TEST BANK LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL Test Bank Questions with Complete Solutions

TEST BANK FOR LEHNE’S
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PHARMACOTHERAPEUTICS FOR ADVANCED
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PRACTICE NURSING ATTENDANTS AND PHYSICIAN
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ASSISTANTS 3ND EDITION ROSENTHAL
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,Chapter 1: Prescriptive Authority
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Multiple Choice
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1. An APRN works in a urology clinic under the supervision of a physician who does not restrictthe
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types of medications the APRN is allowed to prescribe. State law does not require the APRN to
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practice under physician supervision. How would the APRN’s prescriptive authority be
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described?
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a. Full authority m




b. Independent
c. Without limitation m




d. Limited authority m




CORRECT RESPONSE:- B m m




Reasoning :->>> The APRN has independent prescriptive authority because the regulating body
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does not require that the APRN work under physician supervision. Full prescriptive authority gives
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the provider the right to prescribe independently and without limitation. Limited authority places
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restrictions on the types of hospital medications that can be prescribed.DIF: Cognitive Level:
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ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Hospital client Needs
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mCategory: Physiologic Integrity: Pharmacologic 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 clients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease. m m m m m m m




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




d. APRN education is more complex than education for physicians.
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CORRECT RESPONSE:- A m m




Reasoning :->>> Implementation of the Affordable Care Act has increased the number of
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individuals with health care coverage, and thus the number who have access to health care services.
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The increase in the number of clients creates the need for more providers with prescriptive authority.
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APRNs can fill this practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing
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Process: Implementation MSC: NCLEX Hospital client Needs Category: Physiologic Integrity:
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Pharmacologic and Parenteral Therapies
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,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 client care m m m




b. Higher health care costs m m m




c. Higher quality medical treatmentm m m




d. Improved collaborative care m m




e. Enhanced health literacy m m




CORRECT RESPONSE:- A , B m m m m




Reasoning :->>> Limiting prescriptive authority for APRNs can create barriers to quality, affordable,
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and accessible client care. It may also lead to poor collaboration among providers and higher health
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care costs. It would not directly impact client’s health literacy.DIF: Cognitive Level:
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ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category:
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Physiologic 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 andillness 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 safe 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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CORRECT RESPONSE:- A , C , D m m m m m m




Reasoning :->>> APRNs are educated to practice and prescribe independently without
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supervision. National examinations validate the ability to provide safe and competent care.
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Licensure ensures compliance with standards to promote public health and safety. Limited
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prescriptive authority creates numerous barriers to quality, affordable, and accessible client
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care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation
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MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
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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 andillness 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 safe care.
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d. Licensure ensures compliance with health care and safety standards.
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CORRECT RESPONSE:- A , C , D m m m m m m




Reasoning :->>> APRNs are educated to practice and prescribe independently without
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supervision. National examinations validate the ability to provide safe and competent care.
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Licensure ensures compliance with standards to promote public health and safety. Limited
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prescriptive authority creates numerous barriers to quality, affordable, and accessible client
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, care.DIF: Cognitive Level:
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3

ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Hospital
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client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nursing attendant practicing in Maine is hired at a practice across state lines
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inVirginia. 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 new position.
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d. The APRN’s authority will depend on federal regulations.
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CORRECT RESPONSE:- A m m




Reasoning :->>>Virginia allows limited prescriptive authority, while Maine gives full authority to
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certified nursing attendants. The federal government does not regulate prescriptive authority.DIF:
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Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX
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Hospital client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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