N5350 ROLES FINAL STUDY GUIDE LATEST UPDATE
1. cWhat care cthe c4 csettings cfor cprescriptive cauthority? cDescribe cthe crequirements cin ceach csetting cfor cphysician csupervision,
c# cof cNPs, cchart creview, cand cany cother cspecial crequirements cin cthat csite. c- cCORRECT cANS✔✔1. cMedically cUnderserved
2. cPhysician cPrimary cSite
3. cPhysician cAlternate cSite
4. cFacility cBased cPractice cSite.
* cGeneral crequirements cper cTBON crule c222.5: cregular cvisits, cchart creview cas cdetermined cby cAPRN c& cphysician, cperiodic
cface cto cface cmeeting cof cAPRN c& cphysician cto cdiscuss cpt ccare c& cimprovement.
1a) cMedically cUnderserved c- cCORRECT cANS✔✔*site cmust cbe cofficial, cphysician cmust cbe creachable cby cphone c& cmust cbe
cprovided cwith cdaily cstatus creport cof cany cmajor cproblems coutside cof cthe cprotocol. c
*must chave cprotocols.
1b) cPhysician cPrimary cPractice cSite c- cCORRECT cANS✔✔* cMust chave cprotocols.
*Sign cdrug corders conly cfor cpts cwhom cthe cMD chas/will cestablish ca crelationship.
*alternate cMD cmay cdelegate.
*MD cmay cdelegate cto cno cmore cthan c7 cAPNS cor cPAs.
*Physician con-site cvisits cshould cbe c50% cof cthe ctime caccording cto cBME.
1c) cFacility cBased cPractice c- cCORRECT cANS✔✔*Must cbe cphysically cpresent cin cfacility c(hospital cor clong cterm cfacility).
*Physician cmust cgive cprior cconsent.
*Delegation conly cat c> cone chospital cor c> c2 clong cterm ccare cfacilities c- cnow cit cis c7 cFTEs.
*Long cterm ccare-only c4 cAPNs c(APRNs) cor c4 cPAs cor ctheir cFTE cequivalent c- cnow cit cis c7 cFTE c& capproved cby cChief
cPhysician cof cFacility.
*Protocol csigned cby cthe cChief cPhysician.
1d) cPhysician cAlternate cSite c- cCORRECT cANS✔✔*No clonger cin ceffect.
2. cThe cFOUR cApproved cCategories cof cAPN cin cTX? c- cCORRECT cANS✔✔*CRNA, cNP, cCNS, cand cCNM
3. cNP crequirements cby cBON cfor capproval cof clicense/ cAP crecognition ceach cbiennium. c- cCORRECT cANS✔✔*Current cvalid
cRN clicensure.
*400 chours cof ccurrent cclinical cpractice.
*20 chours cof cCEs.
*8 chours cof ccontinuing ceducation cin cpharmacotherapeutics.
*Current cboard ccertification.
*Separate capplication cfor cdual croles.
4. cNew cNP cgraduate crequirements cwhen capplying cfor cthe cboard? c- cCORRECT cANS✔✔*Must ctake cand cpass cnational
ccertification cexam.
5. cWhat cis cthe cNP's cscope cof cpractice cbased con? c- cCORRECT cANS✔✔*Nurse cpractice cacts cdefine clegal cscope cof cpractice
cfor clicensed cpractitioners.
*Includes cprivileges cfor cdiagnosis, ctreatment, cprescriptive cauthority cand creimbursement.
11. cWhat care cclinical cprivileges cand chow care cthey cobtained? c- cCORRECT cANS✔✔*autonomy cto cperform cexpanded crole
cfunctions cbased con cthe cindividuals clicensure, ceducational cpreparation, cclinical cexperience, cand ccredentials.
*Via ccontractual cagreement cwith chospitals cor clong cterm ccare cfacilities.
12. cDefine cMalpractice c- cCORRECT cANS✔✔*Any cprofessional cmisconduct, cunreasonable clack cof cskill, cor cinfidelity cin
cprofessional cor cfiduciary cduties, cor cillegal cor cimmoral cconduct.
*Negligence cis cthe cfailure cof can cindividual cto cdo csomething cthat ca creasonable cperson cwould cdo, cthat cresults cin cinjury cto
canother.
*The calleged cfailure con cthe cpart cof ca cprofessional cto crender cservices cwith cthe cdegree cof ccare, cdiligence, cand cprecaution
cthat canother cmember cof cthe csame cprofession cin csimilar ccircumstances cwould crender cto cprevent cinjury cto csome cone celse.
