Advanced practice, role development, current trends, and health policy

APRN - Answer--completed accredited graduate-level education program -passed national certification exam that measures role and competencies -clinical knowledge skills to provide direct care to patients -builds on competencies of RNs by demonstrating depth and breadth of knowledge -educationally prepared to assume responsibility and accountability for health promotion and management -has license APRN education in these populations - Answer--family, across the lifespan -adult-gerontology -pediatrics -neonatal -women's health/gender-related -psych/mental health Standards of practice - Answer--described by American Nurses Association -minimum levels of acceptable performance Scope of Practice - Answer--what is legally allowable in each state under its Nurse Practice Act -provides guidelines vs specific mandates for nursing practice -not mandated -varies widely from state to state and over time -often based on legal requirements within state and national standards Prescriptive authority - Answer--physician signature on prescriptions not required in any state -controlled substance prescriptions must include NP name and DEA number -required pharmacology education within graduate program and continuing education to maintain authority -scope depends on state, full scope includes ability to obtain federal DEA registration number Nurse Practice acts - Answer--authorizes Boards of Nursing in each state to establish statutory authority for licensure of registered nurse -authority includes use of title, authorization for scope of practice, and disciplinary grounds -evolves from statutory law, which becomes regulatory language clinical practice guidelines or protocols - Answer--systematically developed statements to assist practitioner and patient about appropriate care for specific clinical outcomes -uses EBP -scope and standards of practice are affected by state Nurse Practice Acts, licensure and regulatory mechanisms, work setting privileges, and/or credentialing and collaborative agreements w here necessary