ADVANCED PRACTICE NURSING ATTENDANTS AND
PHYSICIAN ASSISTANTS 3ND EDITION ROSENTHAL
,Chapter 1: Prescriptive Authori 7V 7V 7V
tyMultiple Choice
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1. An APRN works in a urology clinic under the supervision of a physician who does not re
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strictthe types of medications the APRN is allowed to prescribe. State law does not re
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quire the APRN to practice under physician supervision. How would the APRN’s prescri
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ptive authoritybe described?
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a. Full authority 7V
b. Independent
c. Without limitation 7V
d. Limited authority 7V
CORRECT RESPONSE:- B 7V 7 V
Reasoning :- 7V
>>> The APRN has independent prescriptive authority because the regulating body doe
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s 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 a
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uthority places restrictions on the types of hospital medications that can be prescribed.DI
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F: Cognitive Level: ComprehensionREF: p. 1TOP:Nursing Process: I MSC: NCLEX Hospital
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client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapi
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es
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. 7V 7V 7V 7V 7V 7V 7V
b. Enrollment in medical schools is predicted to decrease. 7V 7V 7V 7V 7V 7V 7V
c. Physician’s assistants are being utilized less often. 7V 7V 7V 7V 7V 7V
d. APRN education is more complex than education for physicians.
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CORRECT RESPONSE:- A 7V 7 V
Reasoning :- 7V
>>> Implementation of the Affordable Care Act has increased the number of individuals
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with health care coverage, and thus the number who have access to health care services.
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The increase in the number of clients creates the need for more providers with prescriptive
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,authority. APRNs can fillthis practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2T
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OP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category: Phy
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siologic Integrity: Pharmacologic and Parenteral Therapies
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, 3. Which factors could be attributed to limited prescriptive authority for A
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PRNs?Select all that apply.
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a. Inaccessibility of client care 7V 7V 7V
b. Higher health care costs 7V 7V 7V
c. Higher quality medical treatment 7V 7V 7V
d. Improved collaborative care 7V 7V
e. Enhanced health literacy 7V 7V
CORRECT RESPONSE:- A , B 7V 7 V 7V 7V
Reasoning :- 7V
>>> Limiting prescriptive authority for APRNs can create barriers to quality, affordable, an
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d accessibleclient care. It may also lead to poor collaboration among providers and highe
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r health care costs. It would not directly impact client’s health literacy.DIF: Cognitive Leve
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l: ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category:
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Physiologic Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN’s provision for full prescriptive auth
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ority?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.
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e. Limiting provision can decrease health care affordability.
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CORRECT RESPONSE:- A , C , D 7V 7 V 7V 7V 7V 7V
Reasoning :- 7V
>>> APRNs are educated to practice and prescribe independently without supervision.
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Nationalexaminations validate the ability to provide safe and competent care. Licensure
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ensures compliance with standards to promote public health and safety. Limited prescrip
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