complete detailed correct answers
Nurse practitioner prescriptive authority is regulated by - answer ✔✔-the state board of nursing
for each state
The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber
include - answer ✔✔-nurses care for the patient from a holistic approach and include the
patient in decision making regarding their care
Clinical Judgement in prescribing includes - answer ✔✔-factoring in the cost to the patient of
the medication
Criteria for choosing an effective drug for a disorder include - answer ✔✔-consulting nationally
recognized guidelines for disease management
Nurse practitioner practice may thrive under health-care reform because of - answer ✔✔-the
demonstrated ability of nurse practitioners to control costs and improve patient outcomes
A comprehensive assessment for a patient should be holistic when trying to determine
competence in drug administration. Which of the following factors would the NP omit from this
type of assessment - answer ✔✔-sexual practices
Elena Vasquez's primary language is Spanish, and she speaks very limited English. Which
technique would be appropriate to use in teaching her about a new drug you have just
, prescribed? - answer ✔✔-use a professional interpreter or a reliable staff member who can act
as an interpreter
Rod, age 68, has hearing difficulty. Which of the following would NOT be helpful in assuring that
he understands teaching about his drug - answer ✔✔-if he reads lips, exaggerate lips
movements when pronouncing the vowel sounds
Which of the following factors may adversely affect a patient's adherence to a therapeutic drug
regimen - answer ✔✔-both 1 and 2 (complexity of the drug regimen and patient perception of
the potential adverse effects of the drugs)
The health-care delivery system itself can create barriers to adherence to a treatment regimen.
Which of the following system variables creates such a barrier - answer ✔✔-increasing
copayments for care
Ralph's blood pressure remains elevated despite increased doses of his drug. The NP is
concerned that he might not be adhering to his treatment regimen. Which of the following
events would suggest that he might not be adherent - answer ✔✔-Ralph states that he always
takes the drug "when I feel my pressure is going up."
Nonadherence is especially common in drugs that treat asymptomatic conditions, such as
hypertension. One way to reduce the likelihood of nonadherence to these drugs is to prescribe
a drug that - answer ✔✔-Has a tolerability profile with fewer of the adverse effects that are
considered "irritating," such as nausea and dizziness
Factors in chronic conditions that contribute to nonadherence include - answer ✔✔-All of the
above (the complexity of the treatment regimen, the length of time over which it must be
taken, breaks in the usual daily routine, such as vacations and weekends)
While patient education about their drugs is important, information alone does not necessarily
lead to adherence to a drug regimen. Patients report greater adherence when - answer ✔✔-
Their concerns and specific area of knowledge deficit were addressed