ditionfRosenthalfTestfBank 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRA
f f f f
CTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION R
f f f f f f f
OSENTHAL TEST BANKf f
,Lehne’sfPharmacotherapeuticsfforfAdvancedfPracticefNursesfandfPhysicianfAssistantsf2ndfE
ditionfRosenthalfTestfBank 2
Chapterf1:fPrescriptivefAuthorityfTestfBankfMult
iplefChoice
1. AnfAPRNfworksfinfafurologyfclinicfunderfthefsupervisionfoffafphysicianfwhofdoesfnotfrestric
tftheftypesfoffmedicationsfthefAPRNfisfallowedftofprescribe.fStateflawfdoesfnotfrequirefthefAPRNftofp
racticefunderfphysicianfsupervision.fHowfwouldfthefAPRN‘sfprescriptivefauthorityfbefdescribed?
a. Fullfauthority
b. Independent
c. Withoutflimitation
d. Limitedfauthority
ANS:fB
ThefAPRNfhasfindependentfprescriptivefauthorityfbecausefthefregulatingfbodyfdoesfnotfrequireftha
tfthefAPRNfworkfunderfphysicianfsupervision.fFullfprescriptivefauthorityfgivesfthefproviderfthefrig
htftofprescribefindependentlyfandfwithoutflimitation.fLimitedfauthorityfplacesfrestrictionsfonfthefty
pesfoffdrugsfthatfcanfbefprescribedf.DIF:fCognitivefLevel:fComprehensionfREF:fp.
1TOP:fNursingfProcess:fIfMSC:fNCLEXfClientfNeedsfCategory:fPhysiologicfIntegrity:fPh
armacologicfandfParenteralfTherapies
2. WhichffactorsfincreasefthefneedfforfAPRNsftofhaveffullfprescriptivefauthority?
a. Morefpatientsfwillfhavefaccessftofhealthfcare.
b. Enrollmentfinfmedicalfschoolsfisfpredictedftofdecrease.
c. Physician‘sfassistantsfarefbeingfutilizedflessfoften.
d. APRNfeducationfisfmorefcomplexfthanfeducationfforfphysicians.
ANS:fA
ImplementationfoffthefAffordablefCarefActfhasfincreasedfthefnumberfoffindividualsfwithfhealthfcaref
coverage,fandfthusfthefnumberfwhofhavefaccessftofhealthfcarefservices.fThefincreasefinfthefnumberfof
fpatientsfcreatesfthefneedfforfmorefprovidersfwithfprescriptivefauthority.fAPRNsfcan ffillfthisfpractice
fgap.fDIF: fCognitivefLevel:fComprehension fREF: fp.f2TOP:fNursingfProcess: fImplementationfMSC
:fNCLEXfClientfNeedsfCategory:fPhysiologicfIntegrity:fPharmacologicfandfParenteralfTherapies
,Lehne’sfPharmacotherapeuticsfforfAdvancedfPracticefNursesfandfPhysicianfAssistantsf2ndfE
ditionfRosenthalfTestfBank 3
3. WhichffactorsfcouldfbefattributedftoflimitedfprescriptivefauthorityfforfAPRNs?fSelectfallftha
tfapply.
a. Inaccessibilityfoffpatientf care
b. Higherfhealthfcarefcosts
c. Higherfqualityfmedicalftreatment
d. Improvedfcollaborativefcare
e. Enhancedfhealthfliteracy
ANS:fAf,fB
LimitingfprescriptivefauthorityfforfAPRNsfcanfcreatefbarriersftofquality,faffordable,fandfaccessiblef
patientfcare.fItfmayfalsofleadftofpoorfcollaborationfamongfprovidersfandfhigherfhealthfcarefcosts.fItfw
ouldfnotfdirectlyfimpactfpatient‘sfhealthfliteracy.DIF:fCognitivefLevel:fComprehensionREF:
p.f2TOP:fNursingfProcess:fImplementationfMSC:fNCLEXfClientfNeedsfCategory:fPhysiologicfInte
grity:fPharmacologicfandfParenteralfTherapies
4. WhichfaspectsfsupportfthefAPRN‘sfprovisionfforffullfprescriptivefauthority?fSelectfallftha
tfapply.
