Ambulatory Care Nurse Certification Exam (ANCC) Key Mandatory Questions and CORRECT Answers 2024

The ambulatory care nurses function under 3 major roles - Organizational Professional Clinical Organizational roles include - Policies and procedures Professional roles include - Evidence-based practice Clinical roles include - Assessment and critical thinking Social workers - Provide PSYCHOSOCIAL assessments, ongoing counseling & tx Serve as a consultant to the team Dietician - Nutritional screen/assessments Definition of Case Management - The collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates options & services to meet an individual's needs 5 Rights of delegation - Right Task Right Circumstance Right Person Right Directions/communication Right supervision & evaluation If a task is not w/in the scope of nursing practice, it cannot be delgated - No Definition of Staffing Ratio - Ratio of nurses or nursing personal to providers Airborne dz - Chicken Pox Measles TB Influenza Sars Definition of Disinfection - Process that destroys many or all pathogenic microorganisms (EXCEPT bacteria/spores), or inanimate objects usually by use of liquid chemical or wet pasteurization Vs Sterilization - Eliminates all microbial life "Critical Items" - Enters Sterile Tissue Must be sterilized Semi-critical items - HIgh-level disinfection Items that contact mucous membranes or non-intact skin Ex. Respiratory/anesthesia equipment, endoscopes, laryngoscopes blades, cystoscope, esophageal/anorectal, diaphragms Non-critical items - Must be cleaned/decontaminated Items that contact intact skin, but NOT mucous membranes BP cuffs/environmental items Total Costs of running an ambulatory practice has 3 Categories - Fixed Variable Mixed Costs Definition of Net Income - Revenue, less expense, after all expenses are paid *needs to be determines for funding new projects Definition of Service Unit - Basic measure of a product or service being provided by an organization Example of Service Unit - Individual pt encounter (Office visit, NV, Procedures) Definition of Direct Cost - Costs of resources for providing a specific service directly r/t the delivery of patient care Example of Direct Cost - Nursing Salaries Supplies Medications Definition of Indirect Costs - Costs within a service unit that are not incurred for direct pt care Example of Indirect Costs - Clerical support staff Rent Laundry Housekeeping Utilities Definition of Revenue - Total amount of income received or that is entitles to be received based on services rendered Definition of Relevant Range - Normal range of an expected activity for a cost center