Test Bank for Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants, 2nd Edition

TEST BANK
M

,ChapterM1:MPrescriptiveMAuthorityMTestMBa
nk
MultipleMChoices


1. AnMAPRNMworksMinMaMurologyMclinicMunderMtheMsupervisionMofMaMphysicianMwhoM doesMnotMre
strictMtheMtypesMofMmedicationsMtheMAPRNMisMallowedMtoMprescribe.MStateMlawMdoesMnotMrequi
reMtheMAPRNMtoMpracticeMunderMphysicianMsupervision.MHowMwouldMtheMAPRN’sMprescriptive
MauthorityMbeMdescribed?




a. FullMauthority
b. Independent
c. WithoutM limitation
d. LimitedMauthority

ANS:MB
TheMAPRNMhasMindependentMprescriptiveMauthorityMbecauseMtheMregulatingMbodyMdoesMnotMrequi
reMthatMtheMAPRNMworkMunderMphysicianMsupervision.MFullMprescriptiveMauthorityMgivesMtheMpro
viderMtheMrightMtoMprescribeMindependentlyMandMwithoutMlimitation.MLimitedMauthorityMplacesMrest
rictionsMonMtheMtypesMofMdrugsMthatMcanMbeMprescribed.DIF:MCognitiveMLevel:MComprehensionRE
F:Mp.M1TOP:MNursingMProcess:MIMMSC:MNCLEXMClientMNeedsMCategory:MPhysiologicMIntegrity:M
PharmacologicMandMParenteralMTherapies


2. WhichMfactorsMincreaseMtheMneedMforMAPRNsMtoMhaveMfullMprescriptiveM authority?

a. MoreMpatientsMwillMhaveMaccessMtoMhealthMcare.
b. EnrollmentMinMmedicalMschoolsMisMpredictedMtoM decrease.
c. Physician’sMassistantsMareMbeingMutilizedMlessMoften.
d. APRNMeducationMisMmoreMcomplexMthanMeducationMforMphysicians.

ANS:MA
ImplementationMofMtheMAffordableMCareMActMhasMincreasedMtheMnumberMofMindividualsMwithMheal
thMcareMcoverage,MandMthusMtheMnumberMwhoMhaveMaccessMtoMhealthMcareMservices.MTheMincreaseM
inMtheMnumberMofMpatientsMcreatesMtheMneedMforMmoreMprovidersMwithMprescriptiveMauthority.MAPR
NsMcanMfillMthisMpracticeMgap.DIF:MCognitiveMLevel:MComprehensionREF:Mp.M2TOP:MNursingMPr
ocess:MImplementationMMSC:MNCLEXMClientMNeedsMCategory:MPhysiologicMIntegrity:MPharmaco
logicMandMParenteralMTherapies


3. WhichMfactorsMcouldMbeMattributedMtoMlimitedMprescriptiveMauthorityMforMAPR
Ns?MSelectMallMthatMapply.

, a. InaccessibilityMofM patientMcare
b. HigherMhealthMcareMcosts
c. HigherMqualityMmedicalMtreatment
d. ImprovedMcollaborativeMcare
e. EnhancedMhealthM literacy

ANS:MAM,MB
LimitingMprescriptiveMauthorityMforMAPRNsMcanMcreateMbarriersMtoMquality,Maffordable,MandMaccess
ibleMpatientMcare.MItMmayMalsoMleadMtoMpoorMcollaborationMamongMprovidersMandMhigherMhealthMca
reMcosts.MItMwouldMnotMdirectlyMimpactMpatient’sMhealthMliteracy.DIF:MCognitiveMLevel:MCompreh
ensionREF:
p.M2TOP:MNursingMProcess:MImplementationMMSC:MNCLEXMClientMNeedsMCategory:MPhysiologi
cMIntegrity:MPharmacologicMandMParenteralMTherapies


4. WhichMaspectsMsupportMtheMAPRN’sMprovisionMforMfullMprescriptiveMauthorit
y?MSelectMallMthatMapply.

a. ClinicalMeducationMincludesMprescriptionMofMmedicationsMandMdiseaseMprocesses.
b. FederalMregulationsMsupportMtheMprovisionMofMfullMauthorityMforMAPRNs.
c. NationalMexaminationsMprovideMvalidationMofMtheMAPRN’sMabilityMtoMprovideMsafecare.
d. LicensureMensuresMcomplianceMwithMhealthMcareMandMsafetystandards.
e. LimitingMprovisionMcanMdecreaseMhealthMcareMaffordability.

