Professional Role & Policy Study Guide Test.

Professional Role & Policy Study Guide Test. Scope of Practice - CORRECT ANSWER Based on legal allowances in each state, according to and delineated by individual state nurse practice acts. (varies broadly from state to state) Identifies competencies assumed to be help by all NPs who function in a particular role. Provides guidelines for nursing practice, varies from state to state. Key elements of the NP role include integration of care across the acute illness continuum with collaboration and coordination of care, research-based clinical practice, clinical leadership, family assessment, and discharge planning. Standards of Advanced Practice - CORRECT ANSWER Delineated by the ANA (1996); reflect professional agreement focused on the minimum level of acceptable performance Authoritative statements regarding the quality and type of practice that should be provided. Provide a way to judge the nature of care provided; can be used to legally describe the standard of care that must be met by a provide. Both generic and specific specialty standards exist. State Practice Acts - CORRECT ANSWER Authorize Boards of Nursing in each state to establish statutory authority for licensure of registered nurses. Authority includes use of title, authorization for scope of practice including prescriptive authority and disciplinary grounds. Prescriptive Authority - CORRECT ANSWER The extent of the NP's ability to prescribe medications to patients is dependent on state nurse practice acts. While the Drug Enforcement Agency (DEA) has ruled that nurses in advanced practice may obtain registration numbers, state practice acts dictate the level of prescriptive authority allowed. Credentials - CORRECT ANSWER Encompass required education, licensure and certification to practice as a nurse practitioner. Establish minimal levels of acceptable performance. Credentialing is necessary to: (1) Ensure that safe heatlh care is provided by qualified individuals. (2) Comply with federal and state laws relating to advanced practice nursing. Acknowledges the scope of practice of the NP; mandates accountability; enforces professional standards for practice. Licensure - CORRECT 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 a governmental regulatory body (i.e., state board of nursing). Certification - CORRECT ANSWER Establishes that a person has met certain standards in a particular profession which signify mastery of specialized knowledge and skills. Determines scope of practice (who you can or cannot see) Certification is granted by nongovernmental agencies such as the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP), Pediatric Nursing Certification Board (PNCB), and National Certification Corporation (NCC). Credentialing and Privileging - CORRECT ANSWER Process by which nurse practitioner is granted permission to practice in an inpatient setting. Credentialing with hospital privileges is granted by a Hospital Credentialing Committee comprised of physicians who hold privileges at the given hospital where the NP has made request. Privileges may be granted in part or full; stipulations regarding the allowance of future privileges may be made by the Credentialing Committee Utilitarianism - CORRECT ANSWER The right act is the one that produces the greatest good for the greatest number The role of the NP was developed in the early ______ as a result of ____________. - CORRECT ANSWER 1. 1960s 2. physician shortages in the area of pediatrics The first NP Program was a pediatric program, begun in: - CORRECT ANSWER 1964, by Dr. Loretta Ford and Dr. Henry Silver at the University of Colorado Health Sciences Center. After NP role was developed and first NP program began, growth of NP programs soon ensued with with distribution of NPs in various practice settings with an emphasis on: - CORRECT ANSWER Ambulatory and outpatient care.