Question 1

Clinical judgment in prescribing includes:&#10;A) Factoring in the cost to the patient of the medication prescribed&#10;B) Always prescribing the newest medication available for the disease process&#10;C) Handing out drug samples to poor patients&#10;D) Prescribing all generic medications to cut costs

Accepted Answer

Clinical judgment should include consideration of the cost of medications to the patient. This is important in ensuring medication adherence and overall treatment success. However, clinical judgment should not be solely based on cost and should prioritize the most effective medication options for the patient regardless of cost. Choices B and C are not appropriate practices and choice D may not always be the most effective or appropriate option for the patient.

Question 2

Criteria for choosing an effective drug for a disorder include:&#10;A) Asking the patient what drug they think would work best for them&#10;B) Consulting nationally recognized guidelines for disease management&#10;C) Prescribing medications that are available as samples before writing a prescription&#10;D) Following U.S.Drug Enforcement Administration (DEA)guidelines for prescribing

Accepted Answer

Consulting nationally recognized guidelines for disease management is the best choice because it ensures that the drug prescribed is evidence-based and has been shown to be effective for the disorder in question. Asking the patient for their preferred drug may not always result in the most effective treatment, and prescribing based on availability or DEA guidelines may not take into account the unique needs of the individual patient.

Question 3

Nurse practitioner prescriptive authority is regulated by:&#10;A) The National Council of State Boards of Nursing&#10;B) The U.S.Drug Enforcement Administration&#10;C) The State Board of Nursing for each state&#10;D) The State Board of Pharmacy

Accepted Answer

The State Board of Nursing for each state regulates nurse practitioner prescriptive authority, as each state has its own laws and regulations regarding advanced practice nurses and their scope of practice, including prescriptive authority.

Question 4

Nurse practitioner practice may thrive under health-care reform due to:&#10;A) The demonstrated ability of nurse practitioners to control costs and improve patient outcomes&#10;B) The fact that nurse practitioners will be able to practice independently&#10;C) The fact that nurse practitioners will have full reimbursement under health-care reform&#10;D) The ability to shift accountability for Medicaid to the state level

Accepted Answer

Nurse practitioners have been shown to provide high-quality care at a lower cost than physicians, and with the emphasis on cost-control and improved patient outcomes in healthcare reform, the demand for nurse practitioners is likely to increase. Option B is not entirely correct, as nurse practitioners will still have some restrictions on their practice depending on the state they are licensed in. Option C is also not entirely correct, as the reimbursement rates for nurse practitioners may vary depending on the specific reform policies. Option D is not relevant to the question.

Question 5

Physician Assistant (PA)prescriptive authority is regulated by:&#10;A) The National Council of State Boards of Nursing&#10;B) The U.S.Drug Enforcement Administration&#10;C) The State Board of Nursing&#10;D) The State Board of Medical Examiners

Accepted Answer

The State Board of Medical Examiners regulates prescriptive authority for Physician Assistants.

Deck 1: The Role of the Nurse Practitioner As Prescriber