Test Bank for Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants | 2nd Edition | Complete Q&A

Pharmacology Nursing|Test Bank
Lehnes Pharmacotherapeutics for
Advanced Practice Nurses and
Physician Assistants 2nd Edition.




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, Rosenthal Lehne’s Pharmacotherapeutics for Advanced Practice Providers: 2nd
Edition (TestBank)


LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK


Chapter 1: Prescriptive Authority

Test Bank

Multiple Choice


1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the
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types of medications the APRN is allowed to prescribe. State law does not require the APRN to
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practice under physiciansupervision. Howwould the APRN‘s prescriptive authority bedescribed?
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a. Fullauthority j




b. Independent
c. Without limitation j




d. Limitedauthority j




ANS: B j




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




2. Whichfactors increase the need forAPRNsto have fullprescriptive authority?
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a. Morepatients will haveaccessto healthcare. j j j j j j j




b. Enrollment inmedicalschools ispredicted to decrease. j j j j j j j




c. Physician‘sassistantsarebeingutilized less often. j j j j j j




d. APRNeducation is more complexthaneducation forphysicians. j j j j j j j j




ANS: A j




Implementation of the Affordable Care Act has increased the number of individuals with health care j j j j j j j j j j j j j j j




coverage, and thus the number who have access to health care services. The increase in the number
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ofpatients creates the need for more providers with prescriptive authority. APRNs can fill this practice
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gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC:
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NCLEX Client Needs Category:Physiologic Integrity:Pharmacologic and Parenteral Therapies
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3. Whichfactorscouldbeattributedto limitedprescriptiveauthorityfor APRNs?
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Select all that apply. j j j




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, Rosenthal Lehne’s Pharmacotherapeutics for Advanced Practice Providers: 2nd
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a. Inaccessibilityof patient care j j j




b. Higher healthcarecosts j j j




c. Higherquality medicaltreatment j j j




d. Improvedcollaborativecare j j




e. Enhanced health literacy j j




ANS:A , B j j j




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




a. Clinicaleducationincludes prescriptionof medications and diseaseprocesses. j j j j j j j j




b. Federalregulations support the provisionof fullauthority for APRNs. j j j j j j j j j




c. Nationalexaminations provide validationofthe APRN‘s ability to provide safecare.j j j j j j j j j j




d. Licensureensures compliance withhealthcare and safetystandards. j j j j j j j j




e. Limiting provisioncandecrease healthcare affordability. j j j j j j




ANS: A , C , D j j j j j




APRNs are educated to practice and prescribe independently without supervision. National
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examinations validate the ability to provide safe and competent care. Licensure ensures compliance
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with standards to promote public health and safety. Limited prescriptive authority creates numerous
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barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionREF:
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pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity: Pharmacologic and Parenteral Therapies
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5. WhichaspectssupporttheAPRN‘sprovisionfor fullprescriptiveauthority?
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Select all that apply. j j j




a. Clinicaleducationincludes prescriptionof medications and diseaseprocesses. j j j j j j j j




b. Federalregulations support the provisionof fullauthority for APRNs. j j j j j j j j j




c. Nationalexaminations provide validationofthe APRN‘s ability to provide safecare.j j j j j j j j j j




d. Licensureensures compliance with healthcare and safetystandards. j j j j j j j j




ANS: A , C , D j j j j j




APRNs are educated to practice and prescribe independently without supervision. National
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examinations validate the ability to provide safe and competent care. Licensure ensures compliance
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with standards to promote public health and safety. Limited prescriptive authority creates numerous
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barriersto quality, affordable, and accessiblepatient care.DIF:Cognitive Level:
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ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEXClient j j j j j j j j




Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. Afamily nursepractitionerpracticinginMaine is hiredatapracticeacross state lines in
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Virginia. Which aspect ofpractice may change for the APRN? j j j j j j j j j




a. TheAPRNwill have lessprescriptive authorityinthe new position.
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b. TheAPRNwillhave moreprescriptiveauthorityinthe newposition.
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c. TheAPRN will have equalprescriptive authority inthe newposition.
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d. The APRN‘s authoritywill depend on federalregulations.
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ANS: A j




Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
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practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
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Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
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Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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Rosenthal:Lehne's Pharmacotherapeutics forAdvanced Practice Providers, 2ndEd. Chapter
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2: Rational Drug Selection and Prescription Writing
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Test Bank
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MultipleChoice j




7. Howcancollaborationwithapharmacist improvepositive outcomes forpatients?
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Select all that apply. j j j




a. Pharmacistscansuggest foods that will help withthe patient‘s condition. j j j j j j j j j j




b. Pharmacists have additional informationondrug interactions. j j j j j j




c. The pharmacistcansuggestadequate medication dosing.
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d. Pharmacists have firsthand knowledgeofthe facility formulary. j j j j j j j




e. Pharmacycanalter prescriptions when necessaryto prevent patient harm. j j j j j j j j j




ANS: B, C , D j j j j j




Providers should collaborate with pharmacists because they will likely have additional information on
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formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make
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foods recommendations to treat the patient‘s condition. The pharmacist can contact the prescriber
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about questionable prescriptions, but cannot alter the prescription without notification of and
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approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process:
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Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
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