Test Bank: Lehne's zx zx
Pharmacotherapeutics for Advanced Pra zx zx zx
ctice Nurses and Physician Assistants, 3r
zx zx zx zx zx
d
Edition
z x
Authors : zx
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
zx zx zx zx zx zx
@2024
zx
,Chapter 1: Prescriptive Authority
zx zx zx
1. An APRN works in a urology clinic under the supervision of a physician
zx zx zx zx zx zx zx zx zx zx zx zx zx
who does not restrict the types of medications the APRN is allowed to pre
zx zx zx zx zx zx zx zx zx zx zx zx zx
scribe. State law does not require the APRN to practice under physician su
zx zx zx zx zx zx zx zx zx zx zx zx
pervision. How would the APRN’s prescriptive authority be described?
zx zx zx zx zx zx zx zx
a. Full authority zx
b. Independent
c. Without limitation zx
d. Limited authority zx
ANS: B zx
Rationale: The APRN has independent prescriptive authority because the r
zx zx zx zx zx zx zx zx zx
egulating body does not require that the APRN work under physician super
zx zx zx zx zx zx zx zx zx zx zx
vision. Full prescriptive authority gives the provider the right to prescribe i
zx zx zx zx zx zx zx zx zx zx zx
ndependently and without limitation. Limited authority places restrictions o
zx zx zx zx zx zx zx zx
n the types of drugs that can be prescribed.
zx zx zx zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
2. Which factors increase the need for APRNs to have full prescriptive
zx zx zx zx zx zx zx zx zx zx
authority?
zx
a. More patients will have access to health care.
zx zx zx zx zx zx zx
b. Enrollment in medical schools is predicted to decrease. zx zx zx zx zx zx zx
c. Physician’s assistants are being utilized less often. zx zx zx zx zx zx
d. APRN education is more complex than education for physicians.
zx zx zx zx zx zx zx zx
ANS: A zx
Rationale: Implementation of the Affordable Care Act has increased the nu
zx zx zx zx zx zx zx zx zx zx
mber of individuals with health care coverage, thus increasing the number o
zx zx zx zx zx zx zx zx zx zx zx
f patients who require access to health care services. The increase in patient
zx zx zx zx zx zx zx zx zx zx zx zx zx
numbers creates the need for more providers with prescriptive authority.
zx zx zx zx zx zx zx zx zx
APRNs can fill this practice gap. zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
3. Which factors could be attributed to limited prescriptive authority for
zx zx zx zx zx zx zx zx zx
APRNs? (Select all that apply)
zx zx zx zx zx
a. Inaccessibility of patient care zx zx zx
b. Higher health care costs zx zx zx
, c. Higher quality medical treatment zx zx zx
d. Improved collaborative care zx zx
e. Enhanced health literacy zx zx
ANS: A, B zx zx
Rationale: Limiting prescriptive authority for APRNs can create barriers to
zx zx zx zx zx zx zx zx zx zx
quality, affordable, and accessible patient care. It may also lead to poor coll
zx zx zx zx zx zx zx zx zx zx zx zx
aboration among providers and higher health care costs. Enhanced health lite
zx zx zx zx zx zx zx zx zx zx
racy and improved collaborative care are not directly impacted by limited pr
zx zx zx zx zx zx zx zx zx zx zx
escriptive authority. zx
DIF: Cognitive Level: Comprehension
zx zx zx
REF: p. 2 zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
4. Which aspects support the APRN’s provision for full prescriptive authority?
zx zx zx zx zx zx zx zx zx z
(Select all that apply)
x zx zx zx
a. Clinical education includes prescription of medications and disease
zx zx zx zx zx zx zx z
processes.
x
b. Federal regulations support the provision of full authority for APRNs.
zx zx zx zx zx zx zx zx zx
c. National examinations provide validation of the APRN’s ability to provide
zx zx zx zx zx zx zx zx zx z
safe care.
x zx
d. Licensure ensures compliance with health care and safety standards.
zx zx zx zx zx zx zx zx
e. Limiting provision can decrease health care affordability.
zx zx zx zx zx zx
ANS: A, C, D zx zx zx
Rationale: APRNs are educated to practice and prescribe independently wi
zx zx zx zx zx zx zx zx zx
thout supervision. National examinations validate their ability to provide saf
zx zx zx zx zx zx zx zx zx
e and competent care. Licensure ensures compliance with standards that pro
zx zx zx zx zx zx zx zx zx zx
mote public health and safety. Limited prescriptive authority creates barrier
zx zx zx zx zx zx zx zx zx
s to quality, affordable, and accessible patient care.
zx zx zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
REF: pp. 1-2 zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
5. Which aspects support the APRN’s provision for full prescriptive authority?
zx zx zx zx zx zx zx zx zx z
(Select all that apply)
x zx zx zx
a. Clinical education includes prescription of medications and disease
zx zx zx zx zx zx zx z
processes.
