EditionhRosenthalhTesth Bank 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
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PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND E
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DITION ROSENTHAL TEST BANK
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,Lehne’shPharmacotherapeuticshforhAdvancedhPracticehNurseshandhPhysicianhAssistantsh2ndh
EditionhRosenthalhTesth Bank 2
Chapterh1:hPrescriptivehAuthorityhTesthBankh
MultiplehChoice
1. AnhAPRNhworkshinhahurologyhclinichunderhthehsupervisionhofhahphysicianhwhohdoeshnothrest
ricththehtypeshofhmedicationshthehAPRNhishallowedhtohprescribe.hStatehlawhdoeshnothrequirehthehAPR
Nhtohpracticehunderhphysicianhsupervision.hHowhwouldhthehAPRN‘shprescriptivehauthorityhbehdescri
bed?
a. Fullhauthority
b. Independent
c. Withouthlimitation
d. Limitedhauthority
ANS:hB
ThehAPRNhhashindependenthprescriptivehauthorityhbecausehthehregulatinghbodyhdoeshnothrequireht
haththehAPRNhworkhunderhphysicianhsupervision.hFullhprescriptivehauthorityhgiveshthehproviderhth
ehrighthtohprescribehindependentlyhandhwithouthlimitation.hLimitedhauthorityhplaceshrestrictionshonh
thehtypeshofhdrugshthathcanhbehprescribedh.DIF:hCognitivehLevel:hComprehensionhREF:hp.
1TOP:hNursinghProcess:hIhMSC:hNCLEXhClienthNeedshCategory:hPhysiologichIntegrity:h
PharmacologichandhParenteralhTherapies
2. WhichhfactorshincreasehthehneedhforhAPRNshtohhavehfullhprescriptivehauthority?
a. Morehpatientshwillhhavehaccesshtohhealthhcare.
b. Enrollmenthinhmedicalhschoolshishpredictedhtohdecrease.
c. Physician‘shassistantsharehbeinghutilizedhlesshoften.
d. APRNheducationhishmorehcomplexhthanheducationhforhphysicians.
ANS:hA
ImplementationhofhthehAffordablehCarehActhhashincreasedhthehnumberhofhindividualshwithhhealthhc
arehcoverage,handhthushthehnumberhwhohhavehaccesshtohhealthhcarehservices.hThehincreasehinhthehnu
mberhofhpatientshcreateshthehneedhforhmorehprovidershwithhprescriptivehauthority.hAPRNshcanhfillht
hishpracticehgap.hDIF:hCognitivehLevel:hComprehensionhREF:hp.h2TOP:hNursinghProcess:hImple
mentationhMSC:hNCLEXhClienthNeedshCategory:hPhysiologichIntegrity:hPharmacologichandhPar
enteralhTherapies
,Lehne’shPharmacotherapeuticshforhAdvancedhPracticehNurseshandhPhysicianhAssistantsh2ndh
EditionhRosenthalhTesth Bank 3
3. WhichhfactorshcouldhbehattributedhtohlimitedhprescriptivehauthorityhforhAPRNs?hSelecthallht
hathapply.
a. Inaccessibilityhofhpatienth care
b. Higherhhealthhcarehcosts
c. Higherhqualityhmedicalhtreatment
d. Improvedhcollaborativehcare
e. Enhancedhhealthhliteracy
ANS:hAh,hB
LimitinghprescriptivehauthorityhforhAPRNshcanhcreatehbarriershtohquality,haffordable,handhaccessibl
ehpatienthcare.hIthmayhalsohleadhtohpoorhcollaborationhamongh providershandhhigherhhealthhcarehcosts.h
Ithwouldhnothdirectlyhimpacthpatient‘shhealthhliteracy.DIF:hCognitivehLevel:hComprehensionREF:
p.h2TOP:hNursinghProcess:hImplementationhMSC:hNCLEXhClienthNeedshCategory:hPhysiologichIn
tegrity:hPharmacologichandhParenteralhTherapies
4. WhichhaspectshsupporththehAPRN‘shprovisionhforhfullhprescriptivehauthority?hSelecthallht
hathapply.
