Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edi
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tion Rosenthal Test Bank
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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
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PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND E
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DITION ROSENTHAL TEST BANK
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edi
r r r r r r r r r r
tion Rosenthal Test Bank
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Chapter 1: Prescriptive Authority Test Bank r r r r r r
Multiple Choice r
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
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the types of medications the APRN is allowed to prescribe. State law does not require the APRN to pra
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ctice under physician supervision. How would the APRN‘s prescriptive authoritybedescribed?
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a. Full authority r
b. Independent
c. Without limitation r
d. Limited authority r
ANS: B r
The APRN has independent prescriptive authority because the regulating body does not require that
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the APRN work under physician supervision. Full prescriptive authority gives the providert he right
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to prescribe independently and without limitation. Limited authorityplaces restrictionso n the types
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ofdrugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
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1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:P ha
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rmacologic and Parenteral Therapies r r r
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. r r r r r r r
c. Physician‘s assistants are being utilized less often. r r r r r r
d. APRN education is more complex than education for physicians.
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ANS: A r
Implementation of the Affordable Care Act has increased the number of individuals with healthcare r r r r r r r r r r r r r r r
coverage, and thus the number who have access to health care services. The increase in the number of
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patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
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gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process: Implementation MSC
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: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edi
r r r r r r r r r r
tion Rosenthal Test Bank
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3. Which factors could be attributed to limited prescriptive authority for APRNs? Select allt hat
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apply.
a. Inaccessibility of patient care r r r
b. Higher health care costs r r r
c. Higher quality medical treatment r r r
d. Improved collaborative care r r
e. Enhanced health literacy r r
ANS: A , B r r r
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible p
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atient care. It mayalso lead to poor collaboration among providers and higher healthcare costs. It woul
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d not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
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p. 2TOP: Nursing Process: ImplementationMSC: NCLEX Client Needs Category: Physiologic Integ
r r r r r r r r r r r
rity: Pharmacologic and Parenteral Therapies
r r r r
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select allt hat
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apply.
a. Clinical education includes prescription of medications and disease processes.
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b. Federalregulations 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 r r r r r
APRNs are educated to practice and prescribe independently without supervision. National exami
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nations validate the ability to provide safe and competent care. Licensure ensures compliance with
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standards to promote public health and safety. Limited prescriptive authoritycreates numerous ba
r r r r r r r r r r r r r
rriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionRE
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F: pp. 1-
r r
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Inte
r r r r r r r r r r
grity: Pharmacologic and Parenteral Therapies
r r r r
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edi
r r r r r r r r r r
tion Rosenthal Test Bank
r r r 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select allt hat
r r r r r r r r r r r r r
apply.
a. Clinical education includes prescription of medications and disease processes.
r r r r r r r r
b. Federalregulations support the provision of full authority for APRNs.
r r r r r r r r r
c. National examinations provide validation of the APRN‘s ability to provide safecare.
r r r r r r r r r r
d. Licensure ensures compliance with health care and safety standards.
r r r r r r r r
ANS: A , C , D r r r r r
APRNs are educated to practice and prescribe independently without supervision. National examina
r r r r r r r r r r r
tions validate the ability to provide safe and competent care. Licensure ensures compliance with stan
r r r r r r r r r r r r r r
dards to promote public health and safety. Limited prescriptive authoritycreates numerous barriers to
r r r r r r r r r r r r r
rquality, affordable, and accessible patient care.DIF: Cognitive Level:
r r r r r r r
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation r r r r r r
MSC:NCLEX Client r r r
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 lines inVirgi
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nia. 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 regulations.A
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NS: A r
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurseprac
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titioners. The federal government does not regulate prescriptive authority.DIF: Cognitive Level: Co
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mprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Categor r r r r r r r r r r
y: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r r r r r r
r r r r r r r r r r
tion Rosenthal Test Bank
r r r 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
r r r r
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND E
r r r r r r
DITION ROSENTHAL TEST BANK
r r r
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edi
r r r r r r r r r r
tion Rosenthal Test Bank
r r r 2
Chapter 1: Prescriptive Authority Test Bank r r r r r r
Multiple Choice r
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
r r r r r r r r r r r r r r r r r
the types of medications the APRN is allowed to prescribe. State law does not require the APRN to pra
r r r r r r r r r r r r r r r r r r
ctice under physician supervision. How would the APRN‘s prescriptive authoritybedescribed?
