TestBank: Lehne's S S
Pharmacotherapeuticsfor Advanced Prac S S S
tice Nurses and Physician Assistants, 3rd E
S S S S S S
dition
Authors :S
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
S S S S S S
@2024
S
,Chapter1: Prescriptive Authority S S S
1. An APRN works in a urology clinic under the supervision of a physician who do
S S S S S S S S S S S S S S
es not restrict the types of medications the APRN is allowed to prescribe. State l
S S S S S S S S S S S S S S
aw does not require the APRNto practice under physician supervision. How wo
S S S S S S S S S S S S
uld the APRN’s prescriptive authority be described?
S S S S S S
a. Full authority S
b. Independent
c. Without limitation S
d. Limited authority S
ANS: B S
Rationale: The APRN has independent prescriptive authoritybecause the regul S S S S S S S S S
ating body does not require that the APRN work under physician supervision. Fu
S S S S S S S S S S S S
ll prescriptive authority gives the provider the right to prescribe independently a
S S S S S S S S S S S
nd without limitation. Limited authority places restrictions on the types of drugs
S S S S S S S S S S S S
that can be prescribed. S S S
DIF: Cognitive Level: Comprehension
S S S
TOP: Nursing Process: Implementation S S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
2. Which factors increase the need for APRNs to have fullprescriptive auth
S S S S S S S S S S S
ority?
a. More patients willhave access to health care. S S S S S S S
b. Enrollment in medical schools is predicted to decrease. S S S S S S S
c. Physician’s assistants are beingutilized less often. S S S S S S
d. APRNeducation is more complexthan education for physicians. S S S S S S S S
ANS: A S
Rationale: Implementation of the Affordable Care Act has increased the number S S S S S S S S S S S
of individuals with health care coverage, thus increasing the number of patients w
S S S S S S S S S S S S
ho require access to health care services. The increase in patient numbers creates t
S S S S S S S S S S S S S
he need for more providers with prescriptive authority.
S S S S S S S
APRNs can fill this practice gap. S S S S S
DIF: Cognitive Level: Comprehension
S S S
TOP: Nursing Process: Implementation S S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
3. Which factors could be attributed to limited prescriptive authorityfor AP
S S S S S S S S S S
RNs? (Select all that apply) S S S S
a. Inaccessibilityof patient care S S S
b. Higher health care costs S S S
, c. Higher qualitymedical treatment S S S
d. Improved collaborative care S S
e. Enhanced health literacy S S
ANS: A, B S S
Rationale: Limiting prescriptive authority for APRNs can create barriers to qual
S S S S S S S S S S
ity, affordable, and accessible patient care. It may also lead to poor collaboration a
S S S S S S S S S S S S S
mongproviders and higher health care costs. Enhanced health literacyand impro
S S S S S S S S S S S
ved collaborative care are not directlyimpacted by limited prescriptive authority.
S S S S S S S S S S
DIF: Cognitive Level: Comprehension
S S S
REF: p. 2 S S
TOP: Nursing Process: ImplementationS S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
4. Which aspects support the APRN’s provision for full prescriptive authority? (Sel
S S S S S S S S S S
ect all that apply)
S S S
a. Clinical education includes prescription of medications and disease pr
S S S S S S S S
ocesses.
b. Federal regulations support the provision of full authorityfor APRNs.
S S S S S S S S S
c. National examinations provide validation of the APRN’s ability to provide safe
S S S S S S S S S S
care.
S
d. Licensure ensures compliance with health care and safetystandards. S S S S S S S S
e. Limitingprovision can decrease health care affordability. S S S S S S
ANS: A, C, D S S S
Rationale: APRNs are educated to practice and prescribe independently witho
S S S S S S S S S
utsupervision. National examinations validate their abilityto provide safe and c
S S S S S S S S S S S
ompetent care. Licensure ensures compliance with standards that promote publi
S S S S S S S S S
c health and safety. Limited prescriptive authority creates barriers to quality, aff
S S S S S S S S S S S
ordable, and accessible patient care. S S S S
DIF: Cognitive Level: Comprehension
S S S
REF: pp. 1-2 S S
TOP: Nursing Process: ImplementationS S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
5. Which aspects support the APRN’s provision for full prescriptive authority? (Sel
S S S S S S S S S S
ect all that apply)
S S S
a. Clinical education includes prescription of medications and disease pr
S S S S S S S S
ocesses.
b. Federal regulations support the provision of full authorityfor APRNs.
