MSN-FNP MSN 560 Chapter 6: Advanced Practice Nurses and Prescriptive Authority

MSN-FNP MSN 560 Chapter 6: Advanced Practice Nurses and Prescriptive Authority QUESTIONS 1. Which of the following changed the ability of all advanced practice nurses (APNs) to prescribe medications? 1. Risk of harm to patients 2. Lack of a physician on site 3. Nurse practitioner (NP) practice in primary care 4. Interruption of patient flow Answer: 2. Which of the following has been the main source of barriers limiting advanced practice registered nurses’ (APRNs’) prescriptive authority? 1. Limitations in state legislation and regulations 2. Concerns about patient safety and quality of care 3. Requirement for Drug Enforcement (DEA) number 4. Organized lobbying by medical organizations Answer: 3. Which of the following was found to be the most practical formulary for regulating prescriptive authority? 1. Open 2. Exclusionary 3. Collaborative 4. Regulator established Answer: 4. Which of the following is a main reason a clinical nurse specialist (CNS) would refrain from obtaining prescriptive authority? 1. Lack of title recognition 2. Preservation of autonomy 3. Educational requirements 4. Required physician oversight Answer: 5. Which of the following increased certified registered nurse anesthetists’ (CRNAs’) involvement with other advanced practice registered nurses (APRNs) to obtain prescriptive authority? 1. Limited authority 2. Legislative restrictions 3. Role in pain management 4. Required physician supervision Answer: 6. Which of the following describes the historical progression of advanced practice registered nurses’ (APRNs’) attainment of prescriptive authority? Select all that apply. 1. Standardization of educational programs 2. Lack of primary care in underserved areas 3. Complexity of the federal legislation process 4. Persuasion of legislators and state governors 5. Lack of title recognition in nurse practice acts Answer: 7. Which of the following contributes to the increase in the likelihood of advanced practice registered nurses (APRNs) attaining nationwide prescriptive authority? 1. Quality of care 2. Cost-effectiveness 3. Uniform nurse practice acts 4. Designation as a midlevel practitioner 5. Endorsement of APRN Consensus Model Answer: 8. The medications most frequently prescribed by nurse practitioners (NPs) in the Department of Veterans Affairs (VA) are and . Answer: 9. The primary document that supports advance practice registered nurses’ (APRNs’) unrestricted prescriptive authority and provides recommendations for APRNs’ education and certification is . Answer: 10. Reorder the steps for changing a state’s nurse practice act (first to last). 1. Hearing to give testimony 2. Introduction of legislation 3. Sent to floor of both chambers 4. Referral to committee of jurisdiction 5. Passage through appropriate committees Answer: ANSWERS AND RATIONALES 1. Which of the following changed the ability of all advanced practice nurses (APNs) to prescribe medications? 1. Risk of harm to patients 2. Lack of a physician on site 3. Nurse practitioner (NP) practice in primary care 4. Interruption of patient flow Answer: 3 Page: 2 Feedback 1. This is incorrect. When a physician was not on site to sign nurse practitioner (NP) prescriptions, patients had to wait for prescriptions to be signed before they could be filled. If a physician was not available for a day or more, the implications for patient safety and health care were serious. Though certified registered nurse anesthetists (CRNAs), certified nurse-midwives (CNMs), and clinical nurse specialists (CNSs) practiced in advanced roles for some time before the birth of NPs, the impetus for all advanced practice nurses (APNs) to obtain authorization to prescribe medications was the advent of NP practice in primary care. 2. This is incorrect. Nurse practitioners (NPs) assessed and diagnosed patients who needed prescription medications and treatments for their care. Depending on physicians to prescribe medications created problems in the areas of patient access to care, continuity of care, and patient flow. Though certified registered nurse anesthetists (CRNAs), certified nurse-midwives (CNMs), and clinical nurse specialists (CNSs) practiced in advanced roles for some time before the birth of NPs, the impetus for all advanced practice nurses (APNs) to obtain authorization to prescribe medications was the advent of NP practice in primary care. 3. This is correct. Though certified registered nurse anesthetists (CRNAs), certified nurse- midwives (CNMs), and clinical nurse specialists (CNSs) practiced in advanced roles for some time before the birth of NPs, the impetus for all advanced practice nurses (APNs) to obtain authorization to prescribe medications was the advent of NP practice in primary care. 4. This is incorrect. Nurse practitioners (NPs) assessed and diagnosed patients who needed prescription medications and treatments for their care. Depending on physicians to prescribe medications created problems in the areas of patient access to care, continuity of care, and patient flow. Though certified registered nurse anesthetists (CRNAs), certified nurse-midwives (CNMs), and clinical nurse specialists (CNSs) practiced in advanced roles for some time before the birth of NPs, the impetus for all advanced practice nurses (APNs) to obtain authorization to prescribe medications was the advent of NP practice in primary care. 2. Which of the following has been the main source of barriers limiting advanced practice registered nurses’ (APRNs’) prescriptive authority? 1. Limitations in state legislation and regulations 2. Concerns about patient safety and quality of care 3. Requirement for Drug Enforcement (DEA) number 4. Organized lobbying by medical organizations Answer: 4