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TEST BANK LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL

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

Meer zien Lees minder
Instelling
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
Vak
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED

Voorbeeld van de inhoud

LEHNE’S-PHARMACOTHERAPEUTICS-FOR-ADVANCED-PRACTICE-NURSES-
ANDCPHYSICIAN-ASSISTANTS-2ND-EDITION-ROSENTHAL-TEST-BANK


ChapterC1:CPrescriptive-

AuthorityCTestCBank

MultipleCChoice


1. AnCAPRNCworksCinCaCurology-clinicCunderCtheCsupervisionCof-
aCphysicianCwhoC doesCnotCrestrictCtheCtypesCofCmedicationsCtheCAPRNCisCallowedCtoCpre
scribe.CStateClawCdoesCnotCrequireCtheCAPRNCtoCpracticeCunderCphysicianCsupervision.CH
owCwouldCtheCAPRN‘sCprescriptiveCauthority-C beCdescribed?

a. FullCauthority
b. Independent
c. WithoutClimitation
d. LimitedCauthority

ANS:CB
TheCAPRNChasCindependentCprescriptiveCauthorityCbecauseCtheCregulatingCbodyCdoesCnotCre
quireCthatCtheCAPRNCworkCunderCphysicianCsupervision.CFullCprescriptiveCauthority-
givesCtheCproviderCtheCrightCtoCprescribeCindependently-
andCwithoutClimitation.CLimitedCauthorityCplacesCrestrictionsConCtheCtypesCofCdrugsCthatCcanC
beCprescribed.DIF:CCognitiveCLevel:CComprehensionREF:Cp.C1TOP:CNursingCProcess:CICMS
C:CNCLEXCClientCNeedsCCategory:CPhysiologicCIntegrity:CPharmacologicCandCParenteralCT
herapies


2. WhichCfactorsCincreaseCtheCneedCforCAPRNsCtoChaveCfullCprescriptiveC authority?

a. MoreCpatientsCwillChaveCaccessCtoChealthCcare.
b. EnrollmentCinCmedicalCschoolsCisCpredictedCtoC decrease.
c. Physician‘sCassistantsCareCbeing-utilizedClessC often.
d. APRNCeducationCisCmoreCcomplexCthan-educationCforCphysicians.

ANS:CA
ImplementationCofCtheCAffordableCCareCActChasCincreasedCtheCnumberCofCindividualsCwithCh
ealthCcareCcoverage,CandCthusCtheCnumberCwhoChaveCaccessCtoChealthCcareCservices.CTheCinc
reaseCinCtheCnumberCofCpatientsCcreatesCtheCneedCfor-
moreCprovidersCwithCprescriptiveCauthority.CAPRNsCcanCfillCthisCpracticeCgap.DIF:CCognitiveC
Level:CComprehensionREF:Cp.C2TOP:CNursingCProcess:CImplementationCMSC:CNCLEXCClie
ntCNeedsCCategory:CPhysiologicCIntegrity:CPharmacologicCandCParenteralCTherapies


3. WhichCfactorsCcouldCbeCattributedCtoClimitedCprescriptiveCauthorityCforCAP
RNs?CSelectCallCthatCapply.

, a. Inaccessibility-ofCpatientCcare
b. Higher-healthCcareCcosts
c. Higher-qualityC medicalCtreatment
d. ImprovedCcollaborativeCcare
e. EnhancedChealthC literacy

ANS:CAC,CB
LimitingCprescriptiveCauthorityCforCAPRNsCcanCcreateCbarriersCtoCquality,Caffordable,CandCacce
ssibleCpatientCcare.CItCmay-alsoCleadCtoCpoor-
collaborationCamongCprovidersCandChigherChealthCcareCcosts.CItCwouldCnotCdirectly-
impactCpatient‘sChealthCliteracy.DIF:CCognitiveCLevel:CComprehensionREF:
p.C2TOP:CNursingCProcess:CImplementationCMSC:CNCLEXCClientCNeedsCCategory:CPhysiolo
gicCIntegrity:CPharmacologicCandCParenteralCTherapies


4. WhichCaspectsCsupportCtheCAPRN‘sCprovisionCfor-
fullCprescriptiveCauthority?CSelectCallCthatCapply.

a. ClinicalCeducationCincludesCprescriptionCofCmedicationsCandCdiseaseCprocesses.
b. FederalCregulationsCsupportCtheCprovisionCofCfullCauthorityCfor-APRNs.
c. NationalCexaminationsCprovideCvalidationCofCtheCAPRN‘sCabilityCtoCprovideCsafecare.
d. LicensureCensuresCcomplianceCwithChealthCcareCandCsafety-standards.
e. LimitingCprovisionCcanCdecreaseChealthCcareCaffordability.