S S S S S S S S S
c. National examinations provide validation of the APRN’s abilityto provide
S S S S S S S S S
, safe care. S
d. Licensure ensures compliance with health care and safetystandards. S S S S S S S S
ANS: A, C, D S S S
Rationale: APRNs are educated to practice and prescribe independently witho S S S S S S S S S
utsupervision. National examinations validate their ability to provide safe and c
S S S S S S S S S S S
ompetent care. Licensure ensures compliance with standards to promote public
S S S S S S S S S S
health and safety. Limited prescriptive authority creates barriers to quality, affor
S S S S S S S S S S
dable, and accessible patient care. S S S S
DIF: Cognitive Level: Comprehension
S S S
TOP: Nursing Process: Implementation S S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
6. What is the primarybenefit of APRNs having fullprescriptive authority?
S S S S S S S S S S
a. Increased job satisfaction S S
b. Improved patient outcomes S S
c. Decreased need for collaboration S S S
d. Reduced medication costs S S
ANS: B S
Rationale: Full prescriptive authority allows APRNs to make timely decisions r S S S S S S S S S S
egarding patient care, leading to improved patient outcomes. While job satisfact
S S S S S S S S S S
ion and reduced medication costs mayalso be benefits, the primary focus is on pat
S S S S S S S S S S S S S S
ient outcomes. S
DIF: Cognitive Level: Comprehension
S S S
TOP: Nursing Process: Implementation S S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
7. Which of the followingdescribes a challenge faced byAPRNs seeking full pres
S S S S S S S S S S S S
criptive authority? S
a. Increased demand for primarycare services S S S S S
b. Variabilityin state regulations S S S
c. Enhanced education programs S S
d. Collaboration with physicians S S
ANS: B S
Rationale: Variability in state regulations can create challenges for APRNs see S S S S S S S S S S
king fullprescriptive authority, as laws differ regarding what APRNs are allowe
S S S S S S S S S S S
d to prescribe and under what circumstances.
S S S S S S
DIF: Cognitive Level: Comprehension
S S S
TOP: Nursing Process: Implementation S S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
Pharmacotherapeuticsfor Advanced Prac S S S
tice Nurses and Physician Assistants, 3rd E
S S S S S S
dition
Authors :S
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
S S S S S S
@2024
S
,Chapter1: Prescriptive Authority S S S
1. An APRN works in a urology clinic under the supervision of a physician who do
S S S S S S S S S S S S S S
es not restrict the types of medications the APRN is allowed to prescribe. State l
S S S S S S S S S S S S S S
aw does not require the APRNto practice under physician supervision. How wo
S S S S S S S S S S S S
uld the APRN’s prescriptive authority be described?
S S S S S S
a. Full authority S
b. Independent
c. Without limitation S
d. Limited authority S
ANS: B S
Rationale: The APRN has independent prescriptive authoritybecause the regul S S S S S S S S S
ating body does not require that the APRN work under physician supervision. Fu
S S S S S S S S S S S S
ll prescriptive authority gives the provider the right to prescribe independently a
S S S S S S S S S S S
nd without limitation. Limited authority places restrictions on the types of drugs
S S S S S S S S S S S S
that can be prescribed. S S S
DIF: Cognitive Level: Comprehension
S S S
TOP: Nursing Process: Implementation S S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
2. Which factors increase the need for APRNs to have fullprescriptive auth
S S S S S S S S S S S
ority?
a. More patients willhave access to health care. S S S S S S S
b. Enrollment in medical schools is predicted to decrease. S S S S S S S
c. Physician’s assistants are beingutilized less often. S S S S S S
d. APRNeducation is more complexthan education for physicians. S S S S S S S S
ANS: A S
Rationale: Implementation of the Affordable Care Act has increased the number S S S S S S S S S S S
of individuals with health care coverage, thus increasing the number of patients w
S S S S S S S S S S S S
ho require access to health care services. The increase in patient numbers creates t
S S S S S S S S S S S S S
he need for more providers with prescriptive authority.
