Lehne's Pharmacotherapeutics for Advanced Practice Nurses & Physician Assistants 2nd Ed. Test Bank | All Chapters | 688 Q&A

Chapterh1:hPrescriptivehAuthorityhTesthBankhMultipl
ehChoice
1. AnhAPRNhworkshinhahurologyhclinichunderhthehsuperv
isionhofhahphysicianhwhohdoeshnothrestricththehtypeshofhmedica
tionshthehAPRNhishallowedhtohprescribe.hStatehlawhdoeshnothre
quirehtheAPRNhtohpracticehunderhphysicianhsupervision.hHo
whwouldhthehAPRN‘shprescriptivehauthorityhbedescribed?
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
ImplementationhofhthehAffordablehCarehActhhashincreasedhthehnumberhofhindividualshwithhhealthhca
rehcoverage,handhthushthehnumberhwhohhavehaccesshtohhealthhcarehservices.hThehincreasehinhthehnum
berhofhpatientshcreateshthehneedhforhmorehprovidershwithhprescriptivehauthority.hAPRNshcanhfillhthi
shpracticehgap.hDIF:hCognitivehLevel:hComprehensionhREF:hp.h2TOP:hNursinghProcess:hImplemen
tationhMSC:hNCLEXhClienthNeedshCategory:hPhysiologichIntegrity:hPharmacologichandhParentera
lhTherapies


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,3. WhichhfactorshcouldhbehattributedhtohlimitedhprescriptivehauthorityhforhAPRNs?hSelecthallht
hathapply.
a. Inaccessibilityhofhpatienthcare
b. Higherhhealthhcarehcosts
c. Higherhqualityhmedicalhtreatment
d. Improvedhcollaborativehcare
e. Enhancedhhealthhliteracy


ANS:hAh,hB
LimitinghprescriptivehauthorityhforhAPRNshcanhcreatehbarriershtohquality,haffordable,handhaccessibl
ehpatienthcare.hIthmayhalsohleadhtohpoorhcollaborationhamonghprovidershandhhigherhhealthhcarehcosts.
hIthwouldhnothdirectlyhimpacthpatient‘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.hNationalhexami
nationshvalidatehthehabilityhtohprovidehsafehandhcompetenthcare.hLicensurehensureshcompliancehwit
hhstandardshtohpromotehpublichhealthhandhsafety.hLimitedhprescriptivehauthorityhcreateshnumeroush
barriershtohquality,haffordable,handhaccessiblehpatienthcare.DIF:hCognitivehLevel:hComprehension
REF:hpp.h1-
2TOP:hNursinghProcess:hImplementationhMSC:hNCLEXhClienthNeedshCategory:hPhysiologichInte
grity:hPharmacologichandhParenteralhTherapies
5. WhichhaspectshsupporththehAPRN‘shprovisionhforhfullhprescriptivehauthority?hSelect

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,allthathapply.


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:hNCLEXhClient
hNeedshCategory:hPhysiologich Integrity:hPharmacologichandhParenteralhTherapies




6. AhfamilyhnursehpractitionerhpracticinghinhMainehishhiredhathahpracticehacrosshstatehlineshinh
Virginia.hWhichhaspecthofhpracticehmayhchangehforhthehAPRN?
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


Rosenthal:hLehne'shPharmacotherapeuticshforhAdvancedhPracticehProviders,h2ndhEd.hChap
terh2:hRationalhDrughSelectionhandhPrescriptionhWriting
TesthBankhMultiplehChoice


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, 7. Howhcanhcollaborationhwithhahpharmacisthimprovehpositivehoutcomeshforhpatients?hSelecth
allhthathapply.


a. Pharmacistshcanhsuggesthfoodshthathwillhhelphwithhthehpatient‘shcondition.
b. Pharmacistshhavehadditionalhinformationhonhdrughinteractions.
c. Thehpharmacisthcanhsuggesthadequatehmedicationhdosing.
d. Pharmacistshhavehfirsthandhknowledgehofhthehfacilityhformulary.
e. Pharmacyhcanhalterhprescriptionshwhenhnecessaryhtohpreventhpatienthharm.


ANS:hBh,hCh,hD
Providershshouldhcollaboratehwithhpharmacistshbecausehtheyhwillhlikelyhhavehadditionalhinformatio
nhonhformulary,hdrughinteractions,handhsuggestionshforhadequatehmedicationhdosing.hDietitianshcanh
makehfoodshrecommendationshtohtreaththehpatient‘shcondition.hThehpharmacisthcanhcontacththehpresc
riberhabouthquestionablehprescriptions,hbuthcannothalterhthehprescriptionhwithouthnotificationhofhand
happrovalhbyhthehprovider.DIF:hCognitivehLevel:hComprehensionREF:hp.

9TOP:hNursinghProcess:hDiagnosishMSC:hNCLEXhClienthNeedshCategory:hPhysiologichIntegrity:h
ReductionhofhRiskhPotential


8. AhpatienthpresentshwithhdeliriumtremenshrequiringhAtivanhadministration.hThehproviderh
ofcarehishnothinhthehfacility.hWhichhactionhbyhthehnursehishmosthappropriate?


a. Obtainhahtelephonehorder.
b. Contacththehon-callhhospitalist.
c. Obtainhanhorderhfromhthehchargehnurse.
d. Waith forhahwrittenhAtivanhorder.


ANS:hA
Inhanhemergencyhsituation,hsuchhashdeliriumhtremenshwithhseizurehactivity,hithishacceptablehtohprov
idehahtelephonehorder.hContactinghthehon-
callhhospitalisthorhwaitinghforhahwrittenhorderhwouldhtakehmorehtimehthanhavailablehforhahpatienthwith
hhighhseizurehrisk.hWritinghanhorderhishoutsidehthehscopehofhpracticehforhthehchargehnurse.DIF:hCogni

tivehLevel:hApplicationREF:hp.h7TOP:hNursinghProcess:hImplementationhMSC:hNCLEXhClienthN
eedshCategory:hPhysiologichIntegrity:hReductionhofhRiskhPotential

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