1
TEST BANK LEHNE’S
PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS
2ND EDITION BY LAURA D.
ROSENTHAL & JACQUELINE
ROSENJACK BURCHUM
9780323554954 CHAPTER 1-92|
COMPLETE GUIDE A+
, 2
CHAPTER 1: PRESCRIPTIVE
AUTHORITY
MULTIPLE CHOICE
1. AN APRN WORKS IN A UROLOGY CLINIC UNDER THE SUPERVISION OF A
PHYSICIAN WHO DOES NOT RESTRICT THE TYPES OF MEDICATIONS THE APRN
IS ALLOWED TO PRESCRIBE. STATE LAW DOES NOT REQUIRE THE APRN TO
PRACTICE UNDER PHYSICIAN SUPERVISION. HOW WOULD THE APRN’S
PRESCRIPTIVE AUTHORITYBE DESCRIBED?
a. FULL AUTHORITY
b. INDEPENDENT
c. WITHOUT LIMITATION
d. LIMITED AUTHORITY
CORRECT ANSWER: B
THE APRN HAS INDEPENDENT PRESCRIPTIVE AUTHORITY BECAUSE THE
REGULATING BODY DOES NOT REQUIRE THAT THE APRN 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 APRNS 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. APRN EDUCATION IS MORE COMPLEX THAN EDUCATION FOR PHYSICIANS.
CORRECT 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. APRNS CAN FILL THIS PRACTICE GAP.DIF: COGNITIVE
LEVEL: COMPREHENSIONREF: P. 2TOP: NURSING PROCESS: IMPLEMENTATION
MSC: NCLEX CLIENT NEEDS CATEGORY: PHYSIOLOGIC INTEGRITY:
PHARMACOLOGIC ANDPARENTERAL THERAPIES
3. WHICH FACTORS COULD BE ATTRIBUTED TO LIMITED
, 3
PRESCRIPTIVE AUTHORITY FOR APRNS?SELECT ALL THAT
APPLY.
, 4
a. INACCESSIBILITY OF PATIENT CARE
b. HIGHER HEALTH CARE COSTS
c. HIGHER QUALITY MEDICAL TREATMENT
d. IMPROVED COLLABORATIVE CARE
e. ENHANCED HEALTH LITERACY
CORRECT ANSWER: A , B
LIMITING PRESCRIPTIVE AUTHORITY FOR APRNS 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 APRN’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
APRNS.
c. NATIONAL EXAMINATIONS PROVIDE VALIDATION OF THE APRN’S ABILITY
TO PROVIDE SAFECARE.
d. LICENSURE ENSURES COMPLIANCE WITH HEALTH CARE AND SAFETY
STANDARDS.
e. LIMITING PROVISION CAN DECREASE HEALTH CARE AFFORDABILITY.
CORRECT ANSWER: A , C , D
APRNS 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 APRN’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
APRNS.
c. NATIONAL EXAMINATIONS PROVIDE VALIDATION OF THE APRN’S ABILITY
TO PROVIDE SAFECARE.
TEST BANK LEHNE’S
PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS
2ND EDITION BY LAURA D.
ROSENTHAL & JACQUELINE
ROSENJACK BURCHUM
9780323554954 CHAPTER 1-92|
COMPLETE GUIDE A+
, 2
CHAPTER 1: PRESCRIPTIVE
AUTHORITY
MULTIPLE CHOICE
1. AN APRN WORKS IN A UROLOGY CLINIC UNDER THE SUPERVISION OF A
PHYSICIAN WHO DOES NOT RESTRICT THE TYPES OF MEDICATIONS THE APRN
IS ALLOWED TO PRESCRIBE. STATE LAW DOES NOT REQUIRE THE APRN TO
PRACTICE UNDER PHYSICIAN SUPERVISION. HOW WOULD THE APRN’S
PRESCRIPTIVE AUTHORITYBE DESCRIBED?
a. FULL AUTHORITY
b. INDEPENDENT
c. WITHOUT LIMITATION
d. LIMITED AUTHORITY
CORRECT ANSWER: B
THE APRN HAS INDEPENDENT PRESCRIPTIVE AUTHORITY BECAUSE THE
REGULATING BODY DOES NOT REQUIRE THAT THE APRN 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 APRNS 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. APRN EDUCATION IS MORE COMPLEX THAN EDUCATION FOR PHYSICIANS.
CORRECT 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. APRNS CAN FILL THIS PRACTICE GAP.DIF: COGNITIVE
LEVEL: COMPREHENSIONREF: P. 2TOP: NURSING PROCESS: IMPLEMENTATION
MSC: NCLEX CLIENT NEEDS CATEGORY: PHYSIOLOGIC INTEGRITY:
PHARMACOLOGIC ANDPARENTERAL THERAPIES
3. WHICH FACTORS COULD BE ATTRIBUTED TO LIMITED
, 3
PRESCRIPTIVE AUTHORITY FOR APRNS?SELECT ALL THAT
APPLY.
, 4
a. INACCESSIBILITY OF PATIENT CARE
b. HIGHER HEALTH CARE COSTS
c. HIGHER QUALITY MEDICAL TREATMENT
d. IMPROVED COLLABORATIVE CARE
e. ENHANCED HEALTH LITERACY
CORRECT ANSWER: A , B
LIMITING PRESCRIPTIVE AUTHORITY FOR APRNS 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 APRN’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
APRNS.
c. NATIONAL EXAMINATIONS PROVIDE VALIDATION OF THE APRN’S ABILITY
TO PROVIDE SAFECARE.
d. LICENSURE ENSURES COMPLIANCE WITH HEALTH CARE AND SAFETY
STANDARDS.
e. LIMITING PROVISION CAN DECREASE HEALTH CARE AFFORDABILITY.
CORRECT ANSWER: A , C , D
APRNS 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 APRN’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
APRNS.
c. NATIONAL EXAMINATIONS PROVIDE VALIDATION OF THE APRN’S ABILITY
TO PROVIDE SAFECARE.
