ANCC FNP FULLY SOLVED EXAM PAPER
GRADED A+
◉ Emergency Medical Treatment & Labor Act (EMTALA).
Answer: designated to prevent inappropriate transfers and "patient
dumping" for indigent patients. Requires hospitals to access and
treat patients regardless of ability to pay and provides specific
provisions on when transfers are allowed.
◉ Genetic Information Nondiscriminatory Act (GINA).
Answer: prohibits the use of genetic information for health
insurance and hiring decisions.
◉ Health Information Technology for Economic & Clinical Health Act
of 2009 (HITECH).
Answer: healthcare providers would be offered financial incentives
for demonstrating meaningful use of EHR until 2015 after which
penalties may be levied for failing to demonstrate such use. **
delayed until 2017.
◉ Affordable Care Act of 2010.
Answer: expands health coverage using a variety of mechanisms on
the state and federal level.
,*Only US citizens can purchase through the marketplace.
*Expands Medicaid for low income families.
*Tax penalties for those who do not purchase.
◉ The Patient Protection & Affordable Care Act (PPACA).
Answer: requires people to have coverage.
◉ Consensus Model for Advanced Practice Registered Nurse.
Answer: multifaceted proposal established by the National Counsel
of the state BON in conjunction with numerous professional
organizations. Advocates the the APRN title, independent
prescriptive authority & establishes certain minimum standards for
NP's. NP's are not required to have a collaborative agreement under
this model.
◉ Medical Home Model.
Answer: a model aimed at reorganizing the delivery of primary
healthcare. Purpose is to improve healthcare in America by
transforming how healthcare is delivered.
◉ Institute of Medicine (IOM) Core Competencies for providers.
Answer: 1) patient-centered care
2) work in interprofessional teams
3) employ evidence-based practice
,4) apply quality improvement
5) utilize informatics
◉ National Institute of Medicine (PPEETE).
Answer: 1) Patient Safety
2) Patient Centeredness
3) Effectiveness
4) Efficiency
5) Timeliness
6) Equity
◉ National Practitioner Data Bank (NPDB).
Answer: databank for medical malpractice claims & specifically
defined adverse actions associated with providers. State licensure
and certification action is reportable.
◉ Prescriptions Must Include.
Answer: 1) date of issue
2) patients name & address
3) practitioners name and address, DEA#
4) drug name, dosage form, quantity, direction for use.
5) # of refills
, 6) manual signature
◉ Criteria for Hospice.
Answer: patient must give consent
life expectancy <6 mos
agree not to use life-sustaining equipment
◉ State Reportable to Department of Health.
Answer: 5 diagnoses: Gonorrhea, Chlamydia, Syphilis, HIV, TB
Criminal acts & injury from dangerous weapons
Animal bites
Suspect child/elder abuse
Domestic violence is NOT state reportable
◉ The Swiss Cheese Model.
Answer: systems approach to understanding errors. Declares
humans are fallible and errors are to be expected even in the best
organization. The holes represent opportunities for the process to
fail.
◉ Kotters 8-Step Change Model.
Answer: 1) Create a sense of urgency
GRADED A+
◉ Emergency Medical Treatment & Labor Act (EMTALA).
Answer: designated to prevent inappropriate transfers and "patient
dumping" for indigent patients. Requires hospitals to access and
treat patients regardless of ability to pay and provides specific
provisions on when transfers are allowed.
◉ Genetic Information Nondiscriminatory Act (GINA).
Answer: prohibits the use of genetic information for health
insurance and hiring decisions.
◉ Health Information Technology for Economic & Clinical Health Act
of 2009 (HITECH).
Answer: healthcare providers would be offered financial incentives
for demonstrating meaningful use of EHR until 2015 after which
penalties may be levied for failing to demonstrate such use. **
delayed until 2017.
◉ Affordable Care Act of 2010.
Answer: expands health coverage using a variety of mechanisms on
the state and federal level.
,*Only US citizens can purchase through the marketplace.
*Expands Medicaid for low income families.
*Tax penalties for those who do not purchase.
◉ The Patient Protection & Affordable Care Act (PPACA).
Answer: requires people to have coverage.
◉ Consensus Model for Advanced Practice Registered Nurse.
Answer: multifaceted proposal established by the National Counsel
of the state BON in conjunction with numerous professional
organizations. Advocates the the APRN title, independent
prescriptive authority & establishes certain minimum standards for
NP's. NP's are not required to have a collaborative agreement under
this model.
◉ Medical Home Model.
Answer: a model aimed at reorganizing the delivery of primary
healthcare. Purpose is to improve healthcare in America by
transforming how healthcare is delivered.
◉ Institute of Medicine (IOM) Core Competencies for providers.
Answer: 1) patient-centered care
2) work in interprofessional teams
3) employ evidence-based practice
,4) apply quality improvement
5) utilize informatics
◉ National Institute of Medicine (PPEETE).
Answer: 1) Patient Safety
2) Patient Centeredness
3) Effectiveness
4) Efficiency
5) Timeliness
6) Equity
◉ National Practitioner Data Bank (NPDB).
Answer: databank for medical malpractice claims & specifically
defined adverse actions associated with providers. State licensure
and certification action is reportable.
◉ Prescriptions Must Include.
Answer: 1) date of issue
2) patients name & address
3) practitioners name and address, DEA#
4) drug name, dosage form, quantity, direction for use.
5) # of refills
, 6) manual signature
◉ Criteria for Hospice.
Answer: patient must give consent
life expectancy <6 mos
agree not to use life-sustaining equipment
◉ State Reportable to Department of Health.
Answer: 5 diagnoses: Gonorrhea, Chlamydia, Syphilis, HIV, TB
Criminal acts & injury from dangerous weapons
Animal bites
Suspect child/elder abuse
Domestic violence is NOT state reportable
◉ The Swiss Cheese Model.
Answer: systems approach to understanding errors. Declares
humans are fallible and errors are to be expected even in the best
organization. The holes represent opportunities for the process to
fail.
◉ Kotters 8-Step Change Model.
Answer: 1) Create a sense of urgency
