Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants, 3rd Edition by Laura Rosenthal test bank

Lehne's Pharmacotherapeutics for Adv
17 17 17



anced Practice Nurses and
17 17 17



Physician 2nd Edition
17 17




by Laura Rosenthal DNP
17 17 17

,LEHNE’S17PHARMACOTHERAPEUTICS17FOR17ADVANCED17PRACTICE17NURSES17AND
PHYSICIAN17ASSISTANTS172ND17EDITION17ROSENTHAL17TEST17BANK


Chapter171:17Prescriptive17Authority17

Test17Bank

Multiple17Choice


1. An17APRN17works17in17a17urology17clinic17under17the17supervision17of17a17physician17who1 7 does1
7not17restrict17the17types17of17medications17the17APRN17is17allowed17to17prescribe.17State17law17
does17not17require17the17APRN17to17practice17under17physician17supervision.17How17would17the17
APRN‘s17prescriptive17authority17be17described?

a. Full17authority
b. Independent
c. Without17 limitation
d. Limited17authority

ANS:17B
The17APRN17has17independent17prescriptive17authority17because17the17regulating17body17does17not1
7require17that17the17APRN17work17under17physician17supervision.17Full17prescriptive17authority17gi
ves17the17provider17the17right17to17prescribe17independently17and17without17limitation.17Limited17au
thority17places17restrictions17on17the17types17of17drugs17that17can17be17prescribed.DIF:17Cognitive17L
evel:17ComprehensionREF:17p.171TOP:17Nursing17Process:17I17MSC:17NCLEX17Client17Needs17Cat
egory:17Physiologic17Integrity:17Pharmacologic17and17Parenteral17Therapies


2. Which17factors17increase17the17need17for17APRNs17to17have17full17prescriptive1 7 authority?

a. More17patients17will17have17access17to17health17care.
b. Enrollment17in17medical17schools17is17predicted17to1 7 decrease.
c. Physician‘s17assistants17are17being17utilized17less17 often.
d. APRN17education17is17more17complex17than17education17for17physicians.

ANS:17A
Implementation17of17the17Affordable17Care17Act17has17increased17the17number17of17individuals17wit
h17health17care17coverage,17and17thus17the17number17who17have17access17to17health17care17services.1
7The17increase17in17the17number17of17patients17creates17the17need17for17more17providers17with17prescri
ptive17authority.17APRNs17can17fill17this17practice17gap.DIF:17Cognitive17Level:17ComprehensionR
EF:17p.172TOP:17Nursing17Process:17Implementation17MSC:17NCLEX17Client17Needs17Category:17P
hysiologic17Integrity:17Pharmacologic17and17Parenteral17Therapies


3. Which17factors17could17be17attributed17to17limited17prescriptive17authority17for17
APRNs?17Select17all17that17apply.

, a. Inaccessibility17of17 patient17care
b. Higher17health17care17costs
c. Higher17quality17medical17treatment
d. Improved17collaborative17care
e. Enhanced17health1 7 literacy

ANS:17A17,17B
Limiting17prescriptive17authority17for17APRNs17can17create17barriers17to17quality,17affordable,17and17ac
cessible17patient17care.17It17may17also17lead17to17poor17collaboration17among17providers17and17highe
r17health17care17costs.17It17would17not17directly17impact17patient‘s17health17literacy.DIF:17Cognitive
17Level:17ComprehensionREF:

p.172TOP:17Nursing17Process:17Implementation17MSC:17NCLEX17Client17Needs17Category:17Phys
iologic17Integrity:17Pharmacologic17and17Parenteral17Therapies


4. Which17aspects17support17the17APRN‘s17provision17for17full17prescriptive17aut
hority?17Select17all17that17apply.

a. Clinical17education17includes17prescription17of17medications17and17disease17processes.
b. Federal17regulations17support17the17provision17of17full17authority17for17APRNs.
c. National17examinations17provide17validation17of17the17APRN‘s17ability17to17provide17safecare.
d. Licensure17ensures17compliance17with17health17care17and17safety17standards.
e. Limiting17provision17can17decrease17health17care17affordability.

