TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF
ADVANCED PRACTICE NURSING-AN INTERPROFESSIONAL
APPROACH 6TH EDITION 2024
Affordable Care Act (ACA): - Signed into law on March 23, 2010
The biggest change in the United States health care system since the creation of
Medicare
and Medicaid
APRNs - Implementation of the ACA have provided opportunities for
strong model - Direct comprehensive care
Support of systems
Education, research, and publication
Professional leadership
Evidence-based practice - is used as a basis for care and decision-making processes
within these roles
fifth- to eighth-grade - Most printed educational content should be constructed at a
_____________________ reading level
Initiating and guiding change
Fostering collaboration with multiple stakeholders
Using critical and reflective thinking
Advocating for improved access and cost effective health care
Developing and implementing innovations
Using effective communication - The National Organization of Nurse Practitioner
Faculties (NONPF) outlines nurse practitioner leadership with six core competencies:
Immanuel Kant - The end does not justify means Principle of Universalizability
Act the same in similar situations
deontological - according to these theories, the rightness or wrongness of actions does
not depend on their consequences but on whether they fulfill our duty.
Teleology - Virtue ethics
Utilitarianism (John Stuart Mill)
The greatest amount of happiness and the least amount of harm
The end justifies the means
, Maternalism - is the viewpoint that incorporates a common idea of femininity and
applies it as a support for women's involvement in society.
Paternalism - the policy or practice on the part of people in positions of authority of
restricting the freedom and responsibilities of those subordinate to them in the
subordinates' supposed best interest.
Autonomy - Self-determination
Respect for all persons
Restricted by parentalism
Beneficence - Requires positive action
Balancing of harms vs. benefits
Uses the principle of proportionality
Example: caring for extremely contagious patients
Non-maleficence - Do no harm
The foundation of health care
Does not require taking positive action
Example: coercing a patient to participate in unwanted chemotherapy
Veracity - Truth-telling
Must use language that the patient understands
Example: honestly explaining an advance directive
Confidentiality - Respect for privileged information
Crucial in the provider-patient relationship
HIPAA
Example: not sharing patient's condition with visitors
Fidelity - Keep promises
Avoid false expectations
Example: telling the patient you will request a consultation, and then following up on it
Justice - Fairness, individual rights
Complex and difficult to apply in health care
Healthy People 2020: eliminate health disparities
Examples: Who should get the heart transplant? Who should get the remaining
ventilator?
Institute of Medicine (IOM) Five Core Educational Competencies - Provide patient-
centered care
Work in interdisciplinary teams
Use evidence-based practice
Apply quality improvement
Use informatics
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