Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Roles & Responsibilities of APRN
Prescribers
Question Stem: A 42-year-old patient asks whether their nurse
practitioner (NP) can independently prescribe controlled
substances in your state. As an APRN prescriber, which
statement best reflects the appropriate first step?
Options:
A. Tell the patient you can prescribe any scheduled medication
without restriction.
B. Explain that prescribing authority depends on state scope-of-
practice laws and practice agreements.
C. Inform the patient that federal law prohibits APRNs from
prescribing Schedule II drugs.
D. Advise the patient that only physicians may prescribe
controlled substances.
Correct Answer: B
Rationales:
, • B (Correct): APRN prescriptive authority varies by state and
frequently depends on scope-of-practice statutes,
licensure, and collaborative or supervisory agreements;
NPs must verify state rules before prescribing. This aligns
with the chapter’s emphasis on legal/regulatory variability.
F. A. Davis
• A: Overstating authority is unsafe and incorrect; APRN
authority is not universally unlimited.
• C: Federal law does allow qualified APRNs to prescribe
Schedule II drugs when authorized under state law and
DEA registration; federal prohibition is incorrect.
• D: This is false; many states authorize APRNs to prescribe
controlled substances within regulations.
Teaching Point: Verify state laws and practice agreements
before prescribing controlled substances.
Citation: Ch. 1, Roles & Responsibilities. (Woo & Wright,
6th ed.). F. A. Davis
2
Reference: Ch. 1, Section: Legal & Professional Issues in
Prescribing
Question Stem: During a chart review you notice an APRN in
your clinic wrote a prescription but did not document patient
counseling about risks. What is the best immediate action for
safe practice and legal protection?
,Options:
A. Assume counseling occurred because the patient signed the
consent form.
B. Add a retrospective note documenting the counseling
content and patient understanding.
C. Remove the prescription from the record to avoid liability.
D. Ignore it; documentation is optional if the medication is
routine.
Correct Answer: B
Rationales:
• B (Correct): Accurate, contemporaneous documentation
(or an explained retrospective entry when necessary) of
counseling and informed consent protects patient safety
and legal accountability, consistent with chapter guidance
on documentation. F. A. Davis
• A: Assuming is unsafe — signed forms do not replace
documented counseling specifics.
• C: Removing prescriptions is inappropriate and may harm
continuity of care.
• D: Documentation is required standard practice and not
optional.
Teaching Point: Always document patient counseling and
informed consent thoroughly.
Citation: Ch. 1, Legal & Professional Issues. F. A. Davis
, 3
Reference: Ch. 1, Section: Collaborative Practice & Supervision
Agreements
Question Stem: An NP in a state with reduced practice
authority is negotiating a collaborative practice agreement.
Which element is most important to include to support safe
prescribing?
Options:
A. A clause allowing unlimited independent prescribing of any
medication.
B. Specific protocols for prescriptive authority, referral, and
emergency coverage.
C. Language stating the collaborating physician has no role in
patient care.
D. A stipulation that the NP must obtain physician approval for
all over-the-counter medicines.
Correct Answer: B
Rationales:
• B (Correct): Effective collaborative agreements include
explicit protocols for the NP’s prescriptive scope, referral
processes, and coverage to ensure patient safety and
regulatory compliance. This reflects chapter
recommendations for clear agreements. F. A. Davis
• A: Granting unlimited authority is not feasible where state
laws limit practice.
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Roles & Responsibilities of APRN
Prescribers
Question Stem: A 42-year-old patient asks whether their nurse
practitioner (NP) can independently prescribe controlled
substances in your state. As an APRN prescriber, which
statement best reflects the appropriate first step?
Options:
A. Tell the patient you can prescribe any scheduled medication
without restriction.
B. Explain that prescribing authority depends on state scope-of-
practice laws and practice agreements.
C. Inform the patient that federal law prohibits APRNs from
prescribing Schedule II drugs.
D. Advise the patient that only physicians may prescribe
controlled substances.
Correct Answer: B
Rationales:
, • B (Correct): APRN prescriptive authority varies by state and
frequently depends on scope-of-practice statutes,
licensure, and collaborative or supervisory agreements;
NPs must verify state rules before prescribing. This aligns
with the chapter’s emphasis on legal/regulatory variability.
F. A. Davis
• A: Overstating authority is unsafe and incorrect; APRN
authority is not universally unlimited.
• C: Federal law does allow qualified APRNs to prescribe
Schedule II drugs when authorized under state law and
DEA registration; federal prohibition is incorrect.
• D: This is false; many states authorize APRNs to prescribe
controlled substances within regulations.
Teaching Point: Verify state laws and practice agreements
before prescribing controlled substances.
Citation: Ch. 1, Roles & Responsibilities. (Woo & Wright,
6th ed.). F. A. Davis
2
Reference: Ch. 1, Section: Legal & Professional Issues in
Prescribing
Question Stem: During a chart review you notice an APRN in
your clinic wrote a prescription but did not document patient
counseling about risks. What is the best immediate action for
safe practice and legal protection?
,Options:
A. Assume counseling occurred because the patient signed the
consent form.
B. Add a retrospective note documenting the counseling
content and patient understanding.
C. Remove the prescription from the record to avoid liability.
D. Ignore it; documentation is optional if the medication is
routine.
Correct Answer: B
Rationales:
• B (Correct): Accurate, contemporaneous documentation
(or an explained retrospective entry when necessary) of
counseling and informed consent protects patient safety
and legal accountability, consistent with chapter guidance
on documentation. F. A. Davis
• A: Assuming is unsafe — signed forms do not replace
documented counseling specifics.
• C: Removing prescriptions is inappropriate and may harm
continuity of care.
• D: Documentation is required standard practice and not
optional.
Teaching Point: Always document patient counseling and
informed consent thoroughly.
Citation: Ch. 1, Legal & Professional Issues. F. A. Davis
, 3
Reference: Ch. 1, Section: Collaborative Practice & Supervision
Agreements
Question Stem: An NP in a state with reduced practice
authority is negotiating a collaborative practice agreement.
Which element is most important to include to support safe
prescribing?
Options:
A. A clause allowing unlimited independent prescribing of any
medication.
B. Specific protocols for prescriptive authority, referral, and
emergency coverage.
C. Language stating the collaborating physician has no role in
patient care.
D. A stipulation that the NP must obtain physician approval for
all over-the-counter medicines.
Correct Answer: B
Rationales:
• B (Correct): Effective collaborative agreements include
explicit protocols for the NP’s prescriptive scope, referral
processes, and coverage to ensure patient safety and
regulatory compliance. This reflects chapter
recommendations for clear agreements. F. A. Davis
• A: Granting unlimited authority is not feasible where state
laws limit practice.
