ANCC AGACNP ADULT-GERONTOLOGY ACUTE CARE
NURSE PRACTITIONER (AGACNP-BC) TEST BANK
QUESTIONS AND ANSWERS ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED QUESTIONS AND STUDY
GUIDE / EXPERT VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+
Based on legal allowances in each state, individual
Scope of Practice state nurse practice acts providing guidelines for
nursing practice
integration of care across the acute illness
continuum with collaboration and coordination of
Key elements of the NP role
care; research based clinical practices, clinical
include
leadership, family assessment, and discharge
planning
Standards of Advanced Practice American Nurses Association which measure
are delineated by... quality of practice, service, or education
Authorize Boards of Nursing in each state to
State Practice Acts
establish statutory authority for licensure of RNs
use of title, authorization for scope of practice
State Practice Acts - authority
including prescriptive authority, and disciplinary
includes:
grounds
,States vary in practice
certification
requirements, such as
Prescriptive authority Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses in registration numbers, state practice acts dictate
advanced practice may obtain.. level of prescriptive authority allowed
required education, licensure and certification to
Credentials encompass...
practice as an NP
Credentials establish... minimal levels of acceptable performance
ensure that safe healthcare is provided by qualified
Credentialing is necessary to: individuals; comply with federal and state laws r/t
APN
acknowledges the scope of practice of NP,
Credentials also... mandates accountability, enforces professional
standards for practice
establishes that a person is qualified to perform in
Licensure
a particular professional role
Licensure is granted as defined by a governmental regulatory body (ie. state board of
rules and regulations set forth by nursing)
, Person has met certain standards that signify
Certification
mastery of specialized knowledge
Certification is granted by
nongovernmental agencies such ANCC, AANP
as
Admitting privileges to hospitals
1983 by JC
(non physican) were granted
process which an NP is granted permission to
Credentialing and privileging
practice in an inpt setting
Credentialing with hospital
Hospital Credentialing Committee
privileges is granted by a
When caregiver-pt relationship is terminated w/o
Pt Medical Abandoment making reasonable arrangements w an appropriate
person so that care can be continued
Whether NP accepted pt assignment, whether NP
Determination of pt abandonment provided reasonable notice before termination,
depends on factors such as: whether reasonable arrangements could have
been made
NP refuses to accept responsibility for pt
assignment when NP has given reasonable notice
to proper authority that NP lacks competence to
Following do not constitute pt
carry out assignment; NP refuses assignment of a
abandonment
double shift or addtl hrs beyond posted work
schedule when proper notification has been
given..latter phrase can be controversial
, Systematic effort to reduce risk begins w formal
written risk mgmt plan that includes: organizations
goals, delineation of program's scope, components,
methods; delegating responsibility for
Risk Mgmt
implementation and enforcement; demonstrating
commitment by the board; confidentiality and
immunity from retaliation for those who report
sensitive info
Most common method of
incident reports
documentation for risk mgmt
ppl authorized to complete report; ppl responsible
for review of a report, immediate actions needed to
Policies regarding incident reports
minimize the effects of the event; ppl responsible
should address:
for follow up; plan for monitoring aftermath;
security/storage of completed report
Important for identifying problems before they
Risk mgmt - Satisfaction surveys develop into incidents or claims; for pts and
employees
Risk mgmt - Complaints: Risk
ppl notified after receiving complaint; ppl
mgmt plan should delineate
responsible for responding; ppl responsible for
tracking, analyzing, and managing
monitoring follow up
complaints by clearly identifying:
Prevention, correction (corrective steps must be
Action taking initiatives: monitored and audited), documentation, education,
departmental coordination
Interventions that are unlikely to produce significant
Medical Futility benefit for pt - "Does the intervention have any
reasonable prospect of helping this pt?"
