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dEdition Rosenthal Test Bank
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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
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PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
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EDITION ROSENTHAL TEST BANK
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
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dEdition Rosenthal Test Bank
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Chapter 1: Prescriptive Authority Test Ban r= r= r= r= r=
kMultiple Choice
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1. An APRN works in a urology clinic under the supervision of a physician who does not
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restrict the types of medications the APRN is allowed to prescribe. State law does not require t
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heAPRN to practice under physician supervision. How would the APRN‘s prescriptive authorit
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y bedescribed?
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r
a. Full authority r=
b. Independent
c. Without limitation r=
d. Limited authority r=
ANS: B r=
The APRN has independent prescriptive authority because the regulating body does not requi
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rethat the APRN work under physician supervision. Full prescriptive authority gives the provi
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derthe right to prescribe independently and without limitation. Limited authority places restrict
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ionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF:
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p.
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity
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:Pharmacologic and Parenteral Therapies
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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.
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b. Enrollment in medical schools is predicted to decrease.r= r= r= r= r= r= r=
c. Physician‘s assistants are being utilized less often. r= r= r= r= r= r=
d. APRN education is more complex than education for physicians.
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ANS: A r=
Implementation of the Affordable Care Act has increased the number of individuals with heal
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thcare coverage, and thus the number who have access to health care services. The increase in
=
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=thenumber of patients creates the need for more providers with prescriptive authority. APRNs
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r=can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Pro
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cess: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacol
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ogic and Parenteral Therapies
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
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dEdition Rosenthal Test Bank
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3. Which factors could be attributed to limited prescriptive authority for APRNs? Select a
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llthat apply.
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a. Inaccessibility of patient care r= r= r=
b. Higher health care costs r= r= r=
c. Higher quality medical treatment r= r= r=
d. Improved collaborative care r= r=
e. Enhanced health literacy r= r=
ANS: A , B r= r= r=
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and access
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ible patient care. It may also lead to poor collaboration among providers and higher healthcare c
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osts. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Comprehensio
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nREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: PhysiologicI
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r
ntegrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN‘s provision for full prescriptive authority? Select al
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lthat apply.
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a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s ability to provide safecare.
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d. Licensure ensures compliance with health care and safety standards.
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e. Limiting provision can decrease health care affordability.
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ANS: A , C , D r= r= r= r= r=
APRNs are educated to practice and prescribe independently without supervision. National
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examinations validate the ability to provide safe and competent care. Licensure ensures com
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pliance with standards to promote public health and safety. Limited prescriptive authoritycre
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r
ates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Lev
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el: ComprehensionREF: pp. 1-
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2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity: Pharmacologic and Parenteral Therapies
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, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
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dEdition Rosenthal Test Bank
=
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5. Which aspects support the APRN‘s provision for full prescriptive authority? Select al
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lthat apply.
=
r r=
a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s ability to provide safecare.
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d. Licensure ensures compliance with health care and safety standards.
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ANS: A , C , Dr= r= r= r= r=
APRNs are educated to practice and prescribe independently without supervision. National exa
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minations validate the ability to provide safe and competent care. Licensure ensures complianc
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e with standards to promote public health and safety. Limited prescriptive authoritycreates num
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r r=
erous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
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Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation
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MSC: NCLEX Client r= r= =
r
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nurse practitioner practicing in Maine is hired at a practice across state lines i
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nVirginia. Which aspect of practice may change for the APRN?
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a. The APRN will have less prescriptive authority in the new position.
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b. The APRN will have more prescriptive authority in the new position.
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c. The APRN will have equal prescriptive authority in the new position.
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d. The APRN‘s authority will depend on federal regulations
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.ANS: A
=
r r=
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurs
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epractitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
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Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
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Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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