NURS 5334 ADV PHARM FOR ANP -
MODULE 1 LECTURES EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
When writing any prescription, there are key elements that must be on the prescription
including prescriber name, license number, and contact information; DEA number of
both the supervising physician and the prescriber if applicable; patient name and date of
birth; patient allergies; the name of the medication; the indication of the medication; the
strength of the medication; the dosing frequency; number of tablets/capsules to
dispense; and the number of refills. Abbreviations are no longer acceptable. Everything
should be written out. Example: 25 milligrams once daily by mouth for hypertension.
And If you are using an electronic medical record for prescriptions, these are going to
automatically be on there in some instances, but other instances you may need to add
them. You will have assignments in this course involving writing prescriptions. Students
get confused when it comes to the SIG on the prescription. Sig st - CORRECT-
ANSWERS
What is prescriptive authority? - CORRECT-ANSWERSThe ability and extent of NP's
ability to prescribe medication to patient is dependent on state nurse practice act
,Wall EE EA has ruled that nurses in advanced practice roles may obtain registered
members, state practice acts dictate the level of prescriptive authority allowed
Components of prescriptive authority - CORRECT-ANSWERSare the right to prescribe
independently, and the right to prescribe without limitation. The prescriber 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 1 drugs, which have no
current medical use.
Prescriptive authority is determined by state law. As a result - - CORRECT-
ANSWERSof difference from state to state advanced practice providers may have full
prescriptive authority in some states, yet face a lot of restrictions in other states. Texas,
unfortunately, is a state where we are restricted. The differences particularly affect
providers who serve in locum tenems staffing positions, or who have practices in two
contiguous states. The regulation of prescriptive authority is under the jurisdiction of a
health professional board. This may be the state board of nursing, state board of
medicine, or the state board of pharmacy as determined by each state. Although the
federal government controls drug regulation, it has no control over prescriptive authority.
,What is the argument for full prescriptive authority? - CORRECT-ANSWERSAdvanced
practice providers complete rigorous programs of study largely in accredited programs
that meet stringent national standards. Although there are differences in each program,
they all include common components. For example, they require extensive education
focused on assessment, diagnosis, and management of health problems. Diagnostic
reasoning, critical thinking and procedural skills are evaluated in both didactic and
clinical courses. National examinations validate the ability to provide safe and
competent care, and licensure ensures that providers comply with standards of practice
that promote public health and safety. Advanced practice providers are prepared to fully
implement the advanced practice role in their profession.
Limited prescriptive authority creates a number of barriers. What are some of those
barriers? - CORRECT-ANSWERSIt creates barriers to quality, affordable and
accessible patient care. An example is restrictions on the distance of the APRN from the
physician providing supervision or collaboration may prevent outreach to areas that
have the greatest need. A requirement to obtain the physician's co-signature on
prescriptions can increase patient waits. Despite the use of terms such as collaborative
arrangements. These relationships create a situation in which one partner holds all the
power. It is estimated that by the year 2025, the physician shortage will be between
46,100 to 90,400. In primary care alone a 12,500 to 31,100 physician shortage is
, anticipated. APRN's with full prescriptive authority would help offset the shortage and
meet the future needs of healthcare demands.
Many factors are involved when considering drug selection. Some include - -
CORRECT-ANSWERScost, guidelines, liability interactions, side effects, allergies, liver
and renal function, need for monitoring, and special populations.
If you find that your patient is having difficulty purchasing the prescribed medications,
what should you do? - CORRECT-ANSWERSconsider changing pharmacies or drug
regimens. The cost of a drug can vary widely between pharmacies, even within the
same city. Many corporations have created generic $4 lists or special prescription
programs that allow patients to fill their medications for a reasonable cost. When in
doubt, follow current guidelines for the treatment of a particular disease or symptom.
