NR 565 Advanced Pharmacology Fundamentals Exam

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TESTED AND CONFIRMED A+ ANSWERS • Which schedule drugs can APRNs prescribe? o APRNs can prescribe Schedule II-V drugs, but whether APRNs possess full prescriptive authority depends on their legal... right to prescribe without supervisory or collaborative requirements. o Some state laws require that they practice in collaboration with or under supervision of a physician. ▪ Some physicians limit the types of drugs that the APRN can prescribe. ▪ State laws may place additional restrictions with regard to controlled drugs. • Who determines and regulates prescriptive authority? o Prescriptive authority is determined by state law. ▪ Advanced practice providers may have full prescriptive authority in some states yet face significant restrictions in other states. o The regulation of prescriptive authority is under the jurisdiction of a health professional board. ▪ State Board of Nursing ▪ The State Board of Medicine ▪ The State Board of Pharmacy • As determined by each state. o Although the federal government controls drug regulation, it has no control over prescriptive authority. • How doeslimited prescriptive authority impact patients within the healthcare system? o Limited prescriptive authority creates numerous barriersto quality, affordable, and accessible patient care. ▪ Restrictions on the distance of the APRN or PA from the physician providing supervision or collaboration may prevent outreach to areas of greatest need. ▪ A requirement to obtain the physician’s co-signature on prescriptions can increase patient waits. o By 2025, the shortage of physicians will range between 46,100 and 90,400. In primary care alone, a 12,500 to 31,100 physician shortage is anticipated. o Asthe Affordable Care Act is fully implemented, the demand for provider coverage will increase. ▪ Full utilization of nurse practitioners and Pas can reduce the physician shortage. ▪ To adequately meet the demands for future health care needs, APRNs and Pas will need broader practice privileges than some states currently allow. • Thisincludes an imperative to afford full prescriptive authority. • What are the key responsibilities of prescribing? o The ability to prescribe medications is both a privilege and a burden. o It requires adherence to ethical guidelinesto ensure that patients are safeguarded from harm. ▪ Ethical prescribing starts with being well-informed about medications. • Mechanisms of action, effic o Prescription writing requires prudent and deliberate decision-making processto maintain patient safety and reduce liability. ▪ Documentation of provider-patient relationship for the recipient of the prescribed medications. ▪ Documentation of a thorough history and physical examination for the recipient. ▪ Documentation of discussionsregarding risk factors, side effects, or therapy options. ▪ Documentation of drug monitoring or titration plan, if applicable. ▪ Documentation of consultations, if any. ▪ Avoidance of prescribing medicationsforself, family, or friends. [Show More]

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