Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
mj mj mj mj mj mj mj mj mj
ndEdition Rosenthal Test Bank
m
j mj mj mj 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCE
mj mj mj
DPRACTICE NURSES AND PHYSICIAN ASSISTANTS 2N
jm mj mj mj mj mj
D EDITION ROSENTHAL TEST BANK
mj mj mj mj
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
mj mj mj mj mj mj mj mj mj
ndEdition Rosenthal Test Bank
m
j mj mj mj 2
Chapter 1: Prescriptive Authority Test Ba
mj mj mj mj mj
nk Multiple Choice
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j mj
1. An APRN works in a urology clinic under the supervision of a physician who does n
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
ot restrict the types of medications the APRN is allowed to prescribe. State law does not req
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
uire theAPRN to practice under physician supervision. How would the APRN‘s prescriptive a
mj m
j mj mj mj mj mj mj mj mj mj mj mj
uthority bedescribed? mj m
j
a. Full authority mj
b. Independent
c. Without limitation mj
d. Limited authority mj
ANS: B mj
The APRN has independent prescriptive authority because the regulating body does not req
mj mj mj mj mj mj mj mj mj mj mj mj
uirethat the APRN work under physician supervision. Full prescriptive authority gives the p
m
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roviderthe right to prescribe independently and without limitation. Limited authority places r
m
j mj mj mj mj mj mj mj mj mj mj mj
estrictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehensio
m
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n REF: p.
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1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrit
mj mj mj mj mj mj mj mj mj mj
y: Pharmacologic and Parenteral Therapies
m
j mj mj mj
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.
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b. Enrollment in medical schools is predicted to decrease.
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c. Physician‘s assistants are being utilized less often. mj mj mj mj mj mj
d. APRN education is more complex than education for physicians.
mj mj mj mj mj mj mj mj
ANS: A mj
Implementation of the Affordable Care Act has increased the number of individuals with he
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althcare coverage, and thus the number who have access to health care services. The increas
m
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e in thenumber of patients creates the need for more providers with prescriptive authority. A
mj mj m
j mj mj mj mj mj mj mj mj mj mj mj mj
PRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursi
mj mj mj mj mj mj mj mj mj mj mj mj mj
ng Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Ph
mj mj mj mj mj mj mj mj mj mj
armacologic and Parenteral Therapies mj mj mj
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
mj mj mj mj mj mj mj mj mj
ndEdition Rosenthal Test Bank
m
j mj mj mj 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
mj mj mj mj mj mj mj mj mj mj mj mj
allthat apply.
m
j mj
a. Inaccessibility of patient care mj mj mj
b. Higher health care costs mj mj mj
c. Higher quality medical treatment
mj mj mj
d. Improved collaborative care mj mj
e. Enhanced health literacy mj mj
ANS: A , B mj mj mj
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
mj mj mj mj mj mj mj mj mj mj mj mj
sible patient care. It may also lead to poor collaboration among providers and higher healthcar
mj mj mj mj mj mj mj mj mj mj mj mj mj mj m
j
e costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Comprehe
mj mj mj mj mj mj mj mj mj mj mj mj
nsionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologi
mj mj mj mj mj mj mj mj mj mj
cIntegrity: Pharmacologic and Parenteral Therapies
m
j mj mj mj mj
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
mj mj mj mj mj mj mj mj mj mj mj
allthat apply.
m
j mj
a. Clinical education includes prescription of medications and disease processes.
mj mj mj mj mj mj mj mj
b. Federal regulations support the provision of full authority for APRNs.
mj mj mj mj mj mj mj mj mj
c. National examinations provide validation of the APRN‘s ability to provide safecare.
mj mj mj mj mj mj mj mj mj mj
d. Licensure ensures compliance with health care and safety standards.
mj mj mj mj mj mj mj mj
e. Limiting provision can decrease health care affordability.
mj mj mj mj mj mj
ANS: A , C , D mj mj mj mj mj
APRNs are educated to practice and prescribe independently without supervision. National
mj mj mj mj mj mj mj mj mj mj
examinations validate the ability to provide safe and competent care. Licensure ensures c
mj mj mj mj mj mj mj mj mj mj mj mj mj
ompliance with standards to promote public health and safety. Limited prescriptive authori
mj mj mj mj mj mj mj mj mj mj mj
tycreates numerous barriers to quality, affordable, and accessible patient care.DIF: Cogniti
m
j mj mj mj mj mj mj mj mj mj mj
ve Level: ComprehensionREF: pp. 1-
mj mj mj mj
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolog
mj mj mj mj mj mj mj mj mj
ic Integrity: Pharmacologic and Parenteral Therapies
mj mj mj mj mj
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
mj mj mj mj mj mj mj mj mj
ndEdition Rosenthal Test Bank
m
j mj mj mj 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
mj mj mj mj mj mj mj mj mj mj mj
allthat apply.
