,LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
v v v v v v
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK v v v v v v
Chapter 1: Prescriptive Authority v v v
v Test Bank v
Multiple Choice v
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
v v v v v v v v v v v v v v v v
the types of medications the APRN is allowed to prescribe. State law does not require the
v v v v v v v v v v v v v v v v
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority
v v v v v v v v v v v v
be described?
v v
a. Full authority v
b. Independent
c. Without limitation v
d. Limited authority v
ANS: B v
The APRN has independent prescriptive authority because the regulating body does not require
v v v v v v v v v v v v
that the APRN work under physician supervision. Full prescriptive authority gives the provider
v v v v v v v v v v v v v
the right to prescribe independently and without limitation. Limited authority places restrictions
v v v v v v v v v v v v
on the types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP:
v v v v v v v v v v v v v v
Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
v v v v v v v v v v v
and Parenteral Therapies
v v v
2. Which factors increase the need for APRNs to have full prescriptive authority?
v v v v v v v v v v v
a. More patients will have access to health care.
v v v v v v v
b. Enrollment in medical schools is predicted to decrease. v v v v v v v
c. Physician‘s assistants are being utilized less often. v v v v v v
d. APRN education is more complex than education for physicians.
v v v v v v v v
ANS: A v
Implementation of the Affordable Care Act has increased the number of individuals with health
v v v v v v v v v v v v v
vcare coverage, and thus the number who have access to health care services. The increase in the
v v v v v v v v v v v v v v v v
vnumber of patients creates the need for more providers with prescriptive authority. APRNs can fill
v v v v v v v v v v v v v v
vthis practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
v v v v v v v v v
vImplementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic andv v v v v v v v v
vParenteral Therapies v
3. Which factors could be attributed to limited prescriptive authority for APRNs?
v v v v v v v v v v
Select all that apply.
v v v v
, a. Inaccessibility of patient care v v v
b. Higher health care costs v v v
c. Higher quality medical treatment v v v
d. Improved collaborative care v v
e. Enhanced health literacy v v
ANS: A , B v v v
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
v v v v v v v v v v v v
patient care. It may also lead to poor collaboration among providers and higher health care costs.
v v v v v v v v v v v v v v v v
It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
v v v v v v v v v v v
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
v v v v v v v v v v
Integrity: Pharmacologic and Parenteral Therapies
v v v v v
4. Which aspects support the APRN‘s provision for full prescriptive authority?
v v v v v v v v v
Select all that apply.
v v v v
a. Clinical education includes prescription of medications and disease processes.
v v v v v v v v
b. Federal regulations support the provision of full authority for APRNs.
v v v v v v v v v
c. National examinations provide validation of the APRN‘s ability to provide safecare.
v v v v v v v v v v
d. Licensure ensures compliance with health care and safety standards.
v v v v v v v v
e. Limiting provision can decrease health care affordability.
v v v v v v
ANS: A , C , D
v v v v v
APRNs are educated to practice and prescribe independently without supervision. National
v v v v v v v v v v
examinations validate the ability to provide safe and competent care. Licensure ensures
v v v v v v v v v v v v
compliance with standards to promote public health and safety. Limited prescriptive authority
v v v v v v v v v v v v
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
v v v v v v v v v v v v
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
v v v v v v v v v v
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v
5. Which aspects support the APRN‘s provision for full prescriptive authority?
v v v v v v v v v
Select all that apply.
v v v v
a. Clinical education includes prescription of medications and disease processes.
v v v v v v v v
b. Federal regulations support the provision of full authority for APRNs.
v v v v v v v v v
c. National examinations provide validation of the APRN‘s ability to provide safecare.
v v v v v v v v v v
d. Licensure ensures compliance with health care and safety standards.
