Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
1.
Reference: Ch. 1, Section: The Advanced Practice Registered
Nurse (APRN) as Prescriber
Question Stem: A new graduate Family Nurse Practitioner (FNP)
is preparing to apply for prescriptive authority in a state with
reduced-practice authority. Which element is most critical for
this FNP to secure before initiating prescription writing?
Options:
A) A collaborative agreement with a physician for diagnosis and
prescribing.
B) A personal federal Drug Enforcement Administration (DEA)
number for controlled substances.
C) Hospital privileges at the local medical center.
D) National certification from the American Nurses
Credentialing Center (ANCC).
Correct Answer: A
Rationales:
• Correct: In states with reduced-practice authority, APRNs
must have a collaborative agreement with a physician or
other provider to prescribe, diagnose, and/or treat
patients as a foundational requirement for practice.
, • Incorrect B: A DEA number is required for prescribing
controlled substances, but it is secondary to the
foundational state-level authority granted by the
collaborative agreement.
• Incorrect C: Hospital privileges are not a universal
requirement for all APRNs, especially those in outpatient
settings, and are not a prerequisite for state prescriptive
authority.
• Incorrect D: While national certification is required for
licensure as an APRN, the collaborative agreement is the
specific mechanism that enables prescribing within a
reduced-practice authority model.
Teaching Point: State law defines the collaborative
requirements for APRN prescriptive authority.
Citation: Woo, T. M., & Wright, W. L.
(2023). Pharmacotherapeutics for Advanced Practice Nurse
Prescribers with Davis Edge (6th ed.). F.A. Davis. Ch. 1.
2.
Reference: Ch. 1, Section: The APRN Consensus Model
Question Stem: An Acute Care Nurse Practitioner (ACNP) is
relocating from a state that has fully adopted the APRN
Consensus Model to one that has not. What is the most
significant implication for this ACNP's ability to obtain
prescriptive authority?
Options:
A) The ACNP may be required to retake the national
,certification examination.
B) The scope of prescribing, including controlled substances,
may be restricted or require additional agreements.
C) The ACNP will be limited to prescribing only within federal
facilities like VA hospitals.
D) The ACNP's educational preparation will be deemed
insufficient for prescribing.
Correct Answer: B
Rationales:
• Correct: States that have not fully implemented the
Consensus Model may have varying, and often more
restrictive, regulations regarding APRN prescribing,
particularly for controlled substances, requiring physician
collaboration or supervision.
• Incorrect A: National certification is typically portable,
though state licensure requirements differ. Retesting is not
a common requirement.
• Incorrect C: While some federal facilities have unique
rules, state law primarily governs prescriptive authority for
most practice settings.
• Incorrect D: Accreditation standards for APRN education
are national, so the preparation is recognized, but the state
determines how that education is applied.
Teaching Point: The APRN Consensus Model aims to
standardize licensure, accreditation, and prescriptive
authority across states.
, Citation: Woo, T. M., & Wright, W. L.
(2023). Pharmacotherapeutics for Advanced Practice Nurse
Prescribers with Davis Edge (6th ed.). F.A. Davis. Ch. 1.
3.
Reference: Ch. 1, Section: The Prescribing Process
Question Stem: During the prescribing process, an APRN
considers both the therapeutic objective and the patient's
financial constraints. This action best represents which phase of
the process?
Options:
A) Consideration of appropriate treatment strategy
B) Patient follow-up and monitoring
C) Patient education
D) Drug selection
Correct Answer: A
Rationales:
• Correct: The "Consideration of appropriate treatment
strategy" phase involves weighing the choice of drug and
non-drug therapy against factors like cost, patient
adherence, and potential adverse effects.
• Incorrect B: Follow-up and monitoring occur after the
prescription is written and the treatment has begun.
• Incorrect C: Patient education is a critical step that occurs
after the treatment strategy and drug have been selected.