ANS:CAC,CCC,CD
APRNsCareCeducatedCtoCpracticeCandCprescribeCindependently-
withoutCsupervision.CNationalCexaminationsCvalidateCtheCability-
toCprovideCsafeCandCcompetentCcare.CLicensureCensuresCcomplianceCwithCstandardsCtoCpromo
teCpublicChealthCandCsafety.CLimitedCprescriptiveCauthorityCcreatesCnumerousCbarriersCtoCquali
ty,Caffordable,CandCaccessibleCpatientCcare.DIF:CCognitiveCLevel:CComprehensionREF:Cpp.C1-
2TOP:CNursingCProcess:CImplementationCMSC:CNCLEXCClientCNeedsCCategory:CPhysiologicC
Integrity:CPharmacologicCandCParenteralCTherapies


5. WhichCaspectsCsupportCtheCAPRN‘sCprovisionCfor-
fullCprescriptiveCauthority?CSelectCallCthatCapply.

a. ClinicalCeducationCincludesCprescriptionCofCmedicationsCandCdiseaseCprocesses.
b. FederalCregulationsCsupportCtheCprovisionCofCfullCauthority-forCAPRNs.
c. NationalCexaminationsCprovideCvalidationCofCtheCAPRN‘sCabilityCtoCprovideCsafecare.
d. LicensureCensuresCcomplianceCwithChealthCcareCandCsafetyCstandards.

ANS:CAC,CCC,CD
APRNsCareCeducatedCtoCpracticeCandCprescribeCindependently-
withoutCsupervision.CNationalCexaminationsCvalidateCtheCability-
toCprovideCsafeCandCcompetentCcare.CLicensureCensuresCcomplianceCwithCstandardsCtoCpromo
teCpublicChealthCandCsafety.CLimitedCprescriptiveCauthorityCcreatesCnumerousCbarriersCtoCquali
ty,Caffordable,CandCaccessibleCpatientCcare.DIF:CCognitiveCLevel:

,ComprehensionREF:C pp.C 1-2TOP:C NursingCProcess:C Implementation
MSC:CNCLE
XCClientCNeedsCCategory:CPhysiologicCIntegrity:CPharmacologicCandCParenteralCTher
apies


6. ACfamilyCnurseCpractitionerCpracticingCinCMaineCisChiredCatCaCpracticeCacrossCstateCl
inesCinCVirginia.CWhichCaspectCofCpracticeCmayCchangeCfor-theCAPRN?

a. TheCAPRNCwillChaveClessCprescriptiveCauthorityCinCtheCnewCposition.
b. TheCAPRNCwillChaveCmoreCprescriptiveCauthorityCinCtheCnewCposition.
c. TheCAPRNCwillChaveCequalCprescriptiveCauthorityCinCtheCnewposition.
d. TheCAPRN‘sCauthorityCwillCdependConCfederalregulations.

ANS:CA
VirginiaCallowsClimitedCprescriptiveCauthority,CwhileCMaineCgivesCfullCauthorityCtoCcertifiedC
nurseCpractitioners.CTheCfederalCgovernmentCdoesCnotCregulateCprescriptiveCauthority.DIF:CC
ognitiveCLevel:CComprehensionREF:Cp.C3TOP:CNursingCProcess:CImplementationCMSC:CNC
LEXCClientCNeedsCCategory:CPhysiologicCIntegrity:CPharmacologicCandCParenteralCTherapie
s


Rosenthal:CLehne'sCPharmacotherapeuticsCforCAdvancedCPracticeCProviders,C2ndCEd.CC

hapterC2:CRationalCDrug-SelectionCandCPrescriptionCWriting

TestCBankCMulti

pleCChoice


7. How-canCcollaborationCwithCaCpharmacistCimproveCpositiveCoutcomesCfor-
patients?CSelectCallCthatCapply.

a. PharmacistsCcanCsuggestCfoodsCthatCwillChelpCwithCtheCpatient‘sCcondition.
b. PharmacistsChaveCadditionalCinformationConCdrug-interactions.
c. TheCpharmacistCcanCsuggestCadequateCmedicationC dosing.
d. PharmacistsChaveCfirsthand-knowledgeCofCtheCfacilityCformulary.
e. PharmacyCcanCalterCprescriptionsCwhenCnecessaryCtoCpreventCpatientCharm.

