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Test Bank for Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edition by Rosenthal and Burchum$17.49
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Test Bank for Lehne's Pharmacotherapeutics for Advanced
Practice Nurses and Physician 2nd Edition
by Rosenthal and Burchum
,Chapter 1: Prescriptive Authority
Multiple Choice
1. An ADVANCED PRACTICE REGISTERED NURSE works in a urology clinic under the
supervision of a physician who does not restrict the types of medications the ADVANCED
PRACTICE REGISTERED NURSE is allowed to prescribe. State law does not require the
ADVANCED PRACTICE REGISTERED NURSE to practice under physician supervision.
How would the ADVANCED PRACTICE REGISTERED NURSE’s prescriptive authority
be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
RIGHT CHOICE✔✔ B
RATIONALE: The ADVANCED PRACTICE REGISTERED NURSE has independent
prescriptive authority because the regulating body does not require that the ADVANCED
PRACTICE REGISTERED NURSE work under physician supervision. Full prescriptive
authority gives the provider the right to prescribe independently and without limitation. Limited
authority places restrictions on the types of drugs that can be prescribed.
COMPLEXITY> N/A Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC:
NCLEX Hospital patient Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
Therapies
2. Which factors increase the need for ADVANCED PRACTICE REGISTERED NURSEs to have
full prescriptive authority?
a. More hospital patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician’s assistants are being utilized less often.
d. ADVANCED PRACTICE REGISTERED NURSE education is more complex than
education for physicians.
RIGHT CHOICE✔✔ A
RATIONALE: Implementation of the Affordable Care Act has increased the number of
individuals with health care coverage, and thus the number who have access to health care
services. The increase in the number of hospital patients creates the need for more providers with
prescriptive authority. ADVANCED PRACTICE REGISTERED NURSEs can fill this practice
gap
.COMPLEXITY> N/A Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Hospital patient Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
3. Which factors could be attributed to limited prescriptive authority for
ADVANCED PRACTICE REGISTERED NURSEs? Select all that
apply.
, a. Inaccessibility of hospital patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
RIGHT CHOICE✔✔ A , B
RATIONALE: Limiting prescriptive authority for ADVANCED PRACTICE REGISTERED
NURSEs can create barriers to quality, affordable, and accessible hospital patient care. It may
also lead to poor collaboration among providers and higher health care costs. It would not
directly impact hospital patient’s health literacy.COMPLEXITY> N/A Cognitive Level:
ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital patient Needs Category:
Physiologic Integrity: Pharmacologic and Parenteral Therapies
4. Which aspects support the ADVANCED PRACTICE
REGISTERED NURSE’s provision for full prescriptive
authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for ADVANCED PRACTICE
REGISTERED NURSEs.
c. National examinations provide validation of the ADVANCED PRACTICE REGISTERED
NURSE’s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
RIGHT CHOICE✔✔ A , C , D
RATIONALE: ADVANCED PRACTICE REGISTERED NURSEs are educated to practice and
prescribe independently without supervision. National examinations validate the ability to
provide safe and competent care. Licensure ensures compliance with standards to promote public
health and safety. Limited prescriptive authority creates numerous barriers to quality, affordable,
and accessible hospital patient care.COMPLEXITY> N/A Cognitive Level: ComprehensionREF:
pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Hospital patient Needs Category:
Physiologic Integrity: Pharmacologic and Parenteral Therapies
5. Which aspects support the ADVANCED PRACTICE
REGISTERED NURSE’s provision for full prescriptive
authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for ADVANCED PRACTICE
REGISTERED NURSEs.
c. National examinations provide validation of the ADVANCED PRACTICE REGISTERED
NURSE’s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
, RIGHT CHOICE✔✔ A , C , D
RATIONALE: ADVANCED PRACTICE REGISTERED NURSEs are educated to practice and
prescribe independently without supervision. National examinations validate the ability to
provide safe and competent care. Licensure ensures compliance with standards to promote public
health and safety. Limited prescriptive authority creates numerous barriers to quality, affordable,
and accessible hospital patient care.COMPLEXITY> N/A Cognitive Level:
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