3/6/24, 7:12 PM NR565 Midterm Study Guide 2 3 1
NR565 Week 1 Midterm Exam Review Proctored Exam
questions and verified answers.
565 Midterm Study Guide
Week 1
• Drug Schedules
- Descriptions of each
schedule
• Examples of drugs in
each schedule:
- Schedule I: high potential for abuse:
heroin, lysergic acid diethylamide (LSD),
marijuana (cannabis), 3,4-
methylenedioxymethamphetamine
(ectstasy), methaqualone, and peyote.
-
- Schedule II: high potential for abuse,
potentially leading to severe psychological
or physical dependence. These drugs are
also considered dangerous; combination
products with less than 15 milligrams of
hydrocodone per dosage unit (Vicodin),
cocaine, methamphetamine, methadone,
hydromorphone (Dilaudid), meperidine
(Demerol), oxycodone (OxyContin),
fentanyl, Dexedrine, Adderall, and Ritalin
•
- Schedule III: Moderate to low potential for
physical psychological dependence;
producets containing less than 90
milligrams of codeine per dosage unit
(Tylenol with codeine), ketamine, anabolic
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,3/6/24, 7:12 PM NR565 Midterm Study Guide 2 3 1
steroids, testosterone
Shedule IV: Low potential for abuse and
low risk of dependence; Xanax, Soma,
Darvan, Darocet, Valium, Ativan, Talwin,
Ambien, Tramadol
Schedule V: low potential for abuse and
contain limited quantities of certain
narcotics; antidiarrheal, antitussive, and
analgesic purposes.
(focus on schedule 2,3, and 4 per tutor)
• Which ones can and cannot be prescribed by
nurse practitioners?
- Prescriptive Authority
Understand what prescriptive authority is and who
mandates it. :Practice authority and prescriptive
authority together are described as practice
“enviornments” according to state laws and
regulations.
o 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.
o 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.
o Restricted 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.
▪ What problems arise when
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,3/6/24, 7:12 PM NR565 Midterm Study Guide 2 3 1
prescriptive authority is limited?
Limited prescriptive authority creates
numerous barriers to quality,
affordable,
1
about:blank 3/40
, 3/6/24, 7:12 PM NR565 Midterm Study Guide 2 3 1
565 Midterm Study Guide
and accessible patient care. For
example a requirement to obtain the
physician’s cosignature on prescription
can increase patient waits.
• Know the responsibilities of prescribing : The
ability to prescribe medications is both a
Privilege and a burden. The best way to keep
your patients and yourself safe is to be
prudent and deliberate in your decision making
process. Have a documented provider- patient
relationship with the person for whom you are
prescribing. Do not prescribe for family or
friends or for yourself. Document a thorough
history and physical examination in your
records.
• Know patient reasons for medication non-
adherence:
- Forgot to take it
- Ran out
- Was away from home
- Was trying to save money
- Didn’t like the side effects
- Was too busy
- The medicine wasn’t working
• Know how what type of evidence
prescribers should use to make
treatment recommendations:
-
• Be familiar with physiological changes of
aging that impact pharmacological
treatments:
- Drug accumulation secondary to reduced renal
function
about:blank 4/40
NR565 Week 1 Midterm Exam Review Proctored Exam
questions and verified answers.
565 Midterm Study Guide
Week 1
• Drug Schedules
- Descriptions of each
schedule
• Examples of drugs in
each schedule:
- Schedule I: high potential for abuse:
heroin, lysergic acid diethylamide (LSD),
marijuana (cannabis), 3,4-
methylenedioxymethamphetamine
(ectstasy), methaqualone, and peyote.
-
- Schedule II: high potential for abuse,
potentially leading to severe psychological
or physical dependence. These drugs are
also considered dangerous; combination
products with less than 15 milligrams of
hydrocodone per dosage unit (Vicodin),
cocaine, methamphetamine, methadone,
hydromorphone (Dilaudid), meperidine
(Demerol), oxycodone (OxyContin),
fentanyl, Dexedrine, Adderall, and Ritalin
•
- Schedule III: Moderate to low potential for
physical psychological dependence;
producets containing less than 90
milligrams of codeine per dosage unit
(Tylenol with codeine), ketamine, anabolic
about:blank 1/40
,3/6/24, 7:12 PM NR565 Midterm Study Guide 2 3 1
steroids, testosterone
Shedule IV: Low potential for abuse and
low risk of dependence; Xanax, Soma,
Darvan, Darocet, Valium, Ativan, Talwin,
Ambien, Tramadol
Schedule V: low potential for abuse and
contain limited quantities of certain
narcotics; antidiarrheal, antitussive, and
analgesic purposes.
(focus on schedule 2,3, and 4 per tutor)
• Which ones can and cannot be prescribed by
nurse practitioners?
- Prescriptive Authority
Understand what prescriptive authority is and who
mandates it. :Practice authority and prescriptive
authority together are described as practice
“enviornments” according to state laws and
regulations.
o 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.
o 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.
o Restricted 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.
▪ What problems arise when
about:blank 2/40
,3/6/24, 7:12 PM NR565 Midterm Study Guide 2 3 1
prescriptive authority is limited?
Limited prescriptive authority creates
numerous barriers to quality,
affordable,
1
about:blank 3/40
, 3/6/24, 7:12 PM NR565 Midterm Study Guide 2 3 1
565 Midterm Study Guide
and accessible patient care. For
example a requirement to obtain the
physician’s cosignature on prescription
can increase patient waits.
• Know the responsibilities of prescribing : The
ability to prescribe medications is both a
Privilege and a burden. The best way to keep
your patients and yourself safe is to be
prudent and deliberate in your decision making
process. Have a documented provider- patient
relationship with the person for whom you are
prescribing. Do not prescribe for family or
friends or for yourself. Document a thorough
history and physical examination in your
records.
• Know patient reasons for medication non-
adherence:
- Forgot to take it
- Ran out
- Was away from home
- Was trying to save money
- Didn’t like the side effects
- Was too busy
- The medicine wasn’t working
• Know how what type of evidence
prescribers should use to make
treatment recommendations:
-
• Be familiar with physiological changes of
aging that impact pharmacological
treatments:
- Drug accumulation secondary to reduced renal
function
about:blank 4/40