Almost all medical and nursing societies have published guidelines, including the
American Heart Association, the American College of Cardiology, the Infectious
Diseases Society of America, and the American Diabetes Association. It is the
provider's responsibility to keep abreast of new recommendations or changes in
guidelines and to incorporate these into their prescribing practices. Although closely
following the guidelines is desirable, we must always take into account that our patients
may not fit well into these guidelines and that individualized care is always best. In
these cases, it is important to document the rationale for deviating from standard of
MODULE 1 LECTURES EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
When writing any prescription, there are key elements that must be on the prescription
including prescriber name, license number, and contact information; DEA number of
both the supervising physician and the prescriber if applicable; patient name and date of
birth; patient allergies; the name of the medication; the indication of the medication; the
strength of the medication; the dosing frequency; number of tablets/capsules to
dispense; and the number of refills. Abbreviations are no longer acceptable. Everything
should be written out. Example: 25 milligrams once daily by mouth for hypertension.
And If you are using an electronic medical record for prescriptions, these are going to
automatically be on there in some instances, but other instances you may need to add
them. You will have assignments in this course involving writing prescriptions. Students
get confused when it comes to the SIG on the prescription. Sig st - CORRECT-
ANSWERS
What is prescriptive authority? - CORRECT-ANSWERSThe ability and extent of NP's
ability to prescribe medication to patient is dependent on state nurse practice act
,Wall EE EA has ruled that nurses in advanced practice roles may obtain registered
members, state practice acts dictate the level of prescriptive authority allowed
Components of prescriptive authority - CORRECT-ANSWERSare the right to prescribe
independently, and the right to prescribe without limitation. The prescriber 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 1 drugs, which have no
current medical use.
Prescriptive authority is determined by state law. As a result - - CORRECT-
ANSWERSof difference from state to state advanced practice providers may have full
prescriptive authority in some states, yet face a lot of restrictions in other states. Texas,
unfortunately, is a state where we are restricted. The differences particularly affect
providers who serve in locum tenems staffing positions, or who have practices in two
contiguous states. The regulation of prescriptive authority is under the jurisdiction of a
health professional board. This may be the state board of nursing, state board of
medicine, or the state board of pharmacy as determined by each state. Although the
federal government controls drug regulation, it has no control over prescriptive authority.
,What is the argument for full prescriptive authority? - CORRECT-ANSWERSAdvanced
practice providers complete rigorous programs of study largely in accredited programs
that meet stringent national standards. Although there are differences in each program,
they all include common components. For example, they require extensive education
focused on assessment, diagnosis, and management of health problems. Diagnostic
reasoning, critical thinking and procedural skills are evaluated in both didactic and
clinical courses. National examinations validate the ability to provide safe and
competent care, and licensure ensures that providers comply with standards of practice
that promote public health and safety. Advanced practice providers are prepared to fully
implement the advanced practice role in their profession.
Limited prescriptive authority creates a number of barriers. What are some of those
barriers? - CORRECT-ANSWERSIt creates barriers to quality, affordable and
accessible patient care. An example is restrictions on the distance of the APRN from the
physician providing supervision or collaboration may prevent outreach to areas that
have the greatest need. A requirement to obtain the physician's co-signature on
prescriptions can increase patient waits. Despite the use of terms such as collaborative
arrangements. These relationships create a situation in which one partner holds all the
power. It is estimated that by the year 2025, the physician shortage will be between
46,100 to 90,400. In primary care alone a 12,500 to 31,100 physician shortage is
, anticipated. APRN's with full prescriptive authority would help offset the shortage and
meet the future needs of healthcare demands.
Many factors are involved when considering drug selection. Some include - -
CORRECT-ANSWERScost, guidelines, liability interactions, side effects, allergies, liver
and renal function, need for monitoring, and special populations.
If you find that your patient is having difficulty purchasing the prescribed medications,
what should you do? - CORRECT-ANSWERSconsider changing pharmacies or drug
regimens. The cost of a drug can vary widely between pharmacies, even within the
same city. Many corporations have created generic $4 lists or special prescription
programs that allow patients to fill their medications for a reasonable cost. When in
doubt, follow current guidelines for the treatment of a particular disease or symptom.
Almost all medical and nursing societies have published guidelines, including the
American Heart Association, the American College of Cardiology, the Infectious
Diseases Society of America, and the American Diabetes Association. It is the
provider's responsibility to keep abreast of new recommendations or changes in
guidelines and to incorporate these into their prescribing practices. Although closely
following the guidelines is desirable, we must always take into account that our patients
may not fit well into these guidelines and that individualized care is always best. In
these cases, it is important to document the rationale for deviating from standard of
