Fully Solved.
Nurse practitioner prescriptive authority is regulated by - Answer the state board of nursing
for each state
The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber
include - Answer nurses care for the patient from a holistic approach and include the patient
in decision making regarding their care
Clinical Judgement in prescribing includes - Answer factoring in the cost to the patient of the
medication
Criteria for choosing an effective drug for a disorder include - Answer consulting nationally
recognized guidelines for disease management
Nurse practitioner practice may thrive under health-care reform because of - Answer the
demonstrated ability of nurse practitioners to control costs and improve patient outcomes
A comprehensive assessment for a patient should be holistic when trying to determine
competence in drug administration. Which of the following factors would the NP omit from this
type of assessment - Answer sexual practices
Elena Vasquez's primary language is Spanish, and she speaks very limited English. Which
technique would be appropriate to use in teaching her about a new drug you have just
prescribed? - Answer use a professional interpreter or a reliable staff member who can act as
an interpreter
Rod, age 68, has hearing difficulty. Which of the following would NOT be helpful in assuring that
he understands teaching about his drug - Answer if he reads lips, exaggerate lips movements
when pronouncing the vowel sounds
Which of the following factors may adversely affect a patient's adherence to a therapeutic drug
regimen - Answer both 1 and 2 (complexity of the drug regimen and patient perception of
the potential adverse effects of the drugs)
The health-care delivery system itself can create barriers to adherence to a treatment regimen.
Which of the following system variables creates such a barrier - Answer increasing
copayments for care
, Ralph's blood pressure remains elevated despite increased doses of his drug. The NP is
concerned that he might not be adhering to his treatment regimen. Which of the following
events would suggest that he might not be adherent - Answer Ralph states that he always
takes the drug "when I feel my pressure is going up."
Nonadherence is especially common in drugs that treat asymptomatic conditions, such as
hypertension. One way to reduce the likelihood of nonadherence to these drugs is to prescribe
a drug that - Answer Has a tolerability profile with fewer of the adverse effects that are
considered "irritating," such as nausea and dizziness
Factors in chronic conditions that contribute to nonadherence include - Answer All of the
above (the complexity of the treatment regimen, the length of time over which it must be
taken, breaks in the usual daily routine, such as vacations and weekends)
While patient education about their drugs is important, information alone does not necessarily
lead to adherence to a drug regimen. Patients report greater adherence when - Answer Their
concerns and specific area of knowledge deficit were addressed
Patients with psychiatric illnesses have adherence rates to their drug regimen between 35% and
60%. To improve adherence in this population, prescribe drugs - Answer with a longer half-
life so that missed doses produce a longer taper on the drug curve
Many disorders require multiple drugs to treat them. The more complex the drug regimen, the
less likely the patient will adhere to it. Which of the following interventions will NOT improve
adherence - Answer Give the patient a clear drug schedule that the provider devises to fit the
characteristic of the drug
Pharmacologic interventions are costly. Patients for whom the cost/benefit variable is especially
important include - Answer older adults and those on fixed incomes
Providers have a responsibility for determining the best plan of care, but patients also have
responsibilities. Patients the provider can be assured will carry through on these responsibilities
include those who - Answer None of the above guarantee adherence (are well-educated and
affluent, have chronic conditions, self-monitor drug effects on their symptoms)
Monitoring adherence can take several forms, including - Answer All of the above (patient
reports from data in a drug diary, pill counts, laboratory reports and other diagnostic markers)
Factors that explain and predict medication adherence include - Answer All of the above
(social, financial, health system)