13. cFOUR cElements cof cMalpractice c- cCORRECT cANS✔✔1. cDuty: cprovide csome clevel cof ccare, chad csome ccontact.
2. cDereliction: creasonable, cordinary ccare, cskill cand cdiligence cas cNP's cin cgood cstanding cin csimilar cpractice.
,3. cDamage: cMust chave can cinjury cor cno cmalpractice ceven cif cviolated cstandard cof ccare; ccap c"pain cand csuffering" c$250,000 cto
c$500, c000.
4. cCausation cof cInjury: cFor cmalpractice cto chave coccurred, ca cbreach cof cthe cstandard cof ccare cmust chave ccaused can cinjury cto
cthe cpatient.
15. cNational cPractitioner cData cBank c- cCORRECT cANS✔✔*Receives cand cdiscloses cthe creports con cmedical cmalpractice.
Who cis ccredited cto cbe cthe cfirst cadvanced cpractice cnurse crole? c- cCORRECT cANS✔✔Nurse cAnesthesia cin c1800's- cperhaps
cthe coldest cadvanced cnursing cspecialty, cSister cMary cBernard cat cSt. cVincent's cHospital cwas cthe cfirst canesthetist
Who cis ccredited cto cbe cthe cfounder cof cthe cfirst cnurse cpractitioner crole? c- cCORRECT cANS✔✔Loretta cFord-1965- cColorado
Who cis c(are) cthe coldest cprimary ccare cproviders cin cthe chistory cof cadvanced cpractice cnurses? c- cCORRECT cANS✔✔Midwifes
cin c1700's- cperhaps cthe coldest cprimary chealth ccare cprovider
Martha cBullard, c1785 cis cthe coldest cnoted cin cpublication
What care cthe croles cof cAPRNs? cHow care cthey cdifferent cfrom ceach cother? c- cCORRECT cANS✔✔To cprovide chealth ccare cto
cindividuals, cfamily, cgroups cin ca cvariety cof chealth ccare csettings c(homes, chospitals, cinstitutions, coffices, cclinics, cetc)
APRN cincludes cNP, cnurse cmidwife, cnurse canesthetist, cand cclinical cnurse cspecialist
What cstates care cresponsible cfor cbeing cthe cfirst cto chave cadvanced cpractice clanguage cin ctheir cnurse cpractice cact? c-
cCORRECT cANS✔✔Idaho c(language cread- c"assess, cdiagnose, ctreat")
What cis cNONPF? cWhat cis ctheir cinfluence cfor cAPRNs? c- cCORRECT cANS✔✔National cOrganization cof cNurse cPractitioner
cFaculty
They chave cdeveloped cdomains cand ccompetencies
Organized crole ccompetencies c(policy, cethics, cquality, cleadership, cetc)
How cis cthe cNP crole cdifferent cfrom cPA crole? c- cCORRECT cANS✔✔•PA's cwork cdirectly cunder ca cMD, cNP's ccan cfunction
cindependently
•NP's cfocus con cmultiple cpractice cand cnursing cmodels
•PA's cfocus con cmedical ctasks cutilizing ca cmedical cframework
What care cthe ckey celements cof cOTA, cBrown, cSafriet cand cMundinger c- cCORRECT cANS✔✔• cOTA
NP's cprovide cequivalent ccare cto cMD's.
Patients cwho creceive ccare cform can cNP cshow cdecreased cpatient csymptoms.
• cBrown
Patient csatisfaction cand cresolution cof cpathological cconditions cwere cgreater cfor cNP's cover cMD's
NM's cuse cless ctechnology/ canalgesia
NM's cachieved cequivalent cneonatal coutcomes
• cSafreit
There cis cabundant cdata con cthe cNP crole cin cproviding chigh cquality, ccost ceffective ccare/
There care cmajor crestrictions con cthe cpractice cof cNP's cand cthese cbarriers cshould cbe cremoved.
• cMundinger
Compared coutcomes cin cpatients cwho cwere crandomly cassigned cto ceither cNP's cor cMD's.
Results cshowed cthat cpatient coutcomes cwere ccomparable.
