Author Question: A primary care NP will begin practicing in a state in which the governor has opted out of the ... (Read 23 times)

crobinson2013 · **on:** Jul 24, 2018

A primary care NP will begin practicing in a state in which the governor has opted out of the federal facility reimbursement requirement. The NP should be aware that this defines how NPs may write prescriptions:

a. without physician supervision in private practice.
b. as CRNAs without physician supervision in a hospital setting.
c. in any situation but will not be reimbursed for this by government insurers.
d. only with physician supervision in both private practice and a hospital setting.

Question 2

As primary care nurse practitioners (NPs) continue to develop their role as prescribers of medications, it will be important to:

a. attain the same level of expertise as physicians who currently prescribe medications.
b. learn from the experiences of physicians and develop expertise based on evidence-based practice.
c. maintain collaborative and supervisorial relationships with physicians who will oversee prescribing practices.
d. develop relationships with pharmaceutical representatives to learn about new medications as they are developed.

Jadwiga9 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
In 2001, the Centers for Medicare and Medicaid Services changed the federal physician supervision rule for CRNAs to allow state governors to opt out, allowing CRNAs to write prescriptions and dispense drugs without physician supervision.

Answer to Question 2

B
As nonphysicians develop the roles associated with prescriptive authority, it will be important to learn from the past experiences of physicians and to develop prescribing practices based on evidence-based medicine. It is hoped that all prescribers, including physicians and nurse practitioners, will strive to do better than in the past. NPs should work toward prescriptive authority and for practice that is not supervised by another professional. Pharmaceutical representatives provide information that carries some bias. Academic sources are better.