FULL TEST BANK LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION BY LAURA D. ROSENTHAL CHAPTER 1-92|

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BY LAURA D. ROSENTHAL
CHAPTER 1-92|

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CHAPTER 1: PRESCRIPTIVE

AUTHORITY

MULTIPLE CHOICE


1. AN APRN WORKS IN A UROLOGY CLINIC UNDER THE SUPERVISION OF A PHYSICIAN
WHO DOES NOT RESTRICT THE TYPES OF MEDICATIONS THE APRN IS ALLOWED TO
PRESCRIBE. STATE LAW DOES NOT REQUIRE THE APRN TO PRACTICE UNDER
PHYSICIAN SUPERVISION. HOW WOULD THE APRN’S PRESCRIPTIVE AUTHORITY BE
DESCRIBED?

a. FULL AUTHORITY
b. INDEPENDENT
c. WITHOUT LIMITATION
d. LIMITED AUTHORITY

ANS: B
THE APRN HAS INDEPENDENT PRESCRIPTIVE AUTHORITY BECAUSE THE REGULATING
BODY DOES NOT REQUIRE THAT THE APRN WORK UNDER PHYSICIAN SUPERVISION.
FULL PRESCRIPTIVE AUTHORITY GIVES THE PROVIDER THE RIGHT TO PRESCRIBE
INDEPENDENTLY AND WITHOUT LIMITATION. LIMITED AUTHORITY PLACES
RESTRICTIONS ON THE TYPES OF DRUGS THAT CAN BE PRESCRIBED.
DIF: COGNITIVE LEVEL: COMPREHENSION
REF: P. 1
TOP: NURSING PROCESS: I
MSC: NCLEX CLIENT NEEDS
CATEGORY: PHYSIOLOGIC INTEGRITY: PHARMACOLOGIC AND PARENTERAL THERAPIES


2. WHICH FACTORS INCREASE THE NEED FOR APRNS TO HAVE FULL PRESCRIPTIVE
AUTHORITY?

a. MORE PATIENTS WILL HAVE ACCESS TO HEALTH CARE.
b. ENROLLMENT IN MEDICAL SCHOOLS IS PREDICTED TO DECREASE.
c. PHYSICIAN’S ASSISTANTS ARE BEING UTILIZED LESS OFTEN.
d. APRN EDUCATION IS MORE COMPLEX THAN EDUCATION FOR PHYSICIANS.

ANS: A
IMPLEMENTATION OF THE AFFORDABLE CARE ACT HAS INCREASED THE NUMBER OF
INDIVIDUALS WITH HEALTH CARE COVERAGE, AND THUS THE NUMBER WHO HAVE
ACCESS TO HEALTH CARE SERVICES. THE INCREASE IN THE NUMBER OF PATIENTS
CREATES THE NEED FOR MORE PROVIDERS WITH PRESCRIPTIVE AUTHORITY. APRNS
CAN FILLTHIS PRACTICE GAP.
DIF: COGNITIVE LEVEL: COMPREHENSION
REF: P. 2
TOP: NURSING PROCESS: IMPLEMENTATION
MSC: 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? SELECT ALL THAT APPLY.

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a. INACCESSIBILITY OF PATIENT CARE
b. HIGHER HEALTH CARE COSTS
c. HIGHER QUALITY MEDICAL TREATMENT
d. IMPROVED COLLABORATIVE CARE
e. ENHANCED HEALTH LITERACY

ANS: A , B
LIMITING PRESCRIPTIVE AUTHORITY FOR APRNS CAN CREATE BARRIERS TO QUALITY,
AFFORDABLE, AND ACCESSIBLE PATIENT CARE. IT MAY ALSO LEAD TO POOR
COLLABORATION AMONG PROVIDERS AND HIGHER HEALTH CARE COSTS. IT WOULD
NOT DIRECTLY IMPACT PATIENT’S HEALTH LITERACY.
DIF: COGNITIVE LEVEL: COMPREHENSION
REF:P. 2
TOP: NURSING PROCESS: IMPLEMENTATION
MSC: NCLEX CLIENT NEEDS
CATEGORY: PHYSIOLOGIC INTEGRITY: PHARMACOLOGIC AND PARENTERAL THERAPIES


4. WHICH ASPECTS SUPPORT THE APRN’S PROVISION FOR FULL
PRESCRIPTIVE AUTHORITY?SELECT ALL THAT APPLY.

a. CLINICAL EDUCATION INCLUDES PRESCRIPTION OF MEDICATIONS AND DISEASE
PROCESSES.
b. FEDERAL REGULATIONS SUPPORT THE PROVISION OF FULL AUTHORITY FOR
APRNS.
c. NATIONAL EXAMINATIONS PROVIDE VALIDATION OF THE APRN’S ABILITY TO
PROVIDE SAFECARE.
d. LICENSURE ENSURES COMPLIANCE WITH HEALTH CARE AND SAFETY
STANDARDS.
e. LIMITING PROVISION CAN DECREASE HEALTH CARE AFFORDABILITY.

ANS: A , C , D
APRNS ARE EDUCATED TO PRACTICE AND PRESCRIBE INDEPENDENTLY WITHOUT
SUPERVISION. NATIONAL EXAMINATIONS VALIDATE THE ABILITY TO PROVIDE SAFE
AND COMPETENT CARE. LICENSURE ENSURES COMPLIANCE WITH STANDARDS TO
PROMOTE PUBLIC HEALTH AND SAFETY. LIMITED PRESCRIPTIVE AUTHORITY CREATES
NUMEROUS BARRIERS TO QUALITY, AFFORDABLE, AND ACCESSIBLE PATIENT CARE.
DIF: COGNITIVE LEVEL:COMPREHENSION
REF: PP. 1-2
TOP: NURSING PROCESS: IMPLEMENTATION
MSC: NCLEX CLIENT NEEDS
CATEGORY: PHYSIOLOGIC INTEGRITY: PHARMACOLOGIC AND PARENTERAL THERAPIES


5. WHICH ASPECTS SUPPORT THE APRN’S PROVISION FOR FULL
PRESCRIPTIVE AUTHORITY?SELECT ALL THAT APPLY.

a. CLINICAL EDUCATION INCLUDES PRESCRIPTION OF MEDICATIONS AND DISEASE
PROCESSES.