How cdoes cthe cTexas cBoard cof cNursing cdefine cthe cNP crole? c- cCORRECT cANS✔✔A cRN capproved cby cthe cboard cto cpractice
cas can cAPN cbased con ccompleting can cadvanced ceducation cpractice cprogram cacceptable cby cthe cboard. cThe cterm cincludes
can cNP, cnurse cmidwife, cnurse canesthetist, cand ca cCNS. cThe cAPN cis cprepared cto cpractice cin can cexpanded crole cto cprovide
chealth ccare cto cindividuals, cfamilies, cand/or cgroups cin ca cvariety cof csettings cincluding cbut cnot climited cto chomes, chospitals,
cinstitutions, coffices, cindustry, cschools, ccommunity cagencies, cpublic/private cclinics cand cprivate cpractice. cThe cAPN cacts
cindependently cand/or cin ccollaboration cwith cother chealth ccare cprofessionals cin cthe cdelivery cof chealth ccare cservices.
Where cand cwhen cdid cthe crole cfirst cbegin? c- cCORRECT cANS✔✔1965- cUniversity cof cColorado-PNP
What cfactors chave csupported cinitiation cof cthe crole cand cits cdevelopment cover ctime? c- cCORRECT cANS✔✔1.Changes
csocially/culturally
c•WW2, cVietnam cwar- cneeded canesthetist
c•Communities cneeded cmidwives, clack cof cprepared cOB's
2.Changes cin cthe cHealth ccare csystem
c•No cphysicians cto cadminister canesthesia
c•Decrease cin cmedical cinterns cand cMDs, cand cwas ctherefore can cincreased cneed cfor cthe cNP
What care c3-5 cmajor cresearch coutcomes c(process cor coutcomes cfindings) cabout cNP cimpact cthat cyou ccan cdocument? c-
cCORRECT cANS✔✔1.NP's cprovide cequivalent ccare cto cMD's
c•Process cmeasures: cAdequacy cof cpedi cexams, cmedication cprescribed, cshort cand clong cterm ccompliance
c•Outcome cmeasures: cimproved cpatient cfunctioning, cresolution cof cacute cproblems, cdecreased cpain cor cdiscomfort cin cchildren
2.NP's cprovide csuperior ccare cto cMD's
c•Process cmeasures: c# cof cdiagnostic ctests, ceffectiveness cof cinterpersonal cmanagement cskills
c•Outcome cmeasures: creduced cpatient csymptoms, cbetter cHTN ccontrol, cincreased cweight creduction, cpain cdecreased cin cadult
cpatients, cimproved cactivity cand cdecreased canxiety cin cchronic cpatients
3.Patients care cgenerally csatisfied cwith cthe cquality cof ccare cprovided cby cthem, cparticularly cwith cthe cinterpersonal caspects cof
ccare.
4.NP's care ca csolution cto chealthcare csystem cissues csuch cas cAccess cto cCare, cQuality cof ccare cand cCost cof cCare
, What care c3 cmajor cquestions cabout cthe cNP crole cand cits cimpact cthat cresearch cshould caddress? c- cCORRECT cANS✔✔1.Does
celigibility creimbursement cfor cnurses ccause closs cof cquality cof ccare cor cincentive cto chelp cmore cpeople?
2.Would crequiring ca cDNP cfor cAPN ccause cless cnurses cto cbecome cAPN cand ctherefore ccause ca cgreater cshortage cfor cthe
cgrowing cpopulation.
3.Does chave climitations con cprescriptive cauthority ccause ca cdelay cin ccare cand cpain cmanagement?
What care c3 cmajor chealthcare csystem cissues cthat ccan cbe cimpacted cby cthe cNP crole? cDescribe chow cthese ccan cbe cimpacted.
c- cCORRECT cANS✔✔1.Assess cto ccare
2.Quality cof ccare
3.Cost cof ccare
*According cto cSafreit, cin corder cfor cNP's cto cbe cpart cof cthe csolution, cbarriers cto cpractice cthat cexist cmust cbe cremoved. c
•Scope cof cPractice: cno cprotocols, cfull cauthority cto cpractice cwith cno csupervision
•Unlimited cprescriptive cauthority
•Full creimbursement
•Autonomy cas ca cprovider: chospital cprivileges
What care c3 cissues cthat ccan cimpact cthe cNP crole ceither cpositively cor cnegatively? cDescribe chow cthe cissues ccan cimpact cthe
crole cand cwhat cyou cthink cneeds cto cbe cdone cto cpromote ca cpositive coutcome. c- cCORRECT cANS✔✔1.DNP: cpositive cside cis
clengths cof cprograms care clengthy canyways cwith cno cchange cin ccredentialing cawarded. cYou cwould cnot chave cto cdo cor cmuch
cextra, cand cyou cwould chave ca cDNP. cNegative cside cis cthis cmight cpush cnurses cfrom ccontinuing ctheir ceducation cand cthe cneed
cfor ccare cproviders cshould ctake cprecedent cover cprofessionalized cagenda. c
2.Prescriptive cauthority: cincreasing cprescriptive cauthority ccould cimpact cthe crole cpositively cin cthat cpatients cwill cnot chave ca
cdelay cof ccare. cPain ccould cbe cbetter cmanaged.
