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NR565 Week 1 Midterm study guide
Advanced Pharmacology Fundamentals (Chamberlain University)
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Week 1: Midterm study guide
Tuesday, April 29, 2025 1:14 AM
Week 1:
Chapter 1: Prescriptive Authority
• State laws impact on prescriptive authority
○ Prescriptive authority is primarily governed by state laws.
○ Laws determine whether an APRN or a PN can prescribe medications independently or must
do so under physician supervision.
○ Some states have full prescriptive authority, allowing them to prescribe medications,
including controlled substances, without physician oversight.
○ Some states may require collaborative agreements with physicians, limiting scope of
prescriptive authority.
• Full Practice Authority
○ "Full Practice Authority" refers to the legal rights of an APRN and PA to prescribe
medications independently and without limitations imposed by physician oversight.
○ The autonomy encompasses the ability to assess patients, diagnosis conditions, interpret
diagnostic tests, and initiate and manage treatments, including prescribing medications.
○ Full prescriptive authority enables APRNs and PAs to provide comprehensive care in
underserved areas where access to physicians may be limited.
○ Full practice authority is supported by the advanced clinical education, national certification,
and licensure standards that ensure these providers are qualified to deliver safe and
effective care.
• Role: Prescriptive Authority
○ The legal right to prescribe drugs.
Chapter 2: Rational Drug Selection and Prescription Writing
• Assessing drug interactions
○ Polypharmacy increases risk of interactions.
○ Crucial importance: ask the pt about all current drugs, including OTC meds and herbal
preparations.
○ Always check for interactions; low risk medications may be acceptable, discuss with pt,
document conversation, then prescribe medication. If there is relative or absolute
contraindication, choose an alternative.
• Prescriptions
○ Necessities
§ Prescriber name, license number, contact info
§ Prescriber US DEA number
§ Patient name & DOB
§ Pt allergies
§ Name of medication
§ Indication of medication (ex: labetalol for HTN)
§ Medication strength (ex: 25 mg, 500mg/mL)
§ Dose and frequency (ex: 12.5mg once daily)
§ Number of tablets or capsules to dispense
§ Number of refills
○ If using EMR, many elementsbyare
Downloaded mandatory
CHUNXU for provider, but many already completed by
XIA ()
NR565 Week 1 Midterm study guide
Advanced Pharmacology Fundamentals (Chamberlain University)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by CHUNXU XIA ()
, lOMoARcPSD|46788506
Week 1: Midterm study guide
Tuesday, April 29, 2025 1:14 AM
Week 1:
Chapter 1: Prescriptive Authority
• State laws impact on prescriptive authority
○ Prescriptive authority is primarily governed by state laws.
○ Laws determine whether an APRN or a PN can prescribe medications independently or must
do so under physician supervision.
○ Some states have full prescriptive authority, allowing them to prescribe medications,
including controlled substances, without physician oversight.
○ Some states may require collaborative agreements with physicians, limiting scope of
prescriptive authority.
• Full Practice Authority
○ "Full Practice Authority" refers to the legal rights of an APRN and PA to prescribe
medications independently and without limitations imposed by physician oversight.
○ The autonomy encompasses the ability to assess patients, diagnosis conditions, interpret
diagnostic tests, and initiate and manage treatments, including prescribing medications.
○ Full prescriptive authority enables APRNs and PAs to provide comprehensive care in
underserved areas where access to physicians may be limited.
○ Full practice authority is supported by the advanced clinical education, national certification,
and licensure standards that ensure these providers are qualified to deliver safe and
effective care.
• Role: Prescriptive Authority
○ The legal right to prescribe drugs.
Chapter 2: Rational Drug Selection and Prescription Writing
• Assessing drug interactions
○ Polypharmacy increases risk of interactions.
○ Crucial importance: ask the pt about all current drugs, including OTC meds and herbal
preparations.
○ Always check for interactions; low risk medications may be acceptable, discuss with pt,
document conversation, then prescribe medication. If there is relative or absolute
contraindication, choose an alternative.
• Prescriptions
○ Necessities
§ Prescriber name, license number, contact info
§ Prescriber US DEA number
§ Patient name & DOB
§ Pt allergies
§ Name of medication
§ Indication of medication (ex: labetalol for HTN)
§ Medication strength (ex: 25 mg, 500mg/mL)
§ Dose and frequency (ex: 12.5mg once daily)
§ Number of tablets or capsules to dispense
§ Number of refills
○ If using EMR, many elementsbyare
Downloaded mandatory
CHUNXU for provider, but many already completed by
XIA ()
