TEST BANK FOR LEHNE’S
vv vv vv
PHARMACOTHERAPEUTICS FOR ADVANCED
vv vv vv
vv PRACTICE NURSING ATTENDANTS AND PHYSICIAN
vv vv vv vv
ASSISTANTS 3ND EDITION ROSENTHAL
vv vv vv vv
,Chapter vv 1: vv Prescriptive
vv AuthorityMultiple Choice v vv
1. An APRN works in a urology clinic under the supervision of a physician who does not
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
restrict the types of medications the APRN is allowed to prescribe. State law does not
vv v vv vv vv vv vv vv vv vv vv vv vv vv vv
require the APRN to practice under physician supervision. How would the APRN‘s
vv vv vv vv vv vv vv vv vv vv vv vv
prescriptive authoritybe described?
vv vv v vv
a. Full authority vv
b. Independent
c. Without limitation vv
d. Limited authority vv
CORRECT RESPONSE:- B vv v v
Reasoning :->>> The APRN has independent prescriptive authority because the regulating
vv vv vv vv vv vv vv vv vv vv
body does not require that the APRN work under physician supervision. Full prescriptive
vv vv vv vv vv vv vv vv vv vv vv vv vv
authority gives the provider the right to prescribe independently and without limitation.
vv vv vv vv vv vv vv vv vv vv vv vv
Limited authority places restrictions on the types of hospital medications that can be
vv vv vv vv vv vv vv vv vv vv vv vv vv
prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC:
vv vv vv vv vv vv v vv vv vv
NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
vv vv vv v v v v v v v v vv vv
Parenteral Therapies
vv vv
2. Which factors increase the need for APRNs to have full prescriptive authority?
vv vv vv vv vv vv vv vv vv vv vv
a. More clients will have access to health care.
vv vv vv vv vv vv vv
b. Enrollment in medical schools is predicted to decrease. vv vv vv vv vv vv vv
c. Physician‘s assistants are being utilized less often. vv vv vv vv vv vv
d. APRN education is more complex than education for physicians.
vv vv vv vv vv vv vv vv
CORRECT RESPONSE:- A vv v v
Reasoning :->>> Implementation of the Affordable Care Act has increased the number of
vv vv vv vv vv vv vv vv vv vv vv vv
individuals with health care coverage, and thus the number who have access to health care
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
services. The increase in the number of clients creates the need for more providers with
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level:
vv vv vv vv vv v vv vv vv vv
ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital
vv vv vv vv vv vv v v vv vv
client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
vv vv vv vv vv vv vv vv vv
,3. Which factors could be attributed to limited prescriptive authority for
vv vv vv vv vv vv vv vv vv
APRNs?Select all that apply.
vv v vv vv vv
a. Inaccessibility of client care vv vv vv
b. Higher health care costs vv vv vv
c. Higher quality medical treatment vv vv vv
d. Improved collaborative care vv vv
e. Enhanced health literacy vv vv
CORRECT RESPONSE:- A , B vv v v vv vv
Reasoning :->>> Limiting prescriptive authority for APRNs can create barriers to quality,
vv vv vv vv vv vv vv vv vv vv vv
affordable, and accessible client care. It may also lead to poor collaboration among providers
vv vv vv v vv vv vv vv vv vv vv vv vv vv
and higher health care costs. It would not directly impact client‘s health literacy.DIF:
vv vv vv vv vv vv vv vv vv vv vv vv vv
Cognitive Level: ComprehensionREF:
vv vv vv
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category:
vv vv vv vv vv vv vv vv vv vv
Physiologic Integrity: Pharmacologic and Parenteral Therapies
vv vv vv vv vv vv
4. Which aspects support the APRN‘s provision for full prescriptive
vv vv vv vv vv vv vv vv
authority?Select all that apply.
vv v vv vv vv
a. Clinical education includes prescription of medications andillness processes.
vv vv vv vv vv vv vv
b. Federal regulations support the provision of full authority for APRNs.
vv vv vv vv vv vv vv vv vv
c. National examinations provide validation of the APRN‘s ability to provide safe care.
vv vv vv vv vv vv vv vv vv vv vv
d. Licensure ensures compliance with health care and safety standards.
vv vv vv vv vv vv vv vv
e. Limiting provision can decrease health care affordability.
vv vv vv vv vv vv
CORRECT RESPONSE:- A , C , D vv v v vv vv vv vv
Reasoning :->>> APRNs are educated to practice and prescribe independently without
vv vv vv vv vv vv vv vv vv vv
supervision. National examinations validate the ability to provide safe and competent care.
vv vv v vv vv vv vv vv vv vv vv vv
Licensure ensures compliance with standards to promote public health and safety. Limited
vv vv vv vv vv vv vv vv vv vv vv vv
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
vv vv vv vv vv vv vv vv vv vv vv
care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation
vv vv vv v vv vv vv vv vv
MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
vv v v v v vv vv vv vv vv vv vv
Parenteral Therapies
vv vv
5. Which aspects support the APRN‘s provision for full prescriptive
vv vv vv vv vv vv vv vv
authority?Select all that apply.
