Lehne's Pharmacotherapeutics with verified solutions

Lehne's Pharmacotherapeutics with
verified solutions
An APRN works in a urology clinic under the supervision of a physician who does not
restrict the types of medications the APRN is allowed to prescribe. State law does not
require the APRN to practice under physician supervision. How would the APRN's
prescriptive authority be described?
A. Full authority
B. Independent
C. Without limitation
D. Limited authority - ANS: B
The APRN has independent prescriptive authority because the regulating body does not
require that the APRN 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.
DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
Which factors increase the need for APRNs to have full prescriptive authority?
A. More 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. APRN education is more complex than education for physicians. - ANS: A
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 patients creates the need for more providers
with prescriptive authority. APRNs can fill this practice gap.
DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
Which factors could be attributed to limited prescriptive authority for APRNs? Select
all that apply.
A. Inaccessibility of patient care
B. Higher health care costs
C . Higher quality medical treatment
D. Improved collaborative care
E. Enhanced health literacy - ANS: A,B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care. It may also lead to poor collaboration among providers and
higher health care costs. It would not directly impact patient's health literacy.
DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
Which aspects support the APRN'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 APRNs.
C. National examinations provide validation of the APRN's ability to provide safe care.
D. Licensure ensures compliance with health care and safety standards.
E. Limiting provision can decrease health care affordability. - ANS: A,C,D
APRNs 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 patient care.
DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation
MSC:
A