v v v v v v v v
ANS: A , C , D
v v v v v
APRNs are educated to practice and prescribe independently without supervision. National
v v v v v v v v v v
examinations validate the ability to provide safe and competent care. Licensure ensures
v v v v v v v v v v v v
compliance with standards to promote public health and safety. Limited prescriptive authority
v v v v v v v v v v v v
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
v v v v v v v v v v v v
, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client v v v v v v v
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
v v v v v v v v v v v v v v v
Virginia. Which aspect of practice may change for the APRN?
v v v v v v v v v v
a. The APRN will have less prescriptive authority in the new position.
v v v v v v v v v v
b. The APRN will have more prescriptive authority in the new position.
v v v v v v v v v v
c. The APRN will have equal prescriptive authority in the newposition.
v v v v v v v v v
d. The APRN‘s authority will depend on federalregulations.
v v v v v v
ANS: A v
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
v v v v v v v v v v v v
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
v v v v v v v v v v
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
v v v v v v v v v v
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
v v v v v v v v
v Chapter 2: Rational Drug Selection and Prescription Writing
v v v v v v v
Test Bank v
v Multiple
Choice
v
7. How can collaboration with a pharmacist improve positive outcomes for patients?
v v v v v v v v v v
Select all that apply.
v v v v
a. Pharmacists can suggest foods that will help with the patient‘s condition.
v v v v v v v v v v
b. Pharmacists have additional information on drug interactions. v v v v v v
c. The pharmacist can suggest adequate medication dosing.
v v v v v v
d. Pharmacists have firsthand knowledge of the facility formulary. v v v v v v v
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
v v v v v v v v v
ANS: B , C , D v v v v v
Providers should collaborate with pharmacists because they will likely have additional information
v v v v v v v v v v v
on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can
v v v v v v v v v v v v
make foods recommendations to treat the patient‘s condition. The pharmacist can contact the
v v v v v v v v v v v v v
prescriber about questionable prescriptions, but cannot alter the prescription without notification
v v v v v v v v v v v
of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing
v v v v v v v v v v v v
Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of
v v v v v v v v v v v
Risk Potential
v v
v v v v v v
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK v v v v v v
Chapter 1: Prescriptive Authority v v v
v Test Bank v
Multiple Choice v
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
v v v v v v v v v v v v v v v v
the types of medications the APRN is allowed to prescribe. State law does not require the
v v v v v v v v v v v v v v v v
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority
v v v v v v v v v v v v
be described?
v v
a. Full authority v
b. Independent
c. Without limitation v
d. Limited authority v
ANS: B v
The APRN has independent prescriptive authority because the regulating body does not require
v v v v v v v v v v v v
that the APRN work under physician supervision. Full prescriptive authority gives the provider
v v v v v v v v v v v v v
the right to prescribe independently and without limitation. Limited authority places restrictions
v v v v v v v v v v v v
on the types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP:
v v v v v v v v v v v v v v
Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
v v v v v v v v v v v
and Parenteral Therapies
v v v
2. Which factors increase the need for APRNs to have full prescriptive authority?
v v v v v v v v v v v
a. More patients will have access to health care.
v v v v v v v
b. Enrollment in medical schools is predicted to decrease. v v v v v v v
c. Physician‘s assistants are being utilized less often. v v v v v v
d. APRN education is more complex than education for physicians.
v v v v v v v v
ANS: A v
Implementation of the Affordable Care Act has increased the number of individuals with health
v v v v v v v v v v v v v
vcare coverage, and thus the number who have access to health care services. The increase in the
v v v v v v v v v v v v v v v v
vnumber of patients creates the need for more providers with prescriptive authority. APRNs can fill
v v v v v v v v v v v v v v
vthis practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
v v v v v v v v v
vImplementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic andv v v v v v v v v
vParenteral Therapies v
3. Which factors could be attributed to limited prescriptive authority for APRNs?
v v v v v v v v v v
Select all that apply.
