NURS 5334 ADV PHARM FOR ANP -
MODULE 1 LECTURES EXAM 100%
ACCURATE 2025
, When writing any prescription, there are key elements that must be on the prescription
including prescriber name, license number, and contact information; DEA number of
both the supervising physician and the prescriber if applicable; patient name and date of
birth; patient allergies; the name of the medication; the indication of the medication; the
strength of the medication; the dosing frequency; number of tablets/capsules to
dispense; and the number of refills. Abbreviations are no longer acceptable. Everything
should be written out. Example: 25 milligrams once daily by mouth for hypertension.
And If you are using an electronic medical record for prescriptions, these are going to
automatically be on there in some instances, but other instances you may need to add
them. You will have assignments in this course involving writing prescriptions. Students
get confused when it comes to the SIG on the prescription. Sig st - ANSWER
What is prescriptive authority? - ANSWERThe ability and extent of NP's ability to
prescribe medication to patient is dependent on state nurse practice act
Wall EE EA has ruled that nurses in advanced practice roles may obtain registered
members, state practice acts dictate the level of prescriptive authority allowed
Components of prescriptive authority - ANSWERare the right to prescribe
independently, and the right to prescribe without limitation. The prescriber who
prescribes independently is not subject to rules requiring physician supervision or
collaboration. The provider who prescribes without limitation may prescribe any drugs,
including controlled drugs, with the exception of Schedule 1 drugs, which have no
current medical use.
Prescriptive authority is determined by state law. As a result - - ANSWERof difference
from state to state advanced practice providers may have full prescriptive authority in
some states, yet face a lot of restrictions in other states. Texas, unfortunately, is a state
where we are restricted. The differences particularly affect providers who serve in locum
tenems staffing positions, or who have practices in two contiguous states. The
regulation of prescriptive authority is under the jurisdiction of a health professional
board. This may be the state board of nursing, state board of medicine, or the state
board of pharmacy as determined by each state. Although the federal government
controls drug regulation, it has no control over prescriptive authority.
What is the argument for full prescriptive authority? - ANSWERAdvanced practice
providers complete rigorous programs of study largely in accredited programs that meet
stringent national standards. Although there are differences in each program, they all
include common components. For example, they require extensive education focused
on assessment, diagnosis, and management of health problems. Diagnostic reasoning,
critical thinking and procedural skills are evaluated in both didactic and clinical courses.
National examinations validate the ability to provide safe and competent care, and
, licensure ensures that providers comply with standards of practice that promote public
health and safety. Advanced practice providers are prepared to fully implement the
advanced practice role in their profession.
Limited prescriptive authority creates a number of barriers. What are some of those
barriers? - ANSWERIt creates barriers to quality, affordable and accessible patient care.
An example is restrictions on the distance of the APRN from the physician providing
supervision or collaboration may prevent outreach to areas that have the greatest need.
A requirement to obtain the physician's co-signature on prescriptions can increase
patient waits. Despite the use of terms such as collaborative arrangements. These
relationships create a situation in which one partner holds all the power. It is estimated
that by the year 2025, the physician shortage will be between 46,100 to 90,400. In
primary care alone a 12,500 to 31,100 physician shortage is anticipated. APRN's with
full prescriptive authority would help offset the shortage and meet the future needs of
healthcare demands.
Many factors are involved when considering drug selection. Some include - -
ANSWERcost, guidelines, liability interactions, side effects, allergies, liver and renal
function, need for monitoring, and special populations.
If you find that your patient is having difficulty purchasing the prescribed medications,
what should you do? - ANSWERconsider changing pharmacies or drug regimens. The
cost of a drug can vary widely between pharmacies, even within the same city. Many
corporations have created generic $4 lists or special prescription programs that allow
patients to fill their medications for a reasonable cost. When in doubt, follow current
guidelines for the treatment of a particular disease or symptom. Almost all medical and
nursing societies have published guidelines, including the American Heart Association,
the American College of Cardiology, the Infectious Diseases Society of America, and
the American Diabetes Association. It is the provider's responsibility to keep abreast of
new recommendations or changes in guidelines and to incorporate these into their
prescribing practices. Although closely following the guidelines is desirable, we must
always take into account that our patients may not fit well into these guidelines and that
individualized care is always best. In these cases, it is important to document the
rationale for deviating from standard of care. Every facility and pharmacy provide drugs
according to a formulary. This formulary is selected by a panel of pharmacists and
providers and may be subject to following guidelines created by regulatory agencies,
such as the Centers for Medicare and Medicaid Services (CMS). The formulary may
also depend on regional and national drug supplies, drug costs and available rebates,
and the presence of generic medications on the market. In short, the drug you want may
not be available in your facility or at a specific pharmacy. This can affect your choice in
medications. Become familiar with the formulary where you are employed and know that
it can change over time. Often there are substitutes or similar medications you can
order in place of what you originally intended.
Polypharmacy - ANSWERPolypharmacy greatly increases the risk for interactions.
