You want more funding for having a Rapid Response Team at your hospital. How do you
bring this issue in front of the committee?
a. Stress importance of the team-find evidence about how team affects outcomes
b. Describe how to improve and expand the team -ANSWER a. stress importance of
team
What is the best way for the AGACNP to become involved in policy making?
a. attend legislative days at the state capitol
b. join a hospital committee
c. write your local congressman
d. review literature and give more in-services - ANSWER b. join a hospital committee
What is the best way for the AGACNP to demonstrate and advocate for full scope of
practice?
a. join a hospital committee
b. petition the government
c. bill for independent services
d. start your own practice - ANSWER c. bill for independent services
Which of the following is an example of a high acuity role for the AGACNP?
a. primary care clinic
b. cardiology office
c. community health department
d. minute clinic - ANSWER b. cardiology office
,What is the best way to advocate for gay and lesbian population?
a. participate in a high state or national level
b. join a non-profit advocacy group
c. consider lobbying the government
d. start at your facility - ANSWER d. start at your facility
Answers are written in a different style. "decrease bias in healthcare" "create
in-servises in healthcare" "acquire funding to increase access"
Which of the following is most significant when considering statistical significance while
reading the literature?
a. concern for sample size
b. confidence interval is not wide
c. p-value is less than alpha-coefficient
d. error rate-ANSWER a. concern for sample size
When a practice is closed, an NP must do everything EXCEPT
a. provide time for the patient to find another provder
b. keep the patient's records for a minimum of five years
c. send a letter, certified, with return receipt requested
d. provide names of other providers for future care - The correct answer is c. The NP
must provide a time for the patient to get another provider; however, there is no legal
requirement to send a letter by certified return receipt requested, although a certified
letter may be considered a good business practice.
Which of the following components of an evidenced based research process is most
important for NP to participate in?
a. specifying methods of data collection
b. formulating the hypothesis
,c. carefully reviewing the literature
d. formulating the research problem - ANSWER d. formulating the research problem
A former pt of an NP writes blog posts, sends emails and distributes false, accusatory
statements about the NP's practice. Which of the following forms of defamation is this?
a. libel
b. slander - ANSWER a. libel
Can you tell the patient's wife, for her protection that her husband has HIV? - ANSWER
No, not without his permission
How can the ANCP prepare to get involved in future mass casualty event? - ANSWER
Pre enroll in disaster volunteer program
An 80 year old male patient with dementia needs long-term care placement. To what
funding agency does the patient apply after "spending down" to qualify? - ANSWER
Medicaid
Your patient is worried about insurance coverage and would like you to give him some
advice regarding Medicaid. You tell the patient that Medicaid: - ANSWER Pays after
insurance and 3rd party payers have paid
You are going to give a dinner presentation to a group. The pharmaceutical rep calls you
the night before and wants you to say that their drug is the only one that workds. What
ethical principles does this challenge? - ANSWER Veracity and fidelity
Health literacy - ANSWER Average american: 8th grade level
Quality assurance - ANSWER A process for evaluating the care of patients using
established standards of care to ensure quality
, CPI-RESPONSE Measures structure, processes, and outcomes
The root cause analysis of a crisis situation in the ICU determined that a lack of
clinician-family communication was the root of the resulting adverse outcome. The
performance improvement plan charges the NP to develop evidence-based policies
which will establish standards for clinician-family communication in the unit. These
should include: - ANSWER Guidelines for having discussions with family members that
are geared toward establishing treatment goals
Which clinical scenario does the NP evaluate for a quality improvement process
change? - ANSR An increased incidence of postoperative sternal wound infections
Goals set forth in healthy people 2020 by the US department of Health and Human
services include: - ANSR elimination of health disparities (and increased QOL/LOL)
Depending on patient culture, ethnicity, or personal preference, the NP can build a
stronger therapeutic relationship with the patient by: - ANSWER Adapting his or her
communication style to that preferred by the patient
A 70-year-old client is being discharged to home after a new diagnosis of CAD on top of
his previous diagnoses of DM, HTN, and OAs. The adultgerontology acute care NP
educates the client that if he needs health care, his first point of contact should be the:
-ANSWER PCP
The NP is asked to provide evidence to the hospital administration that central lines
placed by an NP are safe. Which of the following resource identifies the strongest level
of evidence? ANSWER A systematic review (meta analysis)
What is the name of the legislation that allowed NPs to become recognized Medicare
providers in all geographical locations and to be assigned their own provider number?
ANSWER Balanced Budget act
True/False: It is considered malpractice to restrain an unwilling patient? - ANS False,
you can restrain if they are a danger
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