Nurse Prescribers with Davis Edge
6th Edition
1.
Reference: Ch. 1, Section: The Advanced Practice Registered
Nurse (APRN) as Prescriber
Question Stem: A new graduate Family Nurse Practitioner (FNP)
is preparing to apply for prescriptive authority in a state with
reduced-practice authority. Which element is most critical for
this FNP to secure before initiating prescription writing?
Options:
A) A collaborative agreement with a physician for diagnosis and
prescribing.
B) A personal federal Drug Enforcement Administration (DEA)
number for controlled substances.
C) Hospital privileges at the local medical center.
D) National certification from the American Nurses
Credentialing Center (ANCC).
Correct Answer: A
Rationales:
• Correct: In states with reduced-practice authority, APRNs
must have a collaborative agreement with a physician or
other provider to prescribe, diagnose, and/or treat
patients as a foundational requirement for practice.
, • Incorrect B: A DEA number is required for prescribing
controlled substances, but it is secondary to the
foundational state-level authority granted by the
collaborative agreement.
• Incorrect C: Hospital privileges are not a universal
requirement for all APRNs, especially those in outpatient
settings, and are not a prerequisite for state prescriptive
authority.
• Incorrect D: While national certification is required for
licensure as an APRN, the collaborative agreement is the
specific mechanism that enables prescribing within a
reduced-practice authority model.
Teaching Point: State law defines the collaborative
requirements for APRN prescriptive authority.
Citation: Woo, T. M., & Wright, W. L.
(2023). Pharmacotherapeutics for Advanced Practice Nurse
Prescribers with Davis Edge (6th ed.). F.A. Davis. Ch. 1.
2.
Reference: Ch. 1, Section: The APRN Consensus Model
Question Stem: An Acute Care Nurse Practitioner (ACNP) is
relocating from a state that has fully adopted the APRN
Consensus Model to one that has not. What is the most
significant implication for this ACNP's ability to obtain
prescriptive authority?
Options:
A) The ACNP may be required to retake the national
,certification examination.
B) The scope of prescribing, including controlled substances,
may be restricted or require additional agreements.
C) The ACNP will be limited to prescribing only within federal
facilities like VA hospitals.
D) The ACNP's educational preparation will be deemed
insufficient for prescribing.
Correct Answer: B
Rationales:
• Correct: States that have not fully implemented the
Consensus Model may have varying, and often more
restrictive, regulations regarding APRN prescribing,
particularly for controlled substances, requiring physician
collaboration or supervision.
• Incorrect A: National certification is typically portable,
though state licensure requirements differ. Retesting is not
a common requirement.
• Incorrect C: While some federal facilities have unique
rules, state law primarily governs prescriptive authority for
most practice settings.
• Incorrect D: Accreditation standards for APRN education
are national, so the preparation is recognized, but the state
determines how that education is applied.
Teaching Point: The APRN Consensus Model aims to
standardize licensure, accreditation, and prescriptive
authority across states.
, Citation: Woo, T. M., & Wright, W. L.
(2023). Pharmacotherapeutics for Advanced Practice Nurse
Prescribers with Davis Edge (6th ed.). F.A. Davis. Ch. 1.
3.
Reference: Ch. 1, Section: The Prescribing Process
Question Stem: During the prescribing process, an APRN
considers both the therapeutic objective and the patient's
financial constraints. This action best represents which phase of
the process?
Options:
A) Consideration of appropriate treatment strategy
B) Patient follow-up and monitoring
C) Patient education
D) Drug selection
Correct Answer: A
Rationales:
• Correct: The "Consideration of appropriate treatment
strategy" phase involves weighing the choice of drug and
non-drug therapy against factors like cost, patient
adherence, and potential adverse effects.
• Incorrect B: Follow-up and monitoring occur after the
prescription is written and the treatment has begun.
• Incorrect C: Patient education is a critical step that occurs
after the treatment strategy and drug have been selected.
