Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
1.
Reference: Ch. 1, Section: The Advanced Practice Registered
Nurse (APRN) Consensus Model
Question Stem: A recent graduate from an accredited Family
Nurse Practitioner program has passed their national
certification exam. To obtain prescriptive authority in their
state, the nurse practitioner must now apply through which
primary governing body?
Options:
A) The American Nurses Credentialing Center (ANCC)
B) The State Board of Nursing
C) The Federal Drug Enforcement Administration (DEA)
D) The institution's pharmacy and therapeutics committee
Correct Answer: B
Rationales:
• Correct: B) The State Board of Nursing is the primary body
that grants licensure, authority to practice, and
prescriptive authority to APRNs within its jurisdiction, as
outlined by the state's Nurse Practice Act.
, • Incorrect A: The ANCC provides national certification,
which is a prerequisite for licensure, but it does not grant
the legal authority to prescribe.
• Incorrect C: The DEA grants registration to prescribe
controlled substances, but this is a separate, federal
process that occurs after state prescriptive authority is
granted.
• Incorrect D: A pharmacy and therapeutics committee is a
hospital-based committee that oversees medication use
within that specific institution and does not grant
prescriptive authority.
Teaching Point: Prescriptive authority is granted by the
state, not the federal government or certifying bodies.
Citation: Woo, T. M., & Wright, W. L.
(2023). Pharmacotherapeutics for Advanced Practice Nurse
Prescribers with Davis Edge (6th ed.). F.A. Davis. Ch. 1, The
Advanced Practice Registered Nurse (APRN) Consensus
Model.
2.
Reference: Ch. 1, Section: The Advanced Practice Registered
Nurse (APRN) Consensus Model
Question Stem: An APRN is licensed in a state that has fully
implemented the APRN Consensus Model. This means the
APRN's scope of practice, including prescribing, is recognized as
which of the following?
Options:
,A) Dependent, requiring a collaborative agreement with a
physician for all prescriptions.
B) Fully independent, without any mandated collaborative
agreements.
C) Supervised, where a physician must co-sign all prescriptions
within 72 hours.
D) Conditionally independent, based on the APRN's years of
clinical experience.
Correct Answer: B
Rationales:
• Correct: B) The goal of the APRN Consensus Model is to
standardize APRN education, certification, and licensure,
and it endorses full practice authority, which includes
independent prescribing without mandated physician
collaboration or supervision.
• Incorrect A, C, D: These options describe restrictive or
reduced practice authority, which are state-level variations
that the Consensus Model seeks to eliminate in favor of
full practice authority.
Teaching Point: The Consensus Model advocates for full,
independent practice and prescriptive authority for APRNs.
Citation: Woo, T. M., & Wright, W. L.
(2023). Pharmacotherapeutics for Advanced Practice Nurse
Prescribers with Davis Edge (6th ed.). F.A. Davis. Ch. 1, The
Advanced Practice Registered Nurse (APRN) Consensus
Model.
, 3.
Reference: Ch. 1, Section: The Prescribing Process
Question Stem: An APRN is considering prescribing a new
medication for a patient with hypertension. According to the
prescribing process, which action represents the "Therapeutic
Decision-Making" phase?
Options:
A) Educating the patient on the medication's dose, timing, and
potential side effects.
B) Considering patient-specific factors to select the most
appropriate drug from several suitable options.
C) Gathering data through a history, physical exam, and review
of diagnostics.
D) Scheduling a follow-up appointment to assess the drug's
effectiveness and safety.
Correct Answer: B
Rationales:
• Correct: B) Therapeutic decision-making involves
synthesizing patient data, considering the diagnosis, and
selecting the best drug and regimen from available
alternatives.
• Incorrect A: This describes patient education, which is part
of the follow-up and monitoring phase.
• Incorrect C: This describes data collection, which is the
initial step in the prescribing process.
