TEST BANK FOR LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSING ATTENDANTS AND PHYSICIAN ASSISTANTS 3RD EDITION ROSENTHAL

TEST BANK FOR LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSING ATTENDANTS AND
PHYSICIAN ASSISTANTS 3RD EDITION ROSENTHAL




Chapter 1: Prescriptive Authority
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,Multiple Choice C




1. An APRN works in a urology clinic under the supervision of a physician who does not restrictt
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he types of medications the APRN is allowed to prescribe. State law does not require the APR
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N to practice under physician supervision. How would the APRN‘s prescriptive authoritybe de
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scribed?

a. Full authority C


b. Independent
c. Without limitation C


d. Limited authority C




CORRECT RESPONSE:- B C C


Reasoning :- C


>>> The APRN has independent prescriptive authority because the regulating body does not requi
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re that the APRN work under physician supervision. Full prescriptive authority gives the provider
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the right to prescribe independently and without limitation. Limited authority places restrictions o
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n the types of hospital medications that can be prescribed.DIF: Cognitive Level: ComprehensionR
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EF: p. 1TOP:Nursing Process: I MSC: NCLEX Hospital client Needs Category: Physiologic In
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tegrity: Pharmacologic and Parenteral Therapies
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2. Which factors increase the need for APRNs to have full prescriptive authority?
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a. More clients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease. C C C C C C C


c. Physician‘s assistants are being utilized less often. C C C C C C


d. APRN education is more complex than education for physicians.
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CORRECT RESPONSE:- A C C


Reasoning :- C


>>> Implementation of the Affordable Care Act has increased the number of individuals with heal
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th care coverage, and thus the number who have access to health care services. The increase in the
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Cnumber of clients creates the need for more providers with prescriptive authority. APRNs can fillt
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his practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Impleme
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ntation MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
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CParenteral Therapies C

,3. Which factors could be attributed to limited prescriptive authority for APRNs?
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Select all that apply. C C C




a. Inaccessibility of client care C C C


b. Higher health care costs C C C


c. Higher quality medical treatment
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d. Improved collaborative care C C


e. Enhanced health literacy C C




CORRECT RESPONSE:- A , B C C C C


Reasoning :- C


>>> Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and access
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ibleclient care. It may also lead to poor collaboration among providers and higher health care cost
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s. It would not directly impact client‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category: Physi
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ologic Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN‘s provision for full prescriptive authority?
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Select all that apply. C C C




a. Clinical education includes prescription of medications andillness processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s ability to provide safe care.
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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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CORRECT RESPONSE:- A , C , D C C C C C C


Reasoning :- C


>>> APRNs are educated to practice and prescribe independently without supervision. Nationalex
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aminations validate the ability to provide safe and competent care. Licensure ensures compliance
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with standards to promote public health and safety. Limited prescriptive authority creates numero
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us barriers to quality, affordable, and accessible client care.DIF: Cognitive Level:Comprehension
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REF: pp. 1- C C


2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category: Physio
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logic Integrity: Pharmacologic and Parenteral Therapies
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5. Which aspects support the APRN‘s provision for full prescriptive authority?
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Select all that apply. C C C




a. Clinical education includes prescription of medications andillness processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s ability to provide safe care.
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d. Licensure ensures compliance with health care and safety standards.
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CORRECT RESPONSE:- A , C , D C C C C C C


Reasoning :- C


>>> APRNs are educated to practice and prescribe independently without supervision. Nationalex
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aminations validate the ability to provide safe and competent care. Licensure ensures compliance
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, with standards to promote public health and safety. Limited prescriptive authority creates numero
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us barriers to quality, affordable, and accessible client care.DIF: Cognitive Level:
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3

ComprehensionREF: pp. 1- C C


2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category: Physio
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logic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nursing attendant practicing in Maine is hired at a practice across state lines inV
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irginia. 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.
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CORRECT RESPONSE:- A C C


Reasoning :- C


>>>Virginia allows limited prescriptive authority, while Maine gives full authority to certified nu
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rsing attendants. The federal government does not regulate prescriptive authority.DIF: Cognitive
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Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Hospital
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client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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