vv v vv vv vv
a. Clinical education includes prescription of medications andillness processes.
vv vv vv vv vv vv vv
b. Federal regulations support the provision of full authority for APRNs.
vv vv vv vv vv vv vv vv vv
c. National examinations provide validation of the APRN‘s ability to provide safe care.
vv vv vv vv vv vv vv vv vv vv vv
d. Licensure ensures compliance with health care and safety standards.
vv vv vv vv vv vv vv vv
CORRECT RESPONSE:- A , C , D vv v v vv vv vv vv
Reasoning :->>> APRNs are educated to practice and prescribe independently without
vv vv vv vv vv vv vv vv vv vv
supervision. National examinations validate the ability to provide safe and competent care.
vv vv v vv vv vv vv vv vv vv vv vv
Licensure ensures compliance with standards to promote public health and safety. Limited
vv vv vv vv vv vv vv vv vv vv vv vv
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
vv vv vv vv vv vv vv vv vv vv vv
, vv care.DIF: Cognitive Level:
vv vv
3
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX vv vv vv vv vv vv v v
vHospital client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
v vv vv vv vv vv vv vv vv
Therapies
vv
6. A family nursing attendant practicing in Maine is hired at a practice across
v v v v vv v v v v v v v v v v v v v v v v v v
state lines inVirginia. Which aspect of practice may change for the APRN?
v v v v v v v vv vv vv vv vv vv vv vv vv
a. The APRN will have less prescriptive authority in the new position.
vv vv vv vv vv vv vv vv vv vv
b. The APRN will have more prescriptive authority in the new position.
vv vv vv vv vv vv vv vv vv vv
c. The APRN will have equal prescriptive authority in the new position.
vv vv vv vv vv vv vv vv vv vv
d. The APRN‘s authority will depend on federal regulations.
vv vv vv vv vv vv vv
CORRECT RESPONSE:- A vv v v
Reasoning :->>>Virginia allows limited prescriptive authority, while Maine gives full
vv vv vv vv vv vv vv vv vv
authority to certified nursing attendants. The federal government does not regulate prescriptive
vv vv vv vv vv vv vv vv vv vv vv vv
authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process:
vv vv vv vv vv vv vv vv
Implementation MSC: NCLEX Hospital client Needs Category: Physiologic Integrity:
vv vv vv vv vv vv vv vv vv
Pharmacologic and Parenteral Therapies
vv vv vv vv
vv vv vv
PHARMACOTHERAPEUTICS FOR ADVANCED
vv vv vv
vv PRACTICE NURSING ATTENDANTS AND PHYSICIAN
vv vv vv vv
ASSISTANTS 3ND EDITION ROSENTHAL
vv vv vv vv
,Chapter vv 1: vv Prescriptive
vv AuthorityMultiple Choice v vv
1. An APRN works in a urology clinic under the supervision of a physician who does not
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
restrict the types of medications the APRN is allowed to prescribe. State law does not
vv v vv vv vv vv vv vv vv vv vv vv vv vv vv
require the APRN to practice under physician supervision. How would the APRN‘s
vv vv vv vv vv vv vv vv vv vv vv vv
prescriptive authoritybe described?
vv vv v vv
a. Full authority vv
b. Independent
c. Without limitation vv
d. Limited authority vv
CORRECT RESPONSE:- B vv v v
Reasoning :->>> The APRN has independent prescriptive authority because the regulating
vv vv vv vv vv vv vv vv vv vv
body does not require that the APRN work under physician supervision. Full prescriptive
vv vv vv vv vv vv vv vv vv vv vv vv vv
authority gives the provider the right to prescribe independently and without limitation.
vv vv vv vv vv vv vv vv vv vv vv vv
Limited authority places restrictions on the types of hospital medications that can be
vv vv vv vv vv vv vv vv vv vv vv vv vv
prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC:
vv vv vv vv vv vv v vv vv vv
NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
vv vv vv v v v v v v v v vv vv
Parenteral Therapies
vv vv
2. Which factors increase the need for APRNs to have full prescriptive authority?
vv vv vv vv vv vv vv vv vv vv vv
a. More clients will have access to health care.
vv vv vv vv vv vv vv
b. Enrollment in medical schools is predicted to decrease. vv vv vv vv vv vv vv
c. Physician‘s assistants are being utilized less often. vv vv vv vv vv vv
d. APRN education is more complex than education for physicians.
vv vv vv vv vv vv vv vv
CORRECT RESPONSE:- A vv v v
Reasoning :->>> Implementation of the Affordable Care Act has increased the number of
vv vv vv vv vv vv vv vv vv vv vv vv
individuals with health care coverage, and thus the number who have access to health care
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
services. The increase in the number of clients creates the need for more providers with
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level:
vv vv vv vv vv v vv vv vv vv
ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital
vv vv vv vv vv vv v v vv vv
client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
vv vv vv vv vv vv vv vv vv
,3. Which factors could be attributed to limited prescriptive authority for
vv vv vv vv vv vv vv vv vv
APRNs?Select all that apply.
