Question 1

A primary care NP writes a prescription for an off-label use for a drug.To help ensure compliance,the NP should:

Accepted Answer

A)  include information about the off-label use on the E-script. 
B)  provide the patient with written instructions about how to use the medication. 
C)  tell the patient to let the pharmacist know that the drug is being used for an off-label use. 
D)  follow up by phone in several days to see if the patient is using the drug appropriately. 
A)  include information about the off-label use on the E-script. 
B)  provide the patient with written instructions about how to use the medication. 
C)  tell the patient to let the pharmacist know that the drug is being used for an off-label use. 
D)  follow up by phone in several days to see if the patient is using the drug appropriately. A

Question 2

A primary care NP prepares to teach a patient about the management of a chronic condition.The patient says,"I don't want to know all of that.Just tell me what to take and when." The NP should initially:

Accepted Answer

A)  give the patient basic written instructions about medications, follow up visits, and symptoms. 
B)  ask the patient to describe the disease process and the medications to evaluate understanding. 
C)  explain to the patient that without mutual cooperation, the treatment regimen will not be effective. 
D)  ask the patient to explore feelings and fears about having a chronic disease and taking medications. 
A)  give the patient basic written instructions about medications, follow up visits, and symptoms. 
B)  ask the patient to describe the disease process and the medications to evaluate understanding. 
C)  explain to the patient that without mutual cooperation, the treatment regimen will not be effective. 
D)  ask the patient to explore feelings and fears about having a chronic disease and taking medications. A

Question 3

To increase the likelihood of successful pharmacotherapy,when teaching a patient about using a medication,the primary care nurse practitioner (NP)should:

Accepted Answer

A)  encourage the patient to participate in the choice of the medication. 
B)  provide education about the medication actions and adverse effects. 
C)  stress the importance of taking the medication exactly as it is prescribed. 
D)  give the patient copies of medication package inserts describing the drug use. 
A)  encourage the patient to participate in the choice of the medication. 
B)  provide education about the medication actions and adverse effects. 
C)  stress the importance of taking the medication exactly as it is prescribed. 
D)  give the patient copies of medication package inserts describing the drug use. A

Question 4

A parent brings a child who has moderate-persistent asthma to the clinic and tells the primary care NP that none of the child's medications are working.The parent says,"Everybody tells me something different.I don't know what to do." The NP suspects that the parent is not administering the medications appropriately.The NP should initially:

Accepted Answer

A)  perform a careful history of the child's symptoms and the medications that are given. 
B)  provide a written asthma action plan and encourage the parent to call when symptoms are worse. 
C)  review what other providers have prescribed in the past and explain these interventions to the parent. 
D)  explain the different purposes of maintenance and rescue medications and give the parent a schedule for medication administration. 
A)  perform a careful history of the child's symptoms and the medications that are given. 
B)  provide a written asthma action plan and encourage the parent to call when symptoms are worse. 
C)  review what other providers have prescribed in the past and explain these interventions to the parent. 
D)  explain the different purposes of maintenance and rescue medications and give the parent a schedule for medication administration.

Question 5

A patient bursts into tears when the primary care NP diagnoses diabetes.The NP should:

Accepted Answer

A)  ask the patient about past experiences with anyone who has this diagnosis. 
B)  reassure the patient that the medications and blood tests will become routine. 
C)  call in a social worker to assist the patient to obtain equipment and supplies. 
D)  refer the patient to a diabetes educator to provide teaching about the disease. 
A)  ask the patient about past experiences with anyone who has this diagnosis. 
B)  reassure the patient that the medications and blood tests will become routine. 
C)  call in a social worker to assist the patient to obtain equipment and supplies. 
D)  refer the patient to a diabetes educator to provide teaching about the disease.

Question 6

A patient has recurrent symptoms and tells the primary care NP that she can't remember to take her medication all the time.The NP should:

Accepted Answer

A)  give her shortened regimens of the drug to facilitate compliance. 
B)  provide written information about her condition and the medication. 
C)  administer the medication in the clinic to ensure that she takes the drug. 
D)  ask her about her lifestyle, her schedule, and her understanding of her condition. 
A)  give her shortened regimens of the drug to facilitate compliance. 
B)  provide written information about her condition and the medication. 
C)  administer the medication in the clinic to ensure that she takes the drug. 
D)  ask her about her lifestyle, her schedule, and her understanding of her condition.