3.Eligibility cfor creimbursement: coffers clarger cgroups cof cpeople cin ccommunities cprimary ccare cbut ccan calso ccause ccompetition
cas cNP's cand cMD's cattempt cto cserve cthe csame cpopulation. cAlso, cumbrella ccorporations ctend cto cgive cthe cNP ca cmin cnumber
cof cpatients cto csee cand cthen coffer cincentive cpay cto csee cmore. cLoss cof cquality cof ccare?
Identify cand cbe cable cto cdiscuss cthe c3 cphases cof ctransition cby cBarton, c2007. c- cCORRECT cANS✔✔1.The cIdentity cLoss
cPhase
•Early cin cthe cAPN cprogram. cCome cin cas cexpert cand cnow cyou care ca cnovice cnurse cagain. cTry cto cseparate cfrom cprior ccareer.
2.Transitional cRole cEvolution
•Uncertainty cof cthe cAPN crole ccontinues. cFeel ca csense cof crole climbo cand cmay cfeel cinvisible. cPeers care cimportant.
cResocialization coccurs cacquiring cindividuality cand cnew crole cidentity. c
3.Incorporation cPhase
•Occurs cat cthe cend cof cthe cprogram cusually cin cthe cfinal cpracticum ccourse. cChange cin crelationship cbetween cRN cpeers. cEnd
cof cphase cis cpassing cof cthe cAPN ccertification cexam
What care cthe cconsiderations ctowards ctransition cfrom cthe cRN cto cthe cAPN crole? c- cCORRECT cANS✔✔•Develop ca cTheoretical
cNurse cPractice cFramework: cemphasizes cEBP, cresearch, cto cstay con ctop cof cAPN cprofession
•Know cthe cAPN cscope cof cpractice
•Choose cappropriate cpreceptors cthat cwill cencourage cfeelings cof cself cworth
•Get ca cmentor
•Reflect ceach cday
•Maintain ca cclinical cElog c(values, cattitudes, cpractice)
•Maintain ca cclinical cportfolio
•Network cwith cpeers cand cexperienced cNP's
•Have ca cPositive cAttitude
•Maximize cclinical cexperiences
•Treat cfailures cas clearning cexperiences
•Keep cup cwith clegal cissues
What care c5 cmajor cresponsibilities cof cthe cRN crole cthat cyou cwill cbring cto cthe cNP crole? c- cCORRECT cANS✔✔•Document
•Educate
•Observe cand cassess cpatients c
•Review ctreatment/care cplan
•Consult cwith cMD's cand cother cprofessionals
Be cable cto cidentify/discuss ctop cissues cfor cthe cAPN. c- cCORRECT cANS✔✔•You ccan cbecome cso cspecialized cthat cyou close
cbroad cknowledge cthat cis cneeded. c
•Some cspecialty croles care crecognized cin csome cplaces cbut cnot cothers. c
Ex: cforensic cNP cin cCalifornia cbut cnot cin cTX
•There care cso cmany ccredentials cthat cit cis cconfusing
•Being crecognized cas ca cPCP cas can cNNP
•Putting cthe cMD cname con ca cprescription cbottle, cpharmacies caccepting cNP cscripts
•Hospital cprivileges
•Medicare cand cMedicaid creimbursements
•Third cparties ccan cdeny creimbursements cto cNP cfor ccare
•Have cto cget can cNPI cnumber c(everyone chas cto chave cit, cdon't creally cget cwhy cits can cissue)
•Autonomous cAPN cPractice- cno csupervision cby cMD. cWould chave cprescriptive cauthority
•Has cto cbe cin cprotocols cto cdelegate cto canyone cother cthan cMA, cNA
•Needed cmd csignature cto corder csupplies
•Social cproblem cof cdiscounting
1. cWhat care cthe c4 csettings cfor cprescriptive cauthority? cDescribe cthe crequirements cin ceach csetting cfor cphysician csupervision,
c# cof cNPs, cchart creview, cand cany cother cspecial crequirements cin cthat csite. c- cCORRECT cANS✔✔1. cMedically cUnderserved
2. cPhysician cPrimary cSite
3. cPhysician cAlternate cSite
4. cFacility cBased cPractice cSite.
