ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) 2024/2025 Exam Review
Scope of Practice - correct answer Based on legal allowances in each state, individual state
nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include - correct answer 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 Advanced Practice are delineated by... - correct answer American Nurses
Association which measure quality of practice, service, or education
State Practice Acts - correct answer Authorize Boards of Nursing in each state to establish
statutory authority for licensure of RNs
State Practice Acts - authority includes: - correct answer use of title, authorization for scope of
practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as - correct answer certification
Prescriptive authority - correct answer Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. - correct answer registration
numbers, state practice acts dictate level of prescriptive authority allowed
Credentials encompass... - correct answer required education, licensure and certification to
practice as an NP
Credentials establish... - correct answer minimal levels of acceptable performance
Credentialing is necessary to: - correct answer ensure that safe healthcare is provided by
qualified individuals; comply with federal and state laws r/t APN
Credentials also... - correct answer acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
Licensure - correct answer establishes that a person is qualified to perform in a particular
professional role
Licensure is granted as defined by rules and regulations set forth by - correct answer a
governmental regulatory body (ie. state board of nursing)
Certification - correct answer Person has met certain standards that signify mastery of
specialized knowledge
Certification is granted by nongovernmental agencies such as - correct answer ANCC, AANP
Admitting privileges to hospitals (non physican) were granted - correct answer 1983 by JC
Credentialing and privileging - correct answer process which an NP is granted permission to
practice in an inpt setting
,ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) 2024/2025 Exam Review
Credentialing with hospital privileges is granted by a - correct answer Hospital Credentialing
Committee
Pt Medical Abandoment - correct answer When caregiver-pt relationship is terminated w/o
making reasonable arrangements w an appropriate person so that care can be continued
Determination of pt abandonment depends on factors such as: - correct answer Whether NP
accepted pt assignment, whether NP provided reasonable notice before termination, whether
reasonable arrangements could have been made
Following do not constitute pt abandonment - correct answer 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 work schedule when proper notification has been given..latter phrase can be
controversial
Risk Mgmt - correct answer 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 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 - correct answer incident reports
Policies regarding incident reports should address: - correct answer 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 monitoring aftermath;
security/storage of completed report
Risk mgmt - Satisfaction surveys - correct answer 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: - correct answer ppl notified after receiving complaint; ppl
responsible for responding; ppl responsible for monitoring follow up
Action taking initiatives: - correct answer Prevention, correction (corrective steps must be
monitored and audited), documentation, education, departmental coordination
Medical Futility - correct answer Interventions that are unlikely to produce significant benefit
for pt - "Does the intervention have any reasonable prospect of helping this pt?"
Two kind of medical futility: - correct answer Quantitative futility: likelihood that intervention
will benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor
,ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) 2024/2025 Exam Review
Informed consent - competence (decisional capability) - correct answer state that pt is able to
make personal decisions about their care
competence implies that ability to: - correct answer understand, reason, differentiate good
and bad, and communicate
informed consent - correct answer pt has received adequate instruction or info regarding
aspects of care to make prudent, personal choice regarding such tx
Informed consent includes: - correct answer discussing benefits and risk
consent is assumed if... - correct answer pt's condition is life threatening
Danforth Amendment 1991 - correct answer pts are informed at time of admission to federally
funded institution (such as hospital, nursing home, hospice, HMO, etc) that they have the right
to refuse care as long as the pt has decisional capability (competence)
Ethics - correct answer study of moral conduct and behavior protecting the rights of an
individual
1st priority is the - correct answer most salvagable pts. Most critically injured cared for last.
Key ethical principles are: - correct answer nonmaleficence, utilitarianism, beneficence, justice,
fidelity, veracity, autonomy
Nonmaleficence - correct answer duty to do no harm
Utilitarianism - correct answer the right act is the one that produces the greatest good for the
greatest number
Beneficence - correct answer duty to prevent harm and promote good
Justice - correct answer duty to be fair
Fidelity - correct answer duty to be faithful
Veracity - correct answer duty to be truthful (tends to be in conflict with fidelity)
Autonomy - correct answer duty to respect an individual's thoughts and actions (tend to be in
conflict with beneficence)
Dismissing/discharging a pt or closing practice - correct answer NP cannot withdraw from
caring for a pt without notification
Examples of reasons for discharging a pt from practice: - correct answer abuse, refusal to pay,
persistent non-adherence to care
Steps for discharging a pt from practice: - correct answer send a certified letter with return
receipt (copy for chart), provide general healthcare coverage for 1st 15-30 days post
, ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) 2024/2025 Exam Review
termination deadline, obtain release of info to provide copies of all needed records for next
care provider
Obligations in closing practice d/t relocation, retirement - correct answer give pt adequate
time to find another provider, keep all files for min 5 years, provide timely notification and
names of other providers and resources for future care
Role of NP developed in the early... - correct answer 1960s as a result of physician shortages in
the area of peds
First NP program was peds, begun in... - correct answer 1964 by Dr. Loretta Ford and Dr. Henry
Silver at CU Health Sciences mainly focusing on ambulatory and outpt care
Historical service of NPs in primary care resulted in part from the... - correct answer availability
of federal funding for preventive and primary care NP education
Movement of NPs expanded to the... - correct answer inpt setting as a result of managed care,
hospital restructuring, and decreases in medical residency programs
4 distinct roles for NPs: - correct answer clinician, consultant/collaborator, educator,
researcher
Crisis/Acute Grief Communication - correct answer Acknowledge feelings
Offer self
Crisis Intervention - correct answer Boundaries
Security if necessary, NOT police
Establish trust/rapport
Advance Directive - correct answer Written statement of patient's intent regarding medical
treatment
The Patient Self-Determination Act of 1990 - correct answer All patients in a hospital setting
are required to be advised of their right to execute an advance directive
Living Will - correct answer Compilation of statements that specify which life-prolonging
measures one does and does not want if they become incapacitated
Durable Power of Attourney - correct answer Individual designated in the living will that is
authorized to make medical decisions in the event patient is incapacitated
Title I of HIPPA - correct answer Protects health insurance coverage for workers and their
families in the event they change or lose their jobs