Some of these interactions are negligible, but some can have life-threatening
MODULE 1 LECTURES EXAM 100%
ACCURATE 2025
, When writing any prescription, there are key elements that must be on the prescription
including prescriber name, license number, and contact information; DEA number of
both the supervising physician and the prescriber if applicable; patient name and date of
birth; patient allergies; the name of the medication; the indication of the medication; the
strength of the medication; the dosing frequency; number of tablets/capsules to
dispense; and the number of refills. Abbreviations are no longer acceptable. Everything
should be written out. Example: 25 milligrams once daily by mouth for hypertension.
And If you are using an electronic medical record for prescriptions, these are going to
automatically be on there in some instances, but other instances you may need to add
them. You will have assignments in this course involving writing prescriptions. Students
get confused when it comes to the SIG on the prescription. Sig st - ANSWER
What is prescriptive authority? - ANSWERThe ability and extent of NP's ability to
prescribe medication to patient is dependent on state nurse practice act
Wall EE EA has ruled that nurses in advanced practice roles may obtain registered
members, state practice acts dictate the level of prescriptive authority allowed
Components of prescriptive authority - ANSWERare the right to prescribe
independently, and the right to prescribe without limitation. The prescriber who
prescribes independently is not subject to rules requiring physician supervision or
collaboration. The provider who prescribes without limitation may prescribe any drugs,
including controlled drugs, with the exception of Schedule 1 drugs, which have no
current medical use.
Prescriptive authority is determined by state law. As a result - - ANSWERof difference
from state to state advanced practice providers may have full prescriptive authority in
some states, yet face a lot of restrictions in other states. Texas, unfortunately, is a state
where we are restricted. The differences particularly affect providers who serve in locum
tenems staffing positions, or who have practices in two contiguous states. The
regulation of prescriptive authority is under the jurisdiction of a health professional
board. This may be the state board of nursing, state board of medicine, or the state
board of pharmacy as determined by each state. Although the federal government
controls drug regulation, it has no control over prescriptive authority.
What is the argument for full prescriptive authority? - ANSWERAdvanced practice
providers complete rigorous programs of study largely in accredited programs that meet
stringent national standards. Although there are differences in each program, they all
include common components. For example, they require extensive education focused
on assessment, diagnosis, and management of health problems. Diagnostic reasoning,
critical thinking and procedural skills are evaluated in both didactic and clinical courses.
National examinations validate the ability to provide safe and competent care, and
, licensure ensures that providers comply with standards of practice that promote public
health and safety. Advanced practice providers are prepared to fully implement the
advanced practice role in their profession.
Limited prescriptive authority creates a number of barriers. What are some of those
barriers? - ANSWERIt creates barriers to quality, affordable and accessible patient care.
An example is restrictions on the distance of the APRN from the physician providing
supervision or collaboration may prevent outreach to areas that have the greatest need.
A requirement to obtain the physician's co-signature on prescriptions can increase
patient waits. Despite the use of terms such as collaborative arrangements. These
relationships create a situation in which one partner holds all the power. It is estimated
that by the year 2025, the physician shortage will be between 46,100 to 90,400. In
primary care alone a 12,500 to 31,100 physician shortage is anticipated. APRN's with
full prescriptive authority would help offset the shortage and meet the future needs of
healthcare demands.
Many factors are involved when considering drug selection. Some include - -
ANSWERcost, guidelines, liability interactions, side effects, allergies, liver and renal
function, need for monitoring, and special populations.
If you find that your patient is having difficulty purchasing the prescribed medications,
what should you do? - ANSWERconsider changing pharmacies or drug regimens. The
cost of a drug can vary widely between pharmacies, even within the same city. Many
corporations have created generic $4 lists or special prescription programs that allow
patients to fill their medications for a reasonable cost. When in doubt, follow current
guidelines for the treatment of a particular disease or symptom. Almost all medical and
nursing societies have published guidelines, including the American Heart Association,
the American College of Cardiology, the Infectious Diseases Society of America, and
the American Diabetes Association. It is the provider's responsibility to keep abreast of
new recommendations or changes in guidelines and to incorporate these into their
prescribing practices. Although closely following the guidelines is desirable, we must
always take into account that our patients may not fit well into these guidelines and that
individualized care is always best. In these cases, it is important to document the
rationale for deviating from standard of care. Every facility and pharmacy provide drugs
according to a formulary. This formulary is selected by a panel of pharmacists and
providers and may be subject to following guidelines created by regulatory agencies,
such as the Centers for Medicare and Medicaid Services (CMS). The formulary may
also depend on regional and national drug supplies, drug costs and available rebates,
and the presence of generic medications on the market. In short, the drug you want may
not be available in your facility or at a specific pharmacy. This can affect your choice in
medications. Become familiar with the formulary where you are employed and know that
it can change over time. Often there are substitutes or similar medications you can
order in place of what you originally intended.
Polypharmacy - ANSWERPolypharmacy greatly increases the risk for interactions.
Some of these interactions are negligible, but some can have life-threatening