a. Clinicalheducationhincludeshprescriptionhofhmedicationshandhdiseasehprocesses.
b. FederalhregulationshsupporththehprovisionhofhfullhauthorityhforhAPRNs.
c. NationalhexaminationshprovidehvalidationhofhthehAPRN‘shabilityhtohprovidehsafecare.
d. Licensurehensureshcompliancehwithhhealthhcarehandhsafetyhstandards.
e. Limitinghprovisionhcanhdecreasehhealthhcarehaffordability.
ANS:hAh,hCh,hD
APRNshareheducatedhtohpracticehandhprescribehindependentlyhwithouthsupervision.hNationalhexa
minationshvalidatehthehabilityhtohprovidehsafehandhcompetenthcare.hLicensurehensureshcomplianc
ehwithhstandardshtohpromotehpublichhealthhandhsafety.hLimitedhprescriptivehauthorityhcreateshnu
meroushbarriershtohquality,haffordable,handhaccessiblehpatienthcare.DIF:hCognitivehLevel:hComp
rehensionREF:hpp.h1-
2TOP:hNursinghProcess:hImplementationhMSC:hNCLEXhClienth NeedshCategory:hPhysiologichI
ntegrity:hPharmacologichandhParenteralhTherapies
, Lehne’shPharmacotherapeuticshforhAdvancedhPracticehNurseshandhPhysicianhAssistantsh2ndh
EditionhRosenthalhTesth Bank 4
5. WhichhaspectshsupporththehAPRN‘shprovisionhforhfullhprescriptivehauthority?hSelecthallht
hathapply.
a. Clinicalheducationhincludeshprescriptionhofhmedicationshandhdiseasehprocesses.
b. FederalhregulationshsupporththehprovisionhofhfullhauthorityhforhAPRNs.
c. NationalhexaminationshprovidehvalidationhofhthehAPRN‘shabilityhtohprovidehsafecare.
d. Licensurehensureshcompliancehwithhhealthhcarehandhsafetyhstandards.
ANS:hAh,hCh,hD
APRNshareheducatedhtohpracticehandhprescribehindependentlyhwithouthsupervision.hNationalhexami
nationshvalidatehthehabilityhtohprovidehsafehandhcompetenthcare.hLicensurehensureshcompliancehwit
hhstandardshtohpromotehpublichhealthhandhsafety.hLimitedhprescriptivehauthorityhcreateshnumeroushb
arriershtohquality,haffordable,handhaccessiblehpatienthcare.DIF:hCognitivehLevel:
ComprehensionhREF:hpp.h 1-2TOP:hNursinghProcess:hImplementation
MSC:hNCLEXhClienth
NeedshCategory:hPhysiologichIntegrity:hPharmacologichandhParenteralhTherapies
6. AhfamilyhnursehpractitionerhpracticinghinhMainehishhiredhathahpracticehacrosshstatehlineshinhV
irginia.h Whichhaspecth ofhpracticeh mayhchangeh forhthehAPRN?
a. ThehAPRNhwillhhavehlesshprescriptivehauthorityhinhthehnewhposition.
b. ThehAPRNhwillhhavehmorehprescriptivehauthorityhinhthehnewh position.
c. ThehAPRNhwillhhavehequalhprescriptivehauthorityhinhthehnewhposition.
d. ThehAPRN‘shauthorityhwillhdependhonhfederalhregulations.h
ANS:hA
Virginiahallowshlimitedhprescriptivehauthority,hwhilehMainehgiveshfullhauthorityhtohcertifiedhnursehp
ractitioners.hThehfederalhgovernmenthdoeshnothregulatehprescriptivehauthority.DIF:hCognitivehLev
el:hComprehensionREF:hp.h3TOP:hNursinghProcess:hImplementationhMSC:hNCLEXhClienthNeeds
hCategory:hPhysiologich Integrity:hPharmacologichandhParenteralhTherapies