a. Clinicalfeducationfincludesfprescriptionfoffmedicationsfandfdiseasefprocesses.
b. FederalfregulationsfsupportfthefprovisionfofffullfauthorityfforfAPRNs.
c. NationalfexaminationsfprovidefvalidationfoffthefAPRN‘sfabilityftofprovidefsafecare.
d. Licensurefensuresfcompliancefwithfhealthfcarefandfsafetyfstandards.
e. Limitingfprovisionfcanfdecreasefhealthfcarefaffordability.
ANS:fAf,fCf,fD
APRNsfarefeducatedftofpracticefandfprescribefindependentlyfwithoutfsupervision.fNationalfexamin
ationsfvalidatefthefabilityftofprovidefsafefandfcompetentfcare.fLicensurefensuresfcompliancefwithfsta
ndardsftofpromotefpublicfhealthfandfsafety.fLimitedfprescriptivefauthorityfcreatesfnumerousfbarriers
ftofquality,faffordable,fandfaccessiblefpatient fcare.DIF:fCognitivefLevel: fComprehensionREF: fpp.f1
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2TOP:fNursingfProcess:fImplementationfMSC:fNCLEXfClientfNeedsfCategory:fPhysiologicfInteg
rity:fPharmacologicfandfParenteralfTherapies
, Lehne’sfPharmacotherapeuticsfforfAdvancedfPracticefNursesfandfPhysicianfAssistantsf2ndfE
ditionfRosenthalfTestfBank 4
5. WhichfaspectsfsupportfthefAPRN‘sfprovisionfforffullfprescriptivefauthority?fSelectfallftha
tfapply.
a. Clinicalfeducationfincludesfprescriptionfoffmedicationsfandfdiseasefprocesses.
b. FederalfregulationsfsupportfthefprovisionfofffullfauthorityfforfAPRNs.
c. NationalfexaminationsfprovidefvalidationfoffthefAPRN‘sfabilityftofprovidefsafecare.
d. Licensurefensuresfcompliancefwithfhealthfcarefandfsafetyfstandards.
ANS:fAf,fCf,fD
APRNsfarefeducatedftofpracticefandfprescribefindependentlyfwithoutfsupervision.fNationalfexamin
ationsfvalidatefthefabilityftofprovidefsafefandfcompetentfcare.fLicensurefensuresfcompliancefwithfsta
ndardsftofpromotefpublicfhealthfandfsafety.fLimitedfprescriptivefauthorityfcreatesfnumerousfbarriers
ftofquality,faffordable,fandfaccessiblefpatient fcare.DIF:fCognitivefLevel:
ComprehensionfREF:fpp.f 1-2TOP:fNursingfProcess:fImplementation
MSC:fNCLEXfClientf
NeedsfCategory:fPhysiologicfIntegrity:fPharmacologicfandfParenteralfTherapies
6. AffamilyfnursefpractitionerfpracticingfinfMainefisfhiredfatfafpracticefacrossfstateflinesfinfVir
ginia.fWhichfaspectfoffpracticefmayfchangefforfthefAPRN?
a. ThefAPRNfwillfhaveflessfprescriptivefauthorityfinfthefnewfposition.
b. ThefAPRNfwillfhavefmorefprescriptivefauthorityfinfthefnewfposition.
c. ThefAPRNfwillfhavefequalfprescriptivefauthorityfinfthefnewfposition.
d. ThefAPRN‘sfauthorityfwillfdependfonffederalfregulations.fA
NS:fA
Virginiafallowsflimitedfprescriptivefauthority,fwhilefMainefgivesffullfauthorityftofcertifiedfnursefpra
ctitioners.fTheffederalfgovernmentfdoesfnotfregulatefprescriptivefauthority.DIF:fCognitivefLevel:fC
omprehensionREF:fp.f3TOP:fNursingfProcess:fImplementationfMSC:fNCLEXfClientfNeedsfCateg
ory:fPhysiologicfIntegrity:fPharmacologicfandfParenteralfTherapies