Question 7

A primary care NP sees a 5-year-old child who is morbidly obese.The child has an elevated hemoglobin A₁c and increased lipid levels.Both of the child's parents are overweight but not obese,and they tell the NP that they see nothing wrong with their child.They both state that it is difficult to refuse their child's requests for soda or ice cream.The NP should:

Accepted Answer

A)  suggest that they give the child diet soda and low-fat frozen yogurt. 
B)  understand and respect the parents' beliefs about their child's self-image. 
C)  initiate a dialogue with the parents about the implications of the child's laboratory values. 
D)  suggest family counseling to explore ways to improve parenting skills and limits. 
A)  suggest that they give the child diet soda and low-fat frozen yogurt. 
B)  understand and respect the parents' beliefs about their child's self-image. 
C)  initiate a dialogue with the parents about the implications of the child's laboratory values. 
D)  suggest family counseling to explore ways to improve parenting skills and limits.

Exam 9: Establishing the Therapeutic Relationship

A primary care NP writes a prescription for an off-label use for a drug.To help ensure compliance,the NP should:

A primary care NP prepares to teach a patient about the management of a chronic condition.The patient says,"I don't want to know all of that.Just tell me what to take and when." The NP should initially:

To increase the likelihood of successful pharmacotherapy,when teaching a patient about using a medication,the primary care nurse practitioner (NP)should:

A patient bursts into tears when the primary care NP diagnoses diabetes.The NP should:

A patient has recurrent symptoms and tells the primary care NP that she can't remember to take her medication all the time.The NP should:

Prescriptive Authority and Role Implementation: Tradition vs.Change

Historical Review of Prescriptive Authority: The Role of Nurses (NPs, CNMs, CRNAs, and CNSs)and Physician Assistants

General Pharmacokinetic and Pharmacodynamic Principles

Special Populations: Geriatrics

Special Populations: Pediatrics

Special Populations: Pregnant and Nursing Women

Over-the-Counter Medications

Complementary and Alternative Therapies

Practical Tips on Writing Prescriptions

Evidence-Based Decision Making and Treatment Guidelines

Design and Implementation of Patient Education

Dermatologic Agents

Eye, Ear, Throat, and Mouth Agents

Upper Respiratory Agents

Asthma and Chronic Obstructive Pulmonary Disease Medications

Hypertension and Miscellaneous Antihypertensive Medications

Coronary Artery Disease and Antianginal Medications

Heart Failure and Digoxin

Beta-Blockers

Calcium Channel Blockers

ACE Inhibitors and Angiotensin Receptor Blockers

Antiarrhythmic Agents

Antihyperlipidemic Agents

Agents that Act on Blood

Antacids and the Management of GERD

Histamine-2 Blockers and Proton Pump Inhibitors

Laxatives

Antidiarrheals

Antiemetics

Medications for Irritable Bowel Syndrome and Other Gastrointestinal Problems

Diuretics

Male Genitourinary Agents

Drugs for Urinary Incontinence and Urinary Analgesia

Acetaminophen

Aspirin and Nonsteroidal Antiinflammatory Drugs

Disease-Modifying Antirheumatic Drugs and Immune Modulators

Gout Medications

Osteoporosis Treatment

Muscle Relaxants

Medications for Attention Deficit/Hyperactivity Disorder

Medications for Dementia

Analgesia and Pain Management

Migraine Medications

Antiepileptics

Antiparkinson Agents

Antidepressants

Antianxiety and Insomnia Agents

Antipsychotics

Substance Abuse

Glucocorticoids

Thyroid Medications

Diabetes Mellitus Agents

Contraceptives

Hormone Replacement Therapy

Drugs for Breast Cancer

Principles for Prescribing Antiinfectives

Treatment of Specific Infections and Miscellaneous Antibiotics

Penicillins

Cephalosporins

Tetracyclines

Macrolides

Fluoroquinolones

Aminoglycosides

Sulfonamides

Antitubercular Agents

Antifungals

Antiretroviral Medications

Antiviral and Antiprotozoal Agents

The Immune System and Immunizations

Weight Management

Smoking Cessation

Vitamins and Minerals

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