Test Bank: Lehne's v$ v$
Pharmacotherapeutics for Advanced Pra v$ v$ v$
ctice Nurses and Physician Assistants, 3r
v$ v$ v$ v$ v$
d
Edition
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Authors : v$
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
v$ v$ v$ v$ v$ v$
@2024
v$
,Chapter 1: Prescriptive Authority
v$ v$ v$
1. An APRN works in a urology clinic under the supervision of a physician
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
who does not restrict the types of medications the APRN is allowed to pr
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
escribe. State law does not require the APRN to practice under physician s
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
upervision. How would the APRN’s prescriptive authority be described?
v$ v$ v$ v$ v$ v$ v$ v$
a. Full authority v$
b. Independent
c. Without limitation v$
d. Limited authority v$
ANS: B v$
Rationale: The APRN has independent prescriptive authority because the r
v$ v$ v$ v$ v$ v$ v$ v$ v$
egulating body does not require that the APRN work under physician supe
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
rvision. Full prescriptive authority gives the provider the right to prescribe
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
independently and without limitation. Limited authority places restrictions
v$ v$ v$ v$ v$ v$ v$ v$
on the types of drugs that can be prescribed.
v$ v$ v$ v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
2. Which factors increase the need for APRNs to have full prescriptiv
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
e authority?
v$
a. More patients will have access to health care.
v$ v$ v$ v$ v$ v$ v$
b. Enrollment in medical schools is predicted to decrease. v$ v$ v$ v$ v$ v$ v$
c. Physician’s assistants are being utilized less often. v$ v$ v$ v$ v$ v$
d. APRN education is more complex than education for physicians.
v$ v$ v$ v$ v$ v$ v$ v$
ANS: A v$
Rationale: Implementation of the Affordable Care Act has increased the nu
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
mber of individuals with health care coverage, thus increasing the number o
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
f patients who require access to health care services. The increase in patient
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
numbers creates the need for more providers with prescriptive authority.
v$ v$ v$ v$ v$ v$ v$ v$ v$
APRNs can fill this practice gap.
v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
3. Which factors could be attributed to limited prescriptive authority fo
v$ v$ v$ v$ v$ v$ v$ v$ v$
r APRNs? (Select all that apply)
v$ v$ v$ v$ v$
a. Inaccessibility of patient care v$ v$ v$
b. Higher health care costs v$ v$ v$
, c. Higher quality medical treatment v$ v$ v$
d. Improved collaborative care v$ v$
e. Enhanced health literacy v$ v$
ANS: A, B v$ v$
Rationale: Limiting prescriptive authority for APRNs can create barriers to
v$ v$ v$ v$ v$ v$ v$ v$ v$
quality, affordable, and accessible patient care. It may also lead to poor col
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
laboration among providers and higher health care costs. Enhanced health lit
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
eracy and improved collaborative care are not directly impacted by limited p
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
rescriptive authority. v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
REF: p. 2 v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
4. Which aspects support the APRN’s provision for full prescriptive authority?
v$ v$ v$ v$ v$ v$ v$ v$ v$
(Select all that apply)
v$ v$ v$ v$
a. Clinical education includes prescription of medications and disease
v$ v$ v$ v$ v$ v$ v$
processes.
v$
b. Federal regulations support the provision of full authority for APRNs.
v$ v$ v$ v$ v$ v$ v$ v$ v$
c. National examinations provide validation of the APRN’s ability to provid
v$ v$ v$ v$ v$ v$ v$ v$ v$
e safe care.
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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.
v$ v$ v$ v$ v$ v$
ANS: A, C, D v$ v$ v$
Rationale: APRNs are educated to practice and prescribe independently w
v$ v$ v$ v$ v$ v$ v$ v$ v$
ithout supervision. National examinations validate their ability to provide sa
v$ v$ v$ v$ v$ v$ v$ v$ v$
fe and competent care. Licensure ensures compliance with standards that pr
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
omote public health and safety. Limited prescriptive authority creates barri
v$ v$ v$ v$ v$ v$ v$ v$ v$
ers to quality, affordable, and accessible patient care.
v$ v$ v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
REF: pp. 1-2 v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
5. Which aspects support the APRN’s provision for full prescriptive authority?
v$ v$ v$ v$ v$ v$ v$ v$ v$
(Select all that apply)
v$ v$ v$ v$
a. Clinical education includes prescription of medications and disease
v$ v$ v$ v$ v$ v$ v$
processes.
v$
b. Federal regulations support the provision of full authority for APRNs.