Quantitative futility: likelihood that intervention will
benefit pt is extremely poor
Two kind of medical futility:
Qualitative futility: quality of benefit an intervention
will produce is extremely poor
NURSE PRACTITIONER (AGACNP-BC) TEST BANK
QUESTIONS AND ANSWERS ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED QUESTIONS AND STUDY
GUIDE / EXPERT VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+
Based on legal allowances in each state, individual
Scope of Practice state nurse practice acts providing guidelines for
nursing practice
integration of care across the acute illness
continuum with collaboration and coordination of
Key elements of the NP role
care; research based clinical practices, clinical
include
leadership, family assessment, and discharge
planning
Standards of Advanced Practice American Nurses Association which measure
are delineated by... quality of practice, service, or education
Authorize Boards of Nursing in each state to
State Practice Acts
establish statutory authority for licensure of RNs
use of title, authorization for scope of practice
State Practice Acts - authority
including prescriptive authority, and disciplinary
includes:
grounds
,States vary in practice
certification
requirements, such as
Prescriptive authority Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses in registration numbers, state practice acts dictate
advanced practice may obtain.. level of prescriptive authority allowed
required education, licensure and certification to
Credentials encompass...
practice as an NP
Credentials establish... minimal levels of acceptable performance
ensure that safe healthcare is provided by qualified
Credentialing is necessary to: individuals; comply with federal and state laws r/t
APN
acknowledges the scope of practice of NP,
Credentials also... mandates accountability, enforces professional
standards for practice
establishes that a person is qualified to perform in
Licensure
a particular professional role
Licensure is granted as defined by a governmental regulatory body (ie. state board of
rules and regulations set forth by nursing)
, Person has met certain standards that signify
Certification
mastery of specialized knowledge
Certification is granted by
nongovernmental agencies such ANCC, AANP
as
Admitting privileges to hospitals
1983 by JC
(non physican) were granted
process which an NP is granted permission to
Credentialing and privileging
practice in an inpt setting
Credentialing with hospital
Hospital Credentialing Committee
privileges is granted by a
When caregiver-pt relationship is terminated w/o
Pt Medical Abandoment making reasonable arrangements w an appropriate
person so that care can be continued
Whether NP accepted pt assignment, whether NP
Determination of pt abandonment provided reasonable notice before termination,
depends on factors such as: whether reasonable arrangements could have
been made
NP refuses to accept responsibility for pt
assignment when NP has given reasonable notice
to proper authority that NP lacks competence to
Following do not constitute pt
carry out assignment; NP refuses assignment of a
abandonment
double shift or addtl hrs beyond posted work
schedule when proper notification has been
given..latter phrase can be controversial
, Systematic effort to reduce risk begins w formal
written risk mgmt plan that includes: organizations
goals, delineation of program's scope, components,
methods; delegating responsibility for
Risk Mgmt
implementation and enforcement; demonstrating
commitment by the board; confidentiality and
immunity from retaliation for those who report
sensitive info
Most common method of
incident reports
documentation for risk mgmt
ppl authorized to complete report; ppl responsible
for review of a report, immediate actions needed to
Policies regarding incident reports
minimize the effects of the event; ppl responsible
should address:
for follow up; plan for monitoring aftermath;
security/storage of completed report
Important for identifying problems before they
Risk mgmt - Satisfaction surveys develop into incidents or claims; for pts and
employees
Risk mgmt - Complaints: Risk
ppl notified after receiving complaint; ppl
mgmt plan should delineate
responsible for responding; ppl responsible for
tracking, analyzing, and managing
monitoring follow up
complaints by clearly identifying:
Prevention, correction (corrective steps must be
Action taking initiatives: monitored and audited), documentation, education,
departmental coordination
Interventions that are unlikely to produce significant
Medical Futility benefit for pt - "Does the intervention have any
reasonable prospect of helping this pt?"
Quantitative futility: likelihood that intervention will
benefit pt is extremely poor
Two kind of medical futility:
Qualitative futility: quality of benefit an intervention
will produce is extremely poor
