TEST BANK LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL Test Bank Questions with Complete Solutions

LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwAND
wPHYSICIANwASSISTANTSw2NDwEDITIONwROSENTHALwTESTwBANK

LATESTwUPDATEDw2022




LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwANDwPH
YSICIANwASSISTANTSw2NDwEDITIONwROSENTHALwTESTwBANK


Chapterw1:wPrescriptivewAuthoritywTe

stwBank

MultiplewChoice


1. AnwAPRNwworkswinwawurologywclinicwunderwthewsupervisionwofwawphysicianwwhowdoeswnotwrestri
ctwthewtypeswofwmedicationswthewAPRNwiswallowedwtowprescribe.wStatewlawwdoeswnotwrequirewthe
wAPRNwtowpracticewunderwphysicianwsupervision.wHowwwouldwthewAPRN’swprescriptivewauthori

tywbewdescribed?

a. Fullwauthority
b. Independent
c. Withoutwlimitation
d. Limitedwauthority

ANS:wB
ThewAPRNwhaswindependentwprescriptivewauthoritywbecausewthewregulatingwbodywdoeswnotwrequirew
thatwthewAPRNwworkwunderwphysicianwsupervision.wFullwprescriptivewauthoritywgiveswthewproviderw
thewrightwtowprescribewindependentlywandwwithoutwlimitation.wLimitedwauthoritywplaceswrestrictions
wonwthewtypeswofwdrugs wthatwcanwbewprescribed.DIF: wCognitivewLevel:wComprehensionREF:wp.w1TO

P:wNursingwProcess:wIwMSC:wNCLEXwClientwNeedswCategory:wPhysiologicwIntegrity:wPharmacolo
gicwandwParenteralwTherapies


2. WhichwfactorswincreasewthewneedwforwAPRNswtowhavewfullwprescriptivew authority?

a. Morewpatientswwillwhavewaccesswtowhealthwcare.
b. Enrollmentwinwmedicalwschoolswiswpredictedwtow decrease.
c. Physician’swassistantswarewbeingwutilizedwlesswoften.
d. APRNweducationwiswmorewcomplexwthanweducationwforwphysicians.

ANS:wA
ImplementationwofwthewAffordablewCarewActwhaswincreasedwthewnumberwofwindividualswwithwhealth
wcarewcoverage,wandwthus wthewnumberwwhowhavewaccess wtowhealthwcarewservices.wThewincreasewinwth

ewnumberwofpatientswcreateswthewneedwforwmorewproviderswwithwprescriptivewauthority.w APRNswcanw
fillwthiswpracticewgap.DIF:wCognitivewLevel:wComprehensionREF:wp.w2TOP:wNursingwProcess:wIm
plementationwMSC:wNCLEXwClientwNeedswCategory:wPhysiologicwIntegrity:wPharmacologicwandw
ParenteralwTherapies

,LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwAND
wPHYSICIANwASSISTANTSw2NDwEDITIONwROSENTHALwTESTwBANK

LATESTwUPDATEDw2022

3. WhichwfactorswcouldwbewattributedwtowlimitedwprescriptivewauthoritywforwAPRNs
?wSelectwallwthatw apply.

,LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwAND
wPHYSICIANwASSISTANTSw2NDwEDITIONwROSENTHALwTESTwBANK

LATESTwUPDATEDw2022


a. Inaccessibilitywofwpatientwcare
b. Higherwhealthwcarewcosts
c. Higherwqualitywmedicalwtreatment
d. Improvedwcollaborativewcare
e. Enhancedwhealthw literacy

ANS:wAw,wB
LimitingwprescriptivewauthoritywforwAPRNswcanwcreatewbarrierswtowquality,waffordable,wandwaccessibl
ewpatientwcare.wItwmaywalsowleadwtowpoorwcollaborationwamongwproviderswandwhigherwhealthwcarewco
sts.wItwwouldwnotwdirectlywimpactwpatient’swhealthwliteracy.DIF:wCognitivewLevel:wComprehension
REF:
p.w2TOP:wNursingwProcess:wImplementationwMSC:wNCLEXwClientwNeedswCategory:wPhysiologic
wIntegrity: wPharmacologicwandwParenteralwTherapies




4. WhichwaspectswsupportwthewAPRN’swprovisionwforwfullwprescriptivewauthority
?wSelectwallwthatw apply.

a. Clinicalweducationwincludeswprescriptionwofwmedicationswandwdiseasewprocesses.
b. FederalwregulationswsupportwthewprovisionwofwfullwauthoritywforwAPRNs.
c. NationalwexaminationswprovidewvalidationwofwthewAPRN’swabilitywtow providewsafecare.
d. Licensurewensureswcompliancewwithwhealthwcarewandwsafetystandards.
e. Limitingwprovisionwcanwdecreasewhealthwcarewaffordability.

