,Chapter 1: Prescriptive Authority
x@ x@ x@
1. An APRN works in a urology clinic under the supervision of a physic
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ian who does not restrict the types of medications the APRN is allowe
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
d to prescribe. State law does not require the APRN to practice under
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
physician supervision. How would the APRN’s prescriptive authority b
x@ x@ x@ x@ x@ x@ x@ x@
e described?
x@
a. Full authority x@
b. Independent
c. Without limitation x@
d. Limited authority x@
ANS: B x@
Rationale: The APRN has independent prescriptive authority because th
x@ x@ x@ x@ x@ x@ x@ x@
e regulating body does not require that the APRN work under physician
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
supervision. Full prescriptive authority gives the provider the right to p
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
rescribe independently and without limitation. Limited authority places r
x@ x@ x@ x@ x@ x@ x@ x@
estrictions on the types of drugs that can be prescribed.
x@ x@ x@ x@ x@ x@ x@ x@ x@
DIF: Cognitive Level: Comprehension
x@ x@ x@
TOP: Nursing Process: Implementation
x@ x@ x@
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacol
x@ x@ x@ x@ x@ x@ x@
ogic and Parenteral Therapies
x@ x@ x@
2. Which factors increase the need for APRNs to have full prescrip
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
tive authority?
x@
, a. More patients will have access to health care.
x@ x@ x@ x@ x@ x@ x@
b. Enrollment in medical schools is predicted to decrease.
x@ x@ x@ x@ x@ x@ x@
c. Physician’s assistants are being utilized less often.
x@ x@ x@ x@ x@ x@
d. APRN education is more complex than education for physicians.
x@ x@ x@ x@ x@ x@ x@ x@
ANS: A x@
Rationale: Implementation of the Affordable Care Act has increased the
x@ x@ x@ x@ x@ x@ x@ x@ x@ x
number of individuals with health care coverage, thus increasing the nu
@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
mber of patients who require access to health care services. The increase
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
in patient numbers creates the need for more providers with prescriptive
@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
authority.
@
APRNs can fill this practice gap.
x@ x@ x@ x@ x@
DIF: Cognitive Level: Comprehension
x@ x@ x@
TOP: Nursing Process: Implementation
x@ x@ x@
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacol
x@ x@ x@ x@ x@ x@ x@
ogic and Parenteral Therapies
x@ x@ x@
3. Which factors could be attributed to limited prescriptive authority
x@ x@ x@ x@ x@ x@ x@ x@ x@
for APRNs? (Select all that apply)
x@ x@ x@ x@ x@
a. Inaccessibility of patient care x@ x@ x@
b. Higher health care costs
x@ x@ x@
, c. Higher quality medical treatmentx@ x@ x@
d. Improved collaborative care x@ x@
e. Enhanced health literacy x@ x@
ANS: A, B x@ x@
Rationale: Limiting prescriptive authority for APRNs can create barriers
x@ x@ x@ x@ x@ x@ x@ x@ x
@to quality, affordable, and accessible patient care. It may also lead to p
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
oor collaboration among providers and higher health care costs. Enhanced
x@ x@ x@ x@ x@ x@ x@ x@ x@
x@ health literacy and improved collaborative care are not directly impacted
x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@by limited prescriptive authority.
x@ x@ x@
DIF: Cognitive Level: Comprehension
x@ x@ x@
REF: p. 2 x@ x@
TOP: Nursing Process: Implementation
x@ x@ x@
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacol
x@ x@ x@ x@ x@ x@ x@
ogic and Parenteral Therapies
x@ x@ x@
4. Which aspects support the APRN’s provision for full prescriptive authori
x@ x@ x@ x@ x@ x@ x@ x@ x@
ty? (Select all that apply)
x@ x@ x@ x@
a. Clinical education includes prescription of medications and disea
x@ x@ x@ x@ x@ x@ x@
se processes.
x@
b. Federal regulations support the provision of full authority for APRNs.
x@ x@ x@ x@ x@ x@ x@ x@ x@
c. National examinations provide validation of the APRN’s ability to prov
x@ x@ x@ x@ x@ x@ x@ x@ x@
ide safe care.
x@ x@
d. Licensure ensures compliance with health care and safety standards.
