,LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
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PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK nj nj nj nj nj nj
Chapter 1: Prescriptive Authority nj nj nj
Test Bank nj
Multiple Choice nj
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 describe
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d?
a. Full authority nj
b. Independent
c. Without limitation nj
d. Limited authority nj
ANS: B nj
The APRN has independent prescriptive authority because the regulating body does not require tha
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t the APRN work under physician supervision. Full prescriptive authority gives the provider the rig
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ht to prescribe independently and without limitation. Limited authority places restrictions on the typ
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es of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Pr
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ocess: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenter
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al 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 in medical schools is predicted to decrease. nj nj nj nj nj nj n j
c. Physician’s assistants are being utilized less often. nj nj nj nj nj nj
d. APRN education is more complex than education for physicians.
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ANS: A nj
Implementation of the Affordable Care Act has increased the number of individuals with health car nj nj nj nj nj nj nj nj nj nj nj nj nj nj
e coverage, and thus the number who have access to health care services. The increase in the numbe
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
r of patients creates the need for more providers with prescriptive authority. APRNs can fill this practi
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ce gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MS
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C: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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3. Which factors could be attributed to limited prescriptive authority for APRNs? S
nj nj nj nj nj nj nj nj nj nj nj
elect all that apply. nj nj nj
, a. Inaccessibility of patient care nj nj nj
b. Higher health care costs nj nj nj
c. Higher quality medical treatmentnj nj nj
d. Improved collaborative care nj nj
e. Enhanced health literacy nj nj
ANS: A , B nj nj nj
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible pat
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ient care. It may also lead to poor collaboration among providers and higher health care costs. It wo
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
uld not directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
nj nj nj nj nj nj nj nj nj
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Int
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egrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN’s provision for full prescriptive authority? S
nj nj nj nj nj nj nj nj nj nj
elect all that apply. nj nj nj
a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
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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.
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e. Limiting provision can decrease health care affordability.
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ANS: A , C , D nj nj nj nj nj
APRNs are educated to practice and prescribe independently without supervision. National examin
nj nj nj nj nj nj nj nj nj nj nj
ations validate the ability to provide safe and competent care. Licensure ensures compliance with st
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andards to promote public health and safety. Limited prescriptive authority creates numerous barrie
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rs to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionREF: pp.
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1-
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integr
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ity: Pharmacologic and Parenteral Therapies
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5. Which aspects support the APRN’s provision for full prescriptive authority? S
nj nj nj nj nj nj nj nj nj nj
elect all that apply. nj nj nj
a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
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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 safety standards.
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ANS: A , C , D nj nj nj nj nj
APRNs are educated to practice and prescribe independently without supervision. National examin
nj nj nj nj nj nj nj nj nj nj nj
ations validate the ability to provide safe and competent care. Licensure ensures compliance with st
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
andards to promote public health and safety. Limited prescriptive authority creates numerous barrie
nj nj nj nj nj nj nj nj nj nj nj nj
rs to quality, affordable, and accessible patient care.DIF: Cognitive Level:
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, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation n j n j n j n j n j
MSC: NCLEX Client nj nj nj
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in Vi
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rginia. Which aspect of practice may change for the APRN?
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a. The APRN will have less prescriptive authority in the new position.
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b. The APRN will have more prescriptive authority in the new position.
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c. The APRN will have equal prescriptive authority in the newposition.
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d. The APRN’s authority will depend on federalregulations.
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ANS: A nj
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse pr
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actitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive Level:
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ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Cat nj nj nj nj nj nj nj nj nj nj
egory: 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 Mult nj nj
iple Choice nj
7. How can collaboration with a pharmacist improve positive outcomes for patients? S
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elect all that apply. nj nj nj
a. Pharmacists can suggest foods that will help with the patient’s condition.
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b. Pharmacists have additional information on drug interactions. nj nj nj nj nj nj
c. The pharmacist can suggest adequate medication dosing.