x
b. Federal regulations support the provision of full authority for APRNs.
zx zx zx zx zx zx zx zx zx
c. National examinations provide validation of the APRN’s ability to provide
zx zx zx zx zx zx zx zx zx
, safe care. zx
d. Licensure ensures compliance with health care and safety standards.
zx zx zx zx zx zx zx zx
ANS: A, C, D zx zx zx
Rationale: APRNs are educated to practice and prescribe independently wi
zx zx zx zx zx zx zx zx zx
thout supervision. National examinations validate their ability to provide saf
zx zx zx zx zx zx zx zx zx
e and competent care. Licensure ensures compliance with standards to pro
zx zx zx zx zx zx zx zx zx zx
mote public health and safety. Limited prescriptive authority creates barrier
zx zx zx zx zx zx zx zx zx
s to quality, affordable, and accessible patient care.
zx zx zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
6. What is the primary benefit of APRNs having full prescriptive authority?
zx zx zx zx zx zx zx zx zx zx
a. Increased job satisfaction zx zx
b. Improved patient outcomes zx zx
c. Decreased need for collaboration zx zx zx
d. Reduced medication costs zx zx
ANS: B zx
Rationale: Full prescriptive authority allows APRNs to make timely decisi
zx zx zx zx zx zx zx zx zx
ons regarding patient care, leading to improved patient outcomes. While jo
zx zx zx zx zx zx zx zx zx zx
b satisfaction and reduced medication costs may also be benefits, the primar
zx zx zx zx zx zx zx zx zx zx zx
y focus is on patient outcomes.
zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
7. Which of the following describes a challenge faced by APRNs seeking full
zx zx zx zx zx zx zx zx zx zx zx
prescriptive authority?
zx zx
a. Increased demand for primary care services zx zx zx zx zx
b. Variability in state regulations zx zx zx
c. Enhanced education programs zx zx
d. Collaboration with physicians zx zx
ANS: B zx
Rationale: Variability in state regulations can create challenges for APRNs
zx zx zx zx zx zx zx zx zx
seeking full prescriptive authority, as laws differ regarding what APRNs ar
zx zx zx zx zx zx zx zx zx zx zx
e allowed to prescribe and under what circumstances.
zx zx zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
Pharmacotherapeutics for Advanced Pra zx zx zx
ctice Nurses and Physician Assistants, 3r
zx zx zx zx zx
d
Edition
z x
Authors : zx
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
zx zx zx zx zx zx
@2024
zx
,Chapter 1: Prescriptive Authority
zx zx zx
1. An APRN works in a urology clinic under the supervision of a physician
zx zx zx zx zx zx zx zx zx zx zx zx zx
who does not restrict the types of medications the APRN is allowed to pre
zx zx zx zx zx zx zx zx zx zx zx zx zx
scribe. State law does not require the APRN to practice under physician su
zx zx zx zx zx zx zx zx zx zx zx zx
pervision. How would the APRN’s prescriptive authority be described?
zx zx zx zx zx zx zx zx
a. Full authority zx
b. Independent
c. Without limitation zx
d. Limited authority zx
ANS: B zx
Rationale: The APRN has independent prescriptive authority because the r
zx zx zx zx zx zx zx zx zx
egulating body does not require that the APRN work under physician super
zx zx zx zx zx zx zx zx zx zx zx
vision. Full prescriptive authority gives the provider the right to prescribe i
zx zx zx zx zx zx zx zx zx zx zx
ndependently and without limitation. Limited authority places restrictions o
zx zx zx zx zx zx zx zx
n the types of drugs that can be prescribed.
zx zx zx zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
2. Which factors increase the need for APRNs to have full prescriptive
zx zx zx zx zx zx zx zx zx zx
authority?
zx
a. More patients will have access to health care.
zx zx zx zx zx zx zx
b. Enrollment in medical schools is predicted to decrease. zx zx zx zx zx zx zx
c. Physician’s assistants are being utilized less often. zx zx zx zx zx zx
d. APRN education is more complex than education for physicians.
zx zx zx zx zx zx zx zx
ANS: A zx
Rationale: Implementation of the Affordable Care Act has increased the nu
zx zx zx zx zx zx zx zx zx zx
mber of individuals with health care coverage, thus increasing the number o
zx zx zx zx zx zx zx zx zx zx zx
f patients who require access to health care services. The increase in patient
zx zx zx zx zx zx zx zx zx zx zx zx zx
numbers creates the need for more providers with prescriptive authority.
