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NR 565 MIDTERM FINAL STUDY GUIDE PHARMACOLGY QUESTIONS WITH ANSWERS

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NR 565 MIDTERM FINAL STUDY GUIDE PHARMACOLGY QUESTIONS WITH ANSWERS Week 1 • Which schedule drugs can APRNs prescribe? o Depends on state laws – under the jurisdiction of a health professional board. State board of nursing, state board of medicine or the state board of pharmacy determined by each state • Who determines and regulates prescriptive authority? o NP Scope of practice: practice authority and prescriptive authority is determined by state practice and licensure laws. ▪ Practice authority: ability to practice without physician oversight ▪ Prescriptive authority: authority to prescribe medications ▪ Practice authority + Prescriptive authority = practice “environments” ▪ Full-practice scope: Nurse practitioners have the autonomy to evaluate patients, diagnose, order and interpret tests, initiate and manage treatments and prescribe medications, including controlled substances without physician oversight. ▪ Reduced-practice scope: Nurse practitioners are limited in at least one element of practice. The state requires a formal collaborative agreement with an outside health discipline for the nurse practitioner to provide patient care. ▪ Restrictive – practice scope: Nurse practitioners are limited in at least one element of practice by requiring supervision, delegation, or team management by an outside health discipline for the nurse practitioner to provide patient care. o Prescriptive authority also regulates prescribing rights beyond medications and controlled substances. Limited Rights include: ▪ Therapeutic devices and services and are outlined in state practice laws and regulation and include durable medical equipment -wheelchairs, power scooters, hospital beds, portable oxygen equipment, handicap placards etc. and medical services : PT, OT, Home healthcare o Prescriptive authority includes adherence to ethical guidelines to ensure pts are safeguarded from harm ▪ Be well-informed about medications: mechanism of action, efficacy, and safety ▪ Know patients distinct needs and circumstances, including the number of medications prescribed • How does limited prescriptive authority impact patients within the healthcare system? o Creates numerous barriers in quality, affordability, and accessible patient care. ▪ Restrictions on the distance of the APRN or PA from the physician providing supervision may prevent outreach to areas of greatest need. ▪ Requirement to obtain physicians cosignatory on prescription’s can increase patient waits ▪ Collaborative arrangement still gives one person the power • What are the key responsibilities of prescribing? o Prescription writing requires prudent and deliberate decision-making processes to maintain patient safety and reduce liability, including:

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