Management of Pharmacotherapeutics in
Advanced Practice Questions with Detailed
Verified Answers for Accuracy
Nurse practitioner prescriptive authority is regulated by:
1. The National Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy
✓✓ 3. The State Board of Nursing for each state
The benefits to the patient of having an Advanced Practice
Registered Nurse (APRN) prescriber include:
1. Nurses know more about Pharmacology than other
prescribers because they take it both in their basic nursing
program and in their APRN program.
2. Nurses care for the patient from a holistic approach and
include the patient in decision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other
controlled substances.
4. APRNs are able to prescribe independently in all states,
whereas a physician's assistant needs to have a physician
supervising their practice.
✓✓ 2. Nurses care for the patient from a holistic approach and
include the patient in decision making regarding their care.
Clinical judgment in prescribing includes:
1. Factoring in the cost to the patient of the medication
prescribed
2. Always prescribing the newest medication available for the
disease process
3. Handing out drug samples to poor patients
4. Prescribing all generic medications to cut costs
✓✓ 1. Factoring in the cost to the patient of the medication
prescribed
Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for
them
2. Consulting nationally recognized guidelines for disease
management
3. Prescribing medications that are available as samples before
writing a prescription
4. Following U.S. Drug Enforcement Administration guidelines
for prescribing
✓✓ 2. Consulting nationally recognized guidelines for disease
management
Nurse practitioner practice may thrive under health-care
reform because of:
1. The demonstrated ability of nurse practitioners to control
costs and improve patient outcomes
2. The fact that nurse practitioners will be able to practice
independently
3. The fact that nurse practitioners will have full
reimbursement under health-care reform
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4. The ability to shift accountability for Medicaid to the state
level
✓✓ 1. The demonstrated ability of nurse practitioners to
control costs and improve patient outcomes
A patient's nutritional intake and laboratory results reflect
hypoalbuminemia. This
is critical to prescribing because:
1. Distribution of drugs to target tissue may be affected.
2. The solubility of the drug will not match the site of
absorption.
3. There will be less free drug available to generate an effect.
4. Drugs bound to albumin are readily excreted by the kidneys.
✓✓ 1. Distribution of drugs to target tissue may be affected.
Drugs that have a significant first-pass effect:
1. Must be given by the enteral (oral) route only