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