NURS8024 FINAL EXAM
QUESTIONS & ANSWERS 2024/25 ( A+ GRADED 100%
VERIFIED)
who is the certifying body we take the WHNP boards through? - ANSWER NCC
(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 - ANSWER Advanced Practice Nurse
(APRN)
What are the four APRN roles? - ANSWER NP
CNM
CNS
CRNA
The national organization of nurse practitioner faculties (NONPF) describes NINE
core competencies...what are they - ANSWER scientific 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? - ANSWER american 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? - ANSWER increase
access to insurance
decrease cost
consumer protection
wellness/prevention
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,NURS8024 FINAL EXAM
QUESTIONS & ANSWERS 2024/25 ( A+ GRADED 100%
VERIFIED)
increase quality of healthcare
expand workforce
what is the scope of practice of a WHNP - ANSWER providing 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? - ANSWER The 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? - ANSWER independent
consultation
referral
collaboration
example of independent level management of care - ANSWER functioning as a
lone provider that manages previously and undiagnosed patients.
example of consultation level management of care - ANSWER request for
direction or help on a dx/tx plan from another provider
example of referral level management of care - ANSWER another provider
accepting the ongoing treatment/care for a problem
example of collaboration level management of care - ANSWER joint
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 - ANSWER
credentialing/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) - ANSWER standards 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;
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,NURS8024 FINAL EXAM
QUESTIONS & ANSWERS 2024/25 ( A+ GRADED 100%
VERIFIED)
sets minimum criteria for job proficiency (stated by medicare, joint commission) -
ANSWER standards of care
independence; capacity for making decisions, judgement, knowledge, and self-
determination.
ex: clinical decision making - ANSWER autonomy
Obligation to promote patient's well being, or an act of kindness/charity.
ex: holding a dying patients hand; "do good" - ANSWER Beneficence
the obligation not to harm or cause injury
ex: stopping a medication that is causing harmful SE's - ANSWER nonmalifience
remaining TRUTHFUL w/ the patients regardless of any circumstances
ex: telling the patient the truth, never lying, even if it may cause distress -
ANSWER veracity
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 - ANSWER fidelity
unity and mutuality; FAIR distribution of resources and care in healthcare
ex: providing the same treatment options to two different patients - ANSWER
justice
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. - ANSWER evidence-
based practice
What does HIPAA stand for? - ANSWER Health Insurance Portability and
Accountability Act (1996)
what is the health insurance portability and accountability act? - ANSWER federal
law that required the creation of national standards to protect sensitive patient
health information from being disclosed without the patient's consent or
knowledge
3
, NURS8024 FINAL EXAM
QUESTIONS & ANSWERS 2024/25 ( A+ GRADED 100%
VERIFIED)
The process of drug absorption, distribution, metabolism, and excretion; the
MOVEMENT of drugs within the body, what the BODY DOES to a drug - ANSWER
pharmacokinetics
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 - ANSWER pharmacodynamics
study of how different genes in the full genome determine drug behavior;
identifies genes involved in drug metabolism and drug response - ANSWER
pharmacogenomics
what are the four factors that affect pharmacokinetics? - ANSWER distribution
absorption
metabolism
excretion
(DAME)
process by which a drug becomes available to body fluids/tissues? - ANSWER
distribution
The movement of drug particles from the GI tract to body fluids by passive
absorption, active absorption, or pinocytosis. - ANSWER absorption
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. - ANSWER
metabolism
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 - ANSWER
excretion
use of prescribing of a drug for conditions other than what it has been approved
for by the FDA... - ANSWER off-label use
warning that appears on the insert for a medication that notes harm with the use
of the drug; mandated by FDA - ANSWER black-box warning
off label drug uses in pregnancy. - ANSWER Unisom (morning sickness),
Methotrexate (ectopic)
black-box warning in pregnancy - ANSWER isotretinoin (accutane), ACE/ARB's
Drugs with NO currently accepted medical use and a high potential for abuse -
ANSWER schedule I (heroin)
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