ADVANCED EXAM FOR AMBULATORY
CARE TEST 1
Key Roles/Responsibilities is Ambulatory Care RN (4) - CORRECT ANSWER-1)
enhance pt safety and quality/effectiveness of care delivery (irreplaceable)
2) responsible for design/administration/eval of professional nursing services within
organization in accordance with nurse practice acts/scope of practice/org standards
3) provide leadership necessary for collab/coordination of services; includes defining
appropriate skills mix + delegation of tasks to licensed and unlicensed workers
4) RN fully accountable in amb care for all nursing services and associated pt outcomes
provided under their direction
Role of RNs in Ambulatory Care (7) - CORRECT ANSWER-1) TELEHEALTH NURSE -
uses nursing process/tech to care for remote pts.
2) NURSE NAVIGATOR - helps nagivate health system
3) NURSE EDUCATOR - educate pts and educate other nurses
4) NURSE-RUN CLINICS - APRN clinics
5) RESEARCH NURSE - for enrolling pts in trials and providing care during trial
6) CARE COORDINATOR - similar to nurse navigator
7) PROCEDURAL - infusion center, cath lab, amb surgery
Categories of Challenges to RNs in Ambulatory Setting (6) - CORRECT ANSWER-1)
Societal Changes
,2) Healthcare environment
3) Integration of Health Records
4) Changing Reimbursement Models
5) Ambulatory Care Nursing Workforce
6) Nursing Education
Amb RN Challenges: Societal Changes - CORRECT ANSWER-- pop w/ more old
people and more diverse w/ complex behavioral needs
- high quality/individalization w/ care tech (mobile devices/social media
- societal violence: challenges of settings lacking infrastructure + resources of larger
facility
Amb RN Challenges: Healthcare Environment - CORRECT ANSWER--fragmented care
delivery; struggle to coordinate across specialties
- amb care increasing regulatory control -- demand for high quality/safety --> impacts
reimbursement/ability to compete for contracts
- increase demand for care; shortage of primary care providers
Amb RN Challenges: Integration of Health Records - CORRECT ANSWER--lack of
record integration -- system fragmentation
- longitudinal health records not accessible across settings/providers/services
- EHRs not patient-centered; not good for care coordination
Amb RN Challenges: Changing Reimbursement Models - CORRECT ANSWER-nursing
filed struggles w/ bill recognition from third-party payers
Amb RN Challenges: Ambulatory Care Nursing Workforce - CORRECT ANSWER-- RNs
need skill development/situational translation of knowledge to amb environment
- more interdisciplinary team members working in amb environment
Amb RN Challenges: Nursing Education - CORRECT ANSWER-- nursing ed still mostly
on acute care
-idea that nurses need to work inpatient before doing amb; reality is that hospital skills
are not needed in amb care
, - amb mcare mneeds mto mintegrate mnew mgrads mearly' mstarts mwith mhaving mnurse
meducators m
m
integrate mamb mclinical mexperience min mwith mnursing
mcurriculum
m
Goal mof mAffordable mCare mAct m- mCORRECT mANSWER-LESS mHOSPITALIZATIONS
mAND m
m
MORE mFOCUS mON
mPREVENTION
m
Changes mfrom mACA min mSlides m(5) m- mCORRECT mANSWER-1) mgives mfree mpreventive
mcare m
m
for
mseniors
m
2) mCommunity mCare mTransitions mProgram mfor mat mrisk mseniors mto mprevents mED mvisits
mand m
m
hospital
mreadmissions
m
3) Increase mprimary mcare mreimbursement m
m
4) State-sanctioned mpatient-centered mmedical mhomes m
m
5) physician mreimbursement mchanged mto mvalue mbased mcare mmodels m
m
How mare mnurses mmeeting mACA mgoal mof mquality maffordable mhealth mcare mfor mall
mAmericans? m-
m
CORRECT mANSWER-increasing muse mof mAPRNs mand mRNs min mprimary
mcare
m
nurses mpracticing mto mthe mfullest mextent m
m
How mare mnurses mmeeting mACA mgoal mof mimproving mthe mquality mand mefficiency mof
mhealth m
m
care? m- mCORRECT mANSWER-improved mpatient mcare mthrough mnursing
meducation
m
expanded mopportunities mfor mnurses mto mlead/diffuse mcollaborative mimprovement mefforts m
m
achieving mhigh mvalue mw/ minnovative mmodels m
m
How mare mnurses mmeeting mthe mACA mgoal mof mpreventing mof mchronic mdisease mand
mimproving m
m
public mhealth? m- mCORRECT mANSWER-Achieving mhigh mvalue mw/ minnovative
mmodels
m
expanding mopportunities mfor mnurses mto mlead/diffuse mcollaborative mimprovement mefforts m
m
CARE TEST 1
Key Roles/Responsibilities is Ambulatory Care RN (4) - CORRECT ANSWER-1)
enhance pt safety and quality/effectiveness of care delivery (irreplaceable)
2) responsible for design/administration/eval of professional nursing services within
organization in accordance with nurse practice acts/scope of practice/org standards
3) provide leadership necessary for collab/coordination of services; includes defining
appropriate skills mix + delegation of tasks to licensed and unlicensed workers
4) RN fully accountable in amb care for all nursing services and associated pt outcomes
provided under their direction
Role of RNs in Ambulatory Care (7) - CORRECT ANSWER-1) TELEHEALTH NURSE -
uses nursing process/tech to care for remote pts.
