ADVANCED PRACTICE NURSING IN THE
CARE OF OLDER ADULTS BUNDLED
EXAMS SCRIPT FINAL PAPER QUESTIONS
AND SOLUTIONS READY FOR GERIATRIC
CARE
⩥ What significant reports prompted changes in the U.S. healthcare
system?
Answer: The Institute of Medicine reports 'To Err Is Human' (2000) and
'The Future of Nursing: Leading Change, Advancing Health' (2011).
⩥ What is the vision of the Campaign for Action?
Answer: To ensure all Americans have access to high-quality, patient-
centered care with nurses as essential partners.
⩥ What was Recommendation 7 from the IOM report?
Answer: To prepare and enable nurses to lead change to advance health.
⩥ What shift has the Campaign for Action made in its focus?
Answer: From building capacity in the nursing workforce to building a
culture of health.
,⩥ What are the key objectives of the interprofessional committee formed
by the National Academy of Medicine in 2019?
Answer: To identify best evidence and models for nursing from 2020 to
2030, focusing on health improvement, workforce deployment, diversity,
community health system design, training, and nurse well-being.
⩥ What gap was identified by the New Jersey Collaborating Center for
Nursing (NJCCN)?
Answer: A gap in primary care access in 13 of the 21 counties in New
Jersey.
⩥ What barriers to health-care access were identified?
Answer: Aging population, physician workforce aging, barriers to APN
practice, increased cost of APN contracts, potential out-migration of
APNs, and rising number of counties lacking sufficient primary care
providers.
⩥ What legislative acts contributed to an uncertain healthcare
environment for APNs?
Answer: The American Recovery and Reinvestment Act of 2009
(ARRA) and the Patient Protection and Affordable Care Act of 2010
(ACA).
⩥ What did ARRA define regarding health information technology?
,Answer: Meaningful-use regulations for advancing the use of electronic
health records (EHR).
⩥ What was required by the regulations set in 2016 for healthcare
providers?
Answer: To focus on advancing the use of electronic health records to
support health information exchanges and interoperability.
⩥ How can APNs act as change agents in healthcare?
Answer: By creating systems that bridge healthcare delivery and social
needs care in the community.
⩥ What is the importance of nurse well-being in healthcare delivery?
Answer: It ensures the delivery of high-quality care and improves
community health.
⩥ What role do networking and mentoring play in advancing an APN's
career?
Answer: They help in building professional relationships and gaining
guidance for career development.
⩥ What does the term 'disruptive innovation' refer to in healthcare
reform?
, Answer: Innovative approaches that significantly alter the way
healthcare is delivered, improving access and quality.
⩥ What is the difference between APNs as entrepreneurs and
intrapreneurs?
Answer: Entrepreneurs create new ventures, while intrapreneurs
innovate within existing organizations.
⩥ What is the significance of addressing social determinants of health in
nursing?
Answer: It helps improve health outcomes by considering factors that
affect health beyond clinical care.
⩥ What are the expected outcomes of improving access to primary care?
Answer: Reduced hospitalizations, improved health outcomes, and better
overall community health.
⩥ What barriers continue to affect APN practice?
Answer: Requirements for collaborative agreements and increased costs
of APN contracts.
⩥ What was a temporary change in regulations during the COVID-19
pandemic for APNs?
Answer: Barriers to practice were eliminated to improve access to care.
CARE OF OLDER ADULTS BUNDLED
EXAMS SCRIPT FINAL PAPER QUESTIONS
AND SOLUTIONS READY FOR GERIATRIC
CARE
⩥ What significant reports prompted changes in the U.S. healthcare
system?
Answer: The Institute of Medicine reports 'To Err Is Human' (2000) and
'The Future of Nursing: Leading Change, Advancing Health' (2011).
⩥ What is the vision of the Campaign for Action?
Answer: To ensure all Americans have access to high-quality, patient-
centered care with nurses as essential partners.
⩥ What was Recommendation 7 from the IOM report?
Answer: To prepare and enable nurses to lead change to advance health.
⩥ What shift has the Campaign for Action made in its focus?
Answer: From building capacity in the nursing workforce to building a
culture of health.
,⩥ What are the key objectives of the interprofessional committee formed
by the National Academy of Medicine in 2019?
Answer: To identify best evidence and models for nursing from 2020 to
2030, focusing on health improvement, workforce deployment, diversity,
community health system design, training, and nurse well-being.
⩥ What gap was identified by the New Jersey Collaborating Center for
Nursing (NJCCN)?
Answer: A gap in primary care access in 13 of the 21 counties in New
Jersey.
⩥ What barriers to health-care access were identified?
Answer: Aging population, physician workforce aging, barriers to APN
practice, increased cost of APN contracts, potential out-migration of
APNs, and rising number of counties lacking sufficient primary care
providers.
⩥ What legislative acts contributed to an uncertain healthcare
environment for APNs?
Answer: The American Recovery and Reinvestment Act of 2009
(ARRA) and the Patient Protection and Affordable Care Act of 2010
(ACA).
⩥ What did ARRA define regarding health information technology?
,Answer: Meaningful-use regulations for advancing the use of electronic
health records (EHR).
⩥ What was required by the regulations set in 2016 for healthcare
providers?
Answer: To focus on advancing the use of electronic health records to
support health information exchanges and interoperability.
⩥ How can APNs act as change agents in healthcare?
Answer: By creating systems that bridge healthcare delivery and social
needs care in the community.
⩥ What is the importance of nurse well-being in healthcare delivery?
Answer: It ensures the delivery of high-quality care and improves
community health.
⩥ What role do networking and mentoring play in advancing an APN's
career?
Answer: They help in building professional relationships and gaining
guidance for career development.
⩥ What does the term 'disruptive innovation' refer to in healthcare
reform?
, Answer: Innovative approaches that significantly alter the way
healthcare is delivered, improving access and quality.
⩥ What is the difference between APNs as entrepreneurs and
intrapreneurs?
Answer: Entrepreneurs create new ventures, while intrapreneurs
innovate within existing organizations.
⩥ What is the significance of addressing social determinants of health in
nursing?
Answer: It helps improve health outcomes by considering factors that
affect health beyond clinical care.
⩥ What are the expected outcomes of improving access to primary care?
Answer: Reduced hospitalizations, improved health outcomes, and better
overall community health.
⩥ What barriers continue to affect APN practice?
Answer: Requirements for collaborative agreements and increased costs
of APN contracts.
⩥ What was a temporary change in regulations during the COVID-19
pandemic for APNs?
Answer: Barriers to practice were eliminated to improve access to care.
