*NURSING > STUDY GUIDE > NR565 Week 2 Study Guide Chapter 1,4,13,52: The Role of the Nurse Practitioner as Prescriber (All)

NR565 Week 2 Study Guide Chapter 1,4,13,52: The Role of the Nurse Practitioner as Prescriber

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NR565 Week 2 Study Guide Chapter 1: The Role of the Nurse Practitioner as Prescriber • Roles and responsibilities of APRN prescribers o The nature of this responsibility depends on whether th... e APRN can prescribe medications. States vary in their laws related to prescriptive authority for APRNs o The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: Nurses care for the patient from a holistic approach & include the patient in decision making regarding their care. o Nurse practitioner practice may thrive under health-care reform because of: The demonstrated ability of nurse practitioners to control costs & improve patient outcomes • Clinical judgement in prescribing o Prescribing a drug results from clinical judgment based on a thorough assessment of the patient and the patient’s environment, the determination of medical and nursing diagnoses, a review of potential alternative therapies, and specific knowledge about the drug chosen and the disease process it is designed to treat o In general, the best therapy is the least invasive, least expensive, and least likely to cause adverse reactions o Clinical judgment in prescribing includes: Factoring in the cost to the patient of the medication prescribed • Collaboration with other providers o No one member of the health-care team can provide highquality care without collaborating with other team members. o They most often collaborate with physicians, pharmacists, podiatrists, mental health specialists, therapists, and other providers, including APRNs who are not NPs, physician assistants (PAs), and other nurses. • Autonomy and prescriptive authority o More states are broadening and expanding the legal, reimbursement, and prescriptive authority to practice for all APRNs, including NPs. o Nurse practitioner prescriptive authority is regulated by: The State Board of Nursing for each state • Drug databases o PharmGKB Micromedix, Lexicomp, information from the U.S. Food and Drug Administration, and formula programs that can be accessed via a handheld device or computer. o Criteria for choosing an effective drug for a disorder include: Consulting nationally recognized guidelines for disease management • Medication adherence Chapter 4: Legal and Professional Issues in Prescribing • New drug approval process including clinical phases I-IV ......................................................CONTINUED..................................................................... [Show More]

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