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Explanation & Answer

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APNs
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APNs
Currently, APNs in Massachusetts are relatively autonomous in terms of practice
compared to other states nationwide, with broad practice that includes NPs, CNSs, CRNAs, and
CNMs. The state has embraced the role of APNs through legislation granting them a scope of
practice that enables them to prescribe medications, diagnose patients' ailments, and provide
first, second, and third care without physician direction. NPs in Massachusetts operate under the
Nurse Practitioner Full Practice model as described by the NCSBN (O’Reilly-Jacob et al., 2020).
Also, it permits NPs to make assessments and diagnoses, interpret diagnostic tests, and prescribe
treatments and medicines without requiring physician supervision. The state practices
progressive legislation of NPs; as of September 2009, Massachusetts permits NPs to prescribe
controlled substances following proper education and certifications. Moreover, NPs can practice
in hospitals, private practices, and various community health facilities without writing a
collaborative or supervisory agreement with a physician.
However, there are still some barriers that work under regulations. For instance, even
though NPs operating in Massachusetts can prescribe autonomously, they are required to
undergo specific training if they are to do so for controlled substances (O’Reilly-Jacob et al.,
2020). NPs are likew...