vv v vv vv vv
a. Inaccessibility of client care vv vv vv
b. Higher health care costs vv vv vv
c. Higher quality medical treatment vv vv vv
d. Improved collaborative care vv vv
e. Enhanced health literacy vv vv
CORRECT RESPONSE:- A , B vv v v vv vv
Reasoning :->>> Limiting prescriptive authority for APRNs can create barriers to quality,
vv vv vv vv vv vv vv vv vv vv vv
affordable, and accessible client care. It may also lead to poor collaboration among providers
vv vv vv v vv vv vv vv vv vv vv vv vv vv
and higher health care costs. It would not directly impact client‘s health literacy.DIF:
vv vv vv vv vv vv vv vv vv vv vv vv vv
Cognitive Level: ComprehensionREF:
vv vv vv
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category:
vv vv vv vv vv vv vv vv vv vv
Physiologic Integrity: Pharmacologic and Parenteral Therapies
vv vv vv vv vv vv
4. Which aspects support the APRN‘s provision for full prescriptive
vv vv vv vv vv vv vv vv
authority?Select all that apply.
vv v vv vv vv
a. Clinical education includes prescription of medications andillness processes.
vv vv vv vv vv vv vv
b. Federal regulations support the provision of full authority for APRNs.
vv vv vv vv vv vv vv vv vv
c. National examinations provide validation of the APRN‘s ability to provide safe care.
vv vv vv vv vv vv vv vv vv vv vv
d. Licensure ensures compliance with health care and safety standards.
vv vv vv vv vv vv vv vv
e. Limiting provision can decrease health care affordability.
vv vv vv vv vv vv
CORRECT RESPONSE:- A , C , D vv v v vv vv vv vv
Reasoning :->>> APRNs are educated to practice and prescribe independently without
vv vv vv vv vv vv vv vv vv vv
supervision. National examinations validate the ability to provide safe and competent care.
vv vv v vv vv vv vv vv vv vv vv vv
Licensure ensures compliance with standards to promote public health and safety. Limited
vv vv vv vv vv vv vv vv vv vv vv vv
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
vv vv vv vv vv vv vv vv vv vv vv
care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation
vv vv vv v vv vv vv vv vv
MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
vv v v v v vv vv vv vv vv vv vv
Parenteral Therapies
vv vv
5. Which aspects support the APRN‘s provision for full prescriptive
vv vv vv vv vv vv vv vv
authority?Select all that apply.
vv v vv vv vv
a. Clinical education includes prescription of medications andillness processes.
vv vv vv vv vv vv vv
b. Federal regulations support the provision of full authority for APRNs.
vv vv vv vv vv vv vv vv vv
c. National examinations provide validation of the APRN‘s ability to provide safe care.
vv vv vv vv vv vv vv vv vv vv vv
d. Licensure ensures compliance with health care and safety standards.
vv vv vv vv vv vv vv vv
CORRECT RESPONSE:- A , C , D vv v v vv vv vv vv
Reasoning :->>> APRNs are educated to practice and prescribe independently without
vv vv vv vv vv vv vv vv vv vv
supervision. National examinations validate the ability to provide safe and competent care.
vv vv v vv vv vv vv vv vv vv vv vv
Licensure ensures compliance with standards to promote public health and safety. Limited
vv vv vv vv vv vv vv vv vv vv vv vv
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
vv vv vv vv vv vv vv vv vv vv vv
, vv care.DIF: Cognitive Level:
vv vv
3
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX vv vv vv vv vv vv v v
vHospital client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
v vv vv vv vv vv vv vv vv
Therapies
vv
6. A family nursing attendant practicing in Maine is hired at a practice across
v v v v vv v v v v v v v v v v v v v v v v v v
state lines inVirginia. Which aspect of practice may change for the APRN?
v v v v v v v vv vv vv vv vv vv vv vv vv
a. The APRN will have less prescriptive authority in the new position.
vv vv vv vv vv vv vv vv vv vv
b. The APRN will have more prescriptive authority in the new position.
vv vv vv vv vv vv vv vv vv vv
c. The APRN will have equal prescriptive authority in the new position.
vv vv vv vv vv vv vv vv vv vv
d. The APRN‘s authority will depend on federal regulations.
vv vv vv vv vv vv vv
CORRECT RESPONSE:- A vv v v
Reasoning :->>>Virginia allows limited prescriptive authority, while Maine gives full
vv vv vv vv vv vv vv vv vv
authority to certified nursing attendants. The federal government does not regulate prescriptive
vv vv vv vv vv vv vv vv vv vv vv vv
authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process:
vv vv vv vv vv vv vv vv
Implementation MSC: NCLEX Hospital client Needs Category: Physiologic Integrity:
vv vv vv vv vv vv vv vv vv
Pharmacologic and Parenteral Therapies
vv vv vv vv
