSC:tNCLEXtClienttNeedstCategory:tPhysiologic
tIntegrity:tPharmacologictandtParenteraltTherapies
, Lehne’stPharmacotherapeuticstfortAdvancedtPracticetNursestandtPhysiciantAssistantst2n
dtEditiontRosenthaltTesttBanktREVISEDtEDITION 4
5. WhichtaspectstsupporttthetAPRN‘stprovisiontfortfulltprescriptivetauthority?tSelecttal
ltthattapply.
a. Clinicalteducationtincludestprescriptiontoftmedicationstandtdiseasetprocesses.
b. FederaltregulationstsupporttthetprovisiontoftfulltauthoritytfortAPRNs.
c. NationaltexaminationstprovidetvalidationtoftthetAPRN‘stabilityttotprovidetsafecare.
d. Licensuretensurestcompliancetwiththealthtcaretandtsafetytstandards.
ANS:tAt,tCt,tD
APRNstareteducatedttotpracticetandtprescribetindependentlytwithouttsupervision.tNationalte
xaminationstvalidatetthetabilityttotprovidetsafetandtcompetenttcare.tLicensuretensurestcomp
liancetwithtstandardsttotpromotetpublicthealthtandtsafety.tLimitedtprescriptivetauthoritytcreat
estnumeroustbarriersttotquality,taffordable,tandtaccessibletpatienttcare.DIF:tCognitivetLevel
:
ComprehensiontREF:tpp.t 1-2TOP:tNursingtProcess:tImplementation
MSC:tNCLEXtClient
tNeedstCategory:tPhysiologictIntegrity:tPharmacologictandtParenteraltTherapies
6. AtfamilytnursetpractitionertpracticingtintMainetisthiredtattatpracticetacrosststatetlinesti
ntVirginia.tWhichtaspecttoftpracticetmaytchangetfortthetAPRN?
a. ThetAPRNtwillthavetlesstprescriptivetauthoritytintthetnewtposition.
b. ThetAPRNtwillthavetmoretprescriptivetauthoritytintthetnewtposition.
c. ThetAPRNtwillthavetequaltprescriptivetauthoritytintthetnewtposition.
d. ThetAPRN‘stauthoritytwilltdependtontfederaltregulations
.tANS:tA
Virginiatallowstlimitedtprescriptivetauthority,twhiletMainetgivestfulltauthorityttotcertifiedtnurs
etpractitioners.tThetfederaltgovernmenttdoestnottregulatetprescriptivetauthority.DIF:tCognitive
tLevel:tComprehensionREF:tp.t3TOP:tNursingtProcess:tImplementationtMSC:tNCLEXtClient
tNeedstCategory:tPhysiologictIntegrity:tPharmacologictandtParenteraltTherapies