Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCE
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DPRACTICE NURSES AND PHYSICIAN ASSISTANTS 2N
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D EDITION ROSENTHAL TEST BANK
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 2
Chapter 1: Prescriptive Authority Test Ba
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nkMultiple Choice
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1. An APRN works in a urology clinic under the supervision of a physician who does
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not restrict the types of medications the APRN is allowed to prescribe. State law does not
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require theAPRN to practice under physician supervision. How would the APRN‘s prescripti
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ve authority bedescribed?
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a. Full authority w#
b. Independent
c. Without limitation w#
d. Limited authority w#
ANS: B w#
The APRN has independent prescriptive authority because the regulating body does not re
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quirethat the APRN work under physician supervision. Full prescriptive authority gives the
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providerthe right to prescribe independently and without limitation. Limited authority plac
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es restrictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Compreh
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ension REF: p. w# w#
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integr
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ity:Pharmacologic and Parenteral Therapies
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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.
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d. APRN education is more complex than education for physicians.
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ANS: A w#
Implementation of the Affordable Care Act has increased the number of individuals with
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healthcare coverage, and thus the number who have access to health care services. The inc
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rease in thenumber of patients creates the need for more providers with prescriptive author
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ity. APRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TO
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P: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Int
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egrity: Pharmacologic and Parenteral Therapies
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Selec
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t allthat apply.
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a. Inaccessibility of patient care w# w# w#
b. Higher health care costsw# w# w#
c. Higher quality medical treatment
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d. Improved collaborative care w# w#
e. Enhanced health literacy w# w#
ANS: A , B w# w# w#
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acc
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essible patient care. It may also lead to poor collaboration among providers and higher healt
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hcare costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Co
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mprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolog
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icIntegrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
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allthat apply.
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a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s ability to provide safecare.
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d. Licensure ensures compliance with health care and safety standards.
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e. Limiting provision can decrease health care affordability.
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ANS: A , C , D w# w# w# w# w#
APRNs are educated to practice and prescribe independently without supervision. Nation
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al examinations validate the ability to provide safe and competent care. Licensure ensure
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s compliance with standards to promote public health and safety. Limited prescriptive au
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thoritycreates numerous barriers to quality, affordable, and accessible patient care.DIF: C
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ognitive Level: ComprehensionREF: pp. 1-
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2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolo
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gic Integrity: Pharmacologic and Parenteral Therapies
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, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
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allthat apply.
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a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s ability to provide safecare.
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d. Licensure ensures compliance with health care and safety standards.
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ANS: A , C , D w# w# w# w# w#
APRNs are educated to practice and prescribe independently without
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examinations validate the ability to provide safe and competent care.
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mpliance with standards to promote public health and safety. Limited
w# w# w# w# w# w# w# w# w# w# prescriptive authorityc w# #w
reates numerous barriers to quality, affordable, and accessible patient
w# w# w# w# w# w# w# w# w# care.DIF: Cognitive L w# w#
evel:
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation
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MSC: NCLEX Clien w# w#
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nurse practitioner practicing in Maine is hired at a practice across state li
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nes inVirginia. Which aspect of practice may change for the APRN?
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a. The APRN will have less prescriptive authority in the new position.
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b. The APRN will have more prescriptive authority in the new position.
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c. The APRN will have equal prescriptive authority in the new position.
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d. The APRN‘s authority will depend on federal regulatio
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ns.ANS: A #w w#
Virginia allows limited prescriptive authority, while Maine gives full authority to certified n
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ursepractitioners. The federal government does not regulate prescriptive authority.DIF: Cog
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nitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLE
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X Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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Edition Rosenthal Test Bank 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCE
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DPRACTICE NURSES AND PHYSICIAN ASSISTANTS 2N
#w w# w# w# w# w#
D EDITION ROSENTHAL TEST BANK
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 2
Chapter 1: Prescriptive Authority Test Ba
w# w# w# w# w#
nkMultiple Choice
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1. An APRN works in a urology clinic under the supervision of a physician who does
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
not restrict the types of medications the APRN is allowed to prescribe. State law does not
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
require theAPRN to practice under physician supervision. How would the APRN‘s prescripti
w# #w w# w# w# w# w# w# w# w# w# w#
ve authority bedescribed?
w# w# #
w
a. Full authority w#
b. Independent
c. Without limitation w#
d. Limited authority w#
ANS: B w#
The APRN has independent prescriptive authority because the regulating body does not re
w# w# w# w# w# w# w# w# w# w# w# w#
quirethat the APRN work under physician supervision. Full prescriptive authority gives the
#w w# w# w# w# w# w# w# w# w# w# w#
providerthe right to prescribe independently and without limitation. Limited authority plac
w# #w w# w# w# w# w# w# w# w# w# w#
es restrictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Compreh
w# #w w# w# w# w# w# w# w# w# w# w# w# w#
ension REF: p. w# w#
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integr
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ity:Pharmacologic and Parenteral Therapies
#w w# w# w#
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.
