NR508 Midterm Study Guide
Chapter 1: The Role of the Advanced Practice Nurse as Prescriber
Roles and responsibilities of APRN prescribers
Prescriptive authority is different in all states. Responsibility of final decision and which drug to
use is the PRESCRIBER’s. Nurse Practitioner Journal releases legislative updates every January.
IOM called for removing all practice barriers and allowing NPs to practice to their full scope of
practice based upon education and training.
Clinical judgement in Prescribing
Prescribing a drug results from clinical judgment based on a thorough assessment of the patient
and the patient's environment, the determination of medical and nursing diagnoses, a review of
potential alternative therapies, and specific knowledge about the drug chosen and the disease
process it is designed to treat. In general, the best therapy is the least invasive, least expensive,
and least likely to cause adverse reactions. Frequently, the best choice is to have lifestyle,
nonpharmacological, and pharmacological therapies working together. When the choice of
treatment options is a drug, several questions arise.
Collaboration with other providers-
No one member of the health-care team can provide high-quality care without collaborating with
other team members. They most often collaborate with physicians, pharmacists, podiatrists,
mental health specialists, therapists, and other providers, including APRNs who are not NPs,
physician assistants, and other nurses
Autonomy and Prescriptive authority
Long hard battle to obtain rights, with a long road ahead. Call to professionalism and excellence.
1. Chapter 2: Review of Basic Principles of Pharmacology
Metabolism: Metabolism & Half Life
Chapter 1: The Role of the Advanced Practice Nurse as Prescriber
Roles and responsibilities of APRN prescribers
Prescriptive authority is different in all states. Responsibility of final decision and which drug to
use is the PRESCRIBER’s. Nurse Practitioner Journal releases legislative updates every January.
IOM called for removing all practice barriers and allowing NPs to practice to their full scope of
practice based upon education and training.
Clinical judgement in Prescribing
Prescribing a drug results from clinical judgment based on a thorough assessment of the patient
and the patient's environment, the determination of medical and nursing diagnoses, a review of
potential alternative therapies, and specific knowledge about the drug chosen and the disease
process it is designed to treat. In general, the best therapy is the least invasive, least expensive,
and least likely to cause adverse reactions. Frequently, the best choice is to have lifestyle,
nonpharmacological, and pharmacological therapies working together. When the choice of
treatment options is a drug, several questions arise.
Collaboration with other providers-
No one member of the health-care team can provide high-quality care without collaborating with
other team members. They most often collaborate with physicians, pharmacists, podiatrists,
mental health specialists, therapists, and other providers, including APRNs who are not NPs,
physician assistants, and other nurses
Autonomy and Prescriptive authority
Long hard battle to obtain rights, with a long road ahead. Call to professionalism and excellence.
1. Chapter 2: Review of Basic Principles of Pharmacology
Metabolism: Metabolism & Half Life
