Midterm Exam - NR 565 ( Latest 2023 / 2024 )
Study Guide (Notes Week 1)
Advanced Pharmacology Fundamentals Chamberlain
GRADED A+ Questions and Answers
... [Show More] (Actual Exam)
Responsible APRN Prescribing
• Role of APRN Prescribers
◦ APRN’s blend medical and nursing knowledge
◦ Higher level of responsibility related to pharmacotherapeutics
◦ Responsibility depends on whether the APRN can prescribe medications
◦ States vary in their laws related to APRN prescriptive authority
◦ The Massachusetts BORN grants APRNs the authority to practice and regulates their
practice.
◦ Nonprescribing APRN’s also have responsibilities related to pharmacotherapeutic
management
Education, safety, monitoring for side effects, etc
• Roles and Responsibilities of the APRN Prescriber
◦ APRN’s
CRNA’s, CNM’s, NP, Psychiatric Nurse Mental Health Clinical Specialists
Choose which drug to prescribe and how to use
Autonomy in this role varies according to individual states based on the Nurse
Practice Act of the state
• Nurse Practice Act
◦ Authority to prescribe is a function of state law
◦ Most states permit APRNs to have some degree of prescriptive authority
◦ Legislative update provided annually by The Nurse Practitioner in January
33rd Annual APRN Legislative Update: Improving state practice authority and
access to care
◦ CMR 244 4:00 – Scope and Authority of Advanced Practice Nursing
(Massachusetts)
Legislation written 8/29/14. Needs to be revised as of Jan. 1, 202 to reflect
changes
5 definitions of APRN:
- CRNA, CNM, CNP,CNS, PCNS
Previous guideline stating that physician supervision required only for an APRN
who registers for prescriptive practice including written practice agreement
Exception for the CNM, who is not required required by law to have guidelines or
a supervising physician
Professional malpractice liability insurance required for all APRNs with direct
patient care responsibilities
CEU requirements for renewal of license
• Full Practice
◦ Full Practice; State practice and licensure laws permit all NPs to evaluate patients;
diagnose, order and interpret diagnostic tests; and initiate and manage treatments,
including prescribing medications and controlled substances, under the exclusive
licensure authority of the state board of nursing.
◦ This is the model recommended by the National Academy of Medicine, formerly
called the Institute of Medicine, and the National Council of State Boards of
Nursing.
• Reduced Practice [Show Less]