Test Bank Complete_ Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants (3rd Edition, 2024) By Rosenthal| All Chapters 1–94 with Detailed Answers| Grade A+

TESTBANK
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,Chapter1:PrescriptiveAuthority Test Bank
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Multiple Choices o




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 physician supervision. How would the APRN’s prescriptive authority be
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described? o




a. Full authority o




b. Independent
c. Without limitation o




d. Limited authority o




ANS: B o




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
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2. Which factors increase the need for APRNs to have full prescriptive authority?
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a. More patients will have access to health care.
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b. Enrollment inmedical schools ispredicted to decrease. o o o o o o o




c. Physician’s assistants are beingutilized less often. o o o o o o




d. APRN education is more complex than education for physicians.
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ANS: A o




Implementation of the Affordable Care Act has increased the number of individuals with health care
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coverage, and thus the number who have access to health care services. The increase in the number of
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patients 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. Whichfactors could beattributed tolimited prescriptive authority for APRNs?
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Select all that apply.
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, a. Inaccessibility of patient care o o o




b. Higher health care costs o o o




c. Higher quality medical treatment o o o




d. Improved collaborative care o o




e. Enhanced health literacy o o




ANS: A , B o o o




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. Whichaspects supporttheAPRN’s provision for fullprescriptiveauthority?
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Select all that apply.
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a. Clinical education includes prescription of medications and diseaseprocesses.
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b. Federal regulations support the provision of full authority forAPRNs.
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c. National examinations provide validation of the APRN’s ability to provide safecare.
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d. Licensure ensures compliance with health care and safetystandards. o o o o o o o




e. Limiting provision can decrease health care affordability. o o o o o o




ANS: A , C , D o o o o o




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. Whichaspects supporttheAPRN’s provision for fullprescriptiveauthority?
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Select all that apply.
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a. Clinical education includes prescription of medications and diseaseprocesses.
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b. Federal regulations support the provision of full authority forAPRNs.
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c. National examinations provide validation of the APRN’s ability to provide safecare.
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d. Licensure ensures compliance with health care and safetystandards. o o o o o o o o




ANS: A , C , D o o o o o




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:
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, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEXClient o o o o o o o




Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. Afamily nurse practitioner practicing inMaine is hired at apractice across state lines in
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Virginia. Which aspect of practice may change for the APRN?
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a. The APRN will have lessprescriptive authority in the new position.
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b. The APRN will have more prescriptive authority inthe newposition.
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c. The APRN will have equal prescriptive authority inthe newposition.
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d. The APRN’s authority will depend on federalregulations.
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ANS: A o




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 for Advanced Practice Providers, 2nd Ed. Chapter
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2: Rational Drug Selection and Prescription Writing
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Test Bank o




MultipleChoice
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7. Howcan collaboration with apharmacist improvepositiveoutcomes for patients?
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Select all that apply.
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a. Pharmacists can suggest foods that will help with the patient’s condition. o o o o o o o o o o




b. Pharmacists have additional information on drug interactions. o o o o o o




c. The pharmacist can suggest adequate medication dosing.
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d. Pharmacists have firsthand knowledge of the facility formulary. o o o o o o o




e. Pharmacy can alter prescriptions when necessary to prevent patient harm. o o o o o o o o o




ANS: B , C , D o o o o o




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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