NR565 MIDTERM STUDY GUIDE WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
1. APRN prescribing Prescriptive authority for nurse practitioners also regulates
prescribing rights
role beyond medications and controlled substances. These rights include
therapeutic devices and services and are outlined in state practice laws
and regulations and include Durable Medical Equipment (DME) such as
wheelchairs, power scooters, hospital beds, portable oxygen equipment,
handicap placards, etc. and medical services such as Physical Therapy
(PT), Occupational Therapy (OT), home health services, etc. Prescriptive
authority encompasses more than writing a prescription correctly. It
requires adherence to ethical guidelines to ensure that patients are
safeguarded from harm. Ethical prescribing starts with being well-
informed about medications. Mechanism of action, eflcacy, and safety
are important considera- tions, as are a patient's distinct needs and
circumstances, including the number of medications prescribed (Mitchell &
Oliphant, 2016). Most patients receiving a pre- scription are taking other
medications, whether prescription or over-the-counter. Appropriate
2. benefits of selection, dosing, and duration of pharmaceutical agents are key to
full maximizing outcomes and minimizing adverse ettects
Nurse practitioners have the autonomy to evaluate patients, diagnose, order
and
practice authority interpret tests, initiate and manage treatments and prescribe
medications, includ- ing controlled substances without physician
oversight
3. promoting Administering medications and prescribing medications are two distinct
pos- itive process- es. Prescription writing requires prudent and deliberate decision-
outcomes
making process- es to maintain patient safety and reduce liability,
through
including:
prudent
prescribing *documentation of a provider-patient relationship for the recipient of the
prac- tices
pre- scribed medications
1/
27
, NR565 MIDTERM STUDY GUIDE WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
*documentation of a
thorough history and
physical examination for the
recipient
*documentation of
discussions regarding risk
factors, side ettects, or
therapy options
*documentation of drug
monitoring or titration plan,
if applicable
2/
27
, NR565 MIDTERM STUDY GUIDE WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
*documentation of consultations, if any
avoidance of prescribing medications for self, family, or friends
Rational drug selection requires a logical approach that includes the
formulation of a diagnosis based on clinical reasoning and the selection
and monitoring of the most appropriate pharmacological treatment
Considerations include: Cost, guidelines, availability, interactions, side
ettects, al- lergies, hepatic/renal functions, need for monitoring, &
special populations
4. Beer's Criteria identifies drugs with a high likelihood of causing adverse ettects in
older adults. Accordingly, drugs on this list should generally be avoided
in adults older than 65 years except when the benefits are significantly
greater than the risks.
5. Pharmacodynam- the study of the biochemical and physiologic ettects of drugs on the
body and the
ics molecular mechanisms by which those ettects are produced
6. Pharmacokine the study of drug movement throughout the body
t- ics
7. Pharmacoge the study of how genes attect a person's response to drugs. The purpose of
- nomics this is to combine the sciences of genomics and pharmacology to provide
individualized, targeted, safe drug therapies to patients
8. CYP450 inducers Inducers are xenobiotics (medications and environmental agents) that
elevate CYP450 enzyme activity by increasing enzyme synthesis. This
action leads to ad- ditional sites available for biotransformation. The
increased number of sites en- hances medication metabolism,
decreasing the concentration of the "parent drug" while increasing
metabolite production.
3/
27
VERIFIED ANSWERS (UPDATED TO PASS)
1. APRN prescribing Prescriptive authority for nurse practitioners also regulates
prescribing rights
role beyond medications and controlled substances. These rights include
therapeutic devices and services and are outlined in state practice laws
and regulations and include Durable Medical Equipment (DME) such as
wheelchairs, power scooters, hospital beds, portable oxygen equipment,
handicap placards, etc. and medical services such as Physical Therapy
(PT), Occupational Therapy (OT), home health services, etc. Prescriptive
authority encompasses more than writing a prescription correctly. It
requires adherence to ethical guidelines to ensure that patients are
safeguarded from harm. Ethical prescribing starts with being well-
informed about medications. Mechanism of action, eflcacy, and safety
are important considera- tions, as are a patient's distinct needs and
circumstances, including the number of medications prescribed (Mitchell &
Oliphant, 2016). Most patients receiving a pre- scription are taking other
medications, whether prescription or over-the-counter. Appropriate
2. benefits of selection, dosing, and duration of pharmaceutical agents are key to
full maximizing outcomes and minimizing adverse ettects
Nurse practitioners have the autonomy to evaluate patients, diagnose, order
and
practice authority interpret tests, initiate and manage treatments and prescribe
medications, includ- ing controlled substances without physician
oversight
3. promoting Administering medications and prescribing medications are two distinct
pos- itive process- es. Prescription writing requires prudent and deliberate decision-
outcomes
making process- es to maintain patient safety and reduce liability,
through
including:
prudent
prescribing *documentation of a provider-patient relationship for the recipient of the
prac- tices
pre- scribed medications
1/
27
, NR565 MIDTERM STUDY GUIDE WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
*documentation of a
thorough history and
physical examination for the
recipient
*documentation of
discussions regarding risk
factors, side ettects, or
therapy options
*documentation of drug
monitoring or titration plan,
if applicable
2/
27
, NR565 MIDTERM STUDY GUIDE WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
*documentation of consultations, if any
avoidance of prescribing medications for self, family, or friends
Rational drug selection requires a logical approach that includes the
formulation of a diagnosis based on clinical reasoning and the selection
and monitoring of the most appropriate pharmacological treatment
Considerations include: Cost, guidelines, availability, interactions, side
ettects, al- lergies, hepatic/renal functions, need for monitoring, &
special populations
4. Beer's Criteria identifies drugs with a high likelihood of causing adverse ettects in
older adults. Accordingly, drugs on this list should generally be avoided
in adults older than 65 years except when the benefits are significantly
greater than the risks.
5. Pharmacodynam- the study of the biochemical and physiologic ettects of drugs on the
body and the
ics molecular mechanisms by which those ettects are produced
6. Pharmacokine the study of drug movement throughout the body
t- ics
7. Pharmacoge the study of how genes attect a person's response to drugs. The purpose of
- nomics this is to combine the sciences of genomics and pharmacology to provide
individualized, targeted, safe drug therapies to patients
8. CYP450 inducers Inducers are xenobiotics (medications and environmental agents) that
elevate CYP450 enzyme activity by increasing enzyme synthesis. This
action leads to ad- ditional sites available for biotransformation. The
increased number of sites en- hances medication metabolism,
decreasing the concentration of the "parent drug" while increasing
metabolite production.
3/
27
