NR 565 MIDTERM EXAM UPDATED 2024 WITH VERIFIED QUESTIONS AND DETAILED ANSWERS WITH RATIONALES (ALREADY GRADED A+)

NR 565 MIDTERM EXAM UPDATED 2024
WITH VERIFIED QUESTIONS AND DETAILED
ANSWERS WITH RATIONALES (ALREADY
GRADED A+)
How can we promote medication adherence with elderly patients? -
ANSWER- simplifying drug regimens
providing clear and concise verbal and written instructions
using an appropriate dosage form
clearly labeling and dispensing easy-to-open containers developing
daily reminders
monitoring frequently affordability of drugs support systems
Why do nitrates need to be taken no later than 4 PM? - ANSWERNeed nitrate free interval so tolerance doesn't develop
Nine factors that impact outcome of medication? - ANSWERGender and race Genetics and pharmacogenomics
Variability in absorption placebo effect Tolerance
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patho age
bodyweight
Do you need informed consent for genetic testing? - ANSWER-yes
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
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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
What are components of Rx? - ANSWER-Prescriber Contact info
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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
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? - ANSWERdepends on state - most II