ANS:MAM,MCM,MD
APRNsMareMeducatedMtoMpracticeMandMprescribeMindependentlyMwithoutMsupervision.MNationalMex
aminationsMvalidateMtheMabilityMtoMprovideMsafeMandMcompetentMcare.MLicensureMensuresMcomplia
nceMwithMstandardsMtoMpromoteMpublicMhealthMandMsafety.MLimitedMprescriptiveMauthorityMcreates
MnumerousMbarriersMtoMquality,Maffordable,MandMaccessibleMpatientMcare.DIF: MCognitiveMLevel:MCo

mprehensionREF:Mpp.M1-
2TOP:MNursingMProcess:MImplementationMMSC:MNCLEXMClientMNeedsMCategory:MPhysiologicMI
ntegrity:MPharmacologicMandMParenteralMTherapies


5. WhichMaspectsMsupportMtheMAPRN’sMprovisionMforMfullMprescriptiveMauthorit
y?MSelectMallMthatMapply.

a. ClinicalMeducationMincludesMprescriptionMofMmedicationsMandMdiseaseMprocesses.
b. FederalMregulationsMsupportMtheMprovisionMofMfullMauthorityMforMAPRNs.
c. NationalMexaminationsMprovideMvalidationMofMtheMAPRN’sMabilityMtoMprovideMsafecare.
d. LicensureMensuresMcomplianceMwithMhealthMcareMandMsafetyMstandards.

ANS:MAM,MCM,MD
APRNsMareMeducatedMtoMpracticeMandMprescribeMindependentlyMwithoutMsupervision.MNationalMex
aminationsMvalidateMtheMabilityMtoMprovideMsafeMandMcompetentMcare.MLicensureMensuresMcomplia
nceMwithMstandardsMtoMpromoteMpublicMhealthMandMsafety.MLimitedMprescriptiveMauthorityMcreates
MnumerousMbarriersMtoMquality,Maffordable,MandMaccessibleMpatientMcare.DIF: MCognitiveMLevel:

, ComprehensionREF:M pp.M 1-2TOP:M NursingM Process:M Implementation
MSC:MNCLEXMClien
tMNeedsMCategory:MPhysiologicMIntegrity:MPharmacologicMandMParenteralMTherapies


6. AMfamilyMnurseMpractitionerMpracticingMinMMaineMisMhiredMatMaMpracticeMacrossMstateMlin
esMinMVirginia.MWhichMaspectMofMpracticeMmayMchangeMforMtheMAPRN?

a. TheMAPRNMwillMhaveMlessMprescriptiveMauthorityMinMtheMnewM position.
b. TheMAPRNMwillMhaveMmoreMprescriptiveMauthorityMinMtheMnewMposition.
c. TheMAPRNMwillMhaveMequalMprescriptiveMauthorityMinMtheMnewposition.
d. TheMAPRN’sMauthorityMwillMdependMonMfederalregulations.

ANS:MA
VirginiaMallowsMlimitedMprescriptiveMauthority,MwhileMMaineMgivesMfullMauthorityMtoMcertifiedMnu
rseMpractitioners.MTheMfederalMgovernmentMdoesMnotMregulateMprescriptiveMauthority.DIF:MCognit
iveMLevel:MComprehensionREF:Mp.M3TOP:MNursingMProcess:MImplementationMMSC:MNCLEXMCl
ientMNeedsMCategory:MPhysiologicMIntegrity:MPharmacologicMandMParenteralMTherapies


Rosenthal:MLehne'sMPharmacotherapeuticsMforMAdvancedMPracticeMProviders,M2ndMEd.MCh
apterM2:MRationalMDrugMSelectionMandMPrescriptionMWriting
TestMBankMMul
tipleMChoice

7. HowMcanMcollaborationMwithMaMpharmacistMimproveMpositiveMoutcomesMforMpatien
ts?MSelectMallMthatMapply.

a. PharmacistsMcanMsuggestMfoodsMthatMwillMhelpMwithMtheMpatient’sMcondition.
b. PharmacistsMhaveMadditionalMinformationMonMdrugMinteractions.
c. TheMpharmacistMcanMsuggestMadequateMmedicationM dosing.
d. PharmacistsMhaveMfirsthandMknowledgeMofMtheMfacilityMformulary.
e. PharmacyMcanMalterMprescriptionsMwhenMnecessaryMtoMpreventMpatientMharm.

ANS:MBM,MCM,MD
ProvidersMshouldMcollaborateMwithMpharmacistsMbecauseMtheyMwillMlikelyMhaveMadditionalMinformat
ionMonMformulary,MdrugMinteractions,MandMsuggestionsMforMadequateMmedicationMdosing.MDietitian
sMcanMmakeMfoodsMrecommendationsMtoMtreatMtheMpatient’sMcondition.MTheMpharmacistMcanMconta
ctMtheMprescriberMaboutMquestionableMprescriptions,MbutMcannotMalterMtheMprescriptionMwithoutMno
tificationMofMandMapprovalMbyMtheMprovider.DIF:MCognitiveMLevel:MComprehensionREF:Mp.M9TO
P:MNursingMProcess:MDiagnosisMMSC:MNCLEXMClientMNeedsMCategory:MPhysiologicMIntegrity:M
ReductionMofMRiskMPotential