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Midterm Exam - NR 565 ( Latest 2023 ) Study Guide
(Notes Week 1 – 4) Advanced Pharmacology
, lOMoARcPSD|52690394
Answers
Midterm Exam - NR 565 ( Latest ) Study Guide
(Notes Week 1 – 4) Advanced Pharmacology Fundamentals
Chamberlain GRADED A+ Questions and Answers (Actual Exam)
Midterm Exam - NR 565 ( Latest ) Study Guide (Notes Week 1 – 4) Advanced
Pharmacology Fundamentals Chamberlain GRADED A+ Questions and Answer
NR 565 Midterm Exam Study Guide
Roles and Responsibilities of APRN Prescribers
APRN prescriber is responsible for the final decision on which drug to use and how to use it. Degree of autonomy in
this role and the breadth of drugs that can be prescribed vary from state to state based on the nurse practice act of
that state. Nurse practitioner prescriptive authority is regulated by the State Board of Nursing for each state.
• Advanced KnowledgeoAdditional knowledge, critical thinking, and assumption of a higher level of legal
responsibility are required to assume the prescriber role
Knowledge of medicine, pharmacology, and nursing intertwine in the NP role
As a prescriber, it becomes the role and responsibility of the NP to determine the diagnosis for which the drug will
be ordered, prescribe the appropriate drug, monitor the expected outcome of the drug, and incorporate a holistic
assessment of the impact of disease and therapy on patient lives
• Benefits of an APRN as PrescriberoAlternative treatment options are also part of the armamentarium that
can be used to treat a given disorder and may interact with the pharmacotherapeutic intervention
oAPRN look at the big picture and consider alternative treatment options and lifestyle changes oPatients
are looked at in a holistic approach and include the patient in decision making regarding their care.
oNP practice may thrive under healthcare reform because of the demonstrated ability of nurse practitioners
to control costs and improve patient outcomes
Prescriptive authority is the legal right to prescribe drugs. Full prescriptive authority affords the legal right to
prescribe independently and without limitation. Recall that there are two components of prescriptive authority: (1)
the right to prescribe independently and (2) the right to prescribe without limitation. The provider who prescribes
independently is not subject to rules requiring physician supervision or collaboration. The provider who prescribes
without limitation may prescribe any drugs, including controlled drugs, with the exception of schedule I drugs, which
have no current medical use.
Full practice authority is sometimes interpreted differently for advanced practiceregistered nurses (APRNs) a
physicianassistants (PAs) because supervisory requirements vary for the two professions.
APRN ROLE There are many different issues to acknowledge when writing a prescription. Important
considerationsinclude i cost, current practice guidelines, medication interactions, side effects, and the need for
monitoring.
Prescription Components
Downloaded by Dylan Chege ()
, lOMoARcPSD|52690394
-Pt’s full name and address
-Prescriber’s full name, address, telephone # and DEA #
, lOMoARcPSD|52690394
• • Am I changing dose or frequency of the medication?
•
•
•
• • If the patient is requesting a refill by telephone, when was the last time I saw this patient? Do I need to see th
patient again before refill?
• • Is this a schedule II medication?
Promoting positive drug therapy outcomes
requires athoughtful and deliberateproactive approach to medication
management. In this chapter we explore ways the provider can improve patient outcomes. Emphasis is placed on
monitoring therapy, promoting adherence to therapy, and educating the patient.
Patient Teaching for Drug Monitoring
There are three primary reasons for drug monitoring: (1) determining therapeutic dosage, (2) evaluating medicatio
adequacy, and (3) identifying adverse effects.
When testing is needed for monitoring, include the following when providing patient teaching.
• What:What test is needed?
o Patients like to know what test is needed. Rather than telling them that a blood test is needed, let them
know the type of blood test (e.g., a test of thyroid function or cholesterol levels).
• When:When is testing required?
o Testing can disrupt normal routines. Patients need to know, in advance, howoften testing is needed so
they can make plans.
• Where:
Where will testing take place?
o In some practices, testing takes place at locations other than the primary clinic. Patients who are
unfamiliar with the area need directions to the testing site and where to go after arrival.
• Why:Why is testing necessary?
o Testing is often expensive and disruptive to daily lives. These barriers are common reasons that patients
miss appointments. If they understand the need for testing, they are more likely to adhere to testing
schedules.
• How:How does the patient prepare for testing?
o Some tests require special preparation. For example, many blood tests requirei sfasting. If exercise
needed, patients should be told to bring comfortable shoes. It is important to let patients know of
testingi
anything they need to do prior to arrival.
Best Practices in Developing Written Patient Education Materials
Practice Rationale
• Am I adding new medications to their regimen?
• Is the patient having undesired side effects?
