NR508 Midterm EXAM QUIDE Outline 2022 UPDATE
Chapter 1: The Role of the Advanced Practice Nurse as Prescriber
Roles and responsibilities of APRN prescribers
• The responsibility for the final decision on which drug to use and how
to use it is in the hands of the APRN prescriber.
• The degree of autonomy in this role and the breadth of drugs that
can be prescribed vary from state to state based on the nurse
practice act of that state.
Clinical judgement in Prescribing
• Prescribing drug results from
oclinical judgment based on a thorough assessment of the patient and the
patient's environment,
othe determination of medical and nursing diagnoses,
oa review of potential alternative therapies,
ospecific knowledge about the drug chosen and the disease
process it is designed to treat
Collaboration with other providers
•collaborate with physicians, pharmacists, podiatrists, mental health
specialists, therapists, and other providers, including APRNs who are
not NPs, physician assistants (PAs), and other nurses.
Autonomy and Prescriptive authority
•More states are broadening and expanding the legal,
reimbursement, and prescriptive authority to practice for all
APRNs, including NPs.
Chapter 2: Review of Basic Principles of Pharmacology
How Drugs are Developed
Preclinical Stage: Identification of promising drugs and their testing in animals
• Medicinal chemists - new chemical compounds.
• Preclinical studies are performed on cells, isolated tissues and organs,
laboratory animals
• FDA Approval: Drugs approved by the FDA must be both safe and
effective. Screened by pharmacologists, toxicologists
Clinical Stage: The safety and effectiveness of new products in humans must
be established.
NR508 Midterm EXAM QUIDE Outline 2022 UPDATE