Lehne's Pharmacotherapeutics For Advanced Practice Nurses And Physician Assistants 3rd Edition, By Laura D. Rosenthal| With All Chapters 1-94| 2025 Updated Edition| Verified| Test Bank

TESTBANK
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,Chapter1:PrescriptiveAuthorityTest Bank
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Multiple Choices l




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 physiciansupervision. HowwouldtheAPRN’sprescriptiveauthority be described?
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a. Fullauthority l




b. Independent
c. Without limitation l




d. Limitedauthority l




ANS: B l




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 to
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prescribe independently and without limitation. Limited authority places restrictions on the types of
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drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
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Therapies
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2. Whichfactors increase the need for APRNsto have full prescriptive authority?
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a. More patients will have access to health care. l l l l l l l




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




c. Physician’sassistantsare beingutilized less often. l l l l l l




d. APRNeducation ismore complex thaneducation for physicians. l l l l l l l l




ANS: A l




Implementation of the Affordable Care Act has increased the number of individuals with health care l l l l l l l l l l l l l l




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. WhichfactorscouldbeattributedtolimitedprescriptiveauthorityforAPRNs?
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Select all that apply.
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, a. Inaccessibilityof patient care l l l




b. Higherhealth care costs l l l




c. Higher quality medicaltreatment l l l




d. Improvedcollaborative care l l




e. Enhanced health literacy l l




ANS: A, B l l l




Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
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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
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4. WhichaspectssupporttheAPRN’sprovisionforfullprescriptiveauthority?
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Select all that apply.
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a. Clinicaleducation includes prescription of medications and diseaseprocesses. l l l l l l l l




b. Federalregulations support the provision of full authority forAPRNs. l l l l l l l l l




c. Nationalexaminations provide validation ofthe APRN’s ability to provide safecare. l l l l l l l l l l




d. Licensureensures compliance withhealth care and safetystandards. l l l l l l l




e. Limiting provision candecrease health care affordability. l l l l l l




ANS: A , C , D l l l l l




APRNs are educated to practice and prescribe independently without supervision. National
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examinations validate the ability to provide safe and competent care. Licensure ensures compliance
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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:
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pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity: Pharmacologic and Parenteral Therapies
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5. WhichaspectssupporttheAPRN’sprovisionforfullprescriptiveauthority?
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Select all that apply.
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a. Clinicaleducation includes prescription of medications and diseaseprocesses. l l l l l l l l




b. Federalregulations support the provision of full authorityforAPRNs. l l l l l l l l l




c. Nationalexaminations provide validation ofthe APRN’s ability to provide safecare. l l l l l l l l l l




d. Licensureensures compliance with health care and safetystandards. l l l l l l l l




ANS: A , C , D l l l l l




APRNs are educated to practice and prescribe independently without supervision. National
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examinations validate the ability to provide safe and competent care. Licensure ensures compliance
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with standards to promote public health and safety. Limited prescriptive authority creates numerous
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barriersto quality, affordable, andaccessiblepatient care.DIF: CognitiveLevel:
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, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEXClient l l l l l l l




Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. Afamilynursepractitioner practicing inMaine ishiredat apracticeacrossstate linesin
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Virginia. Which aspect of practice may change for the APRN?
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a. TheAPRNwill have lessprescriptive authorityinthe new position.
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b. TheAPRNwillhave more prescriptive authorityinthenewposition.
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c. The APRN will have equalprescriptive authority inthe newposition.
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d. The APRN’s authoritywill depend on federalregulations.
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ANS: A l




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 Level:
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ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
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Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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Rosenthal:Lehne'sPharmacotherapeuticsforAdvancedPracticeProviders, 2ndEd. Chapter
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2: Rational Drug Selection and Prescription Writing
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Test Bank l




MultipleChoice
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7. Howcancollaborationwithapharmacist improvepositiveoutcomesforpatients?
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Select all that apply.
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a. Pharmacistscan suggest foodsthat will help withthe patient’s condition. l l l l l l l l l l




b. Pharmacistshave additional information ondrug interactions. l l l l l l




c. Thepharmacist can suggest adequate medication dosing.
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d. Pharmacistshave firsthand knowledge ofthe facility formulary. l l l l l l l




e. Pharmacycan alter prescriptions when necessaryto prevent patient harm. l l l l l l l l l




ANS: B , C , D l l l l l




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 approval
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by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process: Diagnosis
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
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