ACUTE CARE PNCB CERTIFICATION
EVALUATION QUESTIONS AND SOLUTIONS
STUDY GUIDE
●● Key elements of the NP role include
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...
Answer: American Nurses Association which measure quality of
practice, service, or education
●● State Practice Acts
Answer: Authorize Boards of Nursing in each state to establish statutory
authority for licensure of RNs
●● State Practice Acts - authority includes:
Answer: use of title, authorization for scope of practice including
prescriptive authority, and disciplinary grounds
●● States vary in practice requirements, such as
Answer: certification
,●● Prescriptive authority
Answer: Ability and extent of NPs ability to prescribe meds
●● DEA has ruled that nurses in advanced practice may obtain..
Answer: registration numbers, state practice acts dictate level of
prescriptive authority allowed
●● Credentials encompass...
Answer: required education, licensure and certification to practice as an
NP
●● Credentials establish...
Answer: minimal levels of acceptable performance
●● Credentialing is necessary to:
Answer: ensure that safe healthcare is provided by qualified individuals;
comply with federal and state laws r/t APN
●● Credentials also...
Answer: acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
,●● Licensure
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
Answer: a governmental regulatory body (ie. state board of nursing)
●● Certification
Answer: Person has met certain standards that signify mastery of
specialized knowledge
●● Certification is granted by nongovernmental agencies such as
Answer: ANCC, AANP
●● Admitting privileges to hospitals (non physican) were granted
Answer: 1983 by JC
●● Credentialing and privileging
Answer: process which an NP is granted permission to practice in an
inpt setting
●● Credentialing with hospital privileges is granted by a
Answer: Hospital Credentialing Committee
, ●● Pt Medical Abandoment
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:
Answer: Whether NP accepted pt assignment, whether NP provided
reasonable notice before termination, whether reasonable arrangements
could have been made
●● Following do not constitute pt abandonment
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
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
EVALUATION QUESTIONS AND SOLUTIONS
STUDY GUIDE
●● Key elements of the NP role include
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...
Answer: American Nurses Association which measure quality of
practice, service, or education
●● State Practice Acts
Answer: Authorize Boards of Nursing in each state to establish statutory
authority for licensure of RNs
●● State Practice Acts - authority includes:
Answer: use of title, authorization for scope of practice including
prescriptive authority, and disciplinary grounds
●● States vary in practice requirements, such as
Answer: certification
,●● Prescriptive authority
Answer: Ability and extent of NPs ability to prescribe meds
●● DEA has ruled that nurses in advanced practice may obtain..
Answer: registration numbers, state practice acts dictate level of
prescriptive authority allowed
●● Credentials encompass...
Answer: required education, licensure and certification to practice as an
NP
●● Credentials establish...
Answer: minimal levels of acceptable performance
●● Credentialing is necessary to:
Answer: ensure that safe healthcare is provided by qualified individuals;
comply with federal and state laws r/t APN
●● Credentials also...
Answer: acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
,●● Licensure
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
Answer: a governmental regulatory body (ie. state board of nursing)
●● Certification
Answer: Person has met certain standards that signify mastery of
specialized knowledge
●● Certification is granted by nongovernmental agencies such as
Answer: ANCC, AANP
●● Admitting privileges to hospitals (non physican) were granted
Answer: 1983 by JC
●● Credentialing and privileging
Answer: process which an NP is granted permission to practice in an
inpt setting
●● Credentialing with hospital privileges is granted by a
Answer: Hospital Credentialing Committee
, ●● Pt Medical Abandoment
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:
Answer: Whether NP accepted pt assignment, whether NP provided
reasonable notice before termination, whether reasonable arrangements
could have been made
●● Following do not constitute pt abandonment
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
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
