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