AGACNP Exam Review Exam 2024 / 2025
Scope of Practice - 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 - ANSWER-integration of care across the acute illness continuum with collabora...
Scope of Practice - ✔✔✔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 - ✔✔✔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... - ✔✔✔ANSWER-American
Nurses Association which measure quality of practice, service, or education
,State Practice Acts - ✔✔✔ANSWER-Authorize Boards of Nursing in each state to
establish statutory authority for licensure of RNs
State Practice Acts - authority includes: - ✔✔✔ANSWER-use of title,
authorization for scope of practice including prescriptive authority, and disciplinary
grounds
States vary in practice requirements, such as - ✔✔✔ANSWER-certification
Prescriptive authority - ✔✔✔ANSWER-Ability and extent of NPs ability to
prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. - ✔✔✔ANSWER-
registration numbers, state practice acts dictate level of prescriptive authority
allowed
Credentials encompass... - ✔✔✔ANSWER-required education, licensure and
certification to practice as an NP
Credentials establish... - ✔✔✔ANSWER-minimal levels of acceptable
performance
Credentialing is necessary to: - ✔✔✔ANSWER-ensure that safe healthcare is
provided by qualified individuals; comply with federal and state laws r/t APN
Credentials also... - ✔✔✔ANSWER-acknowledges the scope of practice of NP,
mandates accountability, enforces professional standards for practice
,Licensure - ✔✔✔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 -
✔✔✔ANSWER-a governmental regulatory body (ie. state board of nursing)
Certification - ✔✔✔ANSWER-Person has met certain standards that signify
mastery of specialized knowledge
Certification is granted by nongovernmental agencies such as - ✔✔✔ANSWER-
ANCC, AANP
Admitting privileges to hospitals (non physican) were granted - ✔✔✔ANSWER-
1983 by JC
Credentialing and privileging - ✔✔✔ANSWER-process which an NP is granted
permission to practice in an inpt setting
Credentialing with hospital privileges is granted by a - ✔✔✔ANSWER-Hospital
Credentialing Committee
Pt Medical Abandoment - ✔✔✔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: - ✔✔✔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 - ✔✔✔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 - ✔✔✔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 - ✔✔✔ANSWER-incident
reports
Policies regarding incident reports should address: - ✔✔✔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 - ✔✔✔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: - ✔✔✔ANSWER-ppl notified after
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