NR-565 Advanced Pharmacology Fundamentals
Midterm Exam
Difference between practice authority and prescriptive authority?
Correct Answer:
Practice authority refers to the nurse practitioner's ability to practice without physician oversight, whereas prescriptive authority refers to the nurse practitioner's authority to prescribe medications independently and without limitations.
Who regulates prescriptive authority?
Correct Answer:
the jurisdiction of a health professional board. This may be the State Board of Nursing, the State Board of Medicine, or the State Board of Pharmacy, as determined by each state.
What is scope of practice determined by?
Correct Answer:
is determined by state practice and licensure laws.
- / 4
What is full practice authority?
Correct Answer:
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.
What is reduced practice authority?
Correct Answer:
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. ex/ physician involvement for 5 yrs than independent
What is restricted practice authority?
Correct Answer:
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.- typically doctor on site
What are some potential problems that arise with written prescriptions?
Correct Answer:
Must contain all elements May have pre-populated information Write legibly Avoid error prone abbreviations Tamper resistant scripts are often required 2 / 4
What are components of Rx?
Correct Answer:
Prescriber Contact info Prescribers name NPI DEA Patient name DOB Date Allergies Medication name Strength Quantity Indication for use Direction for use Refills Signature
Reasons for monitoring drug therapy
Correct Answer:
determining therapeutic dosage evaluating medication adequacy identifying adverse effects serious or life-threatening risks.
- / 4
Which schedules of drugs can APRNs prescribe?
Correct Answer:
depends on state - most II-V
How does limited prescriptive authority impact patients within the healthcare system?
Correct Answer:
longer wait times to sign a prescription limits practitioners that are needed in rural areas unequal relationships between providers. Ex. one has more power high need for providers due to lack of providers and high amounts of patients.Independent practitioners= more patients being seen= lessens the patient/provider load
Provider key responsibilities when prescribing?
Correct Answer:
safe and competent practice understanding of the drugs, reactions, and pharmacology Be aware of the age group you are prescribing to Ex. Children vs older adults
- / 4