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TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 QUESTIONS AND CORRECT ANSWERS$14.99
TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 QUESTIONS AND CORRECT ANSWERS
TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 QUESTIONS AND CORRECT ANSWERS
,Chapter 1: Prescriptive Authority TestBan
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k
Multiple Choices c
1. An APRN works in a urology clinic under the supervision of a physician who does not restrictthe t
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ypes of medications the APRN is allowed to prescribe. State law does not require the APRN to pr
c c c c c c c c c c c c c c c c c
actice under physician supervision. How would the APRN‘s prescriptive authoritybe described?
c c c c c c c c c c c
a. Full authority c
b. Independent
c. Without limitation c
d. Limited authority c
ANS: B c
The APRN has independent prescriptive authority because the regulating body does not require that t
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he APRN work under physician supervision. Full prescriptive authority gives the provider the right t
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o prescribe independently and without limitation. Limited authority places restrictions on the types o
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f drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP:Nursing Process
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: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Ther
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apies
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.
c c c c c c c
b. Enrollment in medical schools is predicted to decrease. c c c c c c c
c. Physician‘s assistants are being utilized less often. c c c c c c
d. APRN education is more complex than education for physicians.
c c c c c c c c
ANS: A c
Implementation of the Affordable Care Act has increased the number of individuals with health care
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coverage, and thus the number who have access to health care services. The increase in the number of
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patients creates the need for more providers with prescriptive authority. APRNs can fillthis practice g
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ap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: N
c c c c c c c c c c
CLEX Client Needs Category: Physiologic Integrity: Pharmacologic andParenteral Therapies
c c c c c c c c c
3. Which factors could be attributed to limited prescriptive authority for APRNs?Se
c c c c c c c c c c c
lect all that apply. c c c
, a. Inaccessibility of patient care c c c
b. Higher health care costs c c c
c. Higher quality medical treatment c c c
d. Improved collaborative care c c
e. Enhanced health literacy c c
ANS: A , B c c c
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessiblepat
c c c c c c c c c c c c c
ient care. It may also lead to poor collaboration among providers and higher health care costs. It woul
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d not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Inte
c c c c c c c c c c c
grity: Pharmacologic and Parenteral Therapies
c c c c
4. Which aspects support the APRN‘s provision for full prescriptive authority?S
c c c c c c c c c c
elect all that apply. c c c
a. Clinical education includes prescription of medications and disease processes.
c c c c c c c c
b. Federal regulations support the provision of full authority for APRNs.
c c c c c c c c c
c. National examinations provide validation of the APRN‘s ability to provide safecare.
c c c c c c c c c c
d. Licensure ensures compliance with health care and safetystandards.
c c c c c c c
e. Limiting provision can decrease health care affordability.
c c c c c c
ANS: A , C , D c c c c c
APRNs are educated to practice and prescribe independently without supervision. Nationalexaminat
c c c c c c c c c c c
ions validate the ability to provide safe and competent care. Licensure ensures compliance with stan
c c c c c c c c c c c c c c
dards to promote public health and safety. Limited prescriptive authority creates numerous barriers t
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o quality, affordable, and accessible patient care.DIF: Cognitive Level:ComprehensionREF: pp. 1-
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2TOP: Nursing Process: Implementation MSC: NCLEX Client NeedsCategory: Physiologic Integri
c c c c c c c c c c
ty: Pharmacologic and Parenteral Therapies
c c c c
5. Which aspects support the APRN‘s provision for full prescriptive authority?Se
c c c c c c c c c c
lect all that apply. c c c
a. Clinical education includes prescription of medications and disease processes.
c c c c c c c c
b. Federal regulations support the provision of full authority for APRNs.
c c c c c c c c c
c. National examinations provide validation of the APRN‘s ability to provide safecare.
c c c c c c c c c c
d. Licensure ensures compliance with health care and safety standards.
c c c c c c c c
ANS: A , C , D c c c c c
APRNs are educated to practice and prescribe independently without supervision. Nationalexamina
c c c c c c c c c c c
tions validate the ability to provide safe and competent care. Licensure ensures compliance with stan
c c c c c c c c c c c c c c
dards to promote public health and safety. Limited prescriptive authority creates numerous barriers to
c c c c c c c c c c c c c
quality, affordable, and accessible patient care.DIF: Cognitive Level:
c c c c c c c c
, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation c c c c c
MSC: NCLEX Client c c c
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines inVir
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ginia. Which aspect of practice may change for the APRN?
c c c c c c c c c
a. The APRN will have less prescriptive authority in the new position.
c c c c c c c c c c
b. The APRN will have more prescriptive authority in the new position.
c c c c c c c c c c
c. The APRN will have equal prescriptive authority in the newposition.
c c c c c c c c c
d. The APRN‘s authority will depend on federalregulations.
c c c c c c
ANS: A c
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse pra
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ctitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive Level: C
c c c c c c c c c c c
omprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Categ c c c c c c c c c c
ory: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.Chapter
c c c c c c c c c
2: Rational Drug Selection and Prescription Writing
c c c c c c c
Test Bank Multi c c
ple Choice c
7. How can collaboration with a pharmacist improve positive outcomes for patients?Se
c c c c c c c c c c c
lect all that apply. c c c
a. Pharmacists can suggest foods that will help with the patient‘s condition.
c c c c c c c c c c
b. Pharmacists have additional information on drug interactions. c c c c c c
c. The pharmacist can suggest adequate medication dosing.
c c c c c c
d. Pharmacists have firsthand knowledge of the facility formulary. c c c c c c c
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
c c c c c c c c c
ANS: B , C , D c c c c c
Providers should collaborate with pharmacists because they will likely have additional informationon
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formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make f
c c c c c c c c c c c c
oods recommendations to treat the patient‘s condition. The pharmacist can contact the prescriber abo
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ut questionable prescriptions, but cannot alter the prescription without notification of and approval b
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y the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process: Diagnosis M
c c c c c c c c c c c
SC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
c c c c c c c c c c
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