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Pharmacotherapeutics for Advanced Practice
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i Nursesand Physician Assistants 2nd Edition. Latest
i i i i i
updated 2022
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LEHNE’S iPHARMACOTHERAPEUTICS iFOR iADVANCED iPRACTICE iNURSES iAND
PHYSICIAN iASSISTANTS i2ND iEDITION iROSENTHAL iTEST iBANK
Chapter i1: iPrescriptive
i AuthorityiTest iBank
Multiple iChoice
1. An iAPRN iworks iin ia iurology iclinic iunder ithe isupervision iof ia iphysician iwho idoes inot irestrict
ithe itypes iof imedications ithe iAPRN iis iallowed ito iprescribe. iState ilaw idoes inot irequire ithe
iAPRN ito ipractice iunder iphysician isupervision. i How iwould ithe iAPRN‘s iprescriptive
iauthorityibe idescribed?
a. Full iauthority
b. Independent
c. Without ilimitation
d. Limited iauthority
ANS: iB
The iAPRN ihas iindependent iprescriptive iauthority ibecause ithe iregulating ibody idoes inot irequire
ithat ithe iAPRN iwork iunder iphysician isupervision. iFull iprescriptive iauthority igives ithe iprovider
ithe iright ito iprescribe iindependently iand iwithout ilimitation. iLimited iauthority iplaces irestrictions
ion ithe itypes iof idrugs ithat ican ibe iprescribed.DIF: iCognitive iLevel: iComprehensionREF: ip.
i1TOP: iNursing iProcess: iI iMSC: iNCLEX iClient iNeeds iCategory: iPhysiologic i Integrity:
iPharmacologic i and iParenteral iTherapies
2. Which ifactors iincrease ithe ineed ifor iAPRNs ito ihave ifull iprescriptive i authority?
a. More ipatients iwill ihave iaccess ito ihealth icare.
b. Enrollment iin imedical ischools iis ipredicted ito i decrease.
c. Physician‘s iassistants iare ibeing iutilized iless i often.
d. APRN ieducation iis imore icomplex ithan ieducation ifor iphysicians.
ANS: iA
Implementation iof ithe iAffordable iCare iAct ihas iincreased ithe inumber iof iindividuals iwith ihealth
icare icoverage, iand ithus ithe inumber iwho ihave iaccess ito ihealth icare iservices. iThe iincrease iin ithe
inumber i of ipatients icreates ithe i need i for i more iproviders iwith iprescriptive iauthority. i APRNs ican
ifill ithis ipractice igap.DIF: iCognitive i Level: iComprehensionREF: ip. i2TOP: iNursing iProcess:
i Implementation iMSC: iNCLEX iClient iNeeds iCategory: iPhysiologic i Integrity: iPharmacologic
iandiParenteral iTherapies
3. Which ifactors icould ibe iattributed ito ilimited iprescriptive iauthority ifor
iAPRNs?iSelect i all ithat i apply.
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a. Inaccessibility iof i patient icare
b. Higher ihealth icare icosts
c. Higher iquality imedical itreatment
d. Improved icollaborative icare
e. Enhanced ihealth i literacy
ANS: iA i, iB
Limiting iprescriptive iauthority ifor iAPRNs ican icreate ibarriers ito iquality, i affordable, i and
iaccessible ipatient icare. i It imay ialso ilead ito ipoor icollaboration iamong iproviders iand ihigher ihealth
icare icosts. i It iwould inot idirectly iimpact ipatient‘s ihealth iliteracy.DIF: iCognitive iLevel:
iComprehensionREF:
p. i2TOP: iNursing iProcess: iImplementation iMSC: iNCLEX iClient iNeeds iCategory: iPhysiologic
i Integrity: iPharmacologic iand i Parenteral iTherapies
4. Which iaspects isupport ithe iAPRN‘s iprovision ifor ifull iprescriptive
iauthority? iSelect i all ithat i apply.
a. Clinical ieducation iincludes iprescription iof i medications iand idisease iprocesses.
b. Federal iregulations isupport ithe iprovision iof ifull iauthority i for iAPRNs.
c. National iexaminations iprovide ivalidation iof ithe iAPRN‘s iability ito i provide isafecare.
d. Licensure iensures icompliance iwith ihealth icare i and i safetyistandards.
e. Limiting iprovision ican idecrease ihealth icare iaffordability.
