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Lehnes Pharmacotherapeutics for Advanced Practice 2nd Edition Rosenthal Test Bank.pdf

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Lehnes Pharmacotherapeutics for Advanced Practice 2nd Edition Rosenthal Test B

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PharmacologyTheNursing|Test
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herapeutics for Advanced Practice Nursesand Physic
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ian Assistants 2nd Edition.
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LEHNE’SmPHARMACOTHERAPEUTICS mFOR mADVANCED mPRACTICE mNURSESmAN
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PHYSICIAN mASSISTANTSm2ND mEDITION mROSENTHAL mTESTmBANK


Chapterm1:mPrescriptivemAuthorit

ymTestmBank

MultiplemChoice


1. AnmAPRN mworksminmamurologymclinicmundermthemsupervisionmof mamphysicianmwhomdoesmnot mrestr
ict mthemtypesmof mmedicationsmthemAPRN mismallowed mtomprescribe.mStatemlaw mdoesmnot mrequiremt
hemAPRN mtompracticemundermphysicianmsupervision.mHow mwould mthemAPRN’smprescriptivemaut
horitymbemdescribed?

a. Fullmauthority
b. Independent
c. Without mlimitation
d. Limited mauthority

ANS:mB
ThemAPRN mhasmindependent mprescriptivemauthoritymbecausemthemregulatingmbodymdoesmnot mrequire
mthat mthemAPRN mworkmundermphysicianmsupervision.mFullmprescriptivemauthoritymgivesmthemprovide

rmthemright mtomprescribemindependentlymand mwithout mlimitation.mLimited mauthoritymplacesmrestrictio
nsmonmthemtypesmof mdrugsmthat mcanmbemprescribed.DIF:mCognitivemLevel:mComprehensionREF:mp.m1
TOP:mNursingmProcess:mI mMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmIntegrity:mPharmac
ologicmand mParenteralmTherapies


2. Whichmfactorsmincreasemthemneed mformAPRNsmtomhavemfullmprescriptivem authority?

a. Morempatientsmwillmhavemaccessmtomhealthmcare.
b. Enrollment minmmedicalmschoolsmismpredicted mtom decrease.
c. Physician’smassistantsmarembeingmutilized mlessm often.
d. APRN meducationmismmoremcomplexmthanmeducationmformphysicians.

ANS:mA
Implementationmof mthemAffordablemCaremAct mhasmincreased mthemnumbermof mindividualsmwithmhealt
hmcaremcoverage,mand mthusmthemnumbermwhomhavemaccessmtomhealthmcaremservices.mThemincreaseminm
themnumbermof mpatientsmcreatesmthemneed mformmoremprovidersmwithmprescriptivemauthority.m APRNsmc
anmfillmthismpracticemgap.DIF:mCognitivemLevel:mComprehensionREF:mp.m2TOP:mNursingmProcess:m
ImplementationmMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmIntegrity:mPharmacologicma
nd mParenteralmTherapies


3. Whichmfactorsmcould mbemattributed mtomlimited mprescriptivemauthoritymformAPRN
s?mSelect mallmthat m apply.


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m
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herapeutics for Advanced Practice Nursesand Physic
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m m m




a. Inaccessibilitymof m patient mcare
b. Highermhealthmcaremcosts
c. Highermqualitymmedicalmtreatment
d. Improved mcollaborativemcare
e. Enhanced mhealthm literacy

ANS:mA m,mB
LimitingmprescriptivemauthoritymformAPRNsmcanmcreatembarriersmtomquality,maffordable,mand maccessib
lempatient mcare.mIt mmaymalsomlead mtompoormcollaborationmamongmprovidersmand mhighermhealthmcaremc
osts.mIt mwould mnot mdirectlymimpact mpatient’smhealthmliteracy.DIF:mCognitivemLevel:mComprehensio
nREF:
p.m2TOP:mNursingmProcess:mImplementationmMSC:mNCLEX mClient mNeedsmCategory:mPhysiologic
mIntegrity:mPharmacologicmand mParenteralmTherapies




4. Whichmaspectsmsupport mthemAPRN’smprovisionmformfullmprescriptivemauthorit
y?mSelect mallmthat m apply.

a. Clinicalmeducationmincludesmprescriptionmof m medicationsmand mdiseasemprocesses.
b. Federalmregulationsmsupport mthemprovisionmof mfullmauthoritymformAPRNs.
c. Nationalmexaminationsmprovidemvalidationmof mthemAPRN’smabilitymtomprovidemsafecare.
d. Licensuremensuresmcompliancemwithmhealthmcarem and msafetymstandards.
e. Limitingmprovisionmcanmdecreasemhealthmcaremaffordability.

