LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSESAND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK | ALL CHAPTERS | A, GUIDE

LEHNE’S PHARMACOTHERAPEUTICS
FOR ADVANCED PRACTICE
NURSESAND PHYSICIAN ASSISTANTS
2ND EDITION ROSENTHAL TEST BANK
| ALL CHAPTERS | A, GUIDE
|

,LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSESAND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK




Chapter 1: Prescriptive
AuthorityTest Bank
Multiple Choice




1. An APRN works in a urology clinic under the supervision of a physician who does not
restrictthe types of medications the APRN is allowed to prescribe. State law does not
require the APRN to practice under physician supervision. How would the APRN‘s
prescriptive authoritybe described?


a. Full authority
b. Independent
c. Without limitation
d. Limited authority


ANS: B
The APRN has independent prescriptive authority because the regulating body does not
require that the APRN work under physician supervision. Full prescriptive authority
gives the provider the right to prescribe independently and without limitation. Limited
authority places restrictions on the types of drugs that can be prescribed.DIF: Cognitive
Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies




2. Which factors increase the need for APRNs to have full prescriptive authority?


a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician‘s assistants are being utilized less often.
d. APRN education is more complex than education for physicians.


ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with

,health care coverage, and thus the number who have access to health care services. The
increase in the number of patients creates the need for more providers with prescriptive
authority. APRNs can fillthis practice gap.DIF: Cognitive Level: ComprehensionREF: p.
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
Physiologic Integrity: Pharmacologic andParenteral Therapies




3. Which factors could be attributed to limited prescriptive authority for
APRNs?Select all that apply.

, a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy


ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care. It may also lead to poor collaboration among providers and
higher health care costs. It would not directly impact patient‘s health literacy.DIF:
Cognitive Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
Physiologic Integrity: Pharmacologic and Parenteral Therapies




4. Which aspects support the APRN‘s provision for full prescriptive
authority?Select all that apply.


a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safetystandards.
e. Limiting provision can decrease health care affordability.


ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision.
Nationalexaminations validate the ability to provide safe and competent care. Licensure
ensures compliance with standards to promote public health and safety. Limited
prescriptive authority creates numerous barriers to quality, affordable, and accessible
patient care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies




5. Which aspects support the APRN‘s provision for full prescriptive