Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
1.
Reference: Ch. 1, Section: Prescriptive Authority
Question Stem: A state's revised Nurse Practice Act grants
APRNs full independent prescriptive authority, including
Schedule II controlled substances, without a collaborative
agreement with a physician. This authority is primarily derived
from which of the following?
Options:
A) Federal DEA regulations
B) The state's legislative and regulatory bodies
C) Hospital privileging and credentialing committees
D) The American Nurses Association (ANA) Scope and Standards
of Practice
Correct Answer: B
Rationales:
• Correct: Prescriptive authority for APRNs is granted and
defined at the state level by legislative statutes (Nurse
Practice Acts) and the rules and regulations of state boards
of nursing. These laws supersede institutional policy and
professional organization standards.
, • Incorrect A: The DEA regulates the prescribing of
controlled substances at the federal level, but an APRN
must first have the state-level authority to prescribe before
they can obtain a DEA registration.
• Incorrect C: Hospital committees grant privileges based on
existing state authority; they are not the source of the legal
authority itself.
• Incorrect D: The ANA sets professional standards but does
not confer legal prescriptive authority.
Teaching Point: State Nurse Practice Acts are the legal
foundation 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,
Prescriptive Authority.
2.
Reference: Ch. 1, Section: The Role of the Advanced Practice
Nurse as Prescriber
Question Stem: When initiating pharmacotherapy for a new
patient, the advanced practice nurse prescriber integrates
which of the following frameworks to ensure a comprehensive
and patient-centered approach?
Options:
A) A framework focused solely on the patient's chief complaint
and diagnosis.
B) A holistic framework incorporating diagnosis, patient goals,
,comorbidities, and social determinants of health.
C) A standardized framework based on national treatment
guidelines for the diagnosed condition.
D) A cost-containment framework prioritizing generic and
formulary medications.
Correct Answer: B
Rationales:
• Correct: The APRN prescriber role is holistic, requiring
integration of the patient's diagnosis, personal treatment
goals, financial situation, health literacy, cultural beliefs,
and comorbidities to create an effective and safe
therapeutic plan.
• Incorrect A: This is a reductionist, disease-centered
approach that does not fulfill the comprehensive role of
the APRN.
• Incorrect C: While guidelines are important, they must be
adapted to the individual patient's context and are not a
standalone framework.
• Incorrect D: Cost is one important factor, but it should not
be the primary or sole driver of the prescribing framework.
Teaching Point: APRN prescribing integrates medical
diagnosis with a holistic assessment of the patient.
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
Role of the Advanced Practice Nurse as Prescriber.
, 3.
Reference: Ch. 1, Section: The Prescribing Process
Question Stem: An APRN is considering prescribing a
medication for a patient. Which action represents the
"Therapeutic Decision-Making" phase of the prescribing
process?
Options:
A) Educating the patient on the potential side effects and
expected benefits of the chosen drug.
B) Selecting a specific drug, dose, and formulation based on
patient-specific factors.
C) Gathering a complete medication history, including over-the-
counter supplements.
D) Scheduling a follow-up appointment to assess the drug's
effectiveness.
Correct Answer: B
Rationales:
• Correct: Therapeutic decision-making involves synthesizing
assessment data to select the most appropriate drug,
dosage, route, and duration of therapy.
• Incorrect A: This is part of the patient education and
information sharing phase, which occurs after the
therapeutic decision has been made.
• Incorrect C: This is part of the patient assessment and
information gathering phase, which precedes therapeutic
decision-making.
Nurse Prescribers with Davis Edge
6th Edition
1.
Reference: Ch. 1, Section: Prescriptive Authority
Question Stem: A state's revised Nurse Practice Act grants
APRNs full independent prescriptive authority, including
Schedule II controlled substances, without a collaborative
agreement with a physician. This authority is primarily derived
from which of the following?
Options:
A) Federal DEA regulations
B) The state's legislative and regulatory bodies
C) Hospital privileging and credentialing committees
D) The American Nurses Association (ANA) Scope and Standards
of Practice
Correct Answer: B
Rationales:
• Correct: Prescriptive authority for APRNs is granted and
defined at the state level by legislative statutes (Nurse
Practice Acts) and the rules and regulations of state boards
of nursing. These laws supersede institutional policy and
professional organization standards.
, • Incorrect A: The DEA regulates the prescribing of
controlled substances at the federal level, but an APRN
must first have the state-level authority to prescribe before
they can obtain a DEA registration.
• Incorrect C: Hospital committees grant privileges based on
existing state authority; they are not the source of the legal
authority itself.
• Incorrect D: The ANA sets professional standards but does
not confer legal prescriptive authority.
Teaching Point: State Nurse Practice Acts are the legal
foundation 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,
Prescriptive Authority.
2.
Reference: Ch. 1, Section: The Role of the Advanced Practice
Nurse as Prescriber
Question Stem: When initiating pharmacotherapy for a new
patient, the advanced practice nurse prescriber integrates
which of the following frameworks to ensure a comprehensive
and patient-centered approach?
Options:
A) A framework focused solely on the patient's chief complaint
and diagnosis.
B) A holistic framework incorporating diagnosis, patient goals,
,comorbidities, and social determinants of health.
C) A standardized framework based on national treatment
guidelines for the diagnosed condition.
D) A cost-containment framework prioritizing generic and
formulary medications.
Correct Answer: B
Rationales:
• Correct: The APRN prescriber role is holistic, requiring
integration of the patient's diagnosis, personal treatment
goals, financial situation, health literacy, cultural beliefs,
and comorbidities to create an effective and safe
therapeutic plan.
• Incorrect A: This is a reductionist, disease-centered
approach that does not fulfill the comprehensive role of
the APRN.
• Incorrect C: While guidelines are important, they must be
adapted to the individual patient's context and are not a
standalone framework.
• Incorrect D: Cost is one important factor, but it should not
be the primary or sole driver of the prescribing framework.
Teaching Point: APRN prescribing integrates medical
diagnosis with a holistic assessment of the patient.
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
Role of the Advanced Practice Nurse as Prescriber.
, 3.
Reference: Ch. 1, Section: The Prescribing Process
Question Stem: An APRN is considering prescribing a
medication for a patient. Which action represents the
"Therapeutic Decision-Making" phase of the prescribing
process?
Options:
A) Educating the patient on the potential side effects and
expected benefits of the chosen drug.
B) Selecting a specific drug, dose, and formulation based on
patient-specific factors.
C) Gathering a complete medication history, including over-the-
counter supplements.
D) Scheduling a follow-up appointment to assess the drug's
effectiveness.
Correct Answer: B
Rationales:
• Correct: Therapeutic decision-making involves synthesizing
assessment data to select the most appropriate drug,
dosage, route, and duration of therapy.
• Incorrect A: This is part of the patient education and
information sharing phase, which occurs after the
therapeutic decision has been made.
• Incorrect C: This is part of the patient assessment and
information gathering phase, which precedes therapeutic
decision-making.
