TABLE OF CONTENTS
• The Role of the Nurse Practitioner
• Review of Basic Principles of Pharmacology
• Rational Drug Selection
• Legal and Professional Issues in Prescribing
• Adverse Drug Reactions
• Pharmacoeconomics
• Nutrition and Nutraceuticals
• Herbal Therapy and Nutritional Supplements
• Informatics
• Drugs Affecting the Autonomic Nervous System
• Drugs Affecting the Cardiovascular System
• Drugs Affecting the Renal System
• Drugs Affecting the Respiratory System
• Drugs Affecting the Gastrointestinal System
• Drugs Affecting the Endocrine System
• Drugs Affecting the Reproductive System
• Drugs Affecting the Musculoskeletal System
• Drugs Affecting the Central Nervous System
• Drugs Affecting the Hematologic System
• Drugs Affecting the Immune System
• Drugs Affecting the Integumentary System
• Drugs Affecting the Ophthalmic and Otic Systems
,• Drugs Affecting the Pain Pathway
• Drugs Used to Treat Infections
• Drugs Used in Cancer Treatment
• Drugs Used in Psychiatric and Behavioral Disorders
• Drugs Used in Substance Use Disorders
• Drugs Used in Pediatrics
• Drugs Used in Geriatrics
• Drugs Used in Women’s Health
• Drugs Used in Men’s Health
, Chapter 1. The Role of the Nurse Practitioner
Q1.
Prescriptive authority for Nurse Practitioners (NPs) in the United States is primarily regulated by:
a. The U.S. Drug Enforcement Administration (DEA)
b. The National Council of State Boards of Nursing (NCSBN)
c. Each state’s Board of Nursing
d. The Centers for Medicare & Medicaid Services (CMS)
Answer: c. Each state’s Board of Nursing
Rationale: Prescriptive authority is not uniform nationwide; it is regulated at the state level. Some states allow full
independent prescribing, while others require collaborative agreements. DEA regulates controlled substances but not
general prescribing authority.
Q2.
An NP understands that full practice authority means:
a. Independent prescribing of controlled substances only
b. Autonomy in diagnosing, prescribing, and managing patient care without physician oversight
c. The ability to prescribe only within hospital systems
d. A national standardized prescribing license
Answer: b. Autonomy in diagnosing, prescribing, and managing patient care without physician oversight
Rationale: Full practice authority allows NPs to evaluate, diagnose, interpret tests, initiate treatments, and prescribe
without mandated physician supervision.
Q3.
Which of the following is a major advantage of NP prescribing compared to physician prescribing?
a. NPs always prescribe fewer narcotics
b. NPs always prescribe cheaper medications
c. NPs integrate holistic, patient-centered approaches into prescribing
d. NPs rely more heavily on pharmaceutical samples
Answer: c. NPs integrate holistic, patient-centered approaches into prescribing
Rationale: NPs are trained in a holistic model, emphasizing patient involvement, education, and long-term wellness
when making prescribing decisions.