Test Bank: Lehne's b1 b1
Pharmacotherapeutics for Advanced Pra b1 b1 b1
ctice Nurses and Physician Assistants, 3r
b1 b1 b1 b1 b1
d
Edition
b 1
Authors : b1
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
b1 b1 b1 b1 b1 b1
@2024
b1
,Chapter 1: Prescriptive Authority
b1 b1 b1
1. An APRN works in a urology clinic under the supervision of a physician
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
who does not restrict the types of medications the APRN is allowed to pr
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
escribe. State law does not require the APRN to practice under physician s
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
upervision. How would the APRN’s prescriptive authority be described?
b1 b1 b1 b1 b1 b1 b1 b1
a. Full authority b1
b. Independent
c. Without limitation b1
d. Limited authority b1
ANS: B b1
Rationale: The APRN has independent prescriptive authority because the r
b1 b1 b1 b1 b1 b1 b1 b1 b1
egulating body does not require that the APRN work under physician supe
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
rvision. Full prescriptive authority gives the provider the right to prescribe
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
independently and without limitation. Limited authority places restrictions
b1 b1 b1 b1 b1 b1 b1 b1
on the types of drugs that can be prescribed.
b1 b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
2. Which factors increase the need for APRNs to have full prescriptiv
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
e authority?
b1
a. More patients will have access to health care.
b1 b1 b1 b1 b1 b1 b1
b. Enrollment in medical schools is predicted to decrease. b1 b1 b1 b1 b1 b1 b1
c. Physician’s assistants are being utilized less often. b1 b1 b1 b1 b1 b1
d. APRN education is more complex than education for physicians.
b1 b1 b1 b1 b1 b1 b1 b1
ANS: A b1
Rationale: Implementation of the Affordable Care Act has increased the nu
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
mber of individuals with health care coverage, thus increasing the number o
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
f patients who require access to health care services. The increase in patient
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
numbers creates the need for more providers with prescriptive authority.
b1 b1 b1 b1 b1 b1 b1 b1 b1
APRNs can fill this practice gap.
b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
3. Which factors could be attributed to limited prescriptive authority fo
b1 b1 b1 b1 b1 b1 b1 b1 b1
r APRNs? (Select all that apply)
b1 b1 b1 b1 b1
a. Inaccessibility of patient care b1 b1 b1
b. Higher health care costs b1 b1 b1
, c. Higher quality medical treatment b1 b1 b1
d. Improved collaborative care b1 b1
e. Enhanced health literacy b1 b1
ANS: A, B b1 b1
Rationale: Limiting prescriptive authority for APRNs can create barriers to
b1 b1 b1 b1 b1 b1 b1 b1 b1
quality, affordable, and accessible patient care. It may also lead to poor col
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
laboration among providers and higher health care costs. Enhanced health lit
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
eracy and improved collaborative care are not directly impacted by limited p
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
rescriptive authority. b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
REF: p. 2 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
4. Which aspects support the APRN’s provision for full prescriptive authority?
b1 b1 b1 b1 b1 b1 b1 b1 b1
(Select all that apply)
b1 b1 b1 b1
a. Clinical education includes prescription of medications and disease
b1 b1 b1 b1 b1 b1 b1
processes.
b1
b. Federal regulations support the provision of full authority for APRNs.
b1 b1 b1 b1 b1 b1 b1 b1 b1
c. National examinations provide validation of the APRN’s ability to provid
b1 b1 b1 b1 b1 b1 b1 b1 b1
e safe care.
b1 b1
d. Licensure ensures compliance with health care and safety standards.
b1 b1 b1 b1 b1 b1 b1 b1
e. Limiting provision can decrease health care affordability.
b1 b1 b1 b1 b1 b1
ANS: A, C, D b1 b1 b1
Rationale: APRNs are educated to practice and prescribe independently w
b1 b1 b1 b1 b1 b1 b1 b1 b1
ithout supervision. National examinations validate their ability to provide sa
b1 b1 b1 b1 b1 b1 b1 b1 b1
fe and competent care. Licensure ensures compliance with standards that pr
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
omote public health and safety. Limited prescriptive authority creates barri
b1 b1 b1 b1 b1 b1 b1 b1 b1
ers to quality, affordable, and accessible patient care.
b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
REF: pp. 1-2 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
5. Which aspects support the APRN’s provision for full prescriptive authority?
b1 b1 b1 b1 b1 b1 b1 b1 b1
(Select all that apply)
b1 b1 b1 b1
a. Clinical education includes prescription of medications and disease
b1 b1 b1 b1 b1 b1 b1
processes.