x@ x@ x@ x@ x@ x@ x@ x@
x@ x@ x@
1. An APRN works in a urology clinic under the supervision of a physic
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ian who does not restrict the types of medications the APRN is allowe
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
d to prescribe. State law does not require the APRN to practice under
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
physician supervision. How would the APRN’s prescriptive authority b
x@ x@ x@ x@ x@ x@ x@ x@
e described?
x@
a. Full authority x@
b. Independent
c. Without limitation x@
d. Limited authority x@
ANS: B x@
Rationale: The APRN has independent prescriptive authority because th
x@ x@ x@ x@ x@ x@ x@ x@
e regulating body does not require that the APRN work under physician
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
supervision. Full prescriptive authority gives the provider the right to p
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
rescribe independently and without limitation. Limited authority places r
x@ x@ x@ x@ x@ x@ x@ x@
estrictions on the types of drugs that can be prescribed.
x@ x@ x@ x@ x@ x@ x@ x@ x@
DIF: Cognitive Level: Comprehension
x@ x@ x@
TOP: Nursing Process: Implementation
x@ x@ x@
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacol
x@ x@ x@ x@ x@ x@ x@
ogic and Parenteral Therapies
x@ x@ x@
2. Which factors increase the need for APRNs to have full prescrip
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
tive authority?
x@
, a. More patients will have access to health care.
x@ x@ x@ x@ x@ x@ x@
b. Enrollment in medical schools is predicted to decrease.
x@ x@ x@ x@ x@ x@ x@
c. Physician’s assistants are being utilized less often.
x@ x@ x@ x@ x@ x@
d. APRN education is more complex than education for physicians.
x@ x@ x@ x@ x@ x@ x@ x@
ANS: A x@
Rationale: Implementation of the Affordable Care Act has increased the
x@ x@ x@ x@ x@ x@ x@ x@ x@ x
number of individuals with health care coverage, thus increasing the nu
@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
mber of patients who require access to health care services. The increase
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
in patient numbers creates the need for more providers with prescriptive
@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
authority.
@
APRNs can fill this practice gap.
x@ x@ x@ x@ x@
DIF: Cognitive Level: Comprehension
x@ x@ x@
TOP: Nursing Process: Implementation
x@ x@ x@
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacol
x@ x@ x@ x@ x@ x@ x@
ogic and Parenteral Therapies
x@ x@ x@
3. Which factors could be attributed to limited prescriptive authority
x@ x@ x@ x@ x@ x@ x@ x@ x@
for APRNs? (Select all that apply)
x@ x@ x@ x@ x@
a. Inaccessibility of patient care x@ x@ x@
b. Higher health care costs
x@ x@ x@
, c. Higher quality medical treatmentx@ x@ x@
d. Improved collaborative care x@ x@
e. Enhanced health literacy x@ x@
ANS: A, B x@ x@
Rationale: Limiting prescriptive authority for APRNs can create barriers
x@ x@ x@ x@ x@ x@ x@ x@ x
@to quality, affordable, and accessible patient care. It may also lead to p
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
oor collaboration among providers and higher health care costs. Enhanced
x@ x@ x@ x@ x@ x@ x@ x@ x@
x@ health literacy and improved collaborative care are not directly impacted
x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@by limited prescriptive authority.
x@ x@ x@
DIF: Cognitive Level: Comprehension
x@ x@ x@
REF: p. 2 x@ x@
TOP: Nursing Process: Implementation
x@ x@ x@
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacol
x@ x@ x@ x@ x@ x@ x@
ogic and Parenteral Therapies
x@ x@ x@
4. Which aspects support the APRN’s provision for full prescriptive authori
x@ x@ x@ x@ x@ x@ x@ x@ x@
ty? (Select all that apply)
x@ x@ x@ x@
a. Clinical education includes prescription of medications and disea
x@ x@ x@ x@ x@ x@ x@
se processes.
x@
b. Federal regulations support the provision of full authority for APRNs.
x@ x@ x@ x@ x@ x@ x@ x@ x@
c. National examinations provide validation of the APRN’s ability to prov
x@ x@ x@ x@ x@ x@ x@ x@ x@
ide safe care.
x@ x@
d. Licensure ensures compliance with health care and safety standards.
x@ x@ x@ x@ x@ x@ x@ x@