v$ v$ v$ v$ v$ v$ v$ v$ v$
c. National examinations provide validation of the APRN’s ability to provide
v$ v$ v$ v$ v$ v$ v$ v$ v$
, safe care. v$
d. Licensure ensures compliance with health care and safety standards.
v$ v$ v$ v$ v$ v$ v$ v$
ANS: A, C, D v$ v$ v$
Rationale: APRNs are educated to practice and prescribe independently w
v$ v$ v$ v$ v$ v$ v$ v$ v$
ithout supervision. National examinations validate their ability to provide s
v$ v$ v$ v$ v$ v$ v$ v$ v$
afe and competent care. Licensure ensures compliance with standards to pr
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
omote public health and safety. Limited prescriptive authority creates barri
v$ v$ v$ v$ v$ v$ v$ v$ v$
ers to quality, affordable, and accessible patient care.
v$ v$ v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
6. What is the primary benefit of APRNs having full prescriptive authority?
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
a. Increased job satisfaction v$ v$
b. Improved patient outcomes v$ v$
c. Decreased need for collaboration v$ v$ v$
d. Reduced medication costs v$ v$
ANS: B v$
Rationale: Full prescriptive authority allows APRNs to make timely decisi
v$ v$ v$ v$ v$ v$ v$ v$ v$
ons regarding patient care, leading to improved patient outcomes. While jo
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
b satisfaction and reduced medication costs may also be benefits, the prima
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
ry focus is on patient outcomes.
v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
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7. Which of the following describes a challenge faced by APRNs seeking ful
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
l prescriptive authority?
v$ v$
a. Increased demand for primary care services v$ v$ v$ v$ v$
b. Variability in state regulations v$ v$ v$
c. Enhanced education programs v$ v$
d. Collaboration with physicians v$ v$
ANS: B v$
Rationale: Variability in state regulations can create challenges for APRN
v$ v$ v$ v$ v$ v$ v$ v$ v$
s seeking full prescriptive authority, as laws differ regarding what APRNs a
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
re allowed to prescribe and under what circumstances.
v$ v$ v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
Pharmacotherapeutics for Advanced Pra v$ v$ v$
ctice Nurses and Physician Assistants, 3r
v$ v$ v$ v$ v$
d
Edition
v $
Authors : v$
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
v$ v$ v$ v$ v$ v$
@2024
v$
,Chapter 1: Prescriptive Authority
v$ v$ v$
1. An APRN works in a urology clinic under the supervision of a physician
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
who does not restrict the types of medications the APRN is allowed to pr
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
escribe. State law does not require the APRN to practice under physician s
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
upervision. How would the APRN’s prescriptive authority be described?
v$ v$ v$ v$ v$ v$ v$ v$
a. Full authority v$
b. Independent
c. Without limitation v$
d. Limited authority v$
ANS: B v$
Rationale: The APRN has independent prescriptive authority because the r
v$ v$ v$ v$ v$ v$ v$ v$ v$
egulating body does not require that the APRN work under physician supe
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
rvision. Full prescriptive authority gives the provider the right to prescribe
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
independently and without limitation. Limited authority places restrictions
v$ v$ v$ v$ v$ v$ v$ v$
on the types of drugs that can be prescribed.
v$ v$ v$ v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
2. Which factors increase the need for APRNs to have full prescriptiv
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
e authority?
v$
a. More patients will have access to health care.
v$ v$ v$ v$ v$ v$ v$
b. Enrollment in medical schools is predicted to decrease. v$ v$ v$ v$ v$ v$ v$
c. Physician’s assistants are being utilized less often. v$ v$ v$ v$ v$ v$
d. APRN education is more complex than education for physicians.
v$ v$ v$ v$ v$ v$ v$ v$
ANS: A v$
Rationale: Implementation of the Affordable Care Act has increased the nu
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
mber of individuals with health care coverage, thus increasing the number o
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
f patients who require access to health care services. The increase in patient
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
numbers creates the need for more providers with prescriptive authority.
v$ v$ v$ v$ v$ v$ v$ v$ v$
APRNs can fill this practice gap.
