LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 3RD EDITION BY JACQUELINE BURCHUM; LAURA D. ROSENTHAL | 2025| FULL TEST BANK

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LEHNE’SPHARMACOTHERAPEUTICSFORADVANCEDPRACTICENURSESAND pz pz




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Chapter1:Prescriptive
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1. An APRN works in a urology clinic under the supervision of a physician who does not
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restrictthe types of medications the APRN is allowed to prescribe. State law does not
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require the APRN to practice under physician supervision. How would the APRN‘s
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prescriptiveauthoritybedescribed?
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a. Fullauthority pz




b. Independent
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d. Limited authority uc




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




uc PhysiologicIntegrity:PharmacologicandParenteralTherapies c
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2. Whichfactorsincreasetheneed forAPRNstohavefullprescriptive authority?
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a. Morepatientswillhaveaccesstohealthcare. pz uc




b. Enrollmentinmedicalschoolsispredictedto decrease. pz pz pz pz pz u c




c. Physician‘sassistantsarebeingutilizedless often. pz pz u c




d. APRNeducationismorecomplexthaneducationforphysicians. pz pz pz




ANS:A c
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health care coverage, and thus the number who have access to health care services. The
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uc increase in the number of patients creates the need for more providers with prescriptive
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uc authority. APRNs can fillthis practice gap.DIF: Cognitive Level: ComprehensionREF: p.
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uc 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity:PharmacologicandParenteralTherapies
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3. Whichfactorscouldbeattributedtolimitedprescriptiveauthorityfor
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APRNs?Selectall that
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a. Inaccessibilityof patientcare uc




b. Higherhealthcarecosts
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d. Improvedcollaborative care uc




e. Enhancedhealth literacy c
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ANS:A ,B c
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Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
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uc accessible patient care. It may also lead to poor collaboration among providers and higher
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uc health care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level:
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ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
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uc PhysiologicIntegrity:PharmacologicandParenteralTherapies c
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4. WhichaspectssupporttheAPRN‘sprovisionforfullprescriptivepz pz




authority?Selectallthat
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a. Clinicaleducationincludesprescriptionofmedicationsanddiseaseprocesses. pz pz pz pz pz




b. FederalregulationssupporttheprovisionoffullauthorityforAPRNs. pz




c. NationalexaminationsprovidevalidationoftheAPRN‘sabilityto providesafecare. pz uc c
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d. Licensureensurescompliancewithhealth care and safetystandards. pz uc pz pz uc u c




e. Limitingprovisioncandecreasehealthcareaffordability. pz pz




ANS:A ,C,D c
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APRNs are educated to practice and prescribe independently without supervision.
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uc Nationalexaminations validate the ability to provide safe and competent care. Licensure uc uc uc uc uc uc uc uc uc uc




uc ensures compliance with standards to promote public health and safety. Limited
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uc prescriptive authority creates numerous barriers to quality, affordable, and accessible
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uc patient care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process:
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uc Implementation uc MSC: uc NCLEX Client
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uc PharmacologicandParenteralTherapies c
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5. WhichaspectssuppoDrotwtnhloeaA
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authority?Selectallthat apply. c
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a. Clinicaleducationincludesprescriptionofmedicationsanddiseaseprocesses.
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b. Federalregulationssupport theprovisionoffullauthorityforAPRNs.
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c. NationalexaminationsprovidevalidationoftheAPRN‘sabilityto providesafecare.
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d. Licensureensurescompliancewithhealthcareand safetystandards.
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ANS:A ,C,D
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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
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prescriptive authority creates numerous barriers to quality, affordable, and accessible
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patientcare.DIF:CognitiveLevel:
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