Midterm Exam - NR 565 ( Latest 2023 ) Study Guide
(Notes Week 1 – 4) Advanced Pharmacology
, lOMoARcPSD|52690394
Answers
Midterm Exam - NR 565 ( Latest ) Study Guide
(Notes Week 1 – 4) Advanced Pharmacology Fundamentals
Chamberlain GRADED A+ Questions and Answers (Actual Exam)
Midterm Exam - NR 565 ( Latest ) Study Guide (Notes Week 1 – 4) Advanced
Pharmacology Fundamentals Chamberlain GRADED A+ Questions and Answer
NR 565 Midterm Exam Study Guide
Roles and Responsibilities of APRN Prescribers
APRN prescriber is responsible for the final decision on which drug to use and how to use it. Degree of autonomy in
this role and the breadth of drugs that can be prescribed vary from state to state based on the nurse practice act of
that state. Nurse practitioner prescriptive authority is regulated by the State Board of Nursing for each state.
• Advanced KnowledgeoAdditional knowledge, critical thinking, and assumption of a higher level of legal
responsibility are required to assume the prescriber role
Knowledge of medicine, pharmacology, and nursing intertwine in the NP role
As a prescriber, it becomes the role and responsibility of the NP to determine the diagnosis for which the drug will
be ordered, prescribe the appropriate drug, monitor the expected outcome of the drug, and incorporate a holistic
assessment of the impact of disease and therapy on patient lives
• Benefits of an APRN as PrescriberoAlternative treatment options are also part of the armamentarium that
can be used to treat a given disorder and may interact with the pharmacotherapeutic intervention
oAPRN look at the big picture and consider alternative treatment options and lifestyle changes oPatients
are looked at in a holistic approach and include the patient in decision making regarding their care.
oNP practice may thrive under healthcare reform because of the demonstrated ability of nurse practitioners
to control costs and improve patient outcomes
Prescriptive authority is the legal right to prescribe drugs. Full prescriptive authority affords the legal right to
prescribe independently and without limitation. Recall that there are two components of prescriptive authority: (1)
the right to prescribe independently and (2) the right to prescribe without limitation. The provider who prescribes
independently is not subject to rules requiring physician supervision or collaboration. The provider who prescribes
without limitation may prescribe any drugs, including controlled drugs, with the exception of schedule I drugs, which
have no current medical use.
Full practice authority is sometimes interpreted differently for advanced practiceregistered nurses (APRNs) a
physicianassistants (PAs) because supervisory requirements vary for the two professions.
APRN ROLE There are many different issues to acknowledge when writing a prescription. Important
considerationsinclude i cost, current practice guidelines, medication interactions, side effects, and the need for
monitoring.
Prescription Components
Downloaded by Dylan Chege ()
, lOMoARcPSD|52690394
-Pt’s full name and address
-Prescriber’s full name, address, telephone # and DEA #
, lOMoARcPSD|52690394
• • Am I changing dose or frequency of the medication?
•
•
•
• • If the patient is requesting a refill by telephone, when was the last time I saw this patient? Do I need to see th
patient again before refill?
• • Is this a schedule II medication?
Promoting positive drug therapy outcomes
requires athoughtful and deliberateproactive approach to medication
management. In this chapter we explore ways the provider can improve patient outcomes. Emphasis is placed on
monitoring therapy, promoting adherence to therapy, and educating the patient.
Patient Teaching for Drug Monitoring
There are three primary reasons for drug monitoring: (1) determining therapeutic dosage, (2) evaluating medicatio
adequacy, and (3) identifying adverse effects.
When testing is needed for monitoring, include the following when providing patient teaching.
• What:What test is needed?
o Patients like to know what test is needed. Rather than telling them that a blood test is needed, let them
know the type of blood test (e.g., a test of thyroid function or cholesterol levels).
• When:When is testing required?
o Testing can disrupt normal routines. Patients need to know, in advance, howoften testing is needed so
they can make plans.
• Where:
Where will testing take place?
o In some practices, testing takes place at locations other than the primary clinic. Patients who are
unfamiliar with the area need directions to the testing site and where to go after arrival.
• Why:Why is testing necessary?
o Testing is often expensive and disruptive to daily lives. These barriers are common reasons that patients
miss appointments. If they understand the need for testing, they are more likely to adhere to testing
schedules.
• How:How does the patient prepare for testing?
o Some tests require special preparation. For example, many blood tests requirei sfasting. If exercise
needed, patients should be told to bring comfortable shoes. It is important to let patients know of
testingi
anything they need to do prior to arrival.
Best Practices in Developing Written Patient Education Materials
Practice Rationale
• Am I adding new medications to their regimen?
• Is the patient having undesired side effects?