ANS:17A17,17C17,17D
APRNs17are17educated17to17practice17and17prescribe17independently17without17supervision.17Nation
al17examinations17validate17the17ability17to17provide17safe17and17competent17care.17Licensure17ensur
es17compliance17with17standards17to17promote17public17health17and17safety.17Limited17prescriptive17
authority17creates17numerous17barriers17to17quality,17affordable,17and17accessible17patient17care.DIF:
17Cognitive17Level:17ComprehensionREF:17pp.171-
2TOP:17Nursing17Process:17Implementation17MSC:17NCLEX17Client17Needs17Category:17Physiolo
gic17Integrity:17Pharmacologic17and17Parenteral17Therapies


5. Which17aspects17support17the17APRN‘s17provision17for17full17prescriptive17aut
hority?17Select17all17that17apply.

a. Clinical17education17includes17prescription17of17medications17and17disease17processes.
b. Federal17regulations17support17the17provision17of17full17authority17for17APRNs.
c. National17examinations17provide17validation17of17the17APRN‘s17ability17to17provide17safecare.
d. Licensure17ensures17compliance17with17health17care17and17safety17standards.

ANS:17A17,17C17,17D
APRNs17are17educated17to17practice17and17prescribe17independently17without17supervision.17Nation
al17examinations17validate17the17ability17to17provide17safe17and17competent17care.17Licensure17ensu
res17compliance17with17standards17to17promote17public17health17and17safety.17Limited17prescriptive
17authority17creates17numerous17barriers17to17quality,17affordable,17and17accessible17patient17care.DI
F:17Cognitive17Level:

, ComprehensionREF:1 7 pp.1 7 1-2TOP:1 7 Nursing1 7 Process:1 7 Implementation
MSC:17NCLEX17Clie
nt17Needs17Category:17Physiologic17Integrity:17Pharmacologic17and17Parenteral17Therapies


6. A17family17nurse17practitioner17practicing17in17Maine17is17hired17at17a17practice17across17sta
te17lines17in17Virginia.17Which17aspect17of17practice17may17change17for17the17APRN?

a. The17APRN17will17have17less17prescriptive17authority17in17the17new17 position.
b. The17APRN17will17have17more17prescriptive17authority17in17the17new17position.
c. The17APRN17will17have17equal17prescriptive17authority17in17the17newposition.
d. The17APRN‘s17authority17will17depend17on17federalregulations.

ANS:17A
Virginia17allows17limited17prescriptive17authority,17while17Maine17gives17full17authority17to17certifi
ed17nurse17practitioners.17The17federal17government17does17not17regulate17prescriptive17authority.D
IF:17Cognitive17Level:17ComprehensionREF:17p.173TOP:17Nursing17Process:17Implementation17M
SC:17NCLEX17Client17Needs17Category:17Physiologic17Integrity:17Pharmacologic17and17Parenteral
17Therapies




Rosenthal:17Lehne's17Pharmacotherapeutics17for17Advanced17Practice17Providers,172nd17Ed.17

Chapter172:17Rational17Drug17Selection17and17Prescription17Writing

Test17Bank17Mu

ltiple17Choice


7. How17can17collaboration17with17a17pharmacist17improve17positive17outcomes17for17p
atients?17Select17all17that17apply.

a. Pharmacists17can17suggest17foods17that17will17help17with17the17patient‘s17condition.
b. Pharmacists17have17additional17information17on17drug17interactions.
c. The17pharmacist17can17suggest17adequate17medication1 7 dosing.
d. Pharmacists17have17firsthand17knowledge17of17the17facility17formulary.
e. Pharmacy17can17alter17prescriptions17when17necessary17to17prevent17patient17harm.

ANS:17B17,17C17,17D
Providers17should17collaborate17with17pharmacists17because17they17will17likely17have17additional17info
rmation17on17formulary,17drug17interactions,17and17suggestions17for17adequate17medication17dosing
.17Dietitians17can17make17foods17recommendations17to17treat17the17patient‘s17condition.17The17phar
macist17can17contact17the17prescriber17about17questionable17prescriptions,17but17cannot17alter17the17
prescription17without17notification17of17and17approval17by17the17provider.DIF:17Cognitive17Level:17
ComprehensionREF:17p.179TOP:17Nursing17Process:17Diagnosis17MSC:17NCLEX17Client17Needs17
Category:17Physiologic17Integrity:17Reduction17of17Risk17Potential