AGACNP Exam Review with Complete Solutions
Scope of Practice [Ans:- Based on legal allowances in each state, individual state nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include [Ans:- integration of care across the acute illness continuum with co...
AGACNP Exam Review with Complete Solutions Scope of Practice [Ans: - Based on legal allowances in each state, individual state nurse practice acts providing guidelines for nursing practice Key elements of the NP role include [Ans: - integration of care across the acute illness continuum with collaboration and coordination of care; research based clinical practices, clinical leadership, family assessment, and discharge planning Standards of A dvanced Practice are delineated by... [Ans: - American Nurses Association which measure quality of practice, service, or education State Practice Acts [Ans: - Authorize Boards of Nursing in each state to establish statutory authority for licensure of RNs State Practice Acts - authority includes: [Ans: - use of title, authorization for scope of practice including prescriptive authority, and disciplinary grounds States vary in practice requirements, such as [Ans: - certification Prescriptive authority [Ans: - Ability and extent of NPs ability to prescribe meds DEA has ruled that nurses in advanced practice may obtain.. [Ans: - registration numbers, state practice acts dictate level of prescriptive authority allowed Credentials encompass... [Ans: - required educ ation, licensure and certification to practice as an NP Credentials establish... [Ans: - minimal levels of acceptable performance Credentialing is necessary to: [Ans: - ensure that safe healthcare is provided by qualified individuals; comply with federal a nd state laws r/t APN Credentials also... [Ans: - acknowledges the scope of practice of NP, mandates accountability, enforces professional standards for practice Licensure [Ans: - establishes that a person is qualified to perform in a particular profession al role Licensure is granted as defined by rules and regulations set forth by [Ans: - a governmental regulatory body (ie. state board of nursing) Certification [Ans: - Person has met certain standards that signify mastery of specialized knowledge Certification is granted by nongovernmental agencies such as [Ans: - ANCC, AANP Admitting privileges to hospitals (non physican) were granted [Ans: - 1983 by JC Credentialing and privileging [Ans: - process which an NP is granted permission to practice in a n inpt setting Credentialing with hospital privileges is granted by a [Ans: - Hospital Credentialing Committee Pt Medical Abandoment [Ans: - When caregiver -pt relationship is terminated w/o making reasonable arrangements w an appropriate person so that car e can be continued Determination of pt abandonment depends on factors such as: [Ans: - Whether NP accepted pt assignment, whether NP provided reasonable notice before termination, whether reasonable arrangements could have been made Following do not const itute pt abandonment [Ans: - NP refuses to accept responsibility for pt assignment when NP has given reasonable notice to proper authority that NP lacks competence to carry out assignment; NP refuses assignment of a double shift or addtl hrs beyond posted w ork schedule when proper notification has been given..latter phrase can be controversial Risk Mgmt [Ans: - Systematic effort to reduce risk begins w formal written risk mgmt plan that includes: organizations goals, delineation of program's scope, component s, methods; delegating responsibility for implementation and enforcement; demonstrating commitment by the board; confidentiality and immunity from retaliation for those who report sensitive info Most common method of documentation for risk mgmt [Ans: - incident reports Policies regarding incident reports should address: [Ans: - ppl authorized to complete report; ppl responsible for review of a report, immediate actions needed to minimize the effects of the event; ppl responsible for follow up; plan for moni toring aftermath; security/storage of completed report Risk mgmt - Satisfaction surveys [Ans: - Important for identifying problems before they develop into incidents or claims; for pts and employees Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and managing complaints by clearly identifying: [Ans: - ppl notified after receiving complaint; ppl responsible for responding; ppl responsible for monitoring follow up Action taking initiatives: [Ans: - Prevention, correction (correcti ve steps must be monitored and audited), documentation, education, departmental coordination Medical Futility [Ans: - Interventions that are unlikely to produce significant benefit for pt - "Does the intervention have any reasonable prospect of helping thi s pt?" Two kind of medical futility: [Ans: - Quantitative futility: likelihood that intervention will benefit pt is extremely poor Qualitative futility: quality of benefit an intervention will produce is extremely poor Informed consent - competence (decisional capability) [Ans: - state that pt is able to make personal decisions about their care competence implies that ability to: [Ans: - understand, reason, differentiate good and bad, and communicate informed consent [Ans: - pt has received adequate instruction or info regarding aspects of care to make prudent, personal choice regarding such tx Informed consent includes: [Ans: - discus sing benefits and risk consent is assumed if... [Ans: - pt's condition is life threatening Danforth Amendment 1991 [Ans: - pts are informed at time of admission to federally funded institution (such as hospital, nursing home, hospice, HMO, etc) that they h ave the right to refuse care as long as the pt has decisional capability (competence) Ethics [Ans: - study of moral conduct and behavior protecting the rights of an individual 1st priority is the [Ans: - most salvagable pts. Most critically injured cared f or last. Key ethical principles are: [Ans: - nonmaleficence, utilitarianism, beneficence, justice, fidelity, veracity, autonomy Nonmaleficence [Ans: - duty to do no harm Utilitarianism [Ans: - the right act is the one that produces the greatest good for th e greatest number Beneficence [Ans: - duty to prevent harm and promote good Justice [Ans: - duty to be fair Fidelity [Ans: - duty to be faithful Veracity [Ans: - duty to be truthful (tends to be in conflict with fidelity) Autonomy [Ans: - duty to respect an individual's thoughts and actions (tend to be in conflict with beneficence)
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