b1
b. Federal regulations support the provision of full authority for APRNs.
b1 b1 b1 b1 b1 b1 b1 b1 b1
c. National examinations provide validation of the APRN’s ability to provide
b1 b1 b1 b1 b1 b1 b1 b1 b1
, safe care. b1
d. Licensure ensures compliance with health care and safety standards.
b1 b1 b1 b1 b1 b1 b1 b1
ANS: A, C, D b1 b1 b1
Rationale: APRNs are educated to practice and prescribe independently w
b1 b1 b1 b1 b1 b1 b1 b1 b1
ithout supervision. National examinations validate their ability to provide s
b1 b1 b1 b1 b1 b1 b1 b1 b1
afe and competent care. Licensure ensures compliance with standards to pr
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
omote public health and safety. Limited prescriptive authority creates barri
b1 b1 b1 b1 b1 b1 b1 b1 b1
ers to quality, affordable, and accessible patient care.
b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
6. What is the primary benefit of APRNs having full prescriptive authority?
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
a. Increased job satisfaction b1 b1
b. Improved patient outcomes b1 b1
c. Decreased need for collaboration b1 b1 b1
d. Reduced medication costs b1 b1
ANS: B b1
Rationale: Full prescriptive authority allows APRNs to make timely decisi
b1 b1 b1 b1 b1 b1 b1 b1 b1
ons regarding patient care, leading to improved patient outcomes. While jo
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
b satisfaction and reduced medication costs may also be benefits, the prima
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ry focus is on patient outcomes.
b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
7. Which of the following describes a challenge faced by APRNs seeking ful
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
l prescriptive authority?
b1 b1
a. Increased demand for primary care services b1 b1 b1 b1 b1
b. Variability in state regulations b1 b1 b1
c. Enhanced education programs b1 b1
d. Collaboration with physicians b1 b1
ANS: B b1
Rationale: Variability in state regulations can create challenges for APRN
b1 b1 b1 b1 b1 b1 b1 b1 b1
s seeking full prescriptive authority, as laws differ regarding what APRNs a
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
re allowed to prescribe and under what circumstances.
b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
Pharmacotherapeutics for Advanced Pra b1 b1 b1
ctice Nurses and Physician Assistants, 3r
b1 b1 b1 b1 b1
d
Edition
b 1
Authors : b1
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
b1 b1 b1 b1 b1 b1
@2024
b1
,Chapter 1: Prescriptive Authority
b1 b1 b1
1. An APRN works in a urology clinic under the supervision of a physician
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
who does not restrict the types of medications the APRN is allowed to pr
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
escribe. State law does not require the APRN to practice under physician s
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
upervision. How would the APRN’s prescriptive authority be described?
b1 b1 b1 b1 b1 b1 b1 b1
a. Full authority b1
b. Independent
c. Without limitation b1
d. Limited authority b1
ANS: B b1
Rationale: The APRN has independent prescriptive authority because the r
b1 b1 b1 b1 b1 b1 b1 b1 b1
egulating body does not require that the APRN work under physician supe
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
rvision. Full prescriptive authority gives the provider the right to prescribe
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
independently and without limitation. Limited authority places restrictions
b1 b1 b1 b1 b1 b1 b1 b1
on the types of drugs that can be prescribed.
b1 b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
2. Which factors increase the need for APRNs to have full prescriptiv
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
e authority?
b1
a. More patients will have access to health care.
b1 b1 b1 b1 b1 b1 b1
b. Enrollment in medical schools is predicted to decrease. b1 b1 b1 b1 b1 b1 b1
c. Physician’s assistants are being utilized less often. b1 b1 b1 b1 b1 b1
d. APRN education is more complex than education for physicians.
b1 b1 b1 b1 b1 b1 b1 b1
ANS: A b1
Rationale: Implementation of the Affordable Care Act has increased the nu
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
mber of individuals with health care coverage, thus increasing the number o
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
f patients who require access to health care services. The increase in patient
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
numbers creates the need for more providers with prescriptive authority.
b1 b1 b1 b1 b1 b1 b1 b1 b1
APRNs can fill this practice gap.