r r r r r r r r r r r
a. Full authority r
b. Independent
c. Without limitation r
d. Limited authority r
ANS: B r
The APRN has independent prescriptive authority because the regulating body does not require that
r r r r r r r r r r r r r r
the APRN work under physician supervision. Full prescriptive authority gives the providert he right
r r r r r r r r r r r r r r
to prescribe independently and without limitation. Limited authorityplaces restrictionso n the types
r r r r r r r r r r r r r
ofdrugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
r r r r r r r r r r r
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:P ha
r r r r r r r r r r r
rmacologic and Parenteral Therapies r r r
2. Which factors increase the need for APRNs to have full prescriptive authority?
r r r r r r r r r r r
a. More patients will have access to health care.
r r r r r r r
b. Enrollment in medical schools is predicted to decrease. r r r r r r r
c. Physician‘s assistants are being utilized less often. r r r r r r
d. APRN education is more complex than education for physicians.
r r r r r r r r
ANS: A r
Implementation of the Affordable Care Act has increased the number of individuals with healthcare r r r r r r r r r r r r r r r
coverage, and thus the number who have access to health care services. The increase in the number of
r r r r r r r r r r r r r r r r r r
patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
r r r r r r r r r r r r r r r
gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process: Implementation MSC
r r r r r r r r r r r
: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r r r r r r r r r r
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edi
r r r r r r r r r r
tion Rosenthal Test Bank
r r r 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select allt hat
r r r r r r r r r r r r r r
apply.
a. Inaccessibility of patient care r r r
b. Higher health care costs r r r
c. Higher quality medical treatment r r r
d. Improved collaborative care r r
e. Enhanced health literacy r r
ANS: A , B r r r
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible p
r r r r r r r r r r r r r
atient care. It mayalso lead to poor collaboration among providers and higher healthcare costs. It woul
r r r r r r r r r r r r r r r r r
d not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
r r r r r r r r r
p. 2TOP: Nursing Process: ImplementationMSC: NCLEX Client Needs Category: Physiologic Integ
r r r r r r r r r r r
rity: Pharmacologic and Parenteral Therapies
r r r r
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select allt hat
r r r r r r r r r r r r r
apply.
a. Clinical education includes prescription of medications and disease processes.
r r r r r r r r
b. Federalregulations support the provision of full authority for APRNs.
r r r r r r r r r
c. National examinations provide validation of the APRN‘s ability to provide safecare.
r r r r r r r r r r
d. Licensure ensures compliance with health care and safety standards.
r r r r r r r r
e. Limiting provision can decrease health care affordability.
r r r r r r
ANS: A , C , D r r r r r
APRNs are educated to practice and prescribe independently without supervision. National exami
r r r r r r r r r r r
nations validate the ability to provide safe and competent care. Licensure ensures compliance with
r r r r r r r r r r r r r
standards to promote public health and safety. Limited prescriptive authoritycreates numerous ba
r r r r r r r r r r r r r
rriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionRE
r r r r r r r r r r
F: pp. 1-
r r
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Inte
r r r r r r r r r r
grity: Pharmacologic and Parenteral Therapies
r r r r
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edi
r r r r r r r r r r
tion Rosenthal Test Bank
r r r 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select allt hat
r r r r r r r r r r r r r
apply.
a. Clinical education includes prescription of medications and disease processes.
r r r r r r r r
b. Federalregulations support the provision of full authority for APRNs.
r r r r r r r r r
c. National examinations provide validation of the APRN‘s ability to provide safecare.
r r r r r r r r r r
d. Licensure ensures compliance with health care and safety standards.
r r r r r r r r
ANS: A , C , D r r r r r
APRNs are educated to practice and prescribe independently without supervision. National examina
r r r r r r r r r r r
tions validate the ability to provide safe and competent care. Licensure ensures compliance with stan
r r r r r r r r r r r r r r
dards to promote public health and safety. Limited prescriptive authoritycreates numerous barriers to
r r r r r r r r r r r r r
rquality, affordable, and accessible patient care.DIF: Cognitive Level:
r r r r r r r
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation r r r r r r
MSC:NCLEX Client r r r
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r r r r r r r
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines inVirgi
r r r r r r r r r r r r r r r r
nia. Which aspect of practice may change for the APRN?
r r r r r r r r r
a. The APRN will have less prescriptive authority in the new position.
r r r r r r r r r r
b. The APRN will have more prescriptive authority in the new position.
r r r r r r r r r r
c. The APRN will have equal prescriptive authority in the new position.
r r r r r r r r r r
d. The APRN‘s authority will depend on federal regulations.A
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NS: A r
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurseprac
r r r r r r r r r r r r r
titioners. The federal government does not regulate prescriptive authority.DIF: Cognitive Level: Co
r r r r r r r r r r r
mprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Categor r r r r r r r r r r
y: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r r r r r r