Nurse Prescribers with Davis Edge
6th Edition
1.
Reference: Ch. 1, Section: The Advanced Practice Registered
Nurse (APRN) Consensus Model
Question Stem: A recent graduate from an accredited Family
Nurse Practitioner program has passed their national
certification exam. To obtain prescriptive authority in their
state, the nurse practitioner must now apply through which
primary governing body?
Options:
A) The American Nurses Credentialing Center (ANCC)
B) The State Board of Nursing
C) The Federal Drug Enforcement Administration (DEA)
D) The institution's pharmacy and therapeutics committee
Correct Answer: B
Rationales:
• Correct: B) The State Board of Nursing is the primary body
that grants licensure, authority to practice, and
prescriptive authority to APRNs within its jurisdiction, as
outlined by the state's Nurse Practice Act.
, • Incorrect A: The ANCC provides national certification,
which is a prerequisite for licensure, but it does not grant
the legal authority to prescribe.
• Incorrect C: The DEA grants registration to prescribe
controlled substances, but this is a separate, federal
process that occurs after state prescriptive authority is
granted.
• Incorrect D: A pharmacy and therapeutics committee is a
hospital-based committee that oversees medication use
within that specific institution and does not grant
prescriptive authority.
Teaching Point: Prescriptive authority is granted by the
state, not the federal government or certifying bodies.
Citation: Woo, T. M., & Wright, W. L.
(2023). Pharmacotherapeutics for Advanced Practice Nurse
Prescribers with Davis Edge (6th ed.). F.A. Davis. Ch. 1, The
Advanced Practice Registered Nurse (APRN) Consensus
Model.
2.
Reference: Ch. 1, Section: The Advanced Practice Registered
Nurse (APRN) Consensus Model
Question Stem: An APRN is licensed in a state that has fully
implemented the APRN Consensus Model. This means the
APRN's scope of practice, including prescribing, is recognized as
which of the following?
Options:
,A) Dependent, requiring a collaborative agreement with a
physician for all prescriptions.
B) Fully independent, without any mandated collaborative
agreements.
C) Supervised, where a physician must co-sign all prescriptions
within 72 hours.
D) Conditionally independent, based on the APRN's years of
clinical experience.
Correct Answer: B
Rationales:
• Correct: B) The goal of the APRN Consensus Model is to
standardize APRN education, certification, and licensure,
and it endorses full practice authority, which includes
independent prescribing without mandated physician
collaboration or supervision.
• Incorrect A, C, D: These options describe restrictive or
reduced practice authority, which are state-level variations
that the Consensus Model seeks to eliminate in favor of
full practice authority.
Teaching Point: The Consensus Model advocates for full,
independent practice and prescriptive authority for APRNs.
Citation: Woo, T. M., & Wright, W. L.
(2023). Pharmacotherapeutics for Advanced Practice Nurse
Prescribers with Davis Edge (6th ed.). F.A. Davis. Ch. 1, The
Advanced Practice Registered Nurse (APRN) Consensus
Model.
, 3.
Reference: Ch. 1, Section: The Prescribing Process
Question Stem: An APRN is considering prescribing a new
medication for a patient with hypertension. According to the
prescribing process, which action represents the "Therapeutic
Decision-Making" phase?
Options:
A) Educating the patient on the medication's dose, timing, and
potential side effects.
B) Considering patient-specific factors to select the most
appropriate drug from several suitable options.
C) Gathering data through a history, physical exam, and review
of diagnostics.
D) Scheduling a follow-up appointment to assess the drug's
effectiveness and safety.
Correct Answer: B
Rationales:
• Correct: B) Therapeutic decision-making involves
synthesizing patient data, considering the diagnosis, and
selecting the best drug and regimen from available
alternatives.
• Incorrect A: This describes patient education, which is part
of the follow-up and monitoring phase.
• Incorrect C: This describes data collection, which is the
initial step in the prescribing process.
