ADVANCE PHARMACY NR565 MIDTERM EXAM QUESTIONS WITH VERIFIED ANSWERS

ADVANCE PHARMACY NR565 MIDTERM EXAM QUESTIONS WITH VERIFIED ANSWERS ·· Which schedule drugs can APRNs prescribe? - ANS Schedule II-V · Who determines and regulates prescriptive authority? - ANS Nurse practitioner scope of practice is determined by state practice and licensure laws. · How does limited prescriptive authority impact patients within the healthcare system? - ANS limited authority creates problems for the patient. The patient is not able to get the care they need · What are the key responsibilities of prescribing? - ANS 1. Be prudent and deliberate in your decision-making process 2. Have a documented provider-patient relationship with the person for whom you are prescribing 3. Do not prescribe medications for family or friends or for yourself 4. Document a thorough history and physical examination in your records 5.Include any discussions you have with the patient regarding risk factors, side effects, or therapy options 6. Have a documented plan regarding drug monitoring or titration, if applicable · What should be used to make prescribing decisions? - ANS Pharmakinetiscs and Pharmodynamics of older adults - ANS drug accumulation secondary to reduced renal function polypharmacy (the use of five or more medications daily) greater severity of illness presence of comorbidities use of drugs that have a low therapeutic index (e.g., digoxin) increased individual variation secondary to altered pharmacokinetics inadequate supervision of long-term therapy poor patient adherence - ANS · Beer's Criteria - ANS •potentially Inappropriate Medication (PIM) use in older adults •PIM use in older adults due to medication-disease or medication-syndrome interactions that may exacerbate the disease or syndrome •medications to be used cautiously in older adults •clinically significant drug interactions that should be avoided in older adults