NURS8024 FINAL EXAM Questions &
Answers
who is the certifying body we take the WHNP boards through? - ANSWERNCC
(National Certification Corporation)
this is a nurse who has graduate level of education; passed national certification, built
on competencies of an RN, is educationally prepared to take on the
responsibility/accountability of patient issues - ANSWERAdvanced Practice Nurse
(APRN)
What are the four APRN roles? - ANSWERNP
CNM
CNS
CRNA
The national organization of nurse practitioner faculties (NONPF) describes NINE core
competencies...what are they - ANSWERscientific foundation
leadership
quality
practice inquiry
technology/information literacy
policy
health delivery system
ethics
independent practice
2 national organizations that provide guidelines for WHNP practice and education? -
ANSWERamerican association of colleges of nursing (AACN)
national organization of NP faculties (NONPF)
Process for certification maintenance for an NP - ANSWER-cert is valid for 3 years
-complete continuing competency assessment at the beginning of your maintenance
cycle
-continuing education earned is based on your education plan after the assessment is
completed
maintain current/active, unencumbered licensure, update and upload licensure
main provisions of patient protection and affordable care act? - ANSWERincrease
access to insurance
decrease cost
consumer protection
,wellness/prevention
increase quality of healthcare
expand workforce
what is the scope of practice of a WHNP - ANSWERproviding gynecologic, sexual,
obstetric, and reproductive care, mgmt, family planning, STI dx/tx, menopause mgmt,
postmenopausal care, and primary care to women.
Who Governs the scope of practice of WHNP? - ANSWER**established by the nurse
practice act in the STATE which they are licensed/practice in
what is prescriptive authority? - ANSWERThe ability and extent of NP's ability to
prescribe medication; is dependent on state nurse practice act
what are the 4 levels of management of care? - ANSWERindependent
consultation
referral
collaboration
example of independent level management of care - ANSWERfunctioning as a lone
provider that manages previously and undiagnosed patients.
example of consultation level management of care - ANSWERrequest for direction or
help on a dx/tx plan from another provider
example of referral level management of care - ANSWERanother provider accepting the
ongoing treatment/care for a problem
example of collaboration level management of care - ANSWERjoint communication and
decision-making between healthcare professionals that are working towards mutual
goals of patient care
this is the process by which an NP will receive the authority of bill insurance companies
for the services they provide; this is usually completed by the practice manager.
Involves a provider obtaining authorization to practice -
ANSWERcredentialing/privileging process
these are considered "practice guidelines"; the "how to" of a discipline or specialty. they
clarify scope and authority r/t a specific activity by defining who can do what activity,
with what level of supervision, and when (stated at the state board/institution level) -
ANSWERstandards of practice
provision of services in a manner consistent with care as a another professional with
similar training and experience faced with a similar situation would provide; sets
,minimum criteria for job proficiency (stated by medicare, joint commission) -
ANSWERstandards of care
independence; capacity for making decisions, judgement, knowledge, and self-
determination.
ex: clinical decision making - ANSWERautonomy
Obligation to promote patient's well being, or an act of kindness/charity.
ex: holding a dying patients hand; "do good" - ANSWERBeneficence
the obligation not to harm or cause injury
ex: stopping a medication that is causing harmful SE's - ANSWERnonmalifience
remaining TRUTHFUL w/ the patients regardless of any circumstances
ex: telling the patient the truth, never lying, even if it may cause distress -
ANSWERveracity
moral and ethics of a provider; keeping your promise
ex: telling a patient you will come back and check on their pain, and actually doing so -
ANSWERfidelity
unity and mutuality; FAIR distribution of resources and care in healthcare
ex: providing the same treatment options to two different patients - ANSWERjustice
integration of clinical expertise with the best available clinical evidence from research; is
the "conscientious, explicit, and judicious use of theory-derived, research-based
information in making decisions about care delivery to patients and in consideration of
individual needs and preferences. - ANSWERevidence-based practice
What does HIPAA stand for? - ANSWERHealth Insurance Portability and Accountability
Act (1996)
what is the health insurance portability and accountability act? - ANSWERfederal law
that required the creation of national standards to protect sensitive patient health
information from being disclosed without the patient's consent or knowledge
The process of drug absorption, distribution, metabolism, and excretion; the
MOVEMENT of drugs within the body, what the BODY DOES to a drug -
ANSWERpharmacokinetics
, study of drug concentration and the patients response; the study of a drug's EFFECT,
including the duration and magnitude of the response in relation to the drug dosage,
what the DRUG DOES to the body - ANSWERpharmacodynamics
study of how different genes in the full genome determine drug behavior; identifies
genes involved in drug metabolism and drug response - ANSWERpharmacogenomics
what are the four factors that affect pharmacokinetics? - ANSWERdistribution
absorption
metabolism
excretion
(DAME)
process by which a drug becomes available to body fluids/tissues? -
ANSWERdistribution
The movement of drug particles from the GI tract to body fluids by passive absorption,
active absorption, or pinocytosis. - ANSWERabsorption
change of a drug (primarily in the liver) by CYP450 enzymes, into metabolites that may
be active or inactive; alters a drug so it can be eliminated. - ANSWERmetabolism
removal of a drug from the body; primarily occurs in the kidneys, but can also occur
through the skin, lungs, bile, sweat, breast milk, or feces - ANSWERexcretion
use of prescribing of a drug for conditions other than what it has been approved for by
the FDA... - ANSWERoff-label use
warning that appears on the insert for a medication that notes harm with the use of the
drug; mandated by FDA - ANSWERblack-box warning
off label drug uses in pregnancy. - ANSWERUnisom (morning sickness), Methotrexate
(ectopic)
black-box warning in pregnancy - ANSWERisotretinoin (accutane), ACE/ARB's
Drugs with NO currently accepted medical use and a high potential for abuse -
ANSWERschedule I (heroin)
Drugs with a high potential to cause psychological or physical dependence and abuse
are called ____. however some do have medical use. - ANSWERschedule II
(methadone/morphine)
drugs with a moderate to low potential for abuse and physical and psychological
dependence - ANSWERschedule III (codeine)
