Test Bank For Lehne’s Pharmacotherapeutics For Advanced Practice Nurses And Physician Assistants, 2nd Edition by Jacqueline Burchum; Laura D. Rosenthal| All Chapters

Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
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Edition Rosenthal Test Bank REVISED EDITION
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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED P
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RACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDI
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TION ROSENTHAL TEST BANK REVISED EDITION 2023
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
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Edition Rosenthal Test Bank REVISED EDITION
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Chapter 1: Prescriptive Authority Test Bank Mu
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b ltiple Choice b




1. An APRN works in a urology clinic under the supervision of a physician who does not r
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estrict 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 authoritybe
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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
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that the APRN work under physician supervision. Full prescriptive authority gives the provide
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r the right to prescribe independently and without limitation. Limited authorityplaces restriction
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s on the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
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1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
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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 patients will have access to health care.
b b b b b b b




b. Enrollment in medical schools is predicted to decrease. b b b b b b b




c. Physician‘s assistants are being utilized less often. b b b b b b




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




ANS: A b




Implementation of the Affordable Care Act has increased the number of individuals with health
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bcare coverage, and thus the number who have access to health care services. The increase in the
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bnumber of patients creates the need for more providers with prescriptive authority. APRNs can
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bfill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process: I
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bmplementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic an
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bd Parenteral Therapies
b b

,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
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Edition Rosenthal Test Bank REVISED EDITION
b b b b b b 3

3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all
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that apply.
b b




a. Inaccessibilityof patient care b b b




b. Higher health care costsb 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 accessi
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ble patient care. It mayalso lead to poor collaboration among providers and higher health care co
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sts. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Comprehension
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REF:
b




p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic I
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ntegrity: Pharmacologic and Parenteral Therapies
b b b b b




4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
b b b b b b b b b b b


that apply.
b b




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




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




c. National examinations provide validation of the APRN‘s abilityto provide safecare.
b b b b b b b b b




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


minations 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 numer
b b b b b b b b b b b b b


ous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: Comprehe
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nsionREF: pp. 1-
b b b


2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Int
b b b b b b b b b b


egrity: Pharmacologic and Parenteral Therapies
b b b b b

, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
b b b b b b b b b


Edition Rosenthal Test Bank REVISED EDITION
b b b b b b 4

5. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
b b b b b b b b b b b


that apply.
b b




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




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




c. National examinations provide validation of the APRN‘s abilityto provide safecare.
b b b b b b b b b




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




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




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


minations 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 numer
b b b b b b b b b b b b b


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




Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation b b b b b b


MSC: NCLEX Client b xt


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




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 new position.
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d. The APRN‘s authoritywill depend on federal regulations.
b b b b b b




ANS: A
b b




Virginia allows limited prescriptive authority, while Maine gives full authorityto certified nurse
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practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive L
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evel: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Ne
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eds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b