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d. APRN education is more complex than education for physicians.
w# w# w# w# w# w# w# w#
ANS: A w#
Implementation of the Affordable Care Act has increased the number of individuals with
w# w# w# w# w# w# w# w# w# w# w# w# w#
healthcare coverage, and thus the number who have access to health care services. The inc
#w w# w# w# w# w# w# w# w# w# w# w# w# w# w#
rease in thenumber of patients creates the need for more providers with prescriptive author
w# w# #w w# w# w# w# w# w# w# w# w# w# w#
ity. APRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TO
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P: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Int
w# w# w# w# w# w# w# w# w# w#
egrity: Pharmacologic and Parenteral Therapies
w# w# w# w#
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Selec
w# w# w# w# w# w# w# w# w# w# w#
t allthat apply.
w# #w w#
a. Inaccessibility of patient care w# w# w#
b. Higher health care costsw# w# w#
c. Higher quality medical treatment
w# w# w#
d. Improved collaborative care w# w#
e. Enhanced health literacy w# w#
ANS: A , B w# w# w#
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acc
w# w# w# w# w# w# w# w# w# w# w# w#
essible patient care. It may also lead to poor collaboration among providers and higher healt
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
hcare costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Co
#w w# w# w# w# w# w# w# w# w# w# w# w#
mprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolog
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icIntegrity: Pharmacologic and Parenteral Therapies
#w w# w# w# w#
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
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allthat apply.
w# #w w#
a. Clinical education includes prescription of medications and disease processes.
w# w# w# w# w# w# w# w#
b. Federal regulations support the provision of full authority for APRNs.
w# w# w# w# w# w# w# w# w#
c. National examinations provide validation of the APRN‘s ability to provide safecare.
w# w# w# w# w# w# w# w# w# w#
d. Licensure ensures compliance with health care and safety standards.
w# w# w# w# w# w# w# w#
e. Limiting provision can decrease health care affordability.
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ANS: A , C , D w# w# w# w# w#
APRNs are educated to practice and prescribe independently without supervision. Nation
w# w# w# w# w# w# w# w# w# w#
al examinations validate the ability to provide safe and competent care. Licensure ensure
w# w# w# w# w# w# w# w# w# w# w# w#
s compliance with standards to promote public health and safety. Limited prescriptive au
w# w# w# w# w# w# w# w# w# w# w# w#
thoritycreates numerous barriers to quality, affordable, and accessible patient care.DIF: C
#w w# w# w# w# w# w# w# w# w# w#
ognitive Level: ComprehensionREF: pp. 1-
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2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolo
w# w# w# w# w# w# w# w# w#
gic Integrity: Pharmacologic and Parenteral Therapies
w# w# w# w# w#
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
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allthat apply.
w# #w w#
a. Clinical education includes prescription of medications and disease processes.
w# w# w# w# w# w# w# w#
b. Federal regulations support the provision of full authority for APRNs.
w# w# w# w# w# w# w# w# w#
c. National examinations provide validation of the APRN‘s ability to provide safecare.
w# w# w# w# w# w# w# w# w# w#
d. Licensure ensures compliance with health care and safety standards.
w# w# w# w# w# w# w# w#
ANS: A , C , D w# w# w# w# w#
APRNs are educated to practice and prescribe independently without
w# w# w# w# w# w# w# w# w# supervision. National w# w#
examinations validate the ability to provide safe and competent care.
w# w# w# w# w# w# w# w# w# w# Licensure ensures co w# w#
mpliance with standards to promote public health and safety. Limited
w# w# w# w# w# w# w# w# w# w# prescriptive authorityc w# #w
reates numerous barriers to quality, affordable, and accessible patient
w# w# w# w# w# w# w# w# w# care.DIF: Cognitive L w# w#
evel:
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation
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MSC: NCLEX Clien w# w#
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nurse practitioner practicing in Maine is hired at a practice across state li
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nes inVirginia. Which aspect of practice may change for the APRN?
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a. The APRN will have less prescriptive authority in the new position.
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b. The APRN will have more prescriptive authority in the new position.
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c. The APRN will have equal prescriptive authority in the new position.
w# w# w# w# w# w# w# w# w# w#
d. The APRN‘s authority will depend on federal regulatio
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ns.ANS: A #w w#
Virginia allows limited prescriptive authority, while Maine gives full authority to certified n
w# w# w# w# w# w# w# w# w# w# w# w#
ursepractitioners. The federal government does not regulate prescriptive authority.DIF: Cog
#w w# w# w# w# w# w# w# w# w#
nitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLE
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X Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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