ANCC Certification Review Test Q&A

Level of Evidence Hierarchy: - 1. Meta-analysis 2. Systemic review 3. Randomized Controlled Trial (RCT) 4. Experiment 5. Cohort Study 6. Case Reports/Series 7. Expert Opinions/Editorials Types of Research - • Meta-analysis • Systemic review • Randomized Controlled Trial (RCT) • Experiment (Classic Research) • Cross-Section • Longitudinal Design • Case Study (Report/ series) • Field study or Naturalistic study • Survey study • Cohort research Statute of Limitations: - • The time limit when a lawsuit can be filed or action against a nursing licensee for alleged violation can occur. Most states are 2-3 years. • A period of limitation for the bringing of certain kinds of legal action. Standards of Practice - • Authoritative statements of the duties that all registered nurses, regardless of role, population, or specialty are expected to perform • It is developed by professional societies (ANA) and specialty organizations (AANP) Emancipated Minor - • Can sign own legal documents • Legally married or divorce • Active duty in the armed forces • These are people under the age of 18 y/o but do not require an adult for consent. • Legal court document HITECH - • Heath Information Technology or Economic and Clinical Health Act • Promotes adoption and meaningful use of health information technology • ACT approved in 2009 for the use of electronic health information. • Protection of PHI enacted in 2009. PHI must be encrypted prior to sending. • Patients must be informed if their PHI has been disclosed inappropriately even if the disclosure was accidental. • Providers will be offered financial incentives for demonstrating meaningful use of EHR until 2015 then penalties. • HITECH- signed by President Obama to transition to electronic health records. No more paper charting. The 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act was signed into law with the explicit intention of accelerating the adoption and promoting the "meaningful use (MU)" of electronic health records (EHRs) by US physicians. Patient in EOL (end of life) stage ask of hospice: - • The patient is already end stage so beneficence is not correct unless you are educating about smoking cessation or vaccination. This is to promote good. Utilitarianism is the greater good for a population of patients. Justice is to be fair. Which leaves us to autonomy. This is allowing the patient to make his own choice after giving him all the information to make a good informed decision. • AFTT (adult failure to thrive). This is a secondary diagnosis for hospice eligibility. So when you consult hospice for weight loss and not eating with no other major diagnoses, this is not a good referral. Hospice is no longer able to use this as a primary diagnosis. Prescriptive Authority - • The majority of states require NPs to have a collaborative agreement with a physician in order to prescribe. • All states now allow NPs to prescribe certain controlled drugs, but with limitations