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Lehne's Pharmacotherapeutics For Advanced Practice Nurses And Physician Assistants 3rd Edition, By Laura D. Rosenthal| With All Chapters 1-94| 2025 Updated Edition| Verified| Test Bank

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Lehne's Pharmacotherapeutics For Advanced Practice Nurses And Physician Assistants 3rd Edition, By Laura D. Rosenthal| With All Chapters 1-94| 2025 Updated Edition| Verified| Test Bank

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Lehne's Pharmacotherapeutics For Advanced Practice Nurses And

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
p p p p p p


PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK p p p p p p




Chapter 1: Prescriptive Authority p p p




p Test Bank p




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
p p p p p p p p p p p p p p p p


APRN to practice under physician supervision. How would the APRN‘s prescriptive authority
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be described?
p p




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:
p p p p p p p p p p p p p p


Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
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and Parenteral Therapies
p p p




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.
p p p p p p p


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.
p p p p p p p p




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
p p p p p p p p p p p p p p p p


pnumber of patients creates the need for more providers with prescriptive authority. APRNs can fill
p p p p p p p p p p p p p p


pthis practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
p p p p p p p p p


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?
p p p p p p p p p p


Select all that apply.
p p p p

, 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
p p p p p p p p p p p p


patient care. It may also lead to poor collaboration among providers and higher health care costs.
p p p p p p p p p p p p p p p p


It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
p p p p p p p p p p p


p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
p p p p p p p p p p


Integrity: Pharmacologic and Parenteral Therapies
p p p p p




4. Which aspects support the APRN‘s provision for full prescriptive authority?
p p p p p p p p p


Select all that apply.
p p p p




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


b. Federal regulations support the provision of full authority for APRNs.
p p p p p p p p p


c. National examinations provide validation of the APRN‘s ability to provide safecare.
p p p p p p p p p p


d. Licensure ensures compliance with health care and safety standards.
p p p p p p p p


e. Limiting provision can decrease health care affordability.
p p p p p p




ANS: A , C , D
p p p p p


APRNs are educated to practice and prescribe independently without supervision. National
p p p p p p p p p p


examinations validate the ability to provide safe and competent care. Licensure ensures
p p p p p p p p p p p p


compliance with standards to promote public health and safety. Limited prescriptive authority
p p p p p p p p p p p p


creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
p p p p p p p p p p p p


ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
p p p p p p p p p p


Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
p p p p p p p




5. Which aspects support the APRN‘s provision for full prescriptive authority?
p p p p p p p p p


Select all that apply.
p p p p




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


b. Federal regulations support the provision of full authority for APRNs.
p p p p p p p p p


c. National examinations provide validation of the APRN‘s ability to provide safecare.
p p p p p p p p p p


d. Licensure ensures compliance with health care and safety standards.
p p p p p p p p




ANS: A , C , D
p p p p p


APRNs are educated to practice and prescribe independently without supervision. National
p p p p p p p p p p


examinations validate the ability to provide safe and competent care. Licensure ensures
p p p p p p p p p p p p


compliance with standards to promote public health and safety. Limited prescriptive authority
p p p p p p p p p p p p


creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
p p p p p p p p p p p p

, 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
p p p p p p p p




6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
p p p p p p p p p p p p p p p


Virginia. Which aspect of practice may change for the APRN?
p p p p p p p p p p




a. The APRN will have less prescriptive authority in the new position.
p p p p p p p p p p


b. The APRN will have more prescriptive authority in the new position.
p p p p p p p p p p


c. The APRN will have equal prescriptive authority in the newposition.
p p p p p p p p p


d. The APRN‘s authority will depend on federalregulations.
p p p p p p




ANS: A p


Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
p p p p p p p p p p p p


practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
p p p p p p p p p p


Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
p p p p p p p p p p


Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
p p p p p p p p




Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
p p p p p p p p




p Chapter 2: Rational Drug Selection and Prescription Writing
p p p p p p p




Test Bank p




p Multiple

Choice
p




7. How can collaboration with a pharmacist improve positive outcomes for patients?
p p p p p p p p p p


Select all that apply.
p p p p




a. Pharmacists can suggest foods that will help with the patient‘s condition.
p p p p p p p p p p


b. Pharmacists have additional information on drug interactions. p p p p p p


c. The pharmacist can suggest adequate medication dosing.
p p p p p p


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.
p p p p p p p p p




ANS: B , C , D p p p p p


Providers should collaborate with pharmacists because they will likely have additional information
p p p p p p p p p p p


on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can
p p p p p p p p p p p p


make foods recommendations to treat the patient‘s condition. The pharmacist can contact the
p p p p p p p p p p p p p


prescriber about questionable prescriptions, but cannot alter the prescription without notification
p p p p p p p p p p p


of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing
p p p p p p p p p p p p


Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of
p p p p p p p p p p p


Risk Potential
p p

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