v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
3. Which factors could be attributed to limited prescriptive authority fo
v$ v$ v$ v$ v$ v$ v$ v$ v$
r APRNs? (Select all that apply)
v$ v$ v$ v$ v$
a. Inaccessibility of patient care v$ v$ v$
b. Higher health care costs v$ v$ v$
, c. Higher quality medical treatment v$ v$ v$
d. Improved collaborative care v$ v$
e. Enhanced health literacy v$ v$
ANS: A, B v$ v$
Rationale: Limiting prescriptive authority for APRNs can create barriers to
v$ v$ v$ v$ v$ v$ v$ v$ v$
quality, affordable, and accessible patient care. It may also lead to poor col
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
laboration among providers and higher health care costs. Enhanced health lit
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
eracy and improved collaborative care are not directly impacted by limited p
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
rescriptive authority. v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
REF: p. 2 v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
4. Which aspects support the APRN’s provision for full prescriptive authority?
v$ v$ v$ v$ v$ v$ v$ v$ v$
(Select all that apply)
v$ v$ v$ v$
a. Clinical education includes prescription of medications and disease
v$ v$ v$ v$ v$ v$ v$
processes.
v$
b. Federal regulations support the provision of full authority for APRNs.
v$ v$ v$ v$ v$ v$ v$ v$ v$
c. National examinations provide validation of the APRN’s ability to provid
v$ v$ v$ v$ v$ v$ v$ v$ v$
e safe care.
v$ v$
d. Licensure ensures compliance with health care and safety standards.
v$ v$ v$ v$ v$ v$ v$ v$
e. Limiting provision can decrease health care affordability.
v$ v$ v$ v$ v$ v$
ANS: A, C, D v$ v$ v$
Rationale: APRNs are educated to practice and prescribe independently w
v$ v$ v$ v$ v$ v$ v$ v$ v$
ithout supervision. National examinations validate their ability to provide sa
v$ v$ v$ v$ v$ v$ v$ v$ v$
fe and competent care. Licensure ensures compliance with standards that pr
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
omote public health and safety. Limited prescriptive authority creates barri
v$ v$ v$ v$ v$ v$ v$ v$ v$
ers to quality, affordable, and accessible patient care.
v$ v$ v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
REF: pp. 1-2 v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
5. Which aspects support the APRN’s provision for full prescriptive authority?
v$ v$ v$ v$ v$ v$ v$ v$ v$
(Select all that apply)
v$ v$ v$ v$
a. Clinical education includes prescription of medications and disease
v$ v$ v$ v$ v$ v$ v$
processes.
v$
b. Federal regulations support the provision of full authority for APRNs.
v$ v$ v$ v$ v$ v$ v$ v$ v$
c. National examinations provide validation of the APRN’s ability to provide
v$ v$ v$ v$ v$ v$ v$ v$ v$
, safe care. v$
d. Licensure ensures compliance with health care and safety standards.
v$ v$ v$ v$ v$ v$ v$ v$
ANS: A, C, D v$ v$ v$
Rationale: APRNs are educated to practice and prescribe independently w
v$ v$ v$ v$ v$ v$ v$ v$ v$
ithout supervision. National examinations validate their ability to provide s
v$ v$ v$ v$ v$ v$ v$ v$ v$
afe and competent care. Licensure ensures compliance with standards to pr
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
omote public health and safety. Limited prescriptive authority creates barri
v$ v$ v$ v$ v$ v$ v$ v$ v$
ers to quality, affordable, and accessible patient care.
v$ v$ v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
6. What is the primary benefit of APRNs having full prescriptive authority?
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
a. Increased job satisfaction v$ v$
b. Improved patient outcomes v$ v$
c. Decreased need for collaboration v$ v$ v$
d. Reduced medication costs v$ v$
ANS: B v$
Rationale: Full prescriptive authority allows APRNs to make timely decisi
v$ v$ v$ v$ v$ v$ v$ v$ v$
ons regarding patient care, leading to improved patient outcomes. While jo
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
b satisfaction and reduced medication costs may also be benefits, the prima
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
ry focus is on patient outcomes.
v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
7. Which of the following describes a challenge faced by APRNs seeking ful
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
l prescriptive authority?
v$ v$
a. Increased demand for primary care services v$ v$ v$ v$ v$
b. Variability in state regulations v$ v$ v$
c. Enhanced education programs v$ v$
d. Collaboration with physicians v$ v$
ANS: B v$
Rationale: Variability in state regulations can create challenges for APRN
v$ v$ v$ v$ v$ v$ v$ v$ v$
s seeking full prescriptive authority, as laws differ regarding what APRNs a
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
re allowed to prescribe and under what circumstances.
v$ v$ v$ v$ v$ v$ v$
DIF: Cognitive Level: Comprehension
v$ v$ v$
TOP: Nursing Process: Implementation
v$ v$ v$
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
v$ v$ v$ v$ v$ v$ v$
c and Parenteral Therapies
v$ v$ v$