ANS:wAw,wCw,wD
APRNswareweducatedwtowpracticewandwprescribewindependentlywwithoutwsupervision.wNationalwexa
minationswvalidatewthewabilitywtowprovidewsafewandwcompetentwcare.wLicensurewensureswcompliance
wwithwstandardswtowpromotewpublicwhealthwandwsafety. wLimitedwprescriptivewauthoritywcreateswnume

rouswbarrierswtowquality,waffordable,wandwaccessiblewpatientwcare.DIF:wCognitivewLevel:wComprehe
nsionREF:wpp.w1-
2TOP:wNursingwProcess:wImplementationwMSC:wNCLEXwClientwNeedswCategory:wPhysiologicwInt
egrity:wPharmacologicwandwParenteralwTherapies


5. WhichwaspectswsupportwthewAPRN’swprovisionwforwfullwprescriptivewauthority
?wSelectwallwthatw apply.

a. Clinicalweducationwincludeswprescriptionwofwmedicationswandwdiseasewprocesses.
b. FederalwregulationswsupportwthewprovisionwofwfullwauthoritywforwAPRNs.
c. NationalwexaminationswprovidewvalidationwofwthewAPRN’swabilitywtow providewsafecare.
d. Licensurewensureswcompliancewwithwhealthwcarewandwsafetywstandards.

ANS:wAw,wCw,wD
APRNswareweducatedwtowpracticewandwprescribewindependentlywwithoutwsupervision.wNationalwexa
minationswvalidatewthewabilitywtowprovidewsafewandwcompetentwcare.wLicensurewensureswcompliance
wwithwstandardswtowpromotewpublicwhealthwandwsafety. wLimitedwprescriptivewauthoritywcreateswnume

rouswbarrierswtowquality,waffordable,wandwaccessiblewpatientwcare.DIF:wCognitivewLevel:

, LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwAND
wPHYSICIANwASSISTANTSw2NDwEDITIONwROSENTHALwTESTwBANK

LATESTwUPDATEDw2022

ComprehensionREF:w pp.w 1-2TOP:w Nursingw Process:w Implementation
MSC:wNCLEXwClien
twNeedswCategory:wPhysiologicwIntegrity:wPharmacologicwandwParenteralwTherapies


6. AwfamilywnursewpractitionerwpracticingwinwMainewiswhiredwatwawpracticewacrosswstatewlinesw
inwVirginia.wWhichwaspectwofwpracticewmaywchangewforwthew APRN?

a. ThewAPRNwwillwhavewlesswprescriptivewauthoritywinwthewneww position.
b. ThewAPRNwwillwhavewmorewprescriptivewauthoritywinwthewnewwposition.
c. ThewAPRNwwillwhavewequalwprescriptivewauthoritywinwthewnewposition.
d. ThewAPRN’swauthoritywwillwdependwonwfederalregulations.

ANS:wA
Virginiawallowswlimitedwprescriptivewauthority,wwhilewMainewgiveswfullwauthoritywtowcertifiedwnurs
ewpractitioners.wThewfederalwgovernmentwdoeswnotwregulatewprescriptivewauthority.DIF:wCognitivew
Level:wComprehensionREF:wp.w3TOP:wNursingwProcess:wImplementationwMSC:wNCLEXwClientw
NeedswCategory:wPhysiologicwIntegrity:wPharmacologicwandwParenteralwTherapies


Rosenthal:wLehne'swPharmacotherapeuticswforwAdvancedwPracticewProviders,w2ndwEd.wCh

apterw2:wRationalwDrugwSelectionwandwPrescriptionwWriting

TestwBankwMultip

lewChoice


7. Howwcanwcollaborationwwithwawpharmacistwimprovewpositivewoutcomeswforwpatients
?wSelectwallwthatw apply.

a. Pharmacistswcanwsuggestwfoodswthatwwillwhelpwwithwthewpatient’swcondition.
b. Pharmacistswhavewadditionalwinformationwonwdrugwinteractions.
c. Thewpharmacistwcanwsuggestwadequatewmedicationwdosing.
d. Pharmacistswhavewfirsthandwknowledgewofwthewfacilitywformulary.
e. Pharmacywcanwalterwprescriptionswwhenwnecessarywtowpreventwpatientwharm.

ANS:wBw,wCw,wD
Providerswshouldwcollaboratewwithwpharmacistswbecausewtheywwillwlikelywhavewadditionalwinformatio
nwonwformulary,wdrugwinteractions,wandwsuggestionswforwadequatewmedicationwdosing.wDietitianswca
nwmakewfoodswrecommendationswtowtreatwthewpatient’swcondition.wThewpharmacistwcanwcontactwthew
prescriberwaboutwquestionablewprescriptions,wbutwcannotwalterwthewprescriptionwwithoutwnotification
wofwandwapproval wbywthewprovider.DIF: wCognitivewLevel: wComprehensionREF: wp.w9TOP:wNursingw

Process:wDiagnosiswMSC:wNCLEXwClientwNeedswCategory:wPhysiologicwIntegrity:wReductionwofw
RiskwPotential