ANS:CBC,CCC,CD
ProvidersCshouldCcollaborateCwithCpharmacistsCbecauseCthey-
willClikelyChaveCadditionalCinformationConCformulary,Cdrug-interactions,CandCsuggestionsCfor-
adequateCmedicationCdosing.CDietitiansCcanCmakeCfoodsCrecommendationsCtoCtreatCtheCpatien
t‘sCcondition.CTheCpharmacistCcanCcontactCtheCprescriberCaboutCquestionableCprescriptions,Cbu
tCcannotCalterCtheCprescriptionCwithoutCnotificationCofCandCapprovalCby-
theCprovider.DIF:CCognitiveCLevel:CComprehensionREF:Cp.C9TOP:CNursingCProcess:CDiagnos
isCMSC:CNCLEXCClientCNeedsCCategory:CPhysiologicCIntegrity:CReductionCofCRiskCPotential

, 8. ApatientCpresentsCwithCdeliriumtremensCrequiringCAtivanCadministration.CTheCprovider-
ofcareCisCnotCinCtheCfacility.CWhichCactionCbyCtheCnurseCisCmostC appropriate?

a. ObtainCaCtelephoneCorder.
b. ContactCtheCon-callChospitalist.
c. ObtainCanCorder-fromCtheCchargeCnurse.
d. WaitCforCaCwrittenCAtivanC order.

ANS:C A
InCanCemergencyCsituation,CsuchCasCdeliriumCtremensCwithCseizureCactivity,CitCisCacceptableCtoC
provideCaCtelephoneCorder.CContactingCthe-on-callChospitalistCor-
waitingCforCaCwrittenCorderCwouldCtakeCmoreCtimeCthanCavailableCforCaCpatientCwithChighCsei
zureCrisk.CWritingCanCorderCisCoutsideCtheCscopeCofCpracticeCforCtheCchargeCnurse.DIF:CCog
nitiveCLevel:CApplicationREF:Cp.C7TOP:CNursingCProcess:CImplementationCMSC:CNCLEXC
ClientCNeedsCCategory:CPhysiologicCIntegrity:CReductionCofCRiskCPotential


9. ACpatient-with-
chronicCpainCcallsCtheCprovider‘sCofficeCtoCrequestCaCrefillConCtheiroxycontin.CWhichC
actionCisCmostC appropriate?

a. FaxCanCorderCtoCtheCpharmacy.
b. ScheduleCanCappointmentCwithCtheCpatient.
c. Verify-theCpatient‘sCadherenceCtoCdrugCregimen.
d. DetermineCtheCpatient‘sCcurrentCmedicationC dosage.

ANS:C B
ScheduleCIICmedicationsCareCnotCeligibleCforCrefills,CandCprescriptionsCmustCbeChandwritten.
CItCisCimportantCtoCverifyCtheCpatient‘sCadherenceCtoCtheCdrugCregimenCandCdetermineCtheCcu
rrentCdosageCofCmedication;Chowever,CthisCcanCbeCaccomplishedCbyCschedulingCanCappointm
entCandCevaluatingCtheCpatientCinCperson.DIF:CCognitiveCLevel:CApplicationREF:Cp.C8TOP:C
NursingCProcess:CImplementationCMSC:CNCLEXCClientCNeedsCCategory:CPhysiologicCIntegr
ity:CReductionCofCRiskCPotential


10. ApatientCprescribedCamoxicillinCforCstreptococcalCpharyngitisCreportsCnewConsetCof-
aCflat,CitchyCredCrashConCtheCchestCandCneck.CWhichCactionCisCmostC important?

a. ProvideCaCdifferentC prescription.
b. DiscontinueCtheC medication.
c. PrescribeCanCantihistamineCcream.
d. AssessCfor-respiratoryCcompromise.

ANS:CB
TheCpriorityCactionCisCtoCdiscontinueCtheCmedicationCtoCpreventCworseningCofCtheCpatient‘sC
symptoms.CACdifferentCprescriptionCwouldCbeCprovided,CtopicalCantihistamineCmay-
beCadministered,CandCtheCpatientCwouldCbeCassessed-for-
respiratoryCinvolvement,CbutCtheseCactionsCwouldCnotC be

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