* cGeneral crequirements cper cTBON crule c222.5: cregular cvisits, cchart creview cas cdetermined cby cAPRN c& cphysician, cperiodic
cface cto cface cmeeting cof cAPRN c& cphysician cto cdiscuss cpt ccare c& cimprovement.
1a) cMedically cUnderserved c- cCORRECT cANS✔✔*site cmust cbe cofficial, cphysician cmust cbe creachable cby cphone c& cmust cbe
cprovided cwith cdaily cstatus creport cof cany cmajor cproblems coutside cof cthe cprotocol. c
*must chave cprotocols.
1b) cPhysician cPrimary cPractice cSite c- cCORRECT cANS✔✔* cMust chave cprotocols.
*Sign cdrug corders conly cfor cpts cwhom cthe cMD chas/will cestablish ca crelationship.
*alternate cMD cmay cdelegate.
*MD cmay cdelegate cto cno cmore cthan c7 cAPNS cor cPAs.
*Physician con-site cvisits cshould cbe c50% cof cthe ctime caccording cto cBME.
1c) cFacility cBased cPractice c- cCORRECT cANS✔✔*Must cbe cphysically cpresent cin cfacility c(hospital cor clong cterm cfacility).
*Physician cmust cgive cprior cconsent.
*Delegation conly cat c> cone chospital cor c> c2 clong cterm ccare cfacilities c- cnow cit cis c7 cFTEs.
*Long cterm ccare-only c4 cAPNs c(APRNs) cor c4 cPAs cor ctheir cFTE cequivalent c- cnow cit cis c7 cFTE c& capproved cby cChief
cPhysician cof cFacility.
*Protocol csigned cby cthe cChief cPhysician.
1d) cPhysician cAlternate cSite c- cCORRECT cANS✔✔*No clonger cin ceffect.
2. cThe cFOUR cApproved cCategories cof cAPN cin cTX? c- cCORRECT cANS✔✔*CRNA, cNP, cCNS, cand cCNM
3. cNP crequirements cby cBON cfor capproval cof clicense/ cAP crecognition ceach cbiennium. c- cCORRECT cANS✔✔*Current cvalid
cRN clicensure.
*400 chours cof ccurrent cclinical cpractice.
*20 chours cof cCEs.
*8 chours cof ccontinuing ceducation cin cpharmacotherapeutics.
*Current cboard ccertification.
*Separate capplication cfor cdual croles.
4. cNew cNP cgraduate crequirements cwhen capplying cfor cthe cboard? c- cCORRECT cANS✔✔*Must ctake cand cpass cnational
ccertification cexam.
5. cWhat cis cthe cNP's cscope cof cpractice cbased con? c- cCORRECT cANS✔✔*Nurse cpractice cacts cdefine clegal cscope cof cpractice
cfor clicensed cpractitioners.
*Includes cprivileges cfor cdiagnosis, ctreatment, cprescriptive cauthority cand creimbursement.
11. cWhat care cclinical cprivileges cand chow care cthey cobtained? c- cCORRECT cANS✔✔*autonomy cto cperform cexpanded crole
cfunctions cbased con cthe cindividuals clicensure, ceducational cpreparation, cclinical cexperience, cand ccredentials.
*Via ccontractual cagreement cwith chospitals cor clong cterm ccare cfacilities.
12. cDefine cMalpractice c- cCORRECT cANS✔✔*Any cprofessional cmisconduct, cunreasonable clack cof cskill, cor cinfidelity cin
cprofessional cor cfiduciary cduties, cor cillegal cor cimmoral cconduct.
*Negligence cis cthe cfailure cof can cindividual cto cdo csomething cthat ca creasonable cperson cwould cdo, cthat cresults cin cinjury cto
canother.
*The calleged cfailure con cthe cpart cof ca cprofessional cto crender cservices cwith cthe cdegree cof ccare, cdiligence, cand cprecaution
cthat canother cmember cof cthe csame cprofession cin csimilar ccircumstances cwould crender cto cprevent cinjury cto csome cone celse.
