AGACNP EXAM REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

AGACNP EXAM REVIEW QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
ScopeHofHPracticeH-
HANSWERHBasedHonHlegalHallowancesHinHeachHstate,HindividualHstateHnurseHpracticeHactsHprovidingHguideli

nesHforHnursingHpractice



KeyHelementsHofHtheHNPHroleHincludeH-
HANSWERHintegrationHofHcareHacrossHtheHacuteHillnessHcontinuumHwithHcollaborationHandHcoordinationHof

Hcare;HresearchHbasedHclinicalHpractices,HclinicalHleadership,HfamilyHassessment,HandHdischargeHplanning




StandardsHofHAdvancedHPracticeHareHdelineatedHby...H-
HANSWERHAmericanHNursesHAssociationHwhichHmeasureHqualityHofHpractice,Hservice,HorHeducation




StateHPracticeHActsH-
HANSWERHAuthorizeHBoardsHofHNursingHinHeachHstateHtoHestablishHstatutoryHauthorityHforHlicensureHofHRN

s



StateHPracticeHActsH-HauthorityHincludes:H-
HANSWERHuseHofHtitle,HauthorizationHforHscopeHofHpracticeHincludingHprescriptiveHauthority,HandHdisciplina

ryHgrounds



StatesHvaryHinHpracticeHrequirements,HsuchHasH-HANSWERHcertification



PrescriptiveHauthorityH-HANSWERHAbilityHandHextentHofHNPsHabilityHtoHprescribeHmeds



DEAHhasHruledHthatHnursesHinHadvancedHpracticeHmayHobtain..H-
HANSWERHregistrationHnumbers,HstateHpracticeHactsHdictateHlevelHofHprescriptiveHauthorityHallowed




CredentialsHencompass...H-HANSWERHrequiredHeducation,HlicensureHandHcertificationHtoHpracticeHasHanHNP



CredentialsHestablish...H-HANSWERHminimalHlevelsHofHacceptableHperformance

,CredentialingHisHnecessaryHto:H-
HANSWERHensureHthatHsafeHhealthcareHisHprovidedHbyHqualifiedHindividuals;HcomplyHwithHfederalHandHstat

eHlawsHr/tHAPN



CredentialsHalso...H-
HANSWERHacknowledgesHtheHscopeHofHpracticeHofHNP,HmandatesHaccountability,HenforcesHprofessionalHsta

ndardsHforHpractice



LicensureH-HANSWERHestablishesHthatHaHpersonHisHqualifiedHtoHperformHinHaHparticularHprofessionalHrole



LicensureHisHgrantedHasHdefinedHbyHrulesHandHregulationsHsetHforthHbyH-
HANSWERHaHgovernmentalHregulatoryHbodyH(ie.HstateHboardHofHnursing)




CertificationH-HANSWERHPersonHhasHmetHcertainHstandardsHthatHsignifyHmasteryHofHspecializedHknowledge



CertificationHisHgrantedHbyHnongovernmentalHagenciesHsuchHasH-HANSWERHANCC,HAANP



AdmittingHprivilegesHtoHhospitalsH(nonHphysican)HwereHgrantedH-HANSWERH1983HbyHJC



CredentialingHandHprivilegingH-
HANSWERHprocessHwhichHanHNPHisHgrantedHpermissionHtoHpracticeHinHanHinptHsetting




CredentialingHwithHhospitalHprivilegesHisHgrantedHbyHaH-HANSWERHHospitalHCredentialingHCommittee



PtHMedicalHAbandomentH-HANSWERHWhenHcaregiver-
ptHrelationshipHisHterminatedHw/oHmakingHreasonableHarrangementsHwHanHappropriateHpersonHsoHthatHca
reHcanHbeHcontinued



DeterminationHofHptHabandonmentHdependsHonHfactorsHsuchHas:H-
HANSWERHWhetherHNPHacceptedHptHassignment,HwhetherHNPHprovidedHreasonableHnoticeHbeforeHtermin

ation,HwhetherHreasonableHarrangementsHcouldHhaveHbeenHmade

,FollowingHdoHnotHconstituteHptHabandonmentH-
HANSWERHNPHrefusesHtoHacceptHresponsibilityHforHptHassignmentHwhenHNPHhasHgivenHreasonableHnoticeHt

oHproperHauthorityHthatHNPHlacksHcompetenceHtoHcarryHoutHassignment;HNPHrefusesHassignmentHofHaHdou
bleHshiftHorHaddtlHhrsHbeyondHpostedHworkHscheduleHwhenHproperHnotificationHhasHbeenHgiven..latterHphr
aseHcanHbeHcontroversial



