Pharmacotherapeutics for Advanced Practice Nurses
and Physician Assistants 2nd Edition.
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, Rosenthal Lehne’s Pharmacotherapeutics for Advanced Practice Providers: 2nd
Edition (TestBank)
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
Chapter 1: Prescriptive Authority
Test Bank
Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
the types of medications the APRN is allowed to prescribe. State law does not require the
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority
be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
ANS: B
The APRN has independent prescriptive authority because the regulating body does not require
that the APRN work under physician supervision. Full prescriptive authority gives the provider
the right to prescribe independently and swithout s limitation. sLimited sauthority splaces
srestrictions son sthe s types sof sdrugs sthat scan sbe sprescribed.DIF: sCognitive s Level:
sComprehensionREF: sp. s1TOP: sNursing sProcess: sI sMSC: sNCLEX sClient sNeeds sCategory:
sPhysiologic sIntegrity: sPharmacologic sand sParenteral sTherapies
2. Which sfactors sincrease sthe sneed sfor sAPRNs sto shave sfull sprescriptive s authority?
a. More spatients swill shave saccess sto s health scare.
b. Enrollment sin smedical sschools sis spredicted sto s decrease.
c. Physician‘s sassistants sare sbeing sutilized sless soften.
d. APRN seducation sis smore scomplex sthan seducation sfor sphysicians.
ANS: sA
Implementation sof sthe sAffordable sCare sAct shas sincreased sthe snumber sof sindividuals swith
shealth scare scoverage, sand sthus sthe snumber swho shave saccess sto shealth scare sservices. sThe
sincrease sin sthe snumber sofpatients screates sthe sneed s for smore sproviders swith sprescriptive
sauthority. sAPRNs scan sfill sthis spractice sgap.DIF: sCognitive sLevel: sComprehensionREF: sp.
s2TOP: sNursing sProcess: sImplementation sMSC: sNCLEX sClient sNeeds sCategory: sPhysiologic
sIntegrity: sPharmacologic sand sParenteral sTherapies
3. Which sfactors scould sbe sattributed sto slimited sprescriptive sauthority sfor
sAPRNs? sSelect sall sthat s apply.
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a. Inaccessibility sof spatient scare
b. Higher shealth scare scosts
c. Higher squality smedical streatment
d. Improved scollaborative scare
e. Enhanced shealth sliteracy
ANS: sA s, s B
Limiting sprescriptive sauthority sfor sAPRNs scan screate sbarriers sto squality, saffordable, sand
saccessible spatient scare. sIt smay salso slead sto spoor scollaboration samong sproviders sand shigher
s health scare scosts. sIt swould snot sdirectly simpact spatient‘s shealth sliteracy.DIF: sCognitive
sLevel: sComprehensionREF:
p. s2TOP: sNursing sProcess: sImplementation sMSC: sNCLEX sClient sNeeds sCategory:
sPhysiologic sIntegrity: sPharmacologic sand sParenteral sTherapies
4. Which saspects ssupport sthe sAPRN‘s sprovision sfor sfull sprescriptive
sauthority? sSelect sall sthat s apply.
a. Clinical seducation sincludes sprescription sof smedications sand sdisease sprocesses.
b. Federal sregulations ssupport sthe sprovision sof sfull sauthority sfor sAPRNs.
c. National sexaminations sprovide s validation sof sthe s APRN‘s sability sto sprovide ssafecare.
d. Licensure sensures scompliance s with shealth scare sand ssafety sstandards.
e. Limiting sprovision scan sdecrease shealth scare saffordability.