13. cFOUR cElements cof cMalpractice c- cCORRECT cANS✔✔1. cDuty: cprovide csome clevel cof ccare, chad csome ccontact.
2. cDereliction: creasonable, cordinary ccare, cskill cand cdiligence cas cNP's cin cgood cstanding cin csimilar cpractice.
,3. cDamage: cMust chave can cinjury cor cno cmalpractice ceven cif cviolated cstandard cof ccare; ccap c"pain cand csuffering" c$250,000 cto
c$500, c000.
4. cCausation cof cInjury: cFor cmalpractice cto chave coccurred, ca cbreach cof cthe cstandard cof ccare cmust chave ccaused can cinjury cto
cthe cpatient.
15. cNational cPractitioner cData cBank c- cCORRECT cANS✔✔*Receives cand cdiscloses cthe creports con cmedical cmalpractice.
Who cis ccredited cto cbe cthe cfirst cadvanced cpractice cnurse crole? c- cCORRECT cANS✔✔Nurse cAnesthesia cin c1800's- cperhaps
cthe coldest cadvanced cnursing cspecialty, cSister cMary cBernard cat cSt. cVincent's cHospital cwas cthe cfirst canesthetist
Who cis ccredited cto cbe cthe cfounder cof cthe cfirst cnurse cpractitioner crole? c- cCORRECT cANS✔✔Loretta cFord-1965- cColorado
Who cis c(are) cthe coldest cprimary ccare cproviders cin cthe chistory cof cadvanced cpractice cnurses? c- cCORRECT cANS✔✔Midwifes
cin c1700's- cperhaps cthe coldest cprimary chealth ccare cprovider
Martha cBullard, c1785 cis cthe coldest cnoted cin cpublication
What care cthe croles cof cAPRNs? cHow care cthey cdifferent cfrom ceach cother? c- cCORRECT cANS✔✔To cprovide chealth ccare cto
cindividuals, cfamily, cgroups cin ca cvariety cof chealth ccare csettings c(homes, chospitals, cinstitutions, coffices, cclinics, cetc)
APRN cincludes cNP, cnurse cmidwife, cnurse canesthetist, cand cclinical cnurse cspecialist
What cstates care cresponsible cfor cbeing cthe cfirst cto chave cadvanced cpractice clanguage cin ctheir cnurse cpractice cact? c-
cCORRECT cANS✔✔Idaho c(language cread- c"assess, cdiagnose, ctreat")
What cis cNONPF? cWhat cis ctheir cinfluence cfor cAPRNs? c- cCORRECT cANS✔✔National cOrganization cof cNurse cPractitioner
cFaculty
They chave cdeveloped cdomains cand ccompetencies
Organized crole ccompetencies c(policy, cethics, cquality, cleadership, cetc)
How cis cthe cNP crole cdifferent cfrom cPA crole? c- cCORRECT cANS✔✔•PA's cwork cdirectly cunder ca cMD, cNP's ccan cfunction
cindependently
•NP's cfocus con cmultiple cpractice cand cnursing cmodels
•PA's cfocus con cmedical ctasks cutilizing ca cmedical cframework
What care cthe ckey celements cof cOTA, cBrown, cSafriet cand cMundinger c- cCORRECT cANS✔✔• cOTA
NP's cprovide cequivalent ccare cto cMD's.
Patients cwho creceive ccare cform can cNP cshow cdecreased cpatient csymptoms.
• cBrown
Patient csatisfaction cand cresolution cof cpathological cconditions cwere cgreater cfor cNP's cover cMD's
NM's cuse cless ctechnology/ canalgesia
NM's cachieved cequivalent cneonatal coutcomes
• cSafreit
There cis cabundant cdata con cthe cNP crole cin cproviding chigh cquality, ccost ceffective ccare/
There care cmajor crestrictions con cthe cpractice cof cNP's cand cthese cbarriers cshould cbe cremoved.
• cMundinger
Compared coutcomes cin cpatients cwho cwere crandomly cassigned cto ceither cNP's cor cMD's.
Results cshowed cthat cpatient coutcomes cwere ccomparable.
