NR565/ NR 565 Advanced Pharmacology Care of the Fundamentals
Midterm Exam Review:
Questions and Verified Answers Chamberlain
1. Which schedule drugs can APRNs prescribe ?: DEA license will allow for
prescribing of Schedules 2-5. There can be restrictions as noted in collaborative agreement.
May be facility/state dependent.
2. Who determines and regulates prescriptive authority ?: Determines: Also known as
independent prescribing. APRNS can prescribe without limitation and is state dependent.
Includes "legend" (prescription) and controlled drugs, health/med- ical services, DME, etc.
Regulates: State board of nursing, regulated by health professional board. Federal government
controls drug regulations but has no control over prescriptive authority.
3. How does limited prescriptive authority impact patients within the health- care
system ?: Limited prescriptive authority creates numerous barriers to quality, affordable,
and accessible patient care. For example, restrictions on the distance of the APRN or PA
from the physician providing supervision or collaboration may prevent outreach to area of
,greatest need. An increase in patient waits.
4. What are the key responsibilities of prescribing ?: The ability to prescribe
medications is both a privilege and a burden. Have a documented provider-patient
relationship, do not prescribe medications to family or friends or yourself, Document a
thorough history and physical examination, include any discussions you have with the patient
about risk factors, side effects, or therapy options, have documented plan regarding drug
monitoring or titration, if you consult additional providers not that you did so. Use the
references provided in the following boxes to assist in safely and rationally choosing one
medication over another.
Be sensible, accept responsibility, do not fear it, know constraints and limitations, always learn
and update, keep Rx pads in safe place, confirm allergies, verify medication list with patient, do
not let insurance dictate quantity of Rx, Charting is key (particularly with off label use),
Provide use and rationale.
5. What should be used to make prescribing decisions ?: The best way to keep your
patients (and yourself) safe is to be prudent and deliberate in your decision-making process.
Cost, availability, current practice guidelines, medication interactions including interactions
with food, side effects, need for monitoring, how
drug is metabolized (hepatic or renal), special populations (pregnancy, nursing, older adults)
6. Be familiar with pharmacokinetic and pharmacodynamic changes of older adults
and how that would translate to baseline information needed to pre- scribe:
, Pharmacokinetic is the study of drug absorption, distribution, metabolism,
Midterm Exam Review:
Questions and Verified Answers Chamberlain
1. Which schedule drugs can APRNs prescribe ?: DEA license will allow for
prescribing of Schedules 2-5. There can be restrictions as noted in collaborative agreement.
May be facility/state dependent.
2. Who determines and regulates prescriptive authority ?: Determines: Also known as
independent prescribing. APRNS can prescribe without limitation and is state dependent.
Includes "legend" (prescription) and controlled drugs, health/med- ical services, DME, etc.
Regulates: State board of nursing, regulated by health professional board. Federal government
controls drug regulations but has no control over prescriptive authority.
3. How does limited prescriptive authority impact patients within the health- care
system ?: Limited prescriptive authority creates numerous barriers to quality, affordable,
and accessible patient care. For example, restrictions on the distance of the APRN or PA
from the physician providing supervision or collaboration may prevent outreach to area of
,greatest need. An increase in patient waits.
4. What are the key responsibilities of prescribing ?: The ability to prescribe
medications is both a privilege and a burden. Have a documented provider-patient
relationship, do not prescribe medications to family or friends or yourself, Document a
thorough history and physical examination, include any discussions you have with the patient
about risk factors, side effects, or therapy options, have documented plan regarding drug
monitoring or titration, if you consult additional providers not that you did so. Use the
references provided in the following boxes to assist in safely and rationally choosing one
medication over another.
Be sensible, accept responsibility, do not fear it, know constraints and limitations, always learn
and update, keep Rx pads in safe place, confirm allergies, verify medication list with patient, do
not let insurance dictate quantity of Rx, Charting is key (particularly with off label use),
Provide use and rationale.
5. What should be used to make prescribing decisions ?: The best way to keep your
patients (and yourself) safe is to be prudent and deliberate in your decision-making process.
Cost, availability, current practice guidelines, medication interactions including interactions
with food, side effects, need for monitoring, how
drug is metabolized (hepatic or renal), special populations (pregnancy, nursing, older adults)
6. Be familiar with pharmacokinetic and pharmacodynamic changes of older adults
and how that would translate to baseline information needed to pre- scribe:
, Pharmacokinetic is the study of drug absorption, distribution, metabolism,
