COMPLETE Test Bank for Lehne's Pharmacotherapeutics For Advanced Practice Nurses And Physician Assistants 3rd Edition by Laura D. Rosenthal, Jacqueline Rosenjack Burchum|| All Chapters 1-94|| Graded A+

,
,Chapter 1: Prescriptive Authority
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1. An APRN works in a urology clinic under the supervision of a physician who
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does not restrict the types of medications the APRN is allowed to prescribe. S
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tate law does not require the APRN to practice under physician supervision. H
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ow would the APRN’s prescriptive authority be described?
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a. Full authority q



b. Independent
c. Without limitation q



d. Limited authority q



ANS: B q



Rationale: The APRN has independent prescriptive authority because the reg
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ulating body does not require that the APRN work under physician supervision
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. Full prescriptive authority gives the provider the right to prescribe independe
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ntly and without limitation. Limited authority places restrictions on the types o
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f 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: Pharmacologic
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and Parenteral Therapies
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2. Which factors increase the need for APRNs to have full prescriptive au
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thority?
a. More patients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease. q q q q q q q



c. Physician’s assistants are being utilized less often. q q q q q q


d. APRN education is more complex than education for physicians.
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ANS: A q



Rationale: Implementation of the Affordable Care Act has increased the numb
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er of individuals with health care coverage, thus increasing the number of patien
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ts who require access to health care services. The increase in patient numbers cr
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eates the need for more providers with prescriptive authority.
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APRNs can fill this practice gap. q q q q q



DIF: Cognitive Level: Comprehension
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TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
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and Parenteral Therapies
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3. Which factors could be attributed to limited prescriptive authority for A
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PRNs? (Select all that apply) q q q q



a. Inaccessibility of patient care q q q



b. Higher health care costs q q q

, c. Higher quality medical treatment q q q



d. Improved collaborative care q q



e. Enhanced health literacy q q



ANS: A, B q q



Rationale: Limiting prescriptive authority for APRNs can create barriers to qu
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ality, affordable, and accessible patient care. It may also lead to poor collaborati
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on among providers and higher health care costs. Enhanced health literacy and i
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mproved collaborative 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 q q



TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
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and Parenteral Therapies
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4. Which aspects support the APRN’s provision for full prescriptive authority? (S
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elect all that apply)q q q



a. Clinical education includes prescription of medications and disease p
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rocesses.
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 sa
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fe 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 q q q



Rationale: APRNs are educated to practice and prescribe independently with
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out supervision. National examinations validate their ability to provide safe an
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d competent care. Licensure ensures compliance with standards that promote p
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ublic health and safety. Limited prescriptive authority creates barriers to qualit
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y, affordable, and accessible patient care.
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DIF: Cognitive Level: Comprehension
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REF: pp. 1-2 q q



TOP: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
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and Parenteral Therapies
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5. Which aspects support the APRN’s provision for full prescriptive authority? (S
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elect all that apply)q q q



a. Clinical education includes prescription of medications and disease p
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rocesses.
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
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