How cdoes cthe cTexas cBoard cof cNursing cdefine cthe cNP crole? c- cCORRECT cANS✔✔A cRN capproved cby cthe cboard cto cpractice
cas can cAPN cbased con ccompleting can cadvanced ceducation cpractice cprogram cacceptable cby cthe cboard. cThe cterm cincludes
can cNP, cnurse cmidwife, cnurse canesthetist, cand ca cCNS. cThe cAPN cis cprepared cto cpractice cin can cexpanded crole cto cprovide
chealth ccare cto cindividuals, cfamilies, cand/or cgroups cin ca cvariety cof csettings cincluding cbut cnot climited cto chomes, chospitals,
cinstitutions, coffices, cindustry, cschools, ccommunity cagencies, cpublic/private cclinics cand cprivate cpractice. cThe cAPN cacts
cindependently cand/or cin ccollaboration cwith cother chealth ccare cprofessionals cin cthe cdelivery cof chealth ccare cservices.
Where cand cwhen cdid cthe crole cfirst cbegin? c- cCORRECT cANS✔✔1965- cUniversity cof cColorado-PNP
What cfactors chave csupported cinitiation cof cthe crole cand cits cdevelopment cover ctime? c- cCORRECT cANS✔✔1.Changes
csocially/culturally
c•WW2, cVietnam cwar- cneeded canesthetist
c•Communities cneeded cmidwives, clack cof cprepared cOB's
2.Changes cin cthe cHealth ccare csystem
c•No cphysicians cto cadminister canesthesia
c•Decrease cin cmedical cinterns cand cMDs, cand cwas ctherefore can cincreased cneed cfor cthe cNP
What care c3-5 cmajor cresearch coutcomes c(process cor coutcomes cfindings) cabout cNP cimpact cthat cyou ccan cdocument? c-
cCORRECT cANS✔✔1.NP's cprovide cequivalent ccare cto cMD's
c•Process cmeasures: cAdequacy cof cpedi cexams, cmedication cprescribed, cshort cand clong cterm ccompliance
c•Outcome cmeasures: cimproved cpatient cfunctioning, cresolution cof cacute cproblems, cdecreased cpain cor cdiscomfort cin cchildren
2.NP's cprovide csuperior ccare cto cMD's
c•Process cmeasures: c# cof cdiagnostic ctests, ceffectiveness cof cinterpersonal cmanagement cskills
c•Outcome cmeasures: creduced cpatient csymptoms, cbetter cHTN ccontrol, cincreased cweight creduction, cpain cdecreased cin cadult
cpatients, cimproved cactivity cand cdecreased canxiety cin cchronic cpatients
3.Patients care cgenerally csatisfied cwith cthe cquality cof ccare cprovided cby cthem, cparticularly cwith cthe cinterpersonal caspects cof
ccare.
4.NP's care ca csolution cto chealthcare csystem cissues csuch cas cAccess cto cCare, cQuality cof ccare cand cCost cof cCare
, What care c3 cmajor cquestions cabout cthe cNP crole cand cits cimpact cthat cresearch cshould caddress? c- cCORRECT cANS✔✔1.Does
celigibility creimbursement cfor cnurses ccause closs cof cquality cof ccare cor cincentive cto chelp cmore cpeople?
2.Would crequiring ca cDNP cfor cAPN ccause cless cnurses cto cbecome cAPN cand ctherefore ccause ca cgreater cshortage cfor cthe
cgrowing cpopulation.
3.Does chave climitations con cprescriptive cauthority ccause ca cdelay cin ccare cand cpain cmanagement?
What care c3 cmajor chealthcare csystem cissues cthat ccan cbe cimpacted cby cthe cNP crole? cDescribe chow cthese ccan cbe cimpacted.
c- cCORRECT cANS✔✔1.Assess cto ccare
2.Quality cof ccare
3.Cost cof ccare
*According cto cSafreit, cin corder cfor cNP's cto cbe cpart cof cthe csolution, cbarriers cto cpractice cthat cexist cmust cbe cremoved. c
•Scope cof cPractice: cno cprotocols, cfull cauthority cto cpractice cwith cno csupervision
•Unlimited cprescriptive cauthority
•Full creimbursement
•Autonomy cas ca cprovider: chospital cprivileges
What care c3 cissues cthat ccan cimpact cthe cNP crole ceither cpositively cor cnegatively? cDescribe chow cthe cissues ccan cimpact cthe
crole cand cwhat cyou cthink cneeds cto cbe cdone cto cpromote ca cpositive coutcome. c- cCORRECT cANS✔✔1.DNP: cpositive cside cis
clengths cof cprograms care clengthy canyways cwith cno cchange cin ccredentialing cawarded. cYou cwould cnot chave cto cdo cor cmuch
cextra, cand cyou cwould chave ca cDNP. cNegative cside cis cthis cmight cpush cnurses cfrom ccontinuing ctheir ceducation cand cthe cneed
cfor ccare cproviders cshould ctake cprecedent cover cprofessionalized cagenda. c
2.Prescriptive cauthority: cincreasing cprescriptive cauthority ccould cimpact cthe crole cpositively cin cthat cpatients cwill cnot chave ca
cdelay cof ccare. cPain ccould cbe cbetter cmanaged.
