Practice Nurses And Physician Assistants.
Author: Laura D Rosenthal, 2nd Edition
,CHAPTER 1: Prescriptive Authority
Test Bank
Multiple Choice
1. An Apm Works In A Urology Clinic Under The Supervision Of A Physician Who Does Not
Restrict The Types Of Medications The Apm Is Allowed To Prescribe. State Law Does Not
Require The Apm To Practice Under Physician Supervision. How Would the Apm’s
Prescriptive Authority Be Described?
a. Full Authority
b. Independent
c. Without Limitation
d. Limited Authority
Answer: B
The Apm Has Independent Prescriptive Authority Because The Regulating Body Does Not
Require That The Apm Work Under Physician Supervision. Full Prescriptive Authority Gives
The Provider The Right To Prescribe Independently And Without Limitation. Limited Authority
Places Restrictions On The Types Of Drugs That Can Be Prescribed.Dif: Cognitive Level:
Comprehensionref: P. 1top: Nursing Process: I Msc: Nclex Client Needs Category: Physiologic
Integrity: Pharmacologic And Parenteral Therapies
2. Which Factors Increase The Need For Apms To Have Full Prescriptive Authority?
a. More Patients Will Have Access To Health Care.
b. Enrollment In Medical Schools Is Predicted To Decrease.
c. Physician’s Assistants Are Being Utilized Less Often.
d. Apm Education Is More Complex Than Education For PhysiciAnswer.
,Answer: A
Implementation Of The Affordable Care Act Has Increased The Number Of Individuals With
Health Care Coverage, And Thus The Number Who Have Access To Health Care Services. The
Increase In The Number Of Patients Creates The Need For More Providers With Prescriptive
Authority. Apms Can Fill This Practice Gap.Dif: Cognitive Level: Comprehensionref: P. 2top:
Nursing Process: Implementation Msc: Nclex Client Needs Category: Physiologic Integrity:
Pharmacologic And Parenteral Therapies
3. Which Factors Could Be Attributed To Limited Prescriptive Authority For
Apms? Select All That Apply.
a. Inaccessibility Of Patient Care
b. Higher Health Care Costs
c. Higher Quality Medical Treatment
d. Improved Collaborative Care
e. Enhanced Health Literacy
Answer: A , B
Limiting Prescriptive Authority For Apms Can Create Barriers To Quality, Affordable, And
Accessible Patient Care. It May Also Lead To Poor Collaboration Among Providers And Higher
Health Care Costs. It Would Not Directly Impact Patient’s Health Literacy.Dif: Cognitive Level:
Comprehensionref:
P. 2top: Nursing Process: Implementation Msc: Nclex Client Needs Category: Physiologic
Integrity: Pharmacologic And Parenteral Therapies
4. Which Aspects Support The Apm’s Provision For Full Prescriptive
Authority? Select All That Apply.
a. Clinical Education Includes Prescription Of Medications And Disease Processes.
b. Federal Regulations Support The Provision Of Full Authority For Apms.
c. National Examinations Provide Validation Of The Apm’s Ability To Provide Safecare.
d. Licensure Ensures Compliance With Health Care And Safety Standards.
, e. Limiting Provision Can Decrease Health Care Affordability.
Answer: A , C , D
Apms Are Educated To Practice And Prescribe Independently Without Supervision. National
Examinations Validate The Ability To Provide Safe And Competent Care. Licensure Ensures
Compliance With Standards To Promote Public Health And Safety. Limited Prescriptive
Authority Creates Numerous Barriers To Quality, Affordable, And Accessible Patient Care.Dif:
Cognitive Level: Comprehensionref: Pp. 1-2top: Nursing Process: Implementation Msc: Nclex
Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
5. Which Aspects Support The Apm’s Provision For Full Prescriptive
Authority? Select All That Apply.
a. Clinical Education Includes Prescription Of Medications And Disease Processes.
b. Federal Regulations Support The Provision Of Full Authority For Apms.
c. National Examinations Provide Validation Of The Apm’s Ability To Provide Safecare.
d. Licensure Ensures Compliance With Health Care And Safety Standards.
Answer: A , C , D
Apms Are Educated To Practice And Prescribe Independently Without Supervision. National
Examinations Validate The Ability To Provide Safe And Competent Care. Licensure Ensures
Compliance With Standards To Promote Public Health And Safety. Limited Prescriptive
Authority Creates Numerous Barriers To Quality, Affordable, And Accessible Patient Care.Dif:
Cognitive Level: