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Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 6th Edition
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Author: Teri Moser Woo and Wendy L. Wright
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, TABLE OF CONTENT j j
Chapter 1. The Role of the Advanced Practice Nurse as Prescriber ............................................................................ 4
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Chapter 2. Review of Basic Principles of Pharmacology .......................................................................................... 5
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Chapter 3. Rational Drug Selection ....................................................................................................................... 11
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Chapter 4. Legal and Professional Issues in Prescribing ......................................................................................... 14
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Chapter 5. Adverse Drug Reactions ...................................................................................................................... 16
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Chapter 6. An Introduction to Pharmacogenomics ................................................................................................ 19
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Chapter 7. Nutrition and Nutraceuticals ................................................................................................................ 22
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Chapter 8. Herbal Therapies ................................................................................................................................. 28
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Chapter 9. Cannabis ............................................................................................................................................. 31
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Chapter 10. Pharmacoeconomics ......................................................................................................................... 35
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Chapter 11. Drugs Affecting the Autonomic Nervous System ................................................................................ 38
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Chapter 12. Drugs Affecting the Central Nervous System ...................................................................................... 45
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Chapter 13. Drugs Affecting the Cardiovascular and Renal Systems ...................................................................... 53
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Chapter 14. Drugs Affecting the Respiratory System ............................................................................................. 61
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Chapter 15. Drugs Affecting the Hematological System ........................................................................................ 65
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Chapter 16. Drugs Affecting the Immune System: Vaccines and Immunoglobulins ............................................... 69
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Chapter 17. Drugs Affecting the Immune System: Immunomodulators ................................................................. 75
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Chapter 18. Drugs Affecting the Gastrointestinal System ...................................................................................... 77
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Chapter19.Drugs Affectingthe EndocrineSystem:PancreaticHormones and Antidiabetic Drugs ......................... 80
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Chapter 20. Drugs Affecting the Endocrine System: Pituitary, Thyroid, and Adrenal Drugs.................................... 83
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Chapter 21. Drugs Affecting the Reproductive System .......................................................................................... 86
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Chapter 22. Drugs Affecting the Bones and Joints .................................................................................................. 92
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Chapter 23. Drugs Affecting the Integumentary System ........................................................................................ 96
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Chapter 24. Drugs Used to Treat Bacterial Infections ........................................................................................... 101
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Chapter 25. Drugs Used to Treat Viral, Fungal, and Protozoal Infections .............................................................. 105
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Chapter 26. Drugs Used to Treat Inflammatory Processes .................................................................................... 108
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Chapter 27. Drugs Used to Treat Eye and Ear Disorders ........................................................................................ 111
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Chapter 28. Anemia ............................................................................................................................................ 113
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Chapter 29. Anxiety and Depression ................................................................................................................... 116
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Chapter 30. Attention Deficit-Hyperactivity Disorder ........................................................................................ 120
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Chapter 31. Asthma and Allergy ......................................................................................................................... 122
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Chapter 32. Chronic Obstructive Pulmonary Disease .......................................................................................... 125
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Chapter 33. Contraception .................................................................................................................................. 127
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Chapter 34. COVID-19: Acute and Chronic ........................................................................................................ 130
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Chapter 35. Dermatological Conditions.............................................................................................................. 134
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Chapter 36. Diabetes Management ..................................................................................................................... 138
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Chapter 37. Gastroesophageal Reflux and Peptic Ulcer Disease........................................................................... 146
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Chapter 38. Headaches ....................................................................................................................................... 149
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Chapter 39. Heart Failure .................................................................................................................................... 153
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Chapter 40. HIV Disease and Acquired Immunodeficiency Syndrome ................................................................ 158
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Chapter 41. Menopausal Hormone Therapy ........................................................................................................ 161
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,Chapter 42. Hyperlipidemia ............................................................................................................................... 164
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Chapter 43. Hypertension ................................................................................................................................... 169
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Chapter 44. Hyperthyroidism and Hypothyroidism............................................................................................. 174
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Chapter 45. Obesity ............................................................................................................................................ 177
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Chapter 46. Pain Management: Acute and Chronic Pain....................................................................................... 181
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Chapter 47. Pneumonia ...................................................................................................................................... 185
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Chapter 48. Sexually Transmitted Diseases and Vaginitis.................................................................................... 187
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Chapter 49. Substance Use Disorders .................................................................................................................. 190
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Chapter 50. Tuberculosis .................................................................................................................................... 195
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Chapter51. UpperRespiratoryTract Infection, Pharyngitis, Sinusitis,OtitisMedia, and Otitis Externa ................. 197
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Chapter 52. Urinary Tract Infections ................................................................................................................... 200
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Chapter 53. Women as Patients ........................................................................................................................... 203
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Chapter 54. Men as Patients ................................................................................................................................ 207
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Chapter 55. Pediatric Patients ............................................................................................................................. 209
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Chapter 57. Geriatric Patients ............................................................................................................................. 213
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, Woo 1
PharmacotherapeuticsforAPN Prescribers, 6e j j j j Ch01
Chapter 1. The Role of the Advanced Practice Nurse as Prescriber
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MULTIPLE CHOICE j
1. Nurse practitioner prescriptive authorityis regulated by:
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A. The National Council of State Boards of Nursing
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B. TheU.S. DrugEnforcementAdministration
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C. The State Board of Nursing for each state
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D. TheState Board of Pharmacy j j j j
ANS: C j PTS: 1 j
2. Thebenefitsto the patient ofhaving an advanced practice registerednurse (APRN) prescriberinclu
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de:
A. Nurses know more about pharmacologythan other prescribersbecause theytakeitboth
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in their basic nursing program and in their APRNprogram.
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B. Nurses carefor the patient from a holistic approach and includethepatient indecisi
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on-making regarding their care. j j j
C. APRNs are less likely to prescribe narcotics and other controlledsubstances.
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D. APRNs areableto prescribeindependentlyin all states, whereas a physician’sassis
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tant needs to have a physician supervising their practice.
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ANS: B j PTS: 1 j
3. Clinical judgment in prescribing includes:
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A. Factoring in the cost to the patient of the medicationprescribed j j j j j j j j j j
B. Always prescribing the newest medication available for the diseaseprocess
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C. Handing out drug samples to poor patients j j j j j j
D. Prescribing all generic medications to cutcosts j j j j j j
ANS: A j PTS: 1 j
4. The process for choosing an effective drug for a disorderincludes:
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A. Asking the patient what drug they think would work best for them
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B. Consulting nationally recognized guidelines for diseasemanagement j j j j j j
C. Prescribingmedicationsthatare available as samples beforewriting a prescription j j j j j j j j j j
D. Following U.S. Drug Enforcement Administration guidelines forprescribing j j j j j j j
ANS: B j PTS: 1 j
5. Nonintentional nonadherence of drug therapy may occur due to: j j j j j j j j
A. Belief that medication does not work j j j j j
B. Adverse drugreactions j j
C. Chronic conditions that require dailytherapy j j j j j
D. Forgetfulness ordistraction j j
ANS: D j PTS: 1 j
Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 6th Edition
j j j j j j j
Author: Teri Moser Woo and Wendy L. Wright
j j j j j j j
, TABLE OF CONTENT j j
Chapter 1. The Role of the Advanced Practice Nurse as Prescriber ............................................................................ 4
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Chapter 2. Review of Basic Principles of Pharmacology .......................................................................................... 5
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Chapter 3. Rational Drug Selection ....................................................................................................................... 11
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Chapter 4. Legal and Professional Issues in Prescribing ......................................................................................... 14
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Chapter 5. Adverse Drug Reactions ...................................................................................................................... 16
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Chapter 6. An Introduction to Pharmacogenomics ................................................................................................ 19
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Chapter 7. Nutrition and Nutraceuticals ................................................................................................................ 22
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Chapter 8. Herbal Therapies ................................................................................................................................. 28
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Chapter 9. Cannabis ............................................................................................................................................. 31
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Chapter 10. Pharmacoeconomics ......................................................................................................................... 35
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Chapter 11. Drugs Affecting the Autonomic Nervous System ................................................................................ 38
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Chapter 12. Drugs Affecting the Central Nervous System ...................................................................................... 45
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Chapter 13. Drugs Affecting the Cardiovascular and Renal Systems ...................................................................... 53
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Chapter 14. Drugs Affecting the Respiratory System ............................................................................................. 61
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Chapter 15. Drugs Affecting the Hematological System ........................................................................................ 65
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Chapter 16. Drugs Affecting the Immune System: Vaccines and Immunoglobulins ............................................... 69
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Chapter 17. Drugs Affecting the Immune System: Immunomodulators ................................................................. 75
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Chapter 18. Drugs Affecting the Gastrointestinal System ...................................................................................... 77
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Chapter19.Drugs Affectingthe EndocrineSystem:PancreaticHormones and Antidiabetic Drugs ......................... 80
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Chapter 20. Drugs Affecting the Endocrine System: Pituitary, Thyroid, and Adrenal Drugs.................................... 83
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Chapter 21. Drugs Affecting the Reproductive System .......................................................................................... 86
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Chapter 22. Drugs Affecting the Bones and Joints .................................................................................................. 92
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Chapter 23. Drugs Affecting the Integumentary System ........................................................................................ 96
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Chapter 24. Drugs Used to Treat Bacterial Infections ........................................................................................... 101
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Chapter 25. Drugs Used to Treat Viral, Fungal, and Protozoal Infections .............................................................. 105
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Chapter 26. Drugs Used to Treat Inflammatory Processes .................................................................................... 108
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Chapter 27. Drugs Used to Treat Eye and Ear Disorders ........................................................................................ 111
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Chapter 28. Anemia ............................................................................................................................................ 113
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Chapter 29. Anxiety and Depression ................................................................................................................... 116
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Chapter 30. Attention Deficit-Hyperactivity Disorder ........................................................................................ 120
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Chapter 31. Asthma and Allergy ......................................................................................................................... 122
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Chapter 32. Chronic Obstructive Pulmonary Disease .......................................................................................... 125
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Chapter 33. Contraception .................................................................................................................................. 127
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Chapter 34. COVID-19: Acute and Chronic ........................................................................................................ 130
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Chapter 35. Dermatological Conditions.............................................................................................................. 134
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Chapter 36. Diabetes Management ..................................................................................................................... 138
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Chapter 37. Gastroesophageal Reflux and Peptic Ulcer Disease........................................................................... 146
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Chapter 38. Headaches ....................................................................................................................................... 149
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Chapter 39. Heart Failure .................................................................................................................................... 153
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Chapter 40. HIV Disease and Acquired Immunodeficiency Syndrome ................................................................ 158
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Chapter 41. Menopausal Hormone Therapy ........................................................................................................ 161
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,Chapter 42. Hyperlipidemia ............................................................................................................................... 164
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Chapter 43. Hypertension ................................................................................................................................... 169
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Chapter 44. Hyperthyroidism and Hypothyroidism............................................................................................. 174
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Chapter 45. Obesity ............................................................................................................................................ 177
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Chapter 46. Pain Management: Acute and Chronic Pain....................................................................................... 181
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Chapter 47. Pneumonia ...................................................................................................................................... 185
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Chapter 48. Sexually Transmitted Diseases and Vaginitis.................................................................................... 187
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Chapter 49. Substance Use Disorders .................................................................................................................. 190
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Chapter 50. Tuberculosis .................................................................................................................................... 195
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Chapter51. UpperRespiratoryTract Infection, Pharyngitis, Sinusitis,OtitisMedia, and Otitis Externa ................. 197
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Chapter 52. Urinary Tract Infections ................................................................................................................... 200
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Chapter 53. Women as Patients ........................................................................................................................... 203
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Chapter 54. Men as Patients ................................................................................................................................ 207
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Chapter 55. Pediatric Patients ............................................................................................................................. 209
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Chapter 57. Geriatric Patients ............................................................................................................................. 213
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, Woo 1
PharmacotherapeuticsforAPN Prescribers, 6e j j j j Ch01
Chapter 1. The Role of the Advanced Practice Nurse as Prescriber
j j j j j j j j j j
MULTIPLE CHOICE j
1. Nurse practitioner prescriptive authorityis regulated by:
j j j j j j
A. The National Council of State Boards of Nursing
j j j j j j j
B. TheU.S. DrugEnforcementAdministration
j j j j
C. The State Board of Nursing for each state
j j j j j j j
D. TheState Board of Pharmacy j j j j
ANS: C j PTS: 1 j
2. Thebenefitsto the patient ofhaving an advanced practice registerednurse (APRN) prescriberinclu
j j j j j j j j j j j j j j
de:
A. Nurses know more about pharmacologythan other prescribersbecause theytakeitboth
j j j j j j j j j j j j j
in their basic nursing program and in their APRNprogram.
j j j j j j j j j
B. Nurses carefor the patient from a holistic approach and includethepatient indecisi
j j j j j j j j j j j j j j
on-making regarding their care. j j j
C. APRNs are less likely to prescribe narcotics and other controlledsubstances.
j j j j j j j j j j
D. APRNs areableto prescribeindependentlyin all states, whereas a physician’sassis
j j j j j j j j j j j j
tant needs to have a physician supervising their practice.
j j j j j j j j
ANS: B j PTS: 1 j
3. Clinical judgment in prescribing includes:
j j j j
A. Factoring in the cost to the patient of the medicationprescribed j j j j j j j j j j
B. Always prescribing the newest medication available for the diseaseprocess
j j j j j j j j j
C. Handing out drug samples to poor patients j j j j j j
D. Prescribing all generic medications to cutcosts j j j j j j
ANS: A j PTS: 1 j
4. The process for choosing an effective drug for a disorderincludes:
j j j j j j j j j j
A. Asking the patient what drug they think would work best for them
j j j j j j j j j j j
B. Consulting nationally recognized guidelines for diseasemanagement j j j j j j
C. Prescribingmedicationsthatare available as samples beforewriting a prescription j j j j j j j j j j
D. Following U.S. Drug Enforcement Administration guidelines forprescribing j j j j j j j
ANS: B j PTS: 1 j
5. Nonintentional nonadherence of drug therapy may occur due to: j j j j j j j j
A. Belief that medication does not work j j j j j
B. Adverse drugreactions j j
C. Chronic conditions that require dailytherapy j j j j j
D. Forgetfulness ordistraction j j
ANS: D j PTS: 1 j