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d. Pharmacists have firsthand knowledge of the facility formulary. nj nj nj nj nj nj nj
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
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ANS: B , C , D nj nj nj nj nj
Providers should collaborate with pharmacists because they will likely have additional information on
nj nj nj nj nj nj nj nj nj nj nj nj nj
formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make
nj nj nj nj nj nj nj nj nj nj nj nj
foods recommendations to treat the patient’s condition. The pharmacist can contact the prescriber a
nj nj nj nj nj nj nj nj nj nj nj nj nj
bout questionable prescriptions, but cannot alter the prescription without notification of and approv
nj nj nj nj nj nj nj nj nj nj nj nj
al by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process: Diagnos
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is MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
nj nj nj nj nj nj nj nj nj nj nj
nj nj nj nj nj nj
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK nj nj nj nj nj nj
Chapter 1: Prescriptive Authority nj nj nj
Test Bank nj
Multiple Choice nj
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
types of medications the APRN is allowed to prescribe. State law does not require the APRN to
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj n
practice under physician supervision. How would the APRN’s prescriptive authority be describe
j nj nj nj nj nj nj nj nj nj nj nj
d?
a. Full authority nj
b. Independent
c. Without limitation nj
d. Limited authority nj
ANS: B nj
The APRN has independent prescriptive authority because the regulating body does not require tha
nj nj nj nj nj nj nj nj nj nj nj nj nj
t the APRN work under physician supervision. Full prescriptive authority gives the provider the rig
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
ht to prescribe independently and without limitation. Limited authority places restrictions on the typ
nj nj nj nj nj nj nj nj nj nj nj nj nj
es of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Pr
nj nj nj nj nj nj nj nj nj nj nj nj nj
ocess: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenter
nj nj nj nj nj nj nj nj nj nj nj
al Therapies
nj
2. Which factors increase the need for APRNs to have full prescriptive authority?
nj nj nj nj nj nj nj nj nj nj nj
a. More patients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease. nj nj nj nj nj nj n j
c. Physician’s assistants are being utilized less often. nj nj nj nj nj nj
d. APRN education is more complex than education for physicians.
nj nj nj nj nj nj nj nj
ANS: A nj
Implementation of the Affordable Care Act has increased the number of individuals with health car nj nj nj nj nj nj nj nj nj nj nj nj nj nj
e coverage, and thus the number who have access to health care services. The increase in the numbe
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
r of patients creates the need for more providers with prescriptive authority. APRNs can fill this practi
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
ce gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MS
nj nj nj nj nj nj nj nj nj nj
C: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
nj nj nj nj nj nj nj nj nj nj
3. Which factors could be attributed to limited prescriptive authority for APRNs? S
nj nj nj nj nj nj nj nj nj nj nj
elect all that apply. nj nj nj
, a. Inaccessibility of patient care nj nj nj
b. Higher health care costs nj nj nj
c. Higher quality medical treatmentnj nj nj
d. Improved collaborative care nj nj
e. Enhanced health literacy nj nj
ANS: A , B nj nj nj
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible pat
nj nj nj nj nj nj nj nj nj nj nj nj nj
ient care. It may also lead to poor collaboration among providers and higher health care costs. It wo
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
uld not directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
nj nj nj nj nj nj nj nj nj
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Int
nj nj nj nj nj nj nj nj nj nj nj
egrity: Pharmacologic and Parenteral Therapies
nj nj nj nj
4. Which aspects support the APRN’s provision for full prescriptive authority? S
nj nj nj nj nj nj nj nj nj nj
elect all that apply. nj nj nj
a. Clinical education includes prescription of medications and disease processes.
nj nj nj nj nj nj nj nj
b. Federal regulations support the provision of full authority for APRNs.
nj nj nj nj nj nj nj nj nj
c. National examinations provide validation of the APRN’s ability to provide safecare.
nj nj nj nj nj nj nj nj nj nj
d. Licensure ensures compliance with health care and safetystandards.
nj nj nj nj nj nj nj nj
e. Limiting provision can decrease health care affordability.
