Pharmacotherapeutics for
Advanced Practice Nurse
Prescribers with Davis Edge
6th Edition
• Author(s)Teri Moser Woo; Wendy
L. Wright
TEST BANK
▪ The Foundation
▪ Pharmacotherapeutics with Single Drugs
▪ Pharmacotherapeutics with Multiple Drugs
▪ Special Drug Treatment Considerations
• Print ISBN: 9781719648035
eText ISBN:9781719651585
,Question 1
A 68-year-old patient with hypertension, type 2 diabetes, and
chronic kidney disease establishes care with an APRN. The
patient brings medication bottles from several prescribers and
reports taking an over-the-counter analgesic daily. Which
action is most appropriate before making changes to the
patient's pharmacotherapy?
A. Immediately discontinue all medications prescribed by other
clinicians
B. Perform a comprehensive medication reconciliation,
including prescription, OTC, and herbal products
C. Continue the current regimen and reassess at the next
annual visit
D. Ask the patient to identify only the medications taken for
hypertension
Correct Answer: B
Rationale: A complete medication reconciliation is essential
before prescribing or modifying therapy. The APRN should
identify all prescription medications, OTC products,
supplements, dosing schedules, allergies, adherence issues, and
potential duplications or interactions. This is particularly
important in older adults and patients with chronic kidney
disease, who are at increased risk for adverse drug events. The
,other approaches may miss clinically significant medication-
related problems.
Question 2
An APRN is evaluating a newly prescribed medication for a
patient. Which principle best reflects the prescriber's
responsibility for safe pharmacotherapy?
A. Prescribing responsibility ends once the prescription is
transmitted to the pharmacy
B. The pharmacist is solely responsible for identifying adverse
effects after dispensing
C. The prescriber should assess therapeutic response, adverse
effects, adherence, and the need for ongoing treatment
D. Follow-up is necessary only when a controlled substance is
prescribed
Correct Answer: C
Rationale: Safe prescribing is an ongoing process that includes
appropriate medication selection, patient education,
monitoring, follow-up, assessment of efficacy and toxicity, and
adjustment or discontinuation when indicated. Prescribing
responsibility does not end when the prescription is written.
Pharmacists play an important role in medication safety, but
the APRN retains responsibility for appropriate clinical
management.
, Question 3
A patient tells an APRN, "I stopped taking my blood pressure
medicine because I felt fine." Which response best
demonstrates patient-centered prescribing?
A. "You should never stop medication without permission."
B. "You need to take it because hypertension is dangerous."
C. "Let's discuss what concerns you had and how we can make
the treatment plan work for you."
D. "I'll prescribe a stronger medication so you won't forget."
Correct Answer: C
Rationale: Effective prescribing includes understanding the
patient's beliefs, concerns, barriers, preferences, and goals.
Exploring why the patient discontinued therapy may reveal
adverse effects, cost concerns, misunderstanding, or competing
priorities. Collaborative decision-making can improve
adherence and therapeutic outcomes. The other responses are
directive, potentially judgmental, or clinically inappropriate.
Question 4
An APRN is preparing to prescribe a new medication to a
patient who has limited health literacy. Which intervention is
most appropriate?
A. Provide the medication's package insert and ask the patient
to review it independently
Advanced Practice Nurse
Prescribers with Davis Edge
6th Edition
• Author(s)Teri Moser Woo; Wendy
L. Wright
TEST BANK
▪ The Foundation
▪ Pharmacotherapeutics with Single Drugs
▪ Pharmacotherapeutics with Multiple Drugs
▪ Special Drug Treatment Considerations
• Print ISBN: 9781719648035
eText ISBN:9781719651585
,Question 1
A 68-year-old patient with hypertension, type 2 diabetes, and
chronic kidney disease establishes care with an APRN. The
patient brings medication bottles from several prescribers and
reports taking an over-the-counter analgesic daily. Which
action is most appropriate before making changes to the
patient's pharmacotherapy?
A. Immediately discontinue all medications prescribed by other
clinicians
B. Perform a comprehensive medication reconciliation,
including prescription, OTC, and herbal products
C. Continue the current regimen and reassess at the next
annual visit
D. Ask the patient to identify only the medications taken for
hypertension
Correct Answer: B
Rationale: A complete medication reconciliation is essential
before prescribing or modifying therapy. The APRN should
identify all prescription medications, OTC products,
supplements, dosing schedules, allergies, adherence issues, and
potential duplications or interactions. This is particularly
important in older adults and patients with chronic kidney
disease, who are at increased risk for adverse drug events. The
,other approaches may miss clinically significant medication-
related problems.
Question 2
An APRN is evaluating a newly prescribed medication for a
patient. Which principle best reflects the prescriber's
responsibility for safe pharmacotherapy?
A. Prescribing responsibility ends once the prescription is
transmitted to the pharmacy
B. The pharmacist is solely responsible for identifying adverse
effects after dispensing
C. The prescriber should assess therapeutic response, adverse
effects, adherence, and the need for ongoing treatment
D. Follow-up is necessary only when a controlled substance is
prescribed
Correct Answer: C
Rationale: Safe prescribing is an ongoing process that includes
appropriate medication selection, patient education,
monitoring, follow-up, assessment of efficacy and toxicity, and
adjustment or discontinuation when indicated. Prescribing
responsibility does not end when the prescription is written.
Pharmacists play an important role in medication safety, but
the APRN retains responsibility for appropriate clinical
management.
, Question 3
A patient tells an APRN, "I stopped taking my blood pressure
medicine because I felt fine." Which response best
demonstrates patient-centered prescribing?
A. "You should never stop medication without permission."
B. "You need to take it because hypertension is dangerous."
C. "Let's discuss what concerns you had and how we can make
the treatment plan work for you."
D. "I'll prescribe a stronger medication so you won't forget."
Correct Answer: C
Rationale: Effective prescribing includes understanding the
patient's beliefs, concerns, barriers, preferences, and goals.
Exploring why the patient discontinued therapy may reveal
adverse effects, cost concerns, misunderstanding, or competing
priorities. Collaborative decision-making can improve
adherence and therapeutic outcomes. The other responses are
directive, potentially judgmental, or clinically inappropriate.
Question 4
An APRN is preparing to prescribe a new medication to a
patient who has limited health literacy. Which intervention is
most appropriate?
A. Provide the medication's package insert and ask the patient
to review it independently
