AGACNP Exam Review Questions with Complete Solutions, A+
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Course
AGACNP
Institution
AGACNP
Scope of Practice - cORRECT sOLUTION Based on legal allowances in each state, individual state nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include - cORRECT sOLUTION integration of care across the acute illness continuum with collaboration and coordi...
AGACNP Exam Review Questions with
Complete Solutions, A+
Scope of Practice - cORRECT sOLUTION Based on legal allowances in each
state, individual state nurse practice acts providing guidelines for nursing practice
Key elements of the NP role include - cORRECT sOLUTION 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... - cORRECT sOLUTION
American Nurses Association which measure quality of practice, service, or
education
State Practice Acts - cORRECT sOLUTION Authorize Boards of Nursing in each
state to establish statutory authority for licensure of RNs
State Practice Acts - authority includes: - cORRECT sOLUTION use of title,
authorization for scope of practice including prescriptive authority, and
disciplinary grounds
States vary in practice requirements, such as - cORRECT sOLUTION certification
Prescriptive authority - cORRECT sOLUTION Ability and extent of NPs ability to
prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. - cORRECT
sOLUTION registration numbers, state practice acts dictate level of prescriptive
authority allowed
,Credentials encompass... - cORRECT sOLUTION required education, licensure
and certification to practice as an NP
Credentials establish... - cORRECT sOLUTION minimal levels of acceptable
performance
Credentialing is necessary to: - cORRECT sOLUTION ensure that safe healthcare
is provided by qualified individuals; comply with federal and state laws r/t APN
Credentials also... - cORRECT sOLUTION acknowledges the scope of practice of
NP, mandates accountability, enforces professional standards for practice
Licensure - cORRECT sOLUTION 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 - cORRECT
sOLUTION a governmental regulatory body (ie. state board of nursing)
Certification - cORRECT sOLUTION Person has met certain standards that
signify mastery of specialized knowledge
Certification is granted by nongovernmental agencies such as - cORRECT
sOLUTION ANCC, AANP
Admitting privileges to hospitals (non physican) were granted - cORRECT
sOLUTION 1983 by JC
,Credentialing and privileging - cORRECT sOLUTION process which an NP is
granted permission to practice in an inpt setting
Credentialing with hospital privileges is granted by a - cORRECT sOLUTION
Hospital Credentialing Committee
Pt Medical Abandoment - cORRECT sOLUTION 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: - cORRECT
sOLUTION 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 - cORRECT sOLUTION 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 - cORRECT sOLUTION 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 - cORRECT sOLUTION
incident reports
, Policies regarding incident reports should address: - cORRECT sOLUTION 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 - cORRECT sOLUTION 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: - cORRECT sOLUTION ppl notified
after receiving complaint; ppl responsible for responding; ppl responsible for
monitoring follow up
Action taking initiatives: - cORRECT sOLUTION Prevention, correction
(corrective steps must be monitored and audited), documentation, education,
departmental coordination
Medical Futility - cORRECT sOLUTION Interventions that are unlikely to
produce significant benefit for pt - "Does the intervention have any reasonable
prospect of helping this pt?"
Two kind of medical futility: - cORRECT sOLUTION Quantitative futility:
likelihood that intervention will benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely
poor
Informed consent - competence (decisional capability) - cORRECT sOLUTION
state that pt is able to make personal decisions about their care
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