ANS:mA m,mCm,mD
APRNsmaremeducated mtompracticemand mprescribemindependentlymwithout msupervision.mNationalmexa
minationsmvalidatemthemabilitymtomprovidemsafemand mcompetent mcare.mLicensuremensuresmcomplianc
emwithmstandardsmtompromotempublicmhealthmand msafety.mLimited mprescriptivemauthoritymcreatesmnu
merousmbarriersmtomquality,maffordable,mand maccessiblempatient mcare.DIF:mCognitivemLevel:mCompre
hensionREF:mpp.m1-
2TOP:mNursingmProcess:mImplementationmMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmInt
egrity:mPharmacologicmand m ParenteralmTherapies


5. Whichmaspectsmsupport mthemAPRN’smprovisionmformfullmprescriptivemauthorit
y?mSelect mallmthat m apply.

a. Clinicalmeducationmincludesmprescriptionmof m medicationsmand mdiseasemprocesses.
b. Federalmregulationsmsupport mthemprovisionmof mfullmauthoritymformAPRNs.
c. Nationalmexaminationsmprovidemvalidationmof mthemAPRN’smabilitymtomprovidemsafecare.
d. Licensuremensuresmcompliancemwithmhealthmcaremand msafetymstandards.

ANS:mA m,mCm,mD
APRNsmaremeducated mtompracticemand mprescribemindependentlymwithout msupervision.mNationalmexa
minationsmvalidatemthemabilitymtomprovidemsafemand mcompetent mcare.mLicensuremensuresmcomplianc
emwithmstandardsmtompromotempublicmhealthmand msafety.mLimited mprescriptivemauthoritymcreatesmnu
merousmbarriersmtomquality,maffordable,mand maccessiblempatient mcare.DIF:mCognitivemLevel:


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Distribution mofmthis mdocumentmis millegal

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PharmacologyTheNursing|Test
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Bank Lehnes Pharmacot
Marketplace to Buy and Sell your Study Material
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m m
m
m
m



herapeutics for Advanced Practice Nursesand Physic
m m m m m m



ian Assistants 2nd Edition.
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ComprehensionREF:m pp.m 1-2TOP:m Nursingm Process:m Implementation
MSC:mNCLEX mClien
t mNeedsmCategory:mPhysiologicmIntegrity:mPharmacologicmand mParenteralmTherapies


6. AmfamilymnursempractitionermpracticingminmMainemismhired mat mampracticemacrossmstatemlines
minm
Virginia.m Whichmaspect mof mpracticemmaymchange mformthem APRN?

a. ThemAPRN mwillmhavemlessmprescriptivemauthorityminmthemnew m position.
b. ThemAPRN mwillmhavem moremprescriptivemauthorityminmthemnew mposition.
c. ThemAPRN mwillmhavemequalmprescriptivemauthorityminmthemnewposition.
d. ThemAPRN’smauthoritymwillmdepend monmfederalregulations.

ANS:mA
Virginiamallowsmlimited mprescriptivemauthority,mwhilemMainemgivesmfullmauthoritymtomcertified mnurs
empractitioners.mThemfederalmgovernment mdoesmnot mregulatemprescriptivemauthority.DIF:mCognitive
mLevel:mComprehensionREF:mp.m3TOP:mNursingmProcess:mImplementationmMSC:mNCLEX mClient

mNeedsmCategory:mPhysiologicmIntegrity:mPharmacologicmand mParenteralmTherapies




Rosenthal:mLehne'smPharmacotherapeuticsmformAdvancedmPracticemProviders,m2ndmE

d.mChapterm2:mRationalmDrugmSelectionmandmPrescriptionmWriting

TestmBankmMul

tiplemChoice


7. How mcanmcollaborationmwithmampharmacist mimprovempositivemoutcomesmformpatient
s?mSelect mallmthat m apply.

a. Pharmacistsmcanmsuggest mfoodsmthat mwillmhelpmwithmthempatient’smcondition.
b. Pharmacistsmhavemadditionalminformationmonmdrugminteractions.
c. Thempharmacist mcanmsuggest madequatemmedicationm dosing.
d. Pharmacistsmhavemfirsthand mknowledgemof mthemfacilitymformulary.
e. Pharmacymcanmaltermprescriptionsmwhenmnecessarymtomprevent mpatient mharm.

