Test Bank Lehnes Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edition Rosenthal | Test Bank | 9780323554954 | All Chapters with Answers and Rationals

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b

,Chapter1:Prescriptive Authority Test Bank
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Multiple Choices b




1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the
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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? b




a. Full authority b




b. Independent
c. Without limitation b




d. Limited authority b




ANS: B b




The APRN has independent prescriptive authority because the regulating body does not require that
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the APRN work under physician supervision. Full prescriptive authority gives the provider the right
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to prescribe independently and without limitation. Limited authority places restrictions on the types
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of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing
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Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
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Parenteral Therapies
b b




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.
b b b b b b b




b. Enrollment inmedical schools ispredicted to decrease. b b b b b b b




c. Physician’s assistants are beingutilized less often. b b b b b b




d. APRN education is more complex than education for physicians.
b b b b b b b b




ANS: A b




Implementation of the Affordable Care Act has increased the number of individuals with health care
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coverage, and thus the number who have access to health care services. The increase in the number of
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patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
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gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC:
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NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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3. Whichfactors could beattributed tolimited prescriptive authority for APRNs?
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Select all that apply.
b b b b

, a. Inaccessibility of patient care b b b




b. Higher health care costs b b b




c. Higher quality medical treatment b b b




d. Improved collaborative care b b




e. Enhanced health literacy b b




ANS: A , B b b b




Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
b b b b b b b b b b b b




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




4. Whichaspects supporttheAPRN’s provision for fullprescriptiveauthority?
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Select all that apply.
b b b b




a. Clinical education includes prescription of medications and diseaseprocesses.
b b b b b b b b




b. Federal regulations support the provision of full authority forAPRNs.
b b b b b b b b b




c. National examinations provide validation of the APRN’s ability to provide safecare.
b b b b b b b b b b




d. Licensure ensures compliance with health care and safetystandards. b b b b b b b




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




ANS: A , C , D b b b b b




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




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




with standards to promote public health and safety. Limited prescriptive authority creates numerous
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barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionREF:
b b b b b b b b b b b




pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
b b b b b b b b b b b




Integrity: Pharmacologic and Parenteral Therapies
b b b b b




5. Whichaspects supporttheAPRN’s provision for fullprescriptiveauthority?
b b b b b b b b b




Select all that apply.
b b b b




a. Clinical education includes prescription of medications and diseaseprocesses.
b b b b b b b b




b. Federal regulations support the provision of full authority forAPRNs.
b b b b b b b b b




c. National examinations provide validation of the APRN’s ability to provide safecare.
b b b b b b b b b b




d. Licensure ensures compliance with health care and safetystandards. b b b b b b b b




ANS: A , C , D b b b b b




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




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




with standards to promote public health and safety. Limited prescriptive authority creates numerous
b b b b b b b b b b b b b




barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
b b b b b b b b b b

, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEXClient b b b b b b b




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




6. Afamily nurse practitioner practicing inMaine is hired at apractice 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 lessprescriptive authority in the new position.
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b. The APRN will have more prescriptive authority inthe newposition.
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c. The APRN will have equal prescriptive authority inthe newposition.
b b b b b b b b b




d. The APRN’s authority will depend on federalregulations.
b b b b b b




ANS: A b




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. Chapter
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2: Rational Drug Selection and Prescription Writing
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Test Bank b




MultipleChoice
b b




7. Howcan collaboration with apharmacist improvepositiveoutcomes for patients?
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Select all that apply.
b b b b




a. Pharmacists can suggest foods that will help with the patient’s condition. b b b b b b b b b b




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




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




d. Pharmacists have firsthand knowledge of the facility formulary. b b b b b b b




e. Pharmacy can alter prescriptions when necessary to prevent patient harm. b b b b b b b b b




ANS: B , C , D b b b b b




Providers should collaborate with pharmacists because they will likely have additional information on
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formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make
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foods recommendations to treat the patient’s condition. The pharmacist can contact the prescriber
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about questionable prescriptions, but cannot alter the prescription without notification of and
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approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process:
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Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
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