nj nj nj nj nj nj
ANS: A , C , D nj nj nj nj nj
APRNs are educated to practice and prescribe independently without supervision. National examin
nj nj nj nj nj nj nj nj nj nj nj
ations validate the ability to provide safe and competent care. Licensure ensures compliance with st
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
andards to promote public health and safety. Limited prescriptive authority creates numerous barrie
nj nj nj nj nj nj nj nj nj nj nj nj
rs to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionREF: pp.
nj nj nj nj nj nj nj nj nj nj nj nj
1-
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integr
nj nj nj nj nj nj nj nj nj nj
ity: Pharmacologic and Parenteral Therapies
nj nj nj nj
5. Which aspects support the APRN’s provision for full prescriptive authority? S
nj nj nj nj nj nj nj nj nj nj
elect all that apply. nj nj nj
a. Clinical education includes prescription of medications and disease processes.
nj nj nj nj nj nj nj nj
b. Federal regulations support the provision of full authority for APRNs.
nj nj nj nj nj nj nj nj nj
c. National examinations provide validation of the APRN’s ability to provide safecare.
nj nj nj nj nj nj nj nj nj nj
d. Licensure ensures compliance with health care and safety standards.
nj nj nj nj nj nj nj nj
ANS: A , C , D nj nj nj nj nj
APRNs are educated to practice and prescribe independently without supervision. National examin
nj nj nj nj nj nj nj nj nj nj nj
ations validate the ability to provide safe and competent care. Licensure ensures compliance with st
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
andards to promote public health and safety. Limited prescriptive authority creates numerous barrie
nj nj nj nj nj nj nj nj nj nj nj nj
rs to quality, affordable, and accessible patient care.DIF: Cognitive Level:
nj nj nj nj nj nj nj nj nj
, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation n j n j n j n j n j
MSC: NCLEX Client nj nj nj
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
nj nj nj nj nj nj nj
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in Vi
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
rginia. Which aspect of practice may change for the APRN?
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a. The APRN will have less prescriptive authority in the new position.
nj nj nj nj nj nj nj nj nj nj
b. The APRN will have more prescriptive authority in the new position.
nj nj nj nj nj nj nj nj nj nj
c. The APRN will have equal prescriptive authority in the newposition.
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d. The APRN’s authority will depend on federalregulations.
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ANS: A nj
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse pr
nj nj nj nj nj nj nj nj nj nj nj nj nj
actitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive Level:
nj nj nj nj nj nj nj nj nj nj nj
ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Cat nj nj nj nj nj nj nj nj nj nj
egory: Physiologic Integrity: Pharmacologic and Parenteral Therapies
nj nj nj nj nj nj
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed. Chapter
nj nj nj nj nj nj nj nj nj
2: Rational Drug Selection and Prescription Writing
nj nj nj nj nj nj nj
Test Bank Mult nj nj
iple Choice nj
7. How can collaboration with a pharmacist improve positive outcomes for patients? S
nj nj nj nj nj nj nj nj nj nj nj
elect all that apply. nj nj nj
a. Pharmacists can suggest foods that will help with the patient’s condition.
nj nj nj nj nj nj nj nj nj nj
b. Pharmacists have additional information on drug interactions. nj nj nj nj nj nj
c. The pharmacist can suggest adequate medication dosing.
nj nj nj nj nj nj
d. Pharmacists have firsthand knowledge of the facility formulary. nj nj nj nj nj nj nj
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
nj nj nj nj nj nj nj nj nj
ANS: B , C , D nj nj nj nj nj
Providers should collaborate with pharmacists because they will likely have additional information on
nj nj nj nj nj nj nj nj nj nj nj nj nj
formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make
nj nj nj nj nj nj nj nj nj nj nj nj
foods recommendations to treat the patient’s condition. The pharmacist can contact the prescriber a
nj nj nj nj nj nj nj nj nj nj nj nj nj
bout questionable prescriptions, but cannot alter the prescription without notification of and approv
nj nj nj nj nj nj nj nj nj nj nj nj
al by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process: Diagnos
nj nj nj nj nj nj nj nj nj nj nj
is MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
nj nj nj nj nj nj nj nj nj nj nj