m
j mj
a. Clinical education includes prescription of medications and disease processes.
mj mj mj mj mj mj mj mj
b. Federal regulations support the provision of full authority for APRNs.
mj mj mj mj mj mj mj mj mj
c. National examinations provide validation of the APRN‘s ability to provide safecare.
mj mj mj mj mj mj mj mj mj mj
d. Licensure ensures compliance with health care and safety standards.
mj mj mj mj mj mj mj mj
ANS: A , C , D mj mj mj mj mj
APRNs are educated to practice and prescribe independently without supervision. National e
mj mj mj mj mj mj mj mj mj mj mj
xaminations validate the ability to provide safe and competent care. Licensure ensures compl
mj mj mj mj mj mj mj mj mj mj mj mj
iance with standards to promote public health and safety. Limited prescriptive authoritycreate
mj mj mj mj mj mj mj mj mj mj mj m
j
s numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
mj mj mj mj mj mj mj mj mj mj mj
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation mj mj m j mj mj mj
MSC: NCLEX Clien mj mj
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
m
j mj mj mj mj mj mj mj
6. A family nurse practitioner practicing in Maine is hired at a practice across state line
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
s inVirginia. Which aspect of practice may change for the APRN?
mj m
j mj mj mj mj mj mj mj mj mj
a. The APRN will have less prescriptive authority in the new position.
mj mj mj mj mj mj mj mj mj mj
b. The APRN will have more prescriptive authority in the new position.
mj mj mj mj mj mj mj mj mj mj
c. The APRN will have equal prescriptive authority in the new position.
mj mj mj mj mj mj mj mj mj mj
d. The APRN‘s authority will depend on federal regulation
mj mj mj mj mj mj mj
s.ANS: A
m
j mj
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
mj mj mj mj mj mj mj mj mj mj mj mj
sepractitioners. The federal government does not regulate prescriptive authority.DIF: Cogniti
m
j mj mj mj mj mj mj mj mj mj
ve Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Cl
mj mj mj mj mj mj mj mj mj mj
ient Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
mj mj mj mj mj mj mj mj
mj mj mj mj mj mj mj mj mj
ndEdition Rosenthal Test Bank
m
j mj mj mj 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCE
mj mj mj
DPRACTICE NURSES AND PHYSICIAN ASSISTANTS 2N
jm mj mj mj mj mj
D EDITION ROSENTHAL TEST BANK
mj mj mj mj
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
mj mj mj mj mj mj mj mj mj
ndEdition Rosenthal Test Bank
m
j mj mj mj 2
Chapter 1: Prescriptive Authority Test Ba
mj mj mj mj mj
nk Multiple Choice
m
j mj
1. An APRN works in a urology clinic under the supervision of a physician who does n
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
ot restrict the types of medications the APRN is allowed to prescribe. State law does not req
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
uire theAPRN to practice under physician supervision. How would the APRN‘s prescriptive a
mj m
j mj mj mj mj mj mj mj mj mj mj mj
uthority bedescribed? mj m
j
a. Full authority mj
b. Independent
c. Without limitation mj
d. Limited authority mj
ANS: B mj
The APRN has independent prescriptive authority because the regulating body does not req
mj mj mj mj mj mj mj mj mj mj mj mj
uirethat the APRN work under physician supervision. Full prescriptive authority gives the p
m
j mj mj mj mj mj mj mj mj mj mj mj mj
roviderthe right to prescribe independently and without limitation. Limited authority places r
m
j mj mj mj mj mj mj mj mj mj mj mj
estrictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehensio
m
j mj mj mj mj mj mj mj mj mj mj mj mj
n REF: p.
mj mj
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrit
mj mj mj mj mj mj mj mj mj mj
y: Pharmacologic and Parenteral Therapies
m
j mj mj mj
2. Which factors increase the need for APRNs to have full prescriptive authority?
mj mj mj mj mj mj mj mj mj mj mj
a. More patients will have access to health care.
mj mj mj mj mj mj mj
b. Enrollment in medical schools is predicted to decrease.
mj mj mj mj mj mj mj
c. Physician‘s assistants are being utilized less often. mj mj mj mj mj mj
d. APRN education is more complex than education for physicians.
mj mj mj mj mj mj mj mj
ANS: A mj
Implementation of the Affordable Care Act has increased the number of individuals with he
mj mj mj mj mj mj mj mj mj mj mj mj mj
althcare coverage, and thus the number who have access to health care services. The increas
m
j mj mj mj mj mj mj mj mj mj mj mj mj mj mj
e in thenumber of patients creates the need for more providers with prescriptive authority. A
mj mj m
j mj mj mj mj mj mj mj mj mj mj mj mj
PRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursi
mj mj mj mj mj mj mj mj mj mj mj mj mj
ng Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Ph
mj mj mj mj mj mj mj mj mj mj
armacologic and Parenteral Therapies mj mj mj
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
mj mj mj mj mj mj mj mj mj
ndEdition Rosenthal Test Bank
m
j mj mj mj 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
mj mj mj mj mj mj mj mj mj mj mj mj
allthat apply.
