NR 565 - ADVANCED PHARMACOLOGY
MIDTERM – CHAMBERLAIN- NR 565
ADVANCED PHARMACOLOGY
FUNDAMENTALS EXAM
What is the purpose of the Genetic Information Non-Discriminatory Act? - ANSWER✔✔Protects patients from discrimination by employers and insurance providers based on genetic information Difference between practice authority and prescriptive authority? - ANSWER✔✔Practice authority refers to the nurse practitioner's ability to practice without physician oversight, whereas prescriptive authority refers to the nurse practitioner's authority to prescribe medications independently and without limitations.Who regulates prescriptive authority? - ANSWER✔✔the jurisdiction of a health professional board. This may be the State Board of Nursing, the State Board of Medicine, or the State Board of Pharmacy, as determined by each state.What is scope of practice determined by? - ANSWER✔✔is determined by state practice and licensure laws.What is full practice authority? - ANSWER✔✔Nurse practitioners have the autonomy to evaluate patients, diagnose, order and interpret tests, initiate and manage treatments and prescribe medications, including controlled substances without physician oversight.What is reduced practice authority? - ANSWER✔✔Nurse practitioners are limited in at least one element of practice. The state requires a formal collaborative agreement with an outside health discipline for the nurse practitioner to provide patient care. ex/ physician involvement for 5 yrs than independent What is restricted practice authority? - ANSWER✔✔Nurse practitioners are limited in at least one element of practice by requiring supervision, delegation, or team management by an outside health discipline for the nurse practitioner to provide patient care.- typically doctor on site 1 / 4
What are components of Rx? - ANSWER✔✔Prescriber Contact info Prescribers name NPI DEA Patient name DOB Date Allergies Medication name Strength Quantity Indication for use Direction for use Refills Signature What are some potential problems that arise with written prescriptions? - ANSWER✔✔Must contain all elements May have pre-populated information Write legibly Avoid error prone abbreviations Tamper resistant scripts are often required 2 / 4
Reasons for monitoring drug therapy - ANSWER✔✔determining therapeutic dosage evaluating medication adequacy identifying adverse effects serious or life-threatening risks.Which schedules of drugs can APRNs prescribe? - ANSWER✔✔depends on state - most II-V How does limited prescriptive authority impact patients within the healthcare system? - ANSWER ✔✔longer wait times to sign a prescription limits practitioners that are needed in rural areas unequal relationships between providers. Ex. one has more power high need for providers due to lack of providers and high amounts of patients.Independent practitioners= more patients being seen= lessens the patient/provider load Provider key responsibilities when prescribing? - ANSWER✔✔safe and competent practice understanding of the drugs, reactions, and pharmacology Be aware of the age group you are prescribing to Ex. Children vs older adults What should be used to make prescribing decisions? - ANSWER✔✔documented provider-patient relationship, not prescribing for family or friends, documenting a thorough H&P, including discussions with the patient, drug monitoring/titrating.cost, guidelines, availability, interactions, side effects, allergies, hepatic and renal function, need for monitoring, and special populations What happens when someone has a poor metabolism phenotype? - ANSWER✔✔medications metabolized slower, medication might not work or put them at risk for side-effects 3 / 4
What does the US food and drug administration regulate when it comes to medications? - ANSWER✔✔Whether the drug is safe, effective, and benefits of a drug outweigh the risks reasons for medication non-adherence - ANSWER✔✔patients never filling/refilling prescriptions (resulting in therapeutic failure) multiple chronic disorders multiple prescription medications multiple doses per day for each medication drug packaging that is difficult to open multiple prescribers changes in the regimen (adding meds, changes in dose or timing) cognitive or physical impairment (reduction in memory, hearing, visual, color, or manual dexterity) living alone recent discharge from hospital low literacy inability to pay for meds personal conviction that a drug is unnecessary or the dosage is too high presence of side effects Which statements are possible reasons for medication non-adherence? - ANSWER✔✔"I tried to take for weeks and it just wasn't working" "It was so expensive I only took it once a day instead of twice" "I dropped the whole medication bottle on the floor" "I was traveling and busy"
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