S S S S S S S
APRNs can fill this practice gap. S S S S S
DIF: Cognitive Level: Comprehension
S S S
TOP: Nursing Process: Implementation S S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
3. Which factors could be attributed to limited prescriptive authorityfor AP
S S S S S S S S S S
RNs? (Select all that apply) S S S S
a. Inaccessibilityof patient care S S S
b. Higher health care costs S S S
, c. Higher qualitymedical treatment S S S
d. Improved collaborative care S S
e. Enhanced health literacy S S
ANS: A, B S S
Rationale: Limiting prescriptive authority for APRNs can create barriers to qual
S S S S S S S S S S
ity, affordable, and accessible patient care. It may also lead to poor collaboration a
S S S S S S S S S S S S S
mongproviders and higher health care costs. Enhanced health literacyand impro
S S S S S S S S S S S
ved collaborative care are not directlyimpacted by limited prescriptive authority.
S S S S S S S S S S
DIF: Cognitive Level: Comprehension
S S S
REF: p. 2 S S
TOP: Nursing Process: ImplementationS S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
4. Which aspects support the APRN’s provision for full prescriptive authority? (Sel
S S S S S S S S S S
ect all that apply)
S S S
a. Clinical education includes prescription of medications and disease pr
S S S S S S S S
ocesses.
b. Federal regulations support the provision of full authorityfor APRNs.
S S S S S S S S S
c. National examinations provide validation of the APRN’s ability to provide safe
S S S S S S S S S S
care.
S
d. Licensure ensures compliance with health care and safetystandards. S S S S S S S S
e. Limitingprovision can decrease health care affordability. S S S S S S
ANS: A, C, D S S S
Rationale: APRNs are educated to practice and prescribe independently witho
S S S S S S S S S
utsupervision. National examinations validate their abilityto provide safe and c
S S S S S S S S S S S
ompetent care. Licensure ensures compliance with standards that promote publi
S S S S S S S S S
c health and safety. Limited prescriptive authority creates barriers to quality, aff
S S S S S S S S S S S
ordable, and accessible patient care. S S S S
DIF: Cognitive Level: Comprehension
S S S
REF: pp. 1-2 S S
TOP: Nursing Process: ImplementationS S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
5. Which aspects support the APRN’s provision for full prescriptive authority? (Sel
S S S S S S S S S S
ect all that apply)
S S S
a. Clinical education includes prescription of medications and disease pr
S S S S S S S S
ocesses.
b. Federal regulations support the provision of full authorityfor APRNs.
S S S S S S S S S
c. National examinations provide validation of the APRN’s abilityto provide
S S S S S S S S S
, safe care. S
d. Licensure ensures compliance with health care and safetystandards. S S S S S S S S
ANS: A, C, D S S S
Rationale: APRNs are educated to practice and prescribe independently witho S S S S S S S S S
utsupervision. National examinations validate their ability to provide safe and c
S S S S S S S S S S S
ompetent care. Licensure ensures compliance with standards to promote public
S S S S S S S S S S
health and safety. Limited prescriptive authority creates barriers to quality, affor
S S S S S S S S S S
dable, and accessible patient care. S S S S
DIF: Cognitive Level: Comprehension
S S S
TOP: Nursing Process: Implementation S S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
6. What is the primarybenefit of APRNs having fullprescriptive authority?
S S S S S S S S S S
a. Increased job satisfaction S S
b. Improved patient outcomes S S
c. Decreased need for collaboration S S S
d. Reduced medication costs S S
ANS: B S
Rationale: Full prescriptive authority allows APRNs to make timely decisions r S S S S S S S S S S
egarding patient care, leading to improved patient outcomes. While job satisfact
S S S S S S S S S S
ion and reduced medication costs mayalso be benefits, the primary focus is on pat
S S S S S S S S S S S S S S
ient outcomes. S
DIF: Cognitive Level: Comprehension
S S S
TOP: Nursing Process: Implementation S S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S
7. Which of the followingdescribes a challenge faced byAPRNs seeking full pres
S S S S S S S S S S S S
criptive authority? S
a. Increased demand for primarycare services S S S S S
b. Variabilityin state regulations S S S
c. Enhanced education programs S S
d. Collaboration with physicians S S
ANS: B S
Rationale: Variability in state regulations can create challenges for APRNs see S S S S S S S S S S
king fullprescriptive authority, as laws differ regarding what APRNs are allowe
S S S S S S S S S S S
d to prescribe and under what circumstances.
S S S S S S
DIF: Cognitive Level: Comprehension
S S S
TOP: Nursing Process: Implementation S S S
MSC: NCLEXClient Needs Category: Physiologic Integrity: Pharmacologic a
S S S S S S S S
nd Parenteral Therapies
S S