3.Eligibility cfor creimbursement: coffers clarger cgroups cof cpeople cin ccommunities cprimary ccare cbut ccan calso ccause ccompetition
cas cNP's cand cMD's cattempt cto cserve cthe csame cpopulation. cAlso, cumbrella ccorporations ctend cto cgive cthe cNP ca cmin cnumber
cof cpatients cto csee cand cthen coffer cincentive cpay cto csee cmore. cLoss cof cquality cof ccare?
Identify cand cbe cable cto cdiscuss cthe c3 cphases cof ctransition cby cBarton, c2007. c- cCORRECT cANS✔✔1.The cIdentity cLoss
cPhase
•Early cin cthe cAPN cprogram. cCome cin cas cexpert cand cnow cyou care ca cnovice cnurse cagain. cTry cto cseparate cfrom cprior ccareer.
2.Transitional cRole cEvolution
•Uncertainty cof cthe cAPN crole ccontinues. cFeel ca csense cof crole climbo cand cmay cfeel cinvisible. cPeers care cimportant.
cResocialization coccurs cacquiring cindividuality cand cnew crole cidentity. c
3.Incorporation cPhase
•Occurs cat cthe cend cof cthe cprogram cusually cin cthe cfinal cpracticum ccourse. cChange cin crelationship cbetween cRN cpeers. cEnd
cof cphase cis cpassing cof cthe cAPN ccertification cexam
What care cthe cconsiderations ctowards ctransition cfrom cthe cRN cto cthe cAPN crole? c- cCORRECT cANS✔✔•Develop ca cTheoretical
cNurse cPractice cFramework: cemphasizes cEBP, cresearch, cto cstay con ctop cof cAPN cprofession
•Know cthe cAPN cscope cof cpractice
•Choose cappropriate cpreceptors cthat cwill cencourage cfeelings cof cself cworth
•Get ca cmentor
•Reflect ceach cday
•Maintain ca cclinical cElog c(values, cattitudes, cpractice)
•Maintain ca cclinical cportfolio
•Network cwith cpeers cand cexperienced cNP's
•Have ca cPositive cAttitude
•Maximize cclinical cexperiences
•Treat cfailures cas clearning cexperiences
•Keep cup cwith clegal cissues
What care c5 cmajor cresponsibilities cof cthe cRN crole cthat cyou cwill cbring cto cthe cNP crole? c- cCORRECT cANS✔✔•Document
•Educate
•Observe cand cassess cpatients c
•Review ctreatment/care cplan
•Consult cwith cMD's cand cother cprofessionals
Be cable cto cidentify/discuss ctop cissues cfor cthe cAPN. c- cCORRECT cANS✔✔•You ccan cbecome cso cspecialized cthat cyou close
cbroad cknowledge cthat cis cneeded. c
•Some cspecialty croles care crecognized cin csome cplaces cbut cnot cothers. c
Ex: cforensic cNP cin cCalifornia cbut cnot cin cTX
•There care cso cmany ccredentials cthat cit cis cconfusing
•Being crecognized cas ca cPCP cas can cNNP
•Putting cthe cMD cname con ca cprescription cbottle, cpharmacies caccepting cNP cscripts
•Hospital cprivileges
•Medicare cand cMedicaid creimbursements
•Third cparties ccan cdeny creimbursements cto cNP cfor ccare
•Have cto cget can cNPI cnumber c(everyone chas cto chave cit, cdon't creally cget cwhy cits can cissue)
•Autonomous cAPN cPractice- cno csupervision cby cMD. cWould chave cprescriptive cauthority
•Has cto cbe cin cprotocols cto cdelegate cto canyone cother cthan cMA, cNA
•Needed cmd csignature cto corder csupplies
•Social cproblem cof cdiscounting