zx zx zx zx zx zx zx zx zx
APRNs can fill this practice gap. zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
3. Which factors could be attributed to limited prescriptive authority for
zx zx zx zx zx zx zx zx zx
APRNs? (Select all that apply)
zx zx zx zx zx
a. Inaccessibility of patient care zx zx zx
b. Higher health care costs zx zx zx
, c. Higher quality medical treatment zx zx zx
d. Improved collaborative care zx zx
e. Enhanced health literacy zx zx
ANS: A, B zx zx
Rationale: Limiting prescriptive authority for APRNs can create barriers to
zx zx zx zx zx zx zx zx zx zx
quality, affordable, and accessible patient care. It may also lead to poor coll
zx zx zx zx zx zx zx zx zx zx zx zx
aboration among providers and higher health care costs. Enhanced health lite
zx zx zx zx zx zx zx zx zx zx
racy and improved collaborative care are not directly impacted by limited pr
zx zx zx zx zx zx zx zx zx zx zx
escriptive authority. zx
DIF: Cognitive Level: Comprehension
zx zx zx
REF: p. 2 zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
4. Which aspects support the APRN’s provision for full prescriptive authority?
zx zx zx zx zx zx zx zx zx z
(Select all that apply)
x zx zx zx
a. Clinical education includes prescription of medications and disease
zx zx zx zx zx zx zx z
processes.
x
b. Federal regulations support the provision of full authority for APRNs.
zx zx zx zx zx zx zx zx zx
c. National examinations provide validation of the APRN’s ability to provide
zx zx zx zx zx zx zx zx zx z
safe care.
x zx
d. Licensure ensures compliance with health care and safety standards.
zx zx zx zx zx zx zx zx
e. Limiting provision can decrease health care affordability.
zx zx zx zx zx zx
ANS: A, C, D zx zx zx
Rationale: APRNs are educated to practice and prescribe independently wi
zx zx zx zx zx zx zx zx zx
thout supervision. National examinations validate their ability to provide saf
zx zx zx zx zx zx zx zx zx
e and competent care. Licensure ensures compliance with standards that pro
zx zx zx zx zx zx zx zx zx zx
mote public health and safety. Limited prescriptive authority creates barrier
zx zx zx zx zx zx zx zx zx
s to quality, affordable, and accessible patient care.
zx zx zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
REF: pp. 1-2 zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
5. Which aspects support the APRN’s provision for full prescriptive authority?
zx zx zx zx zx zx zx zx zx z
(Select all that apply)
x zx zx zx
a. Clinical education includes prescription of medications and disease
zx zx zx zx zx zx zx z
processes.
x
b. Federal regulations support the provision of full authority for APRNs.
zx zx zx zx zx zx zx zx zx
c. National examinations provide validation of the APRN’s ability to provide
zx zx zx zx zx zx zx zx zx
, safe care. zx
d. Licensure ensures compliance with health care and safety standards.
zx zx zx zx zx zx zx zx
ANS: A, C, D zx zx zx
Rationale: APRNs are educated to practice and prescribe independently wi
zx zx zx zx zx zx zx zx zx
thout supervision. National examinations validate their ability to provide saf
zx zx zx zx zx zx zx zx zx
e and competent care. Licensure ensures compliance with standards to pro
zx zx zx zx zx zx zx zx zx zx
mote public health and safety. Limited prescriptive authority creates barrier
zx zx zx zx zx zx zx zx zx
s to quality, affordable, and accessible patient care.
zx zx zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
6. What is the primary benefit of APRNs having full prescriptive authority?
zx zx zx zx zx zx zx zx zx zx
a. Increased job satisfaction zx zx
b. Improved patient outcomes zx zx
c. Decreased need for collaboration zx zx zx
d. Reduced medication costs zx zx
ANS: B zx
Rationale: Full prescriptive authority allows APRNs to make timely decisi
zx zx zx zx zx zx zx zx zx
ons regarding patient care, leading to improved patient outcomes. While jo
zx zx zx zx zx zx zx zx zx zx
b satisfaction and reduced medication costs may also be benefits, the primar
zx zx zx zx zx zx zx zx zx zx zx
y focus is on patient outcomes.
zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
7. Which of the following describes a challenge faced by APRNs seeking full
zx zx zx zx zx zx zx zx zx zx zx
prescriptive authority?
zx zx
a. Increased demand for primary care services zx zx zx zx zx
b. Variability in state regulations zx zx zx
c. Enhanced education programs zx zx
d. Collaboration with physicians zx zx
ANS: B zx
Rationale: Variability in state regulations can create challenges for APRNs
zx zx zx zx zx zx zx zx zx
seeking full prescriptive authority, as laws differ regarding what APRNs ar
zx zx zx zx zx zx zx zx zx zx zx
e allowed to prescribe and under what circumstances.
zx zx zx zx zx zx zx
DIF: Cognitive Level: Comprehension
zx zx zx
TOP: Nursing Process: Implementation
zx zx zx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologi
zx zx zx zx zx zx zx
c and Parenteral Therapies
zx zx zx