2) NURSE NAVIGATOR - helps nagivate health system
3) NURSE EDUCATOR - educate pts and educate other nurses
4) NURSE-RUN CLINICS - APRN clinics
5) RESEARCH NURSE - for enrolling pts in trials and providing care during trial
6) CARE COORDINATOR - similar to nurse navigator
7) PROCEDURAL - infusion center, cath lab, amb surgery
Categories of Challenges to RNs in Ambulatory Setting (6) - CORRECT ANSWER-1)
Societal Changes
,2) Healthcare environment
3) Integration of Health Records
4) Changing Reimbursement Models
5) Ambulatory Care Nursing Workforce
6) Nursing Education
Amb RN Challenges: Societal Changes - CORRECT ANSWER-- pop w/ more old
people and more diverse w/ complex behavioral needs
- high quality/individalization w/ care tech (mobile devices/social media
- societal violence: challenges of settings lacking infrastructure + resources of larger
facility
Amb RN Challenges: Healthcare Environment - CORRECT ANSWER--fragmented care
delivery; struggle to coordinate across specialties
- amb care increasing regulatory control -- demand for high quality/safety --> impacts
reimbursement/ability to compete for contracts
- increase demand for care; shortage of primary care providers
Amb RN Challenges: Integration of Health Records - CORRECT ANSWER--lack of
record integration -- system fragmentation
- longitudinal health records not accessible across settings/providers/services
- EHRs not patient-centered; not good for care coordination
Amb RN Challenges: Changing Reimbursement Models - CORRECT ANSWER-nursing
filed struggles w/ bill recognition from third-party payers
Amb RN Challenges: Ambulatory Care Nursing Workforce - CORRECT ANSWER-- RNs
need skill development/situational translation of knowledge to amb environment
- more interdisciplinary team members working in amb environment
Amb RN Challenges: Nursing Education - CORRECT ANSWER-- nursing ed still mostly
on acute care
-idea that nurses need to work inpatient before doing amb; reality is that hospital skills
are not needed in amb care
, - amb mcare mneeds mto mintegrate mnew mgrads mearly' mstarts mwith mhaving mnurse
meducators m
m
integrate mamb mclinical mexperience min mwith mnursing
mcurriculum
m
Goal mof mAffordable mCare mAct m- mCORRECT mANSWER-LESS mHOSPITALIZATIONS
mAND m
m
MORE mFOCUS mON
mPREVENTION
m
Changes mfrom mACA min mSlides m(5) m- mCORRECT mANSWER-1) mgives mfree mpreventive
mcare m
m
for
mseniors
m
2) mCommunity mCare mTransitions mProgram mfor mat mrisk mseniors mto mprevents mED mvisits
mand m
m
hospital
mreadmissions
m
3) Increase mprimary mcare mreimbursement m
m
4) State-sanctioned mpatient-centered mmedical mhomes m
m
5) physician mreimbursement mchanged mto mvalue mbased mcare mmodels m
m
How mare mnurses mmeeting mACA mgoal mof mquality maffordable mhealth mcare mfor mall
mAmericans? m-
m
CORRECT mANSWER-increasing muse mof mAPRNs mand mRNs min mprimary
mcare
m
nurses mpracticing mto mthe mfullest mextent m
m
How mare mnurses mmeeting mACA mgoal mof mimproving mthe mquality mand mefficiency mof
mhealth m
m
care? m- mCORRECT mANSWER-improved mpatient mcare mthrough mnursing
meducation
m
expanded mopportunities mfor mnurses mto mlead/diffuse mcollaborative mimprovement mefforts m
m
achieving mhigh mvalue mw/ minnovative mmodels m
m
How mare mnurses mmeeting mthe mACA mgoal mof mpreventing mof mchronic mdisease mand
mimproving m
m
public mhealth? m- mCORRECT mANSWER-Achieving mhigh mvalue mw/ minnovative
mmodels
m
expanding mopportunities mfor mnurses mto mlead/diffuse mcollaborative mimprovement mefforts m
m
