Advanced Exam For Ambulatory Care Test 1

ADVANCED EXAM FOR AMBULATORY
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CARE TEST 1 n n n

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Key nRoles/Responsibilities nis nAmbulatory nCare nRN n(4) n - n CORRECT
nANSWER-1)
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enhance npt nsafety nand nquality/effectiveness nof ncare n delivery
n(irreplaceable)
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2) nresponsible nfor ndesign/administration/eval nof nprofessional nnursing nservices
nwithin


organization nin naccordance nwith nnurse npractice nacts/scope nof npractice/org
nstandards
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3) nprovide nleadership nnecessary nfor ncollab/coordination nof nservices; nincludes
ndefining n
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appropriate nskills nmix n+ ndelegation nof ntasks nto nlicensed nand nunlicensed
nworkers
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4) nRN nfully naccountable nin namb ncare nfor nall nnursing nservices nand nassociated npt
noutcomes n
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provided nunder ntheir

ndirection
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Role nof nRNs nin nAmbulatory nCare n(7) n- nCORRECT nANSWER-1) nTELEHEALTH
nNURSE n-
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uses nnursing nprocess/tech nto ncare nfor nremote
npts.
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2) NURSE nNAVIGATOR n- nhelps nnagivate nhealth nsystem n
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3) NURSE nEDUCATOR n- neducate npts nand neducate nother nnurses n
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4) NURSE-RUN nCLINICS n- nAPRN nclinics n
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5) RESEARCH nNURSE n- nfor nenrolling npts nin ntrials nand nproviding ncare nduring ntrial n
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6) CARE nCOORDINATOR n- nsimilar nto nnurse nnavigator n
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7) PROCEDURAL n- ninfusion ncenter, ncath nlab, namb nsurgery n
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Categories nof nChallenges nto nRNs nin nAmbulatory nSetting n(6) n- nCORRECT nANSWER-
1) nSocietal nChanges n
2) Healthcare nenvironment n
3) Integration nof nHealth nRecords n
4) Changing nReimbursement nModels n

,5) Ambulatory nCare nNursing nWorkforce n
6) Nursing nEducation n
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Amb nRN nChallenges: nSocietal nChanges n- nCORRECT nANSWER-- npop nw/ nmore
nold n
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people nand nmore ndiverse nw/ ncomplex nbehavioral
nneeds
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- high nquality/individalization nw/ ncare ntech n(mobile ndevices/social nmedia n
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- nsocietal nviolence: nchallenges nof nsettings nlacking ninfrastructure n+ nresources nof
nlarger n
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facility
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Amb nRN nChallenges: nHealthcare nEnvironment n- nCORRECT nANSWER--fragmented
ncare n
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delivery; nstruggle nto ncoordinate nacross
nspecialties
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- namb ncare nincreasing nregulatory ncontrol n-- ndemand nfor nhigh nquality/safety n-->
nimpacts n
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reimbursement/ability nto ncompete nfor
ncontracts
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- increase ndemand nfor ncare; nshortage nof nprimary ncare nproviders n
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Amb nRN nChallenges: nIntegration nof nHealth nRecords n- nCORRECT nANSWER--
lack nof n
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record nintegration n-- nsystem

nfragmentation
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- longitudinal nhealth nrecords nnot naccessible nacross nsettings/providers/services n
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- EHRs nnot npatient-centered; nnot ngood nfor ncare ncoordination n
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Amb nRN nChallenges: nChanging nReimbursement nModels n- nCORRECT nANSWER-
nursing n
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filed nstruggles nw/ nbill nrecognition nfrom nthird-party
npayers
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Amb nRN nChallenges: nAmbulatory nCare nNursing nWorkforce n- nCORRECT nANSWER--
nRNs nneed nskill ndevelopment/situational ntranslation nof nknowledge nto namb

nenvironment n
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- more ninterdisciplinary nteam nmembers nworking nin namb nenvironment n
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Amb nRN nChallenges: nNursing nEducation n- nCORRECT nANSWER-- nnursing ned nstill
nmostly n
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on nacute

ncare

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-idea nthat nnurses nneed nto nwork ninpatient nbefore ndoing namb; nreality nis nthat nhospital
nskills n
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are nnot nneeded nin namb
ncare
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- namb ncare nneeds nto nintegrate nnew ngrads nearly' nstarts nwith nhaving nnurse
neducators n
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integrate namb nclinical nexperience nin nwith nnursing
ncurriculum
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Goal nof nAffordable nCare nAct n- nCORRECT nANSWER-LESS nHOSPITALIZATIONS
nAND n
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MORE nFOCUS nON

nPREVENTION
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Changes nfrom nACA nin nSlides n(5) n- nCORRECT nANSWER-1) ngives nfree npreventive
ncare n
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for
nseniors
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2) nCommunity nCare nTransitions nProgram nfor nat nrisk nseniors nto nprevents nED nvisits
nand n
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hospital
nreadmissions
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3) Increase nprimary ncare nreimbursement n
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4) State-sanctioned npatient-centered nmedical nhomes n
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5) physician nreimbursement nchanged nto nvalue nbased ncare nmodels n
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How nare nnurses nmeeting nACA ngoal nof nquality naffordable nhealth ncare nfor nall
nAmericans? n-
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CORRECT nANSWER-increasing nuse nof nAPRNs nand nRNs nin nprimary
ncare
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nurses npracticing nto nthe nfullest nextent n
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How nare nnurses nmeeting nACA ngoal nof nimproving nthe nquality nand nefficiency nof
nhealth n
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care? n- nCORRECT nANSWER-improved npatient ncare nthrough nnursing
neducation
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expanded nopportunities nfor nnurses nto nlead/diffuse ncollaborative nimprovement nefforts n
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achieving nhigh nvalue nw/ ninnovative nmodels n
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How nare nnurses nmeeting nthe nACA ngoal nof npreventing nof nchronic ndisease nand
nimproving n