m
j mj
a. Inaccessibility of patient care mj mj mj
b. Higher health care costs mj mj mj
c. Higher quality medical treatment
mj mj mj
d. Improved collaborative care mj mj
e. Enhanced health literacy mj mj
ANS: A , B mj mj mj
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
mj mj mj mj mj mj mj mj mj mj mj mj
sible patient care. It may also lead to poor collaboration among providers and higher healthcar
mj mj mj mj mj mj mj mj mj mj mj mj mj mj m
j
e costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Comprehe
mj mj mj mj mj mj mj mj mj mj mj mj
nsionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologi
mj mj mj mj mj mj mj mj mj mj
cIntegrity: Pharmacologic and Parenteral Therapies
m
j mj mj mj mj
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
mj mj mj mj mj mj mj mj mj mj mj
allthat apply.
m
j mj
a. Clinical education includes prescription of medications and disease processes.
mj mj mj mj mj mj mj mj
b. Federal regulations support the provision of full authority for APRNs.
mj mj mj mj mj mj mj mj mj
c. National examinations provide validation of the APRN‘s ability to provide safecare.
mj mj mj mj mj mj mj mj mj mj
d. Licensure ensures compliance with health care and safety standards.
mj mj mj mj mj mj mj mj
e. Limiting provision can decrease health care affordability.
mj mj mj mj mj mj
ANS: A , C , D mj mj mj mj mj
APRNs are educated to practice and prescribe independently without supervision. National
mj mj mj mj mj mj mj mj mj mj
examinations validate the ability to provide safe and competent care. Licensure ensures c
mj mj mj mj mj mj mj mj mj mj mj mj mj
ompliance with standards to promote public health and safety. Limited prescriptive authori
mj mj mj mj mj mj mj mj mj mj mj
tycreates numerous barriers to quality, affordable, and accessible patient care.DIF: Cogniti
m
j mj mj mj mj mj mj mj mj mj mj
ve Level: ComprehensionREF: pp. 1-
mj mj mj mj
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolog
mj mj mj mj mj mj mj mj mj
ic Integrity: Pharmacologic and Parenteral Therapies
mj mj mj mj mj
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
mj mj mj mj mj mj mj mj mj
ndEdition Rosenthal Test Bank
m
j mj mj mj 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
mj mj mj mj mj mj mj mj mj mj mj
allthat apply.
m
j mj
a. Clinical education includes prescription of medications and disease processes.
mj mj mj mj mj mj mj mj
b. Federal regulations support the provision of full authority for APRNs.
mj mj mj mj mj mj mj mj mj
c. National examinations provide validation of the APRN‘s ability to provide safecare.
mj mj mj mj mj mj mj mj mj mj
d. Licensure ensures compliance with health care and safety standards.
mj mj mj mj mj mj mj mj
ANS: A , C , D mj mj mj mj mj
APRNs are educated to practice and prescribe independently without supervision. National e
mj mj mj mj mj mj mj mj mj mj mj
xaminations validate the ability to provide safe and competent care. Licensure ensures compl
mj mj mj mj mj mj mj mj mj mj mj mj
iance with standards to promote public health and safety. Limited prescriptive authoritycreate
mj mj mj mj mj mj mj mj mj mj mj m
j
s numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
mj mj mj mj mj mj mj mj mj mj mj
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation mj mj m j mj mj mj
MSC: NCLEX Clien mj mj
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
m
j mj mj mj mj mj mj mj
6. A family nurse practitioner practicing in Maine is hired at a practice across state line
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
s inVirginia. Which aspect of practice may change for the APRN?
mj m
j mj mj mj mj mj mj mj mj mj
a. The APRN will have less prescriptive authority in the new position.
mj mj mj mj mj mj mj mj mj mj
b. The APRN will have more prescriptive authority in the new position.
mj mj mj mj mj mj mj mj mj mj
c. The APRN will have equal prescriptive authority in the new position.
mj mj mj mj mj mj mj mj mj mj
d. The APRN‘s authority will depend on federal regulation
mj mj mj mj mj mj mj
s.ANS: A
m
j mj
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
mj mj mj mj mj mj mj mj mj mj mj mj
sepractitioners. The federal government does not regulate prescriptive authority.DIF: Cogniti
m
j mj mj mj mj mj mj mj mj mj
ve Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Cl
mj mj mj mj mj mj mj mj mj mj
ient Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
mj mj mj mj mj mj mj mj
