West Virginia MPJE (Pharmacy Jurisprudence) Practice Exam

Under what condition can an NP prescribe MAOIs in West Virginia?

1. If in a collaborative agreement with a psychiatrist

2. Only if prescribed in a hospital setting

3. Under no circumstances can NPs prescribe MAOIs

4. Only with approval from the medical board

The correct answer is: If in a collaborative agreement with a psychiatrist

The ability of a Nurse Practitioner (NP) to prescribe Monoamine Oxidase Inhibitors (MAOIs) in West Virginia hinges on their collaborative relationship with a psychiatrist. Such collaborative agreements facilitate a multidisciplinary approach to patient care, allowing NPs to prescribe medications that may require specialized knowledge due to safety concerns and potential drug interactions, which are particularly relevant when dealing with MAOIs. This collaboration ensures that the prescribing NP has access to the necessary expertise to safely manage patients on these medications, following protocols established in their agreement with a psychiatrist. The other choices suggest restrictions or conditions that do not align with West Virginia's practice regulations for NPs. Prescribing only in a hospital setting imposes unnecessary limitations when the collaborative agreement model allows for prescribed treatments in various settings. Denying the ability to prescribe MAOIs under any circumstances ignores the established protocol that supports NPs working in tandem with psychiatrists. Lastly, requiring approval from the medical board for each prescription could hinder timely patient care and suggests a level of oversight that is typically not necessary when adequate collaborative agreements are in place.