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Pharmacotherapeutics for Advanced Pr YIOL YIOL YIOL
actice Nurses and Physician Assistant
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s, 3rd Edition
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AuthorsYIOL:
LauraYIOLD.YIOLRosenthalYIOL&YIOLJacquelineYIOLRosenjackYIOLBurchum
@2024
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,Chapter 1: Prescriptive Authority
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1. An APRN works in a urology clinic under the supervision
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of a physician who does not restrict the types of medication
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s the APRN is allowed to prescribe. State law does not req
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uire the APRN to practice under physician supervision. How
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would the APRN’s prescriptive authority be described?
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a. Full authority YIOL
b. Independent
c. Without limitation YIOL
d. Limited authority YIOL
ANS: B YIOL
Rationale: The APRN has independent prescriptive authority bec
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ause the regulating body does not require that the APRN wor
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k under physician supervision. Full prescriptive authority gives
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the provider the right to prescribe independently and without l
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imitation. Limited authority places restrictions on the types of
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drugs that can be prescribed.
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DIF: Cognitive Level: Comprehension
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TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Phar
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macologic and Parenteral Therapies
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2. Which factors increase the need for APRNs to have full
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prescriptive authority?
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a. More patients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease.
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c. Physician’s assistants are being utilized less often.
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d. APRN education is more complex than education for physicians.
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ANS: A YIOL
Rationale: Implementation of the Affordable Care Act has incre
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ased the number of individuals with health care coverage, thus
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OLincreasing the number of patients who require access to health
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OLcare services. The increase in patient numbers creates the need
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YIOLfor more providers with prescriptive authority.
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APRNs can fill this practice gap.
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DIF: Cognitive Level: Comprehension
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TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Phar
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macologic and Parenteral Therapies
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3. Which factors could be attributed to limited prescriptive a
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uthority for APRNs? (Select all that apply)
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a. Inaccessibility of patient care YIOL YIOL YIOL
b. Higher health care costsYIOL YIOL YIOL
, c. Higher quality medical treatment
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d. Improved collaborative care YIOL YIOL
e. Enhanced health literacy YIOL YIOL
ANS: A, B YIOL YIOL
Rationale: Limiting prescriptive authority for APRNs can create
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OLbarriers to quality, affordable, and accessible patient care. It
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may also lead to poor collaboration among providers and higher
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health care costs. Enhanced health literacy and improved collab
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orative care are not directly impacted by limited prescriptive aut
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hority.
DIF: Cognitive Level: Comprehension
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REF: p. 2 YIOL YIOL
TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Phar
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macologic and Parenteral Therapies
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4. Which aspects support the APRN’s provision for full prescriptive
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authority? (Select all that apply)
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a. Clinical education includes prescription of medications and
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disease processes.
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b. Federal regulations support the provision of full authority for AP
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RNs.
c. National examinations provide validation of the APRN’s ability
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Lto 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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ANS: A, C, D YIOL YIOL YIOL
Rationale: APRNs are educated to practice and prescribe indep
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endently without supervision. National examinations validate their
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Lability to provide safe and competent care. Licensure ensures c
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ompliance with standards that promote public health and safety.
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YIOLLimited prescriptive authority creates barriers to quality, afford
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able, and accessible patient care.
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DIF: Cognitive Level: Comprehension
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REF: pp. 1-2 YIOL YIOL
TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Phar
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macologic and Parenteral Therapies
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5. Which aspects support the APRN’s provision for full prescriptive
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authority? (Select all that apply)
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a. Clinical education includes prescription of medications and
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disease processes.
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b. Federal regulations support the provision of full authority for AP
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, RNs.
c. National examinations provide validation of the APRN’s ability to
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OLprovide