Physician Assistants 3rd Edition, By Laura D. Rosenthal| With All
Chapters 1-94| 2025 Updated Edition| Verified| Test Bank
,LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
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PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK p p p p p p
Chapter 1: Prescriptive Authority p p p
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Multiple Choice p
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
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the types of medications the APRN is allowed to prescribe. State law does not require the
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APRN to practice under physician supervision. How would the APRN‘s prescriptive authority
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be described?
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a. Full authority p
b. Independent
c. Without limitation p
d. Limited authority p
ANS: B p
The APRN has independent prescriptive authority because the regulating body does not require
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that the APRN work under physician supervision. Full prescriptive authority gives the provider
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the right to prescribe independently and without limitation. Limited authority places restrictions
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on the types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP:
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Nursing Process: I 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 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. p p p p p p p
c. Physician‘s assistants are being utilized less often. p p p p p p
d. APRN education is more complex than education for physicians.
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ANS: A p
Implementation of the Affordable Care Act has increased the number of individuals with health
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pcare coverage, and thus the number who have access to health care services. The increase in the
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pnumber of patients creates the need for more providers with prescriptive authority. APRNs can fill
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pthis practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
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pImplementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic andp p p p p p p p p
pParenteral Therapies p
3. Which factors could be attributed to limited prescriptive authority for APRNs?
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Select all that apply.
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, a. Inaccessibility of patient care p p p
b. Higher health care costs p p p
c. Higher quality medical treatment p p p
d. Improved collaborative care p p
e. Enhanced health literacy p p
ANS: A , B p p p
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
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patient care. It may also lead to poor collaboration among providers and higher health care costs.
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It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity: 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 safety standards.
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e. Limiting provision can decrease health care affordability.
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ANS: A , C , D
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APRNs are educated to practice and prescribe independently without supervision. National
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examinations validate the ability to provide safe and competent care. Licensure ensures
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compliance with standards to promote public health and safety. Limited prescriptive authority
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creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
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ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
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Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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5. 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 safety standards.
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ANS: A , C , D
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APRNs are educated to practice and prescribe independently without supervision. National
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examinations validate the ability to provide safe and competent care. Licensure ensures
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compliance with standards to promote public health and safety. Limited prescriptive authority
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creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
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, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client p p p p p p p
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
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Virginia. Which aspect of practice may change for the APRN?
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a. The APRN will have less prescriptive authority in the new position.
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b. The APRN will have more prescriptive authority in the new position.
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c. The APRN will have equal prescriptive authority in the newposition.
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d. The APRN‘s authority will depend on federalregulations.
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ANS: A p
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
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practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
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Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
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Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
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p Chapter 2: Rational Drug Selection and Prescription Writing
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Test Bank p
p Multiple
Choice
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7. How can collaboration with a pharmacist improve positive outcomes for patients?
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Select all that apply.
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a. Pharmacists can suggest foods that will help with the patient‘s condition.
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b. Pharmacists have additional information on drug interactions. p p p p p p
c. The pharmacist can suggest adequate medication dosing.
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d. Pharmacists have firsthand knowledge of the facility formulary. p p p p p p p
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
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ANS: B , C , D p p p p p
Providers should collaborate with pharmacists because they will likely have additional information
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on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can
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make foods recommendations to treat the patient‘s condition. The pharmacist can contact the
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prescriber about questionable prescriptions, but cannot alter the prescription without notification
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of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing
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Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of
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Risk Potential
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