TEST BANK
LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION
ROSENTHAL
wiseprof
,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 theAPRN to practice under physician
supervision. How would the APRN‘s
prescriptive authority bedescribed?
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.
wiseprof
,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
wiseprof
, 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.
wiseprof
LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION
ROSENTHAL
wiseprof
,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 theAPRN to practice under physician
supervision. How would the APRN‘s
prescriptive authority bedescribed?
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.
wiseprof
,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
wiseprof
, 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.
wiseprof
