R ADVANCED PRACTICENURSESAND PH
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YSICIAN ASSISTANTS 2ND EDITION ROSE
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NTHALTESTBANK.
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LEHNE’S PHARMACOTHERAPEUTICS FOR1ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
Chapter 1: Prescriptive Authority
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s2 Test Bank s2
Multiple Choice s2
1. An APRN works in a urology clinic under1the supervision1of a physician who does not
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restrict the types of medications the APRN is allowed to prescribe. State law does not
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require the AP RN to practice1under physician supervision. How would the APRN’s
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prescriptive authoritybe described?
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a. Full authority s2
b. Independent
c. Without limitation s2
d. Limited authority s2
ANS: B s2
The APRN has independent prescriptive authority because the regulating body does not
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require t hat the APRN work under physician supervision. Full prescriptive authority gives
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the provider th e right to prescribe independently and without limitation. Limited authority
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places restrictions on the types of drugs that can be prescribed.DIF: Cognitive Level:
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ComprehensionREF: p. 1TOP:Nu rsing Process: I MSC: NCLEX Client Needs Category:
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Physiologic Integrity: 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 patients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease. s2 s2 s2 s2 s2 s2 s2
c. Physician’s assistants are being1utilized less often. s2 s2 s2 s2 s2
d. APRN education is more complex than education for physicians.
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ANS: A s2
Implementation of the Affordable Care Act has increased the number of individuals with
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health c are coverage, and thus the number who have access to health care services. The
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increase in the nu mber ofpatients creates the need for more providers with prescriptive
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authority. APRNs can fillthi s practice gap.DIF: Cognitive Level: ComprehensionREF: p.
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2TOP: Nursing Process: Implement ation MSC: NCLEX Client Needs Category: Physiologic
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,LEHNE’S PHARMACOTHERAPEUTICS FOs2 s2
R ADVANCED PRACTICENURSESAND PH
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YSICIAN ASSISTANTS 2ND EDITION ROSE
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NTHALTESTBANK.
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s2 Integrity: Pharmacologic andParenteral
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,LEHNE’S PHARMACOTHERAPEUTICS FO s2 s2
R ADVANCED PRACTICENURSESAND PH
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YSICIAN ASSISTANTS 2ND EDITION ROSE
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NTHALTESTBANK.
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Therapies
3. Which factors could be attributed to limited prescriptive authority for
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APRNs? Select all that apply.
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, LEHNE’S PHARMACOTHERAPEUTICS FO s2 s2
R ADVANCED PRACTICENURSESAND PH
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YSICIAN ASSISTANTS 2ND EDITION ROSE
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NTHALTESTBANK.
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a. Inaccessibility of patient care s2 s2 s2
b. Higher health care costs s2 s2 s2
c. Higher1quality medical treatment s2 s2
d. Improved collaborative care s2 s2
e. Enhanced health literacy s2 s2
ANS: A , B s2 s2 s2
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
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patient care. It may also lead to poor1collaboration among providers and higher health care
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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:
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Physiologic I ntegrity: 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.
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a. Clinical education includes prescription of medications and disease 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 safecare.
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d. Licensure ensures compliance with health care and safetystandards.
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e. Limiting provision can decrease health care affordability.
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ANS: A , C , D s2 s2 s2 s2 s2
APRNs are educated to practice and prescribe independently without supervision. National
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exam inations validate the ability to provide safe and competent care. Licensure ensures
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compliance wi th standards to promote public health and safety. Limited prescriptive
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authority creates numerous barriers to quality, affordable, and accessible patient care.DIF:
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Cognitive Level:ComprehensionR EF: pp. 1-
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2TOP: Nursing Process: Implementation MSC: NCLEX Client NeedsCategory: Physiologic
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Inte grity: Pharmacologic and Parenteral Therapies
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5. Which aspects support the1APRN’s provision for full prescriptive authority?
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Select all that apply.
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a. Clinical education includes prescription of medications and disease 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 safecare.
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d. Licensure ensures compliance with health care and safety standards.
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ANS: A , C , D s2 s2 s2 s2 s2