ADVANCED EXAM FOR AMBULATORY
n n n
CARE TEST 1 n n n
n
n
n
n
n
n
Key nRoles/Responsibilities nis nAmbulatory nCare nRN n(4) n - n CORRECT
nANSWER-1)
n
enhance npt nsafety nand nquality/effectiveness nof ncare n delivery
n(irreplaceable)
n
2) nresponsible nfor ndesign/administration/eval nof nprofessional nnursing nservices
nwithin
organization nin naccordance nwith nnurse npractice nacts/scope nof npractice/org
nstandards
n
3) nprovide nleadership nnecessary nfor ncollab/coordination nof nservices; nincludes
ndefining n
n
appropriate nskills nmix n+ ndelegation nof ntasks nto nlicensed nand nunlicensed
nworkers
n
4) nRN nfully naccountable nin namb ncare nfor nall nnursing nservices nand nassociated npt
noutcomes n
n
provided nunder ntheir
ndirection
n
Role nof nRNs nin nAmbulatory nCare n(7) n- nCORRECT nANSWER-1) nTELEHEALTH
nNURSE n-
n
uses nnursing nprocess/tech nto ncare nfor nremote
npts.
n
2) NURSE nNAVIGATOR n- nhelps nnagivate nhealth nsystem n
n
3) NURSE nEDUCATOR n- neducate npts nand neducate nother nnurses n
n
4) NURSE-RUN nCLINICS n- nAPRN nclinics n
n
5) RESEARCH nNURSE n- nfor nenrolling npts nin ntrials nand nproviding ncare nduring ntrial n
n
6) CARE nCOORDINATOR n- nsimilar nto nnurse nnavigator n
n
7) PROCEDURAL n- ninfusion ncenter, ncath nlab, namb nsurgery n
n
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
n
Amb nRN nChallenges: nSocietal nChanges n- nCORRECT nANSWER-- npop nw/ nmore
nold n
n
people nand nmore ndiverse nw/ ncomplex nbehavioral
nneeds
n
- high nquality/individalization nw/ ncare ntech n(mobile ndevices/social nmedia n
n
- nsocietal nviolence: nchallenges nof nsettings nlacking ninfrastructure n+ nresources nof
nlarger n
n
facility
n
Amb nRN nChallenges: nHealthcare nEnvironment n- nCORRECT nANSWER--fragmented
ncare n
n
delivery; nstruggle nto ncoordinate nacross
nspecialties
n
- namb ncare nincreasing nregulatory ncontrol n-- ndemand nfor nhigh nquality/safety n-->
nimpacts n
n
reimbursement/ability nto ncompete nfor
ncontracts
n
- increase ndemand nfor ncare; nshortage nof nprimary ncare nproviders n
n
Amb nRN nChallenges: nIntegration nof nHealth nRecords n- nCORRECT nANSWER--
lack nof n
n
record nintegration n-- nsystem
nfragmentation
n
- longitudinal nhealth nrecords nnot naccessible nacross nsettings/providers/services n
n
- EHRs nnot npatient-centered; nnot ngood nfor ncare ncoordination n
n
Amb nRN nChallenges: nChanging nReimbursement nModels n- nCORRECT nANSWER-
nursing n
n
filed nstruggles nw/ nbill nrecognition nfrom nthird-party
npayers
n
Amb nRN nChallenges: nAmbulatory nCare nNursing nWorkforce n- nCORRECT nANSWER--
nRNs nneed nskill ndevelopment/situational ntranslation nof nknowledge nto namb
nenvironment n
n
- more ninterdisciplinary nteam nmembers nworking nin namb nenvironment n
n
Amb nRN nChallenges: nNursing nEducation n- nCORRECT nANSWER-- nnursing ned nstill
nmostly n
n
on nacute
ncare
, n
-idea nthat nnurses nneed nto nwork ninpatient nbefore ndoing namb; nreality nis nthat nhospital
nskills n
n
are nnot nneeded nin namb
ncare
n
- namb ncare nneeds nto nintegrate nnew ngrads nearly' nstarts nwith nhaving nnurse
neducators n
n
integrate namb nclinical nexperience nin nwith nnursing
ncurriculum
n
Goal nof nAffordable nCare nAct n- nCORRECT nANSWER-LESS nHOSPITALIZATIONS
nAND n
n
MORE nFOCUS nON
nPREVENTION
n
Changes nfrom nACA nin nSlides n(5) n- nCORRECT nANSWER-1) ngives nfree npreventive
ncare n
n
for
nseniors
n
2) nCommunity nCare nTransitions nProgram nfor nat nrisk nseniors nto nprevents nED nvisits
nand n
n
hospital
nreadmissions
n
3) Increase nprimary ncare nreimbursement n
n
4) State-sanctioned npatient-centered nmedical nhomes n
n
5) physician nreimbursement nchanged nto nvalue nbased ncare nmodels n
n
How nare nnurses nmeeting nACA ngoal nof nquality naffordable nhealth ncare nfor nall
nAmericans? n-
n
CORRECT nANSWER-increasing nuse nof nAPRNs nand nRNs nin nprimary
ncare
n
nurses npracticing nto nthe nfullest nextent n
n
How nare nnurses nmeeting nACA ngoal nof nimproving nthe nquality nand nefficiency nof
nhealth n
n
care? n- nCORRECT nANSWER-improved npatient ncare nthrough nnursing
neducation
n
expanded nopportunities nfor nnurses nto nlead/diffuse ncollaborative nimprovement nefforts n
n
achieving nhigh nvalue nw/ ninnovative nmodels n
n
How nare nnurses nmeeting nthe nACA ngoal nof npreventing nof nchronic ndisease nand
nimproving n
n n n
CARE TEST 1 n n n
n
n
n
n
n
n
Key nRoles/Responsibilities nis nAmbulatory nCare nRN n(4) n - n CORRECT
nANSWER-1)
n
enhance npt nsafety nand nquality/effectiveness nof ncare n delivery
n(irreplaceable)
n
2) nresponsible nfor ndesign/administration/eval nof nprofessional nnursing nservices
nwithin
organization nin naccordance nwith nnurse npractice nacts/scope nof npractice/org
nstandards
n
3) nprovide nleadership nnecessary nfor ncollab/coordination nof nservices; nincludes
ndefining n
n
appropriate nskills nmix n+ ndelegation nof ntasks nto nlicensed nand nunlicensed
nworkers
n
4) nRN nfully naccountable nin namb ncare nfor nall nnursing nservices nand nassociated npt
noutcomes n
n
provided nunder ntheir
ndirection
n
Role nof nRNs nin nAmbulatory nCare n(7) n- nCORRECT nANSWER-1) nTELEHEALTH
nNURSE n-
n
uses nnursing nprocess/tech nto ncare nfor nremote
npts.
