T
EXAM WITH Q&A 100% ACCURATE
ou want to get more funding for your hospital's Rapid Response Team. How should
Y
you present this issue to the committee?
-Stress importance of the team
- Describe how to improve and expand the team.
Stress importanceof the team
(answer is worded as looking upevidenceabouthowthe team affects outcomes, like
a meta-analysis)
-highest level of research: meta-analysis (multiple studies)
What is thebestway for the AGACNP to get involvedin policy making?
-Attend legislative days at the state capitol
-Join a hospital committee
-Write to your local congressman
-Review literature and give more in-services
Join a hospital committee
-start atlocallevel
What is the best way for the AGACNP to demonstrate and advocate for full scope of
practice?
- Join a hospital committee
-Petition the government
-Bill for independent services
-Start your own practice
Bill forindependentservices
-"demonstrate and advocate"; proving you are yourown provider
Which of the following is considered ahigh acuityrole for the AGACNP?
-Primary care clinic
-Cardiology office
-Community health department
-Minute Clinic
Cardiology Office
What is the best way to advocate for gay and lesbian population in your area?
,- Participate at a high state or national level
-Join a non-profit advocacy group
-Consider lobbying the government
-Start at your facility
Start at your facility
(answers are worded differently. One of them is "decrease bias in healthcare" and
another is something like "create inservices in healthcare" and another is "obtain
funding to increase access.")
-locallevel
Which of the following is most important toevaluatestatistical significancewhen
reviewing the literature?
-Consider the sample size
-Make sure the confidence interval is tight
-See if the p-value is less than the α-coefficient
-Determine the error rate
(Answers are worded differently. "Ensure confounding variables were eliminated" & "P
value is less than null hypothesis" were two of them.
Consider thesample size
-higher sample size; more likely to get an appropriate p-value (low p-value)
When closing a practice, the NP is required to do all of the following except:
-Give the pt adequate time to find another provider (2 months)
-Keep all of the patient's records for a minimum of five years
-Send a certified letter with a return receipt requested
-Provide names of other providers for future care
Send a certified letter with a return receipt requested
-this is for discharging/firing a patient from your practice
hich of the following components of an evidenced based research process is the most
W
important for NP to participate in?
-Specifying methods of data collection
-Formulating the hypothesis
-Carefully reviewing the literature
-Formulating the research problem
Formulating the research problem
- highest level of research; develop own research problem as a Master's degree
1. identify problem
2. literature review
3. specify hypothesis
, . data collection
4
A former pt of an NP is writing blog posts, sending emails, and distributing false,
accusatory statements about the NP's practice. Which of the following forms of
defamation is this?
-libel
-slander
Libel
- Libel = literature (written)
-Slander = spoken (verbal)
Can you tell the pt's wife, for her protection, that her husband has HIV?
No, not without his permission.
- HIPPA violation
-reportable disease: chlamydia, gonorrhea, Syphilis, TB, HIV - report to health
department only
How can the ANCP prepare to get involved in future mass casualty event?
Pre-enroll in disaster volunteer program
An 80-year-old male patient with dementia requires long-term care placement. To which
funding agency does the patient apply after "spending down" to qualify?
Medicaid
- Medicaid to help poor
-Medicare to help retired
-"spending down" - become poor to qualify
Your pt is worried about insurance coverage and asks you for advice on Medicaid. You
instruct the patient that Medicaid:
Pays after insurance and 3rd party payers have paid
ou are giving a dinner presentation to a group. The pharmaceutical rep calls you the
Y
night before and wants you to say that their drug is the only one that works. What
ethical principles does this challenge?
Veracity and Fidelity
eracity = honest/truth
V
Fidelity = faithful
Health Literacy grade level
Average American-8th grade education level
Quality Assurance
Quality improvement
, ontinuous process improvement
C
a process for evaluating the care of pts using established standards of care to ensure
quality
g 126
p
CPI measures what 3 measures to improve nursing?
Structure,
processes of care
outcomes
A root cause analysis of a crisis situation in the ICU identified a lack of clinician-family
communication as the basis for the resulting adverse outcome. As part of the
performance improvement plan, the NP is asked to develop evidence-based polices to
establish clinician-family communication standards in the unit. These policies should
include:
guidelines for having discussions with family members that are geared toward
establishing treatment goals.
Which clinical scenario does the NP evaluate for a quality improvement process
change?
An increased incidence of postoperative sternal wound infections
oals set forth in "Healthy People 2020" by the United States Department of Health and
G
Human Services include:
elimination of health disparities.
- Increase the quality of healthy life
-increase the years of healthy life
Based on the individual's culture, ethnicity, and personal choices, the NP can optimize
the therapeutic partnership w/the patient by:
Tailoring his or her communication style to the patient's preference.
70-year-old pt with a hx of DM, HTN, OAs, and a new diagnosis of coronary artery
A
disease, is being discharged. The adult-gerontology acute care nurse practitioner
teaches the patient that the first point of contact for health care needs is the:
primary care provider
The NP is asked to provide evidence to the hospital administration about the safety of
NP placing central lines. Which resource provides the strongest level of evidence?
A systematic review (meta-analysis is even stronger)
What legislation allowed nurse practitioners to berecognized Medicare providersin
all geographical areas with their own provider number?
Balanced BudgetAct