ANS:mBm,mCm,mD
Providersmshould mcollaboratemwithmpharmacistsmbecausemtheymwillmlikelymhavemadditionalminformati
onmonmformulary,mdrugminteractions,mand msuggestionsmformadequatemmedicationmdosing.mDietitiansm
canmmakemfoodsmrecommendationsmtomtreat mthempatient’smcondition.mThempharmacist mcanmcontact mt
hemprescribermabout mquestionablemprescriptions,mbut mcannot maltermthemprescriptionmwithout mnotifica
tionmof mand mapprovalmbymthemprovider.DIF:mCognitivemLevel:mComprehensionREF:mp.m9TOP:mNur
singmProcess:mDiagnosismMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmIntegrity:mReductio
nmof mRiskmPotential




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Distribution mofmthis mdocumentmis millegal

, Stuvia.comm-
PharmacologyTheNursing|Testm
m
m
Bank Lehnes Pharmacot
Marketplace to Buy and Sell your Study Material
m m m m
m
m m
m
m
m



herapeutics for Advanced Practice Nursesand Physic
m m m m m m



ian Assistants 2nd Edition.
m m m




8. Ampatient m presentsmwithmdeliriummtremensmrequiringmAtivanmadministration.mThemprovidermof mca
remismnot minmthemfacility.m Whichmactionmbymthemnursem ismmost m appropriate?

a. Obtainmamtelephonemorder.
b. Contact mthemon-callmhospitalist.
c. Obtainmanmordermfrommthemchargemnurse.
d. Wait mformamwrittenmAtivanm order.

ANS:m A
Inmanmemergencymsituation,msuchmasmdeliriummtremensmwithmseizuremactivity,m it mismacceptablemtomprovi
demamtelephonemorder.mContactingmthemon-
callmhospitalist mormwaitingmformamwrittenmordermwould mtakemmoremtimemthanmavailablemformampatient m
withmhighmseizuremrisk.mWritingmanmordermismoutsidemthemscopemof mpracticemformthemchargemnurse.DI
F:mCognitivemLevel:mApplicationREF:mp.m7TOP:mNursingmProcess:mImplementationmMSC:mNCLE
XmClient mNeedsmCategory:mPhysiologicmIntegrity:mReductionmof mRiskmPotential


9. Ampatient mwithmchronicmpainmcallsmthemprovider’smofficemtomrequest mamrefillmonmtheirmoxycont
in.mWhichmactionmismmost m appropriate?

a. Faxmanmordermtomthempharmacy.
b. Schedulemanmappointment mwithmthempatient.
c. Verifymthempatient’smadherencemtomdrugmregimen.
d. Determinemthempatient’smcurrent mmedicationm dosage.

ANS:m B
SchedulemII mmedicationsmaremnot meligiblemformrefills,mand mprescriptionsmmust mbemhandwritten.mIt mism
important mtomverifymthempatient’smadherencemtomthemdrugmregimenmand mdeterminemthemcurrent mdosa
gemof mmedication;mhowever,mthismcanmbemaccomplished mbymschedulingmanmappointment mand mevalua
tingmthempatient minmperson.DIF:mCognitivemLevel:mApplicationREF:mp.m8TOP:mNursingmProcess:mI
mplementationmMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmIntegrity:mReductionmof mRisk
mPotential




10. Ampatient m prescribed mamoxicillinmformstreptococcalmpharyngitismreportsmnew monset mof mamflat,mitc
hymred mrashmonmthemchest mand mneck.m Whichmactionmismmost m important?

a. Providemamdifferent m prescription.
b. Discontinuemthem medication.
c. Prescribemanmantihistaminemcream.
d. Assessmformrespiratorymcompromise.

ANS:mB
Themprioritymactionmismtomdiscontinuemthemmedicationmtomprevent mworseningmof mthempatient’smsymp
toms.mA mdifferent m prescriptionmwould mbemprovided,mtopicalmantihistaminemmaymbemadministered,man
d mthempatient mwould mbemassessed mformrespiratoryminvolvement,mbut mthesemactionsmwould mnot m be




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