AGACNP Exam Review With 100%Correct Answers (VERIFIED).

AGACNP Exam Review With 100%Correct Answers (VERIFIED). Scope of Practice - Correct Answer-Based on legal allowances in each state, individual state nurse practice acts providing guidelines for nursing practice Key elements of the NP role include - Correct Answer-integration of care across the acute illness continuum with collaboration and coordination of care; research based clinical practices, clinical leadership, family assessment, and discharge planning Standards of Advanced Practice are delineated by... - Correct Answer-American Nurses Association which measure quality of practice, service, or education State Practice Acts - Correct Answer-Authorize Boards of Nursing in each state to establish statutory authority for licensure of RNs State Practice Acts - authority includes: - Correct Answer-use of title, authorization for scope of practice including prescriptive authority, and disciplinary grounds States vary in practice requirements, such as - Correct Answer-certification Prescriptive authority - Correct Answer-Ability and extent of NPs ability to prescribe meds DEA has ruled that nurses in advanced practice may obtain.. - Correct Answerregistration numbers, state practice acts dictate level of prescriptive authority allowed Credentials encompass... - Correct Answer-required education, licensure and certification to practice as an NP Credentials establish... - Correct Answer-minimal levels of acceptable performance Credentialing is necessary to: - Correct Answer-ensure that safe healthcare is provided by qualified individuals; comply with federal and state laws r/t APN Credentials also... - Correct Answer-acknowledges the scope of practice of NP, mandates accountability, enforces professional standards for practice Licensure - Correct Answer-establishes that a person is qualified to perform in a particular professional role Licensure is granted as defined by rules and regulations set forth by - Correct Answer-a governmental regulatory body (ie. state board of nursing) AGACNP Exam Review With 100%Correct Answers (VERIFIED). Certification - Correct Answer-Person has met certain standards that signify mastery of specialized knowledge Certification is granted by nongovernmental agencies such as - Correct Answer-ANCC, AANP Admitting privileges to hospitals (non physican) were granted - Correct Answer-1983 by JC Credentialing and privileging - Correct Answer-process which an NP is granted permission to practice in an inpt setting Credentialing with hospital privileges is granted by a - Correct Answer-Hospital Credentialing Committee Pt Medical Abandoment - Correct Answer-When caregiver-pt relationship is terminated w/o making reasonable arrangements w an appropriate person so that care can be continued Determination of pt abandonment depends on factors such as: - Correct AnswerWhether NP accepted pt assignment, whether NP provided reasonable notice before termination, whether reasonable arrangements could have been made Following do not constitute pt abandonment - Correct Answer-NP refuses to accept responsibility for pt assignment when NP has given reasonable notice to proper authority that NP lacks competence to carry out assignment; NP refuses assignment of a double shift or addtl hrs beyond posted work schedule when proper notification has been given..latter phrase can be controversial Risk Mgmt - Correct Answer-Systematic effort to reduce risk begins w formal written risk mgmt plan that includes: organizations goals, delineation of program's scope, components, methods; delegating responsibility for implementation and enforcement; demonstrating commitment by the board; confidentiality and immunity from retaliation for those who report sensitive info Most common method of documentation for risk mgmt - Correct Answer-incident reports Policies regarding incident reports should address: - Correct Answer-ppl authorized to complete report; ppl responsible for review of a report, immediate actions needed to minimize the effects of the event; ppl responsible for follow up; plan for monitoring aftermath; security/storage of completed report Risk mgmt - Satisfaction surveys - Correct Answer-Important for identifying problems before they develop into incidents or claims; for pts and employees Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and managing complaints by clearly identifying: - Correct Answer-ppl notified after receiving complaint; ppl responsible for responding; ppl responsible for monitoring follow up Action taking initiatives: - Correct Answer-Prevention, correction (corrective steps must be monitored and audited), documentation, education, departmental coordination Medical Futility - Correct Answer-Interventions that are unlikely to produce significant benefit for pt - "Does the intervention have any reasonable prospect of helping this pt?" Two kind of medical futility: - Correct Answer-Quantitative futility: likelihood that intervention will benefit pt is extremely poor Qualitative futility: quality of benefit an intervention will produce is extremely poor Informed consent - competence (decisional capability) - Correct Answer-state that pt is able to make personal decisions about their care competence implies that ability to: - Correct Answer-understand, reason, differentiate good and bad, and communicate informed consent - Correct Answer-pt has received adequate instruction or info regarding aspects of care to make prudent, personal choice regarding such tx Informed consent includes: - Correct Answer-discussing benefits and risk consent is assumed if... - Correct Answer-pt's condition is life threatening Danforth Amendment 1991 - Correct Answer-pts are informed at time of admission to federally funded institution (such as hospital, nursing home, hospice, HMO, etc) that they have the right to refuse care as long as the pt has decisional capability (competence) Ethics - Correct Answer-study of moral conduct and behavior protecting the rights of an individual 1st priority is the - Correct Answer-most salvagable pts. Most critically injured cared for last. Key ethical principles are: - Correct Answer-nonmaleficence, utilitarianism, beneficence, justice, fidelity, veracity, autonomy Nonmaleficence - Correct Answer-duty to do no harm Utilitarianism - Correct Answer-the right act is the one that produces the greatest good for the greatest number Beneficence - Correct Answer-duty to prevent harm and promote good Justice - Correct Answer-duty to be fair Fidelity - Correct Answer-duty to be faithful Veracity - Correct Answer-duty to be truthful (tends to be in conflict with fidelity) Autonomy - Correct Answer-duty to respect an individual's thoughts and actions (tend to be in conflict with beneficence) Dismissing/discharging a pt or closing practice - Correct Answer-NP cannot withdraw from caring for a pt without notification Examples of reasons for discharging a pt from practice: - Correct Answer-abuse, refusal to pay, persistent non-adherence to care Steps for discharging a pt from practice: - Correct Answer-send a certified letter with return receipt (copy for chart), provide general healthcare coverage for 1st 15-30 days post termination deadline, obtain release of info to provide copies of all needed records for next care provider Obligations in closing practice d/t relocation, retirement - Correct Answer-give pt adequate time to find another provider, keep all files for min 5 years, provide timely notification and names of other providers and resources for future care Role of NP developed in the early... - Correct Answer-1960s as a result of physician shortages in the area of peds First NP program was peds, begun in... - Correct Answer-1964 by Dr. Loretta Ford and Dr. Henry Silver at CU Health Sciences mainly focusing on ambulatory and outpt care Historical service of NPs in primary care resulted in part from the... - Correct Answeravailability of federal funding for preventive and primary care NP education Movement of NPs expanded to the... - Correct Answer-inpt setting as a result of managed care, hospital restructuring, and decreases in medical residency programs.