GUIDE / NEWEST ACTUAL EXAM QUESTIONS
BANK / 900+ COMPLETE ACCURATE QUIZZES WITH
DETAILED VERIFIED ANSWERS / 2025
Terms in this set (909)
Scope of Practice Based on legal allowances in each state, individual state nurse
practice acts providing guidelines for nursing practice
integration of care across the acute illness continuum Key elements of the NPwith collaboration
and coordination of care; research role includebased clinical practices, clinical leadership,
family
assessment, and discharge planning
Standards of Advanced American Nurses Association which measure quality of
Practice are delineated by... practice, service, or education
State Practice Acts Authorize Boards of Nursing in each state to establish statutory
authority for licensure of RNs
State Practice Acts authority use of title, authorization for scope of practice including
includes: prescriptive authority, and disciplinary grounds
States vary in practice certification
requirements, such as
Prescriptive authority Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses in registration numbers, state practice acts dictate level of
advanced practice may prescriptive authority allowed
obtain..
,Credentials encompass... required education, licensure and certification to practice as an
NP
Credentials establish... minimal levels of acceptable performance
Credentialing is necessary to: ensure that safe healthcare is provided by qualified individuals;
comply with federal and state laws r/t
APN
Credentials also... acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
Licensure establishes that a person is qualified to perform in a particular
professional role
Licensure is granted as a governmental regulatory body (ie. state board of nursing)
defined by rules and
regulations set forth by
Certification Person has met certain standards that signify mastery of
specialized knowledge
Certification is granted by ANCC, AANP
nongovernmental agencies
such as
Admitting privileges to 1983 by JC
hospitals (non physican) were
granted
Credentialing and privileging process which an NP is granted permission to practice in an
inpt setting
Credentialing with hospital Hospital Credentialing Committee
privileges is granted by a
Pt Medical Abandoment When caregiver-pt relationship is terminated w/o making
reasonable arrangements w an appropriate person so that
care can be continued
,Determination of pt Whether NP accepted pt assignment, whether NP
abandonment depends on provided reasonable notice before termination, whether
factors such as: reasonable arrangements could have been made
Following do not constitute NP refuses to accept responsibility for pt assignment when
pt NP has given reasonable notice to proper authority that NP
lacks competence to carry out assignment; NP refuses
abandonment
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 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 incident reports
documentation for risk
mgmt
Policies regarding incident ppl authorized to complete report; ppl responsible for
reports should address: 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 Important for identifying problems before they develop into
surveys incidents or claims; for pts and employees
, Risk mgmt - Complaints: Risk ppl notified after receiving complaint; ppl responsible for
mgmt plan should delineate responding; ppl responsible for monitoring follow up
tracking, analyzing, and
managing complaints by
clearly identifying:
Prevention, correction (corrective steps must be
Action taking initiatives: monitored and audited), documentation, education,
departmental coordination
Medical Futility 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: 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 state that pt is able to make personal decisions about their care
competence (decisional
capability)
competence implies that understand, reason, differentiate good and bad, and communicate
ability to:
informed consent pt has received adequate instruction or info regarding
aspects of care to make prudent, personal choice regarding
such tx
Informed consent includes: discussing benefits and risk
consent is assumed if... pt's condition is life threatening
Danforth Amendment 1991 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)