RiskHMgmtH-
HANSWERHSystematicHeffortHtoHreduceHriskHbeginsHwHformalHwrittenHriskHmgmtHplanHthatHincludes:Horgani

zationsHgoals,HdelineationHofHprogram'sHscope,Hcomponents,Hmethods;HdelegatingHresponsibilityHforHimpl
ementationHandHenforcement;HdemonstratingHcommitmentHbyHtheHboard;HconfidentialityHandHimmunityH
fromHretaliationHforHthoseHwhoHreportHsensitiveHinfo



MostHcommonHmethodHofHdocumentationHforHriskHmgmtH-HANSWERHincidentHreports



PoliciesHregardingHincidentHreportsHshouldHaddress:H-
HANSWERHpplHauthorizedHtoHcompleteHreport;HpplHresponsibleHforHreviewHofHaHreport,HimmediateHactionsH

neededHtoHminimizeHtheHeffectsHofHtheHevent;HpplHresponsibleHforHfollowHup;HplanHforHmonitoringHafterma
th;Hsecurity/storageHofHcompletedHreport



RiskHmgmtH-HSatisfactionHsurveysH-
HANSWERHImportantHforHidentifyingHproblemsHbeforeHtheyHdevelopHintoHincidentsHorHclaims;HforHptsHandH

employees



RiskHmgmtH-
HComplaints:HRiskHmgmtHplanHshouldHdelineateHtracking,Hanalyzing,HandHmanagingHcomplaintsHbyHclearlyHi

dentifying:H-
HANSWERHpplHnotifiedHafterHreceivingHcomplaint;HpplHresponsibleHforHresponding;HpplHresponsibleHforHmo

nitoringHfollowHup



ActionHtakingHinitiatives:H-
HANSWERHPrevention,HcorrectionH(correctiveHstepsHmustHbeHmonitoredHandHaudited),Hdocumentation,Hed

ucation,HdepartmentalHcoordination



MedicalHFutilityH-HANSWERHInterventionsHthatHareHunlikelyHtoHproduceHsignificantHbenefitHforHptH-
H"DoesHtheHinterventionHhaveHanyHreasonableHprospectHofHhelpingHthisHpt?"

, TwoHkindHofHmedicalHfutility:H-
HANSWERHQuantitativeHfutility:HlikelihoodHthatHinterventionHwillHbenefitHptHisHextremelyHpoor



QualitativeHfutility:HqualityHofHbenefitHanHinterventionHwillHproduceHisHextremelyHpoor



InformedHconsentH-HcompetenceH(decisionalHcapability)H-
HANSWERHstateHthatHptHisHableHtoHmakeHpersonalHdecisionsHaboutHtheirHcare




competenceHimpliesHthatHabilityHto:H-
HANSWERHunderstand,Hreason,HdifferentiateHgoodHandHbad,HandHcommunicate




informedHconsentH-
HANSWERHptHhasHreceivedHadequateHinstructionHorHinfoHregardingHaspectsHofHcareHtoHmakeHprudent,Hpers

onalHchoiceHregardingHsuchHtx



InformedHconsentHincludes:H-HANSWERHdiscussingHbenefitsHandHrisk



consentHisHassumedHif...H-HANSWERHpt'sHconditionHisHlifeHthreatening



DanforthHAmendmentH1991H-
HANSWERHptsHareHinformedHatHtimeHofHadmissionHtoHfederallyHfundedHinstitutionH(suchHasHhospital,Hnursin

gHhome,Hhospice,HHMO,Hetc)HthatHtheyHhaveHtheHrightHtoHrefuseHcareHasHlongHasHtheHptHhasHdecisionalHcap
abilityH(competence)



EthicsH-HANSWERHstudyHofHmoralHconductHandHbehaviorHprotectingHtheHrightsHofHanHindividual



1stHpriorityHisHtheH-HANSWERHmostHsalvagableHpts.HMostHcriticallyHinjuredHcaredHforHlast.



KeyHethicalHprinciplesHare:H-
HANSWERHnonmaleficence,Hutilitarianism,Hbeneficence,Hjustice,Hfidelity,Hveracity,Hautonomy




NonmaleficenceH-HANSWERHdutyHtoHdoHnoHharm