n
2) NURSE nNAVIGATOR n- nhelps nnagivate nhealth nsystem n
n
3) NURSE nEDUCATOR n- neducate npts nand neducate nother nnurses n
n
4) NURSE-RUN nCLINICS n- nAPRN nclinics n
n
5) RESEARCH nNURSE n- nfor nenrolling npts nin ntrials nand nproviding ncare nduring ntrial n
n
6) CARE nCOORDINATOR n- nsimilar nto nnurse nnavigator n
n
7) PROCEDURAL n- ninfusion ncenter, ncath nlab, namb nsurgery n
n
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
n
Amb nRN nChallenges: nSocietal nChanges n- nCORRECT nANSWER-- npop nw/ nmore
nold n
n
people nand nmore ndiverse nw/ ncomplex nbehavioral
nneeds
n
- high nquality/individalization nw/ ncare ntech n(mobile ndevices/social nmedia n
n
- nsocietal nviolence: nchallenges nof nsettings nlacking ninfrastructure n+ nresources nof
nlarger n
n
facility
n
Amb nRN nChallenges: nHealthcare nEnvironment n- nCORRECT nANSWER--fragmented
ncare n
n
delivery; nstruggle nto ncoordinate nacross
nspecialties
n
- namb ncare nincreasing nregulatory ncontrol n-- ndemand nfor nhigh nquality/safety n-->
nimpacts n
n
reimbursement/ability nto ncompete nfor
ncontracts
n
- increase ndemand nfor ncare; nshortage nof nprimary ncare nproviders n
n
Amb nRN nChallenges: nIntegration nof nHealth nRecords n- nCORRECT nANSWER--
lack nof n
n
record nintegration n-- nsystem
nfragmentation
n
- longitudinal nhealth nrecords nnot naccessible nacross nsettings/providers/services n
n
- EHRs nnot npatient-centered; nnot ngood nfor ncare ncoordination n
n
Amb nRN nChallenges: nChanging nReimbursement nModels n- nCORRECT nANSWER-
nursing n
n
filed nstruggles nw/ nbill nrecognition nfrom nthird-party
npayers
n
Amb nRN nChallenges: nAmbulatory nCare nNursing nWorkforce n- nCORRECT nANSWER--
nRNs nneed nskill ndevelopment/situational ntranslation nof nknowledge nto namb
nenvironment n
n
- more ninterdisciplinary nteam nmembers nworking nin namb nenvironment n
n
Amb nRN nChallenges: nNursing nEducation n- nCORRECT nANSWER-- nnursing ned nstill
nmostly n
n
on nacute
ncare
, n
-idea nthat nnurses nneed nto nwork ninpatient nbefore ndoing namb; nreality nis nthat nhospital
nskills n
n
are nnot nneeded nin namb
ncare
n
- namb ncare nneeds nto nintegrate nnew ngrads nearly' nstarts nwith nhaving nnurse
neducators n
n
integrate namb nclinical nexperience nin nwith nnursing
ncurriculum
n
Goal nof nAffordable nCare nAct n- nCORRECT nANSWER-LESS nHOSPITALIZATIONS
nAND n
n
MORE nFOCUS nON
nPREVENTION
n
Changes nfrom nACA nin nSlides n(5) n- nCORRECT nANSWER-1) ngives nfree npreventive
ncare n
n
for
nseniors
n
2) nCommunity nCare nTransitions nProgram nfor nat nrisk nseniors nto nprevents nED nvisits
nand n
n
hospital
nreadmissions
n
3) Increase nprimary ncare nreimbursement n
n
4) State-sanctioned npatient-centered nmedical nhomes n
n
5) physician nreimbursement nchanged nto nvalue nbased ncare nmodels n
n
How nare nnurses nmeeting nACA ngoal nof nquality naffordable nhealth ncare nfor nall
nAmericans? n-
n
CORRECT nANSWER-increasing nuse nof nAPRNs nand nRNs nin nprimary
ncare
n
nurses npracticing nto nthe nfullest nextent n
n
How nare nnurses nmeeting nACA ngoal nof nimproving nthe nquality nand nefficiency nof
nhealth n
n
care? n- nCORRECT nANSWER-improved npatient ncare nthrough nnursing
neducation
n
expanded nopportunities nfor nnurses nto nlead/diffuse ncollaborative nimprovement nefforts n
n
achieving nhigh nvalue nw/ ninnovative nmodels n
n
How nare nnurses nmeeting nthe nACA ngoal nof npreventing nof nchronic ndisease nand
nimproving n