ANS: iA i, iC i, iD
APRNs iare ieducated ito ipractice iand iprescribe iindependently iwithout isupervision. iNational
iexaminations ivalidate ithe iability ito iprovide isafe iand icompetent icare. i Licensure i ensures
icompliance iwith istandards ito ipromote ipublic ihealth iand isafety. i Limited iprescriptive iauthority
icreates inumerous ibarriers ito iquality, iaffordable, i and iaccessible ipatient i care.DIF: iCognitive
iLevel: iComprehensionREF: ipp. i1-2TOP: iNursing iProcess: i Implementation iMSC: iNCLEX iClient
iNeedsiCategory: iPhysiologic i Integrity: iPharmacologic iand i Parenteral iTherapies
5. Which iaspects isupport ithe iAPRN‘s iprovision ifor ifull iprescriptive
iauthority? iSelect i all ithat i apply.
a. Clinical ieducation iincludes iprescription iof i medications iand idisease iprocesses.
b. Federal iregulations isupport ithe iprovision iof ifull iauthority ifor iAPRNs.
c. National iexaminations iprovide ivalidation iof ithe iAPRN‘s iability ito i provide isafecare.
d. Licensure iensures icompliance iwith ihealth icare iand isafetyistandards.
ANS: iA i, iC i, iD
APRNs iare ieducated ito ipractice iand iprescribe iindependently iwithout isupervision. iNational
iexaminations ivalidate ithe iability ito iprovide isafe iand icompetent icare. i Licensure iensures
icompliance iwith istandards ito ipromote ipublic ihealth iand isafety. i Limited iprescriptive iauthority
icreates inumerous ibarriers ito iquality, iaffordable, i and iaccessible ipatient i care.DIF: iCognitive iLevel:
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ComprehensionREF: i pp. i 1-2TOP: i Nursing i Process: i Implementation MSC: iNCLEX
iClientiNeeds iCategory: iPhysiologic i Integrity: iPharmacologic iand iParenteral iTherapies
6. A ifamily inurse ipractitioner ipracticing iin iMaine iis ihired iat ia ipractice iacross istate ilines
iiniVirginia. i Which iaspect i of ipractice i may ichange i for ithe i APRN?
a. The iAPRN iwill ihave iless iprescriptive iauthority iin ithe inew i position.
b. The iAPRN iwill ihave imore iprescriptive iauthority iin ithe inewiposition.
c. The iAPRN iwill ihave iequal iprescriptive iauthority iin ithe inewposition.
d. The iAPRN‘s iauthority iwill idepend ion ifederalregulations.
ANS: iA
Virginia iallows ilimited iprescriptive iauthority, iwhile iMaine igives ifull iauthority ito icertified inurse
ipractitioners. iThe ifederal igovernment idoes inot iregulate iprescriptive iauthority.DIF: iCognitive
i Level: iComprehensionREF: ip. i3TOP: iNursing iProcess: i Implementation iMSC: iNCLEX iClient
iNeeds iCategory: iPhysiologic i Integrity: iPharmacologic iand iParenteral iTherapies
Rosenthal: iLehne's iPharmacotherapeutics ifor iAdvanced iPractice iProviders, i2nd
i Ed.iChapter i2: iRational iDrug iSelection iand iPrescription iWriting
Test iBank
i Multiple iChoice
7. How ican icollaboration iwith ia ipharmacist i improve ipositive ioutcomes ifor
ipatients?iSelect i all ithat i apply.
a. Pharmacists ican isuggest ifoods ithat iwill ihelp iwith ithe ipatient‘s icondition.
b. Pharmacists ihave iadditional iinformation ion idrug iinteractions.
c. The ipharmacist ican isuggest iadequate imedication i dosing.
d. Pharmacists ihave ifirsthand iknowledge iof ithe ifacility iformulary.
e. Pharmacy ican ialter iprescriptions iwhen inecessary ito iprevent ipatient iharm.
ANS: iB i, iC i, iD
Providers ishould icollaborate iwith ipharmacists ibecause ithey iwill ilikely ihave iadditional
iinformation ion iformulary, idrug iinteractions, iand isuggestions ifor iadequate imedication idosing.
iDietitians ican imake ifoods irecommendations ito itreat ithe ipatient‘s icondition. iThe ipharmacist ican
icontact ithe iprescriber iabout iquestionable iprescriptions, ibut icannot ialter ithe iprescription iwithout
inotification iof iand iapproval iby ithe iprovider.DIF: iCognitive iLevel: iComprehensionREF: ip. i9TOP:
iNursing iProcess: iDiagnosis iMSC: iNCLEX iClient iNeeds iCategory: iPhysiologic i Integrity:
iReduction iof iRisk iPotential
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