v v v v
, a. Inaccessibility of patient care v v v
b. Higher health care costs v v v
c. Higher quality medical treatment v v v
d. Improved collaborative care v v
e. Enhanced health literacy v v
ANS: A , B v v v
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
v v v v v v v v v v v v
patient care. It may also lead to poor collaboration among providers and higher health care costs.
v v v v v v v v v v v v v v v v
It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
v v v v v v v v v v v
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
v v v v v v v v v v
Integrity: Pharmacologic and Parenteral Therapies
v v v v v
4. Which aspects support the APRN‘s provision for full prescriptive authority?
v v v v v v v v v
Select all that apply.
v v v v
a. Clinical education includes prescription of medications and disease processes.
v v v v v v v v
b. Federal regulations support the provision of full authority for APRNs.
v v v v v v v v v
c. National examinations provide validation of the APRN‘s ability to provide safecare.
v v v v v v v v v v
d. Licensure ensures compliance with health care and safety standards.
v v v v v v v v
e. Limiting provision can decrease health care affordability.
v v v v v v
ANS: A , C , D
v v v v v
APRNs are educated to practice and prescribe independently without supervision. National
v v v v v v v v v v
examinations validate the ability to provide safe and competent care. Licensure ensures
v v v v v v v v v v v v
compliance with standards to promote public health and safety. Limited prescriptive authority
v v v v v v v v v v v v
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
v v v v v v v v v v v v
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
v v v v v v v v v v
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v
5. Which aspects support the APRN‘s provision for full prescriptive authority?
v v v v v v v v v
Select all that apply.
v v v v
a. Clinical education includes prescription of medications and disease processes.
v v v v v v v v
b. Federal regulations support the provision of full authority for APRNs.
v v v v v v v v v
c. National examinations provide validation of the APRN‘s ability to provide safecare.
v v v v v v v v v v
d. Licensure ensures compliance with health care and safety standards.
v v v v v v v v
ANS: A , C , D
v v v v v
APRNs are educated to practice and prescribe independently without supervision. National
v v v v v v v v v v
examinations validate the ability to provide safe and competent care. Licensure ensures
v v v v v v v v v v v v
compliance with standards to promote public health and safety. Limited prescriptive authority
v v v v v v v v v v v v
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
v v v v v v v v v v v v
, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client v v v v v v v
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
v v v v v v v v v v v v v v v
Virginia. Which aspect of practice may change for the APRN?
v v v v v v v v v v
a. The APRN will have less prescriptive authority in the new position.
v v v v v v v v v v
b. The APRN will have more prescriptive authority in the new position.
v v v v v v v v v v
c. The APRN will have equal prescriptive authority in the newposition.
v v v v v v v v v
d. The APRN‘s authority will depend on federalregulations.
v v v v v v
ANS: A v
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
v v v v v v v v v v v v
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
v v v v v v v v v v
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
v v v v v v v v v v
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
v v v v v v v v
v Chapter 2: Rational Drug Selection and Prescription Writing
v v v v v v v
Test Bank v
v Multiple
Choice
v
7. How can collaboration with a pharmacist improve positive outcomes for patients?
v v v v v v v v v v
Select all that apply.
v v v v
a. Pharmacists can suggest foods that will help with the patient‘s condition.
v v v v v v v v v v
b. Pharmacists have additional information on drug interactions. v v v v v v
c. The pharmacist can suggest adequate medication dosing.
v v v v v v
d. Pharmacists have firsthand knowledge of the facility formulary. v v v v v v v
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
v v v v v v v v v
ANS: B , C , D v v v v v
Providers should collaborate with pharmacists because they will likely have additional information
v v v v v v v v v v v
on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can
v v v v v v v v v v v v
make foods recommendations to treat the patient‘s condition. The pharmacist can contact the
v v v v v v v v v v v v v
prescriber about questionable prescriptions, but cannot alter the prescription without notification
v v v v v v v v v v v
of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing
v v v v v v v v v v v v
Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of
v v v v v v v v v v v
Risk Potential
v v
