N677 Study Guide for the Controlled Substances
Examination Questions And Answers!!
What are 3 common side effects from opioid medications?
Constipation, drowsiness, nausea, and vomiting, itching, respiratory depression,
confusion
Can Nurse Practitioners furnish drugs or devices to family members or friends?
An NP, however, should never prescribe controlled substances for himself or herself or
for family members, as it is expressly illegal in many states. Prescribing controlled
substances and other legend drugs for self and family raises many ethical questions.
Prescribing for self and family member has inherent risks related to lack of objectivity.
Effort should be made to discuss the condition with the collaborating physician. Even if it
is not expressly illegal under many state laws to prescribe a controlled substance for a
family member, it is always inadvisable. Drug Enforcement Administration (DEA)
numbers are specific to a practice setting, so an NP who prescribes a controlled
substance for a family member who does not come to the practice setting may be
violating 2 laws.
Certified NPs who hold active furnishing licenses and valid DEA registration
numbers can furnish/order controlled substances from what schedules
In CA,
The amended B&P Code Section 2836.1 extends the NPs' furnishing authority to
include Schedule II through V controlled substance furnished or ordered that can be
considered the same as an order initiated by the physician. The NP must obtain a DEA
registration number to furnish Schedule II through V.
Is physical dependence the same as addiction?
Physical dependence to opioids means that the body relies on an external source of
opioids to prevent withdrawal. Physical dependence is predictable, easily managed with
medication, and is ultimately resolved with a slow taper off of the opioid. Normally, the
body can produce enough endogenous opioids (example: endorphins) to prevent
withdrawal. But as tolerance increases, eventually the body's ability to maintain this
equilibrium is exceeded and the body becomes dependent on that external source.
Unlike physical dependence addiction is abnormal and classified as a disease.
Addiction is a primary condition manifesting as uncontrollable cravings, inability to
control drug use, compulsive drug use, and use despite doing harm to oneself or others.
Uncontrollable cravings prompt the destructive behaviors of addiction. There is no
addiction without cravings. Strong cravings are common to all addictions. These
cravings are rooted in altered brain biology. Recovery is the process of reversing, to the
extent possible, these brain changes. This is accomplished through therapy and
replacing the addictive behaviors with healthy alternative behaviors
Certain schedule controlled substances are furnished following patient-specific
protocols. Which two schedules are these? Schedule I, II, III, IV, and/or V?
Schedule II and III controlled substances furnished by the NP are furnished or ordered
in accord with a patient-specific protocol approved by the treating physician.
Examination Questions And Answers!!
What are 3 common side effects from opioid medications?
Constipation, drowsiness, nausea, and vomiting, itching, respiratory depression,
confusion
Can Nurse Practitioners furnish drugs or devices to family members or friends?
An NP, however, should never prescribe controlled substances for himself or herself or
for family members, as it is expressly illegal in many states. Prescribing controlled
substances and other legend drugs for self and family raises many ethical questions.
Prescribing for self and family member has inherent risks related to lack of objectivity.
Effort should be made to discuss the condition with the collaborating physician. Even if it
is not expressly illegal under many state laws to prescribe a controlled substance for a
family member, it is always inadvisable. Drug Enforcement Administration (DEA)
numbers are specific to a practice setting, so an NP who prescribes a controlled
substance for a family member who does not come to the practice setting may be
violating 2 laws.
Certified NPs who hold active furnishing licenses and valid DEA registration
numbers can furnish/order controlled substances from what schedules
In CA,
The amended B&P Code Section 2836.1 extends the NPs' furnishing authority to
include Schedule II through V controlled substance furnished or ordered that can be
considered the same as an order initiated by the physician. The NP must obtain a DEA
registration number to furnish Schedule II through V.
Is physical dependence the same as addiction?
Physical dependence to opioids means that the body relies on an external source of
opioids to prevent withdrawal. Physical dependence is predictable, easily managed with
medication, and is ultimately resolved with a slow taper off of the opioid. Normally, the
body can produce enough endogenous opioids (example: endorphins) to prevent
withdrawal. But as tolerance increases, eventually the body's ability to maintain this
equilibrium is exceeded and the body becomes dependent on that external source.
Unlike physical dependence addiction is abnormal and classified as a disease.
Addiction is a primary condition manifesting as uncontrollable cravings, inability to
control drug use, compulsive drug use, and use despite doing harm to oneself or others.
Uncontrollable cravings prompt the destructive behaviors of addiction. There is no
addiction without cravings. Strong cravings are common to all addictions. These
cravings are rooted in altered brain biology. Recovery is the process of reversing, to the
extent possible, these brain changes. This is accomplished through therapy and
replacing the addictive behaviors with healthy alternative behaviors
Certain schedule controlled substances are furnished following patient-specific
protocols. Which two schedules are these? Schedule I, II, III, IV, and/or V?
Schedule II and III controlled substances furnished by the NP are furnished or ordered
in accord with a patient-specific protocol approved by the treating physician.
