TEST BANK LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL Test Bank Questions with Complete Solutions

LEHNE‘S PHARMACOTHERAPEUTICS
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FOR p z




ADVANCEDPRACTICENURSES
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AND p z




PHYSICIANASSISTANTS
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2nd EDITION p v
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ROSENTHAL p z




TESTBANK pz

,LEHNE’SPHARMACOTHERAPEUTICSFORADVANCEDPRACTICENURSESAND zp zp




PHYSICIAN ASSISTANTS 2ND EDITIONROSENTHAL TEST BANK
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Chapter1:Prescriptive
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v Multiple Choice v




1. An APRN works in a urology clinic under the supervision of a physician who does not
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restrictthe types of medications the APRN is allowed to prescribe. State law does not
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require the APRN to practice under physician supervision. How would the APRN‘s
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prescriptive authoritybe described?
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a. Fullauthority pz




b. Independent
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d. Limited authority v




ANS:B v




The APRN has independent prescriptive authority because the regulating body does not
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require that the APRN work under physician supervision. Full prescriptive authority gives
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the provider the right to prescribe independently and without limitation. Limited authority
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places restrictions on the types of drugs that can be prescribed.DIF: Cognitive Level:
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ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category:
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Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2. Whichfactorsincreasetheneed forAPRNstohavefullprescriptive authority?
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a. Morepatientswillhaveaccesstohealth care. pz pz v




b. Enrollmentinmedicalschoolsispredictedto decrease. pz pz pz pz v




c. Physician‘sassistantsarebeingutilizedlessoften. pz pz pz pz v




d. APRNeducationismore complexthaneducationforphysicians. pz pz pz pz




ANS:A v




Implementationof theAffordableCare Act hasincreased thenumber of individuals with
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,health care coverage, and thus the number who have access to health care services. The
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increase in the number of patients creates the need for more providers with prescriptive
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authority. APRNs can fillthis practice gap.DIF: Cognitive Level: ComprehensionREF: p.
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2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity: Pharmacologic andParenteral Therapies
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3. Whichfactorscouldbeattributedtolimitedprescriptiveauthorityfor
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APRNs?Select allthat apply.
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, a. Inaccessibilityof patientcare v




b. Higherhealthcarecosts
c. Higherqualitymedicaltreatment pz




d. Improvedcollaborative care v




e. Enhancedhealth literacy v v




ANS:A , B v pz v




Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
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accessible patient care. It may also lead to poor collaboration among providers and higher
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health care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level:
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ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
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Physiologic Integrity: Pharmacologic and Parenteral Therapies
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4. WhichaspectssupporttheAPRN‘sprovisionforfullprescriptive
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authority?Select allthat apply.
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a. Clinicaleducationincludesprescriptionofmedicationsanddiseaseprocesses.
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b. FederalregulationssupporttheprovisionoffullauthorityforAPRNs.
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c. Nationalexaminations provide validationoftheAPRN‘s abilityto providesafecare. v pz pz pz v v pz




d. Licensureensurescompliancewithhealth care and safetystandards. pz v pz pz v v




e. Limitingprovisioncandecreasehealthcareaffordability. pz pz pz pz




ANS: A , C, D
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APRNs are educated to practice and prescribe independently without supervision.
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Nationalexaminations validate the ability to provide safe and competent care. Licensure
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ensures compliance with standards to promote public health and safety. Limited
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prescriptive authority creates numerous barriers to quality, affordable, and accessible
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patient care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process:
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Implementation
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v v NCLEX v Client v Needs Category:
v Physiologic
v Integrity:
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Pharmacologic and Parenteral Therapies
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5. WhichaspectssupporttheAPRN‘sprovisionforfullprescriptive
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