b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
3. Which factors could be attributed to limited prescriptive authority fo
b1 b1 b1 b1 b1 b1 b1 b1 b1
r APRNs? (Select all that apply)
b1 b1 b1 b1 b1
a. Inaccessibility of patient care b1 b1 b1
b. Higher health care costs b1 b1 b1
, c. Higher quality medical treatment b1 b1 b1
d. Improved collaborative care b1 b1
e. Enhanced health literacy b1 b1
ANS: A, B b1 b1
Rationale: Limiting prescriptive authority for APRNs can create barriers to
b1 b1 b1 b1 b1 b1 b1 b1 b1
quality, affordable, and accessible patient care. It may also lead to poor col
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
laboration among providers and higher health care costs. Enhanced health lit
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
eracy and improved collaborative care are not directly impacted by limited p
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
rescriptive authority. b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
REF: p. 2 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
4. Which aspects support the APRN’s provision for full prescriptive authority?
b1 b1 b1 b1 b1 b1 b1 b1 b1
(Select all that apply)
b1 b1 b1 b1
a. Clinical education includes prescription of medications and disease
b1 b1 b1 b1 b1 b1 b1
processes.
b1
b. Federal regulations support the provision of full authority for APRNs.
b1 b1 b1 b1 b1 b1 b1 b1 b1
c. National examinations provide validation of the APRN’s ability to provid
b1 b1 b1 b1 b1 b1 b1 b1 b1
e safe care.
b1 b1
d. Licensure ensures compliance with health care and safety standards.
b1 b1 b1 b1 b1 b1 b1 b1
e. Limiting provision can decrease health care affordability.
b1 b1 b1 b1 b1 b1
ANS: A, C, D b1 b1 b1
Rationale: APRNs are educated to practice and prescribe independently w
b1 b1 b1 b1 b1 b1 b1 b1 b1
ithout supervision. National examinations validate their ability to provide sa
b1 b1 b1 b1 b1 b1 b1 b1 b1
fe and competent care. Licensure ensures compliance with standards that pr
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
omote public health and safety. Limited prescriptive authority creates barri
b1 b1 b1 b1 b1 b1 b1 b1 b1
ers to quality, affordable, and accessible patient care.
b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
REF: pp. 1-2 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
5. Which aspects support the APRN’s provision for full prescriptive authority?
b1 b1 b1 b1 b1 b1 b1 b1 b1
(Select all that apply)
b1 b1 b1 b1
a. Clinical education includes prescription of medications and disease
b1 b1 b1 b1 b1 b1 b1
processes.
b1
b. Federal regulations support the provision of full authority for APRNs.
b1 b1 b1 b1 b1 b1 b1 b1 b1
c. National examinations provide validation of the APRN’s ability to provide
b1 b1 b1 b1 b1 b1 b1 b1 b1
, safe care. b1
d. Licensure ensures compliance with health care and safety standards.
b1 b1 b1 b1 b1 b1 b1 b1
ANS: A, C, D b1 b1 b1
Rationale: APRNs are educated to practice and prescribe independently w
b1 b1 b1 b1 b1 b1 b1 b1 b1
ithout supervision. National examinations validate their ability to provide s
b1 b1 b1 b1 b1 b1 b1 b1 b1
afe and competent care. Licensure ensures compliance with standards to pr
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
omote public health and safety. Limited prescriptive authority creates barri
b1 b1 b1 b1 b1 b1 b1 b1 b1
ers to quality, affordable, and accessible patient care.
b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
6. What is the primary benefit of APRNs having full prescriptive authority?
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
a. Increased job satisfaction b1 b1
b. Improved patient outcomes b1 b1
c. Decreased need for collaboration b1 b1 b1
d. Reduced medication costs b1 b1
ANS: B b1
Rationale: Full prescriptive authority allows APRNs to make timely decisi
b1 b1 b1 b1 b1 b1 b1 b1 b1
ons regarding patient care, leading to improved patient outcomes. While jo
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
b satisfaction and reduced medication costs may also be benefits, the prima
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
ry focus is on patient outcomes.
b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
7. Which of the following describes a challenge faced by APRNs seeking ful
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
l prescriptive authority?
b1 b1
a. Increased demand for primary care services b1 b1 b1 b1 b1
b. Variability in state regulations b1 b1 b1
c. Enhanced education programs b1 b1
d. Collaboration with physicians b1 b1
ANS: B b1
Rationale: Variability in state regulations can create challenges for APRN
b1 b1 b1 b1 b1 b1 b1 b1 b1
s seeking full prescriptive authority, as laws differ regarding what APRNs a
b1 b1 b1 b1 b1 b1 b1 b1 b1 b1 b1
re allowed to prescribe and under what circumstances.
b1 b1 b1 b1 b1 b1 b1
DIF: Cognitive Level: Comprehension
b1 b1 b1
TOP: Nursing Process: Implementation
b1 b1 b1
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
b1 b1 b1 b1 b1 b1 b1
c and Parenteral Therapies
b1 b1 b1