ANS: sA s, sC s, sD
APRNs sare seducated sto spractice sand sprescribe sindependently swithout ssupervision. sNational
sexaminations svalidate sthe sability sto sprovide ssafe sand scompetent scare. sLicensure sensures
scompliance swith sstandards sto spromote spublic shealth sand ssafety. sLimited sprescriptive
sauthority screates snumerous sbarriers sto squality, saffordable, sand saccessible spatient scare.DIF:
sCognitive sLevel: sComprehensionREF: spp. s 1-2TOP: sNursing sProcess: sImplementation sMSC:
sNCLEX sClient sNeeds sCategory: sPhysiologic sIntegrity: sPharmacologic sand s Parenteral
sTherapies
5. Which saspects ssupport sthe sAPRN‘s sprovision sfor sfull sprescriptive
sauthority? sSelect sall sthat s apply.
a. Clinical seducation sincludes sprescription sof smedications sand sdisease sprocesses.
b. Federal sregulations ssupport sthe sprovision sof sfull sauthority sfor sAPRNs.
c. National sexaminations sprovide s validation sof sthe s APRN‘s sability sto sprovide ssafecare.
d. Licensure sensures scompliance swith shealth scare sand s safetysstandards.
ANS: sA s, sC s, sD
APRNs sare seducated sto spractice sand sprescribe sindependently swithout ssupervision. sNational
sexaminations svalidate sthe sability sto sprovide ssafe sand scompetent scare. sLicensure sensures
scompliance swith sstandards sto spromote spublic shealth sand ssafety. sLimited sprescriptive
sauthority screates snumerous sbarriers sto squality, saffordable, s and saccessible spatient scare.DIF:
sCognitive sLevel:
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ComprehensionREF: s pp. s 1-2TOP: s Nursing s Process: s Implementation MSC:sNCLEX
sClient sNeeds sCategory: sPhysiologic sIntegrity: sPharmacologic sand sParenteral sTherapies
6. A sfamily snurse spractitioner spracticing sin sMaine sis shired sat sa spractice sacross sstate
slines sin sVirginia. sWhich saspect sof spractice s may schange sfor sthe s APRN?
a. The sAPRN swill shave sless sprescriptive sauthority sin sthe snew sposition.
b. The sAPRN swill shave smore sprescriptive sauthority sin sthe snew sposition.
c. The sAPRN swill shave sequal sprescriptive sauthority sin sthe s newposition.
d. The s APRN‘s sauthority swill sdepend son sfederalregulations.
ANS: sA
Virginia sallows slimited sprescriptive sauthority, swhile sMaine sgives sfull sauthority sto scertified
snurse spractitioners. sThe sfederal sgovernment sdoes snot sregulate sprescriptive sauthority.DIF:
sCognitive sLevel: sComprehensionREF: sp. s3TOP: sNursing sProcess: sImplementation sMSC:
sNCLEX sClient sNeeds sCategory: sPhysiologic sIntegrity: sPharmacologic sand s Parenteral
sTherapies
Rosenthal: sLehne's sPharmacotherapeutics sfor sAdvanced sPractice sProviders, s2nd sEd.
sChapter s2: sRational sDrug sSelection sand sPrescription sWriting
Test sBank
sMultiple
sChoice
7. How scan scollaboration swith sa spharmacist simprove spositive soutcomes sfor
spatients? sSelect sall sthat s apply.
a. Pharmacists scan ssuggest sfoods sthat swill shelp s with sthe spatient‘s scondition.
b. Pharmacists shave sadditional sinformation son sdrug sinteractions.
c. The spharmacist scan ssuggest sadequate s medication s dosing.
d. Pharmacists shave sfirsthand sknowledge sof sthe sfacility sformulary.
e. Pharmacy scan salter sprescriptions s when snecessary sto sprevent spatient s harm.
ANS: sB s, sC s, sD
Providers sshould scollaborate swith spharmacists sbecause sthey swill slikely shave sadditional
sinformation son sformulary, sdrug sinteractions, sand ssuggestions sfor sadequate smedication
sdosing. sDietitians scan smake sfoods srecommendations sto streat sthe spatient‘s scondition. sThe
spharmacist scan scontact sthe sprescriber sabout squestionable sprescriptions, sbut scannot salter sthe
sprescription swithout snotification sof sand sapproval sby sthe sprovider.DIF: sCognitive sLevel:
sComprehensionREF: sp. s9TOP: sNursing sProcess: sDiagnosis sMSC: sNCLEX sClient sNeeds
sCategory: sPhysiologic sIntegrity: sReduction sof sRisk sPotential
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