NSG 6005 ADV PHARM FINAL EXAM TEST BANK QUESTIONS AND ANSWERS
Chapter 1. The Role of the Nurse Practitioner
1.
Nurse practitioner prescriptive
... [Show More] authority is regulated by:
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The National Council of State Boards of Nursing
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The U.S. Drug Enforcement Administration
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The State Board of Nursing for each state
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The State Board of Pharmacy
2.
The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include:
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Nurses know more about Pharmacology than other prescribers because they take it both in their basic nursing program & in their APRN program.
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Nurses care for the patient from a holistic approach & include the patient in decision making regarding their care.
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APRNs are less likely to prescribe narcotics & other controlled substances.
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APRNs are able to prescribe independently in all states, whereas a physician’s assistant needs to have a physician supervising their practice.
3.
Clinical judgment in prescribing includes:
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Factoring in the cost to the patient of the medication prescribed
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Always prescribing the newest medication available for the disease process
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H&ing out drug samples to poor patients
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Prescribing all generic medications to cut costs
4.
Criteria for choosing an effective drug for a disorder include:
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
5.
Nurse practitioner practice may thrive under health-care reform because of:
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The demonstrated ability of nurse practitioners to control costs & improve patient outcomes
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The fact that nurse practitioners will be able to practice independently
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The fact that nurse practitioners will have full reimbursement under health-care reform
4
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The ability to shift accountability for Medicaid to the state level
Chapter 2. Review of Basic Principles of Pharmacology
1.
A patient’s nutritional intake & laboratory results reflect hypoalbuminemia. This is critical to prescribing because:
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Distribution of drugs to target tissue may be affected.
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The solubility of the drug will not match the site of absorption.
3
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There will be less free drug available to generate an effect.
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Drugs bound to albumin are readily excreted by the kidneys.
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