FOR bg
ADVANCEDPRACTICENURSES bg bg
D
AND
O
bg
N
PHYSICIANASSISTANTS bg bg
O
2nd EDITION
T
b g
ROSENTHAL
C
bg bg
O
TESTBANK
PY
,LEHNE’SPHARMACOTHERAPEUTICSFORADVANCEDPRACTICENURSESAND zp zp
PHYSICIAN ASSISTANTS 2ND EDITIONROSENTHAL TEST BANK
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Chapter1:Prescriptive
bg AuthorityTestBank g
b
bg MultipleChoice g
b
D
1. An APRN works in a urology clinic under the supervision of a physician who does not
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bg restrictthe types of medications the APRN is allowed to prescribe. State law does not
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O
bg require the APRN to practice under physician supervision. How would the APRN‘s
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bg prescriptiveauthoritybedescribed? b
g b
g
N
a. Fullauthority pz
b. Independent
O
c. Without limitation bg
d. Limited authority bg
T
ANS:B b
g
The APRN has independent prescriptive authority because the regulating body does not
C
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bg require that the APRN work under physician supervision. Full prescriptive authority gives
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the provider the right to prescribe independently and without limitation. Limited authority
O
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places restrictions on the types of drugs that can be prescribed.DIF: Cognitive Level:
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bg ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: bg bg bg bg bg bg bg bg bg bg
PY
bg Physiologic Integrity: PharmacologicandParenteral Therapies
pz bg bg bg bg
2. Whichfactorsincreasetheneed forAPRNstohavefullprescriptive authority?
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a. Morepatientswillhaveaccesstohealth care. pz pz bg
b. Enrollmentinmedicalschoolsispredictedto decrease. pz pz pz pz bg
c. Physician‘sassistantsarebeingutilizedlessoften. pz pz pz pz bg
d. APRNeducationismore complexthaneducationforphysicians. pz pz pz pz
ANS:A b
g
Implementationof theAffordableCareAct hasincreased thenumberof individualswith b
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g bg b
g
,health care coverage, and thus the number who have access to health care services. The
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bg increase in the number of patients creates the need for more providers with prescriptive
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bg authority. APRNs can fillthis practice gap.DIF: Cognitive Level: ComprehensionREF: p.
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bg 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity:Pharmacologic andParenteral Therapies
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3. Whichfactorscouldbeattributedtolimitedprescriptiveauthorityfor
pz pz pz pz pz pz pz
APRNs?Select allthat
bg bg b g apply.
D
O
N
O
T
C
O
PY
, a. Inaccessibilityof patientcare bg
b. Higherhealthcarecosts
c. Higherqualitymedicaltreatment pz
d. Improvedcollaborative care bg
e. Enhancedhealth literacy b
g bg
ANS:A ,B b
g pz b
g
D
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
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bg accessible patient care. It may also lead to poor collaboration among providers and higher
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O
bg health care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level:
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ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
bg bg bg bg bg bg bg bg bg
N
bg Physiologic Integrity: Pharmacologic and Parenteral Therapies bg bg bg bg bg
O
4. WhichaspectssupporttheAPRN‘sprovisionforfullprescriptive
pz pz pz pz
T
authority?Select allthat
bg bg b g apply.
a. Clinicaleducationincludesprescriptionofmedications anddiseaseprocesses.
C
pz pz pz pz pz pz
b. FederalregulationssupporttheprovisionoffullauthorityforAPRNs. pz pz pz
c. Nationalexaminations provide validationoftheAPRN‘s abilityto providesafecare.
O
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d. Licensureensurescompliancewithhealth care and safetystandards. pz bg pz pz bg bg
e. Limitingprovisioncandecreasehealthcareaffordability.
PY
pz pz pz pz
ANS:A ,C,D b
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g
APRNs are educated to practice and prescribe independently without supervision.
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bg Nationalexaminations validate the ability to provide safe and competent care. Licensure bg bg bg bg bg bg bg bg bg bg
bg ensures compliance with standards to promote public health and safety. Limited
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bg prescriptive authority creates numerous barriers to quality, affordable, and accessible
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bg patient care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process:
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bg Implementation bg MSC: bg NCLEX bg Client bg Needs bg Category: bg Physiologic bg Integrity:
bg PharmacologicandParenteral Therapies b
g b
g bg
5. WhichaspectssupporttheAPRN‘sprovisionforfullprescriptive
pz pz pz