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Test Bank for Lehne's Pharmacotherapeutics for ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION By Rosenthal CA$21.42   Add to cart
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Test Bank for Lehne's Pharmacotherapeutics for ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION By Rosenthal

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ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION.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...

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Document information

  • June 20, 2023
  • 509
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

Subjects

  • advanced practice nurses and physician assistants

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  • ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS
  • ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS

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TEST BANK for LEHNE’S
PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION
ROSENTHAL




[Author name]
[COMPANY NAME] [Company address]

, TEST BANK for LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL


Chapter 1: Prescriptive Authority

Test Bank

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. 1TOP: 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 fill this practice gap.DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies


3. Which factors could be attributed to limited prescriptive authority for
APRNs?Select all that apply.

, 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:
ComprehensionREF:
p. 2TOP: 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: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
NeedsCategory: 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.
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.

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:

, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies


6. A family nurse practitioner practicing in Maine is hired at a practice across state lines
inVirginia. Which aspect of practice may change for the APRN?

a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the newposition.
d. The APRN’s authority will depend on federalregulations.

ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies


Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.Chapter 2:

Rational Drug Selection and Prescription Writing

Test Bank

Multiple Choice


7. How can collaboration with a pharmacist improve positive outcomes for
patients?Select all that apply.

a. Pharmacists can suggest foods that will help with the patient’s condition.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.

ANS: B , C , D
Providers should collaborate with pharmacists because they will likely have additional
information on formulary, drug interactions, and suggestions for adequate medication dosing.
Dietitians can make foods recommendations to treat the patient’s condition. The pharmacist
can contact the prescriber about questionable prescriptions, but cannot alter the prescription
without notification of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p.
9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity:
Reduction of Risk Potential

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