NR508 MIDTERM STUDY GUIDE| LATEST GUIDE

NR508 MIDTERM STUDY GUIDENR508 MIDTERM STUDY GUIDE Chapter 1: The Role of the Advanced Practice Nurse as Prescriber Roles and responsibilities of APRN prescribers • The responsibility for the final decision on which drug to use and how to use it is in the hands of the APRN prescriber. • The degree of autonomy in this role and the breadth of drugs that can be prescribed vary from state to state based on the nurse practice act of that state. Clinical judgement in Prescribing • Prescribing drug results from o clinical judgment based on a thorough assessment of the patient and the patient's environment, o the determination of medical and nursing diagnoses, o a review of potential alternative therapies, o specific knowledge about the drug chosen and the disease process it is designed to treat Collaboration with other providers • 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 • More states are broadening and expanding the legal, reimbursement, and prescriptive authority to practice for all APRNs, including NPs. Chapter 2: Review of Basic Principles of Pharmacology How Drugs are Developed Preclinical Stage: Identification of promising drugs and their testing in animals • Medicinal chemists - new chemical compounds. • Preclinical studies are performed on cells, isolated tissues and organs, laboratory animals • FDA Approval: Drugs approved by the FDA must be both safe and effective. Screened by pharmacologists, toxicologists