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AG-ACNP vs. CNS - CORRECT ANSWER: CNS has 3 spheres of influence: patient
level, nurse level, and organizational level, leading system changes to improve patient
care.
AG-ACNP role uses clinical assessment skills to assess complex and acutely ill
patients.
BOTH roles target a patient-centered approach to care for patient populations.
AG-ACNP: continuous on-unit presence
CNS: addresses staff education and system change.
AG-ACNP vs. PA - CORRECT ANSWER: PA role is under jurisdiction of physician
licensure and supervision and does NOT allow for independent function.
AG-ACNP competencies allow for holistic perspective as well as the promotion and
protection of health.
PA's are trained and focus on providing illness-based care.
AG-ACNP vs. PCNP - CORRECT ANSWER: PCNP deals with management of patient
conditions when stable or when adjustments to meds is necessary.
,ACNPs cannot be limited to only unstable conditions, but also need to be prepared to
manage the range of health problems that accompany the patient.
American Association of Nurse Anesthetists (AANA) - CORRECT ANSWER: Among first
nursing specialty organizations.
Founded by Agatha Hodgins in 1931 as NANA
Name changed to AANA in 1939.
American Association of Nurse Practitioners: 2017 NP Fact Sheet - CORRECT
ANSWER: -There are more than 234,000 nurse practitioners (NPs) licensed in the U.S.
-An estimated 23,000 new NPs completed their academic programs in 2015-2016
-97.7% of NPs have graduate degrees.
-89.2% of NPs are certified in an area of primary care.
-Nearly three in four NPs are accepting new Medicare patients and 77.9% are accepting
new Medicaid patients
-49.9% of NPs hold hospital privileges; 11.3% have long term care privileges.
-95.8% of NPs prescribe medications, and those in full-time practice write an average of
23 prescriptions per day.
-NPs hold prescriptive privileges, including controlled substances in all 50 states and
D.C.
-In 2017, the mean, full-time base salary for an NP was $105,670
-The majority (61.4%) of NPs see 3 or more patients per hour
-Malpractice rates remain low; only 1.9% have been named as primary defendant in a
malpractice case
-NPs have been in practice an average of 11 years
-The average age of NPs is 49 years
Attributes of Effective APRN Leaders - CORRECT ANSWER: Timing
Self-confidence and risk-taking
, Communication and relationship building
Boundary Management- balancing professional and personal life
Self-management/emotional intelligence
Respect for culture and gender diversity
Global awareness
Bullying - CORRECT ANSWER: Includes those external to nursing who make up
organization's culture and add stress to work setting. Subtle, deliberate, ongoing
behavior that accumulates over time.
Central Competency for the CNS - CORRECT ANSWER: The direct care of patients
and families is the central competency according to Hamric's model. (Ch. 14 pg. 345).
The direct care of patients is focused on activities and responsibilities that occur within
the patient-nurse interface. Advanced assessment skills and integration of "biophysical,
psychological, behavioral, sociopolitical, cultural, economic, and nursing practice." (Ch.
14 slide 6).
Certification in CNM - CORRECT ANSWER: 1st certification exam in 1971 through
ACNM.
Certification Maintenance Program (CMP): 3 modules and 2 continuing education units
every 5 yrs.
Characteristics of APRN leadership competency - CORRECT ANSWER: Mentoring
Empowering others
Innovation
Political Activism
Clinical Decision Making - CORRECT ANSWER: Step 4 of the EBP process. Creation
and implementation of policies on facility or community-wide level. Creation of EBP
clinical practice guidelines to set standards of care on national or global level.