Midterm exam NR 565 (2023-2024) study guide Advanced Pharmacology Fundamentals Chamberlain University graded A+ questions and answers
Week 1
a. The
... [Show More] safe and competent practice of prescribing and managing medications requires a sound understanding of drugs and the conditions that they are used to manage.
b. Prescriptive authority is determined by state law. As a result of differences from state to state, advanced practice providers may have full prescriptive authority in some states yet face significant restrictions in other states. The stark differences particularly affect providers who serve in locum tenens staffing positions or who have practices in two contiguous states.
2. benefits of full practice authority
a. Whether APRNs possess full prescriptive authority depends on their legal right to prescribe without a supervisory or collaborative requirement. APRNs are educated to practice and prescribe independently without supervision; however, some state laws require that they practice in collaboration with or under the supervision of a physician. In these situations, some physicians limit the types of drugs that the APRN can prescribe. State laws may place additional restrictions with regard to controlled drugs.
3. promoting positive outcomes through prudent prescribing practices
a. Patient education about treatment regimens increases medication adherence. Education provides an opportunity to address questions and dispel misunderstanding, reducing errors. Medication education should include:
i. medication name: generic vs. trade name
ii. purpose: the reason for taking the medication, including the desired effect
iii. dosing regimen: how much medication, how often, and the time of day
iv. administration: preparations needed for taking, such as with or without food
v. adverse effects: all possible risks and how to manage them
vi. special storage needs if needed such as refrigeration or use of the original container
vii. associated laboratory testing, including regular appointments
viii. food or drug interactions: what to avoid and what measures to take
ix. duration of therapy: length of administration
b. All medications require monitoring to achieve a therapeutic outcome. If the medication is not creating the desired outcome, it likely will not be continued. Every drug has side effects, requiring ongoing assessment of the ratio of benefits and risk. According to Rosenthal and Burcham, (2021) drug monitoring has three aims:
i. determining therapeu [Show Less]