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Exam (elaborations)

ANCC FNP Study Guide 2024/2025 (SECURE HIGHSCORE)

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ANCC FNP Study Guide 2024/2025 (SECURE HIGHSCORE)ANCC FNP Study Guide 2024/2025 (SECURE HIGHSCORE)ANCC FNP Study Guide 2024/2025 (SECURE HIGHSCORE)ANCC FNP Study Guide 2024/2025 (SECURE HIGHSCORE)ANCC FNP Study Guide 2024/2025 (SECURE HIGHSCORE)ANCC FNP Study Guide 2024/2025 (SECURE HIGHSCORE)ANCC ...

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  • April 16, 2024
  • 40
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • ANCC FNP
  • ANCC FNP
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DoctorKen
ANCC FNP Study Guide 2024/2025 (SECURE

HIGHSCORE)

1. Health People 2010

to improve access to comprehensive quality, primary care services.

* Increase the quality and years of healthy life.

* Eliminate health disparities among Americans.

2. Health People 2020

The program is an initiative that develops evidence-based practice objectives designed

to improve the health of all Americans. The objectives are targeted to be followed over a

10-year period.

4 Foundational Healthcare measures:

1) General health status.

2) Health-related quality of life and well being.

3) Determinants of Health - aim to create social & physical environments that promote

good health for all.

4) Reduce Health Disparities.

3. Electronic Medical Record (EMR)

Pros: allows for sharing of health information between healthcare entities & with

patients, thereby reducing the cost of care, improving care efficiency, avoiding

readmission and decreasing duplicate testing. Cons: the potential for data loss in the

event of computer or system failure.

4. Medicaid

, A federal and state assistance program that pays for health care services for people

who cannot afford them. Varies from state to state.

5. Medicare

A federal program of health insurance for persons 65 years of age and older. Those

with severe disability no matter income level or those with ESRD. Qualifying conditions

must be a US Citizen, non-US citizens after 5 years of permanent residency. US

Veterans are eligible after 65 years.



* Medicare Part A covers medically necessary inpatient care and supplies; skilled

nursing facility.

* Medicare Part B covers nursing home/custodial care (ADL's), home health services,

durable medical equipment, outpatient care & preventive services (i.e. 1 mammogram

every 12 months) in women 40 and older. Part B does not include routine dental care of

eyeglasses.

* Part C - HMO

* Part D covers prescriptions.

6. Single payer healthcare system

refers to a system where in essence the government runs a nationwide insurance plan

that pays all healthcare cost for its members.

7. Peer Review / 360 degree Evaluation

employees rate other employees in the same job classification, through the use of

established criteria. The system has the potential to offer honest & specific feedback

,that allows the individual to make improvements or adjustments to meet objectives and

performance standards.

8. Fidelity

Loyalty & dedication; keeping a promise.

9. Beneficence

promote good and prevent harm.

10. Non-Maleficence

duty to do no harm

11. Justice

Right to fair and equitable treatment.

12. Automony

The right of the patient to make clinical decisions about their medical care, assuming

the patient is rational & can make informed decisions about care.

13. Veracity

truthfulness

14. Utilitarianism

Greatest good for the greatest number of people

15. State Nurse Practice Act

(NPA) approved by vote through the processes of each individuals states legislature.

The act delineates the legal scope of practice within the geographical boundaries of the

jurisdiction. The purpose of the state nurse practice act is to protect the public.

16. State Board of Nursing

, (BON) determines laws governing nurse practice authority; has the authority to develop

administrative rules or regulations that clarify the NPA & make scope of practice

interpretations more specific. The state BON rules and regulations must be consistent

with the legislature.

17. Emergency Medical Treatment & Labor Act (EMTALA)

designated to prevent inappropriate transfers and "patient dumping" for indigent

patients. Requires hospitals to access and treat patients regardless of ability to pay and

provides specific provisions on when transfers are allowed.

18. Genetic Information Nondiscriminatory Act (GINA)

prohibits the use of genetic information for health insurance and hiring decisions.

19. Health Information Technology for Economic & Clinical Health Act of 2009

(HITECH)

healthcare providers would be offered financial incentives for demonstrating meaningful

use of EHR until 2015 after which penalties may be levied for failing to demonstrate

such use. ** delayed until 2017.

20. Affordable Care Act of 2010

expands health coverage using a variety of mechanisms on the state and federal level.

*Only US citizens can purchase through the marketplace.

*Expands Medicaid for low income families.

*Tax penalties for those who do not purchase.

21. The Patient Protection & Affordable Care Act (PPACA)

requires people to have coverage.

22. Consensus Model for Advanced Practice Registered Nurse

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