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ANCC AGACNP - Frances Guide Review. 530+ Questions And Answers

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ANCC AGACNP - Frances Guide Review
You want to get more funding for your hospital's Rapid Response Team. How should you present this
issue to the committee?

a. Stress importance of the team (look up evidence about how team affects outcomes)

b. Describe how to improve and expand the team ANS: a. stress importance of team

What is the best way for the AGACNP to get involved in policy making?

a. attend legislative days at the state capitol

b. join a hospital committee

c. write your local congressman

d. review literature and give more in-services ANS: b. join a hospital committee

What is the best way for the AGACNP to demonstrate and advocate for full scope of practice?

a. join a hospital committee

b. petition the government

c. bill for independent services

d. start your own practice ANS: c. bill for independent services

Which of the following is considered a high acuity role for the AGACNP?

a. primary care clinic

b. cardiology office

c. community health department

d. minute clinic ANS: b. cardiology office

What is the best way to advocate for gay and lesbian population?

,a. participate in a high state or national level

b. join a non-profit advocacy group

c. consider lobbying the government

d. start at your facility ANS: d. start at your facility

Answers are worded differently. "decrease bias in healthcare" "create in-servises in healthcare" "obtain
funding to increase access"

Which of the following is most important to evaluate statistical significance when reviewing the
literature?

a. consider the sample size

b. make sure the confidence interval is tight

c. see if the p-value is less than the alpha-coefficient

d. determine the error rate ANS: a. consider the sample size

When closing a practice, the NP is required to do all of the following except

a. give the patient adequate time to find another provder

b. keep all of the patient's records for a minimum of five years

c. send a certified letter with a return receipt requested

d. provide names of other providers for future care ANS: c. send a certified letter with a return receipt
requested

Which of the following components of an evidenced based research process is the most important for
NP to participate in?

a. specifying methods of data collection

b. formulating the hypothesis

c. carefully reviewing the literature

d. formulating the research problem ANS: d. formulating the research problem

,A former pt of an NP is writing blog posts, sending emails, and distributing false, accusatory statements
about the NP's practice. Which of the following forms of defamation is this?

a. libel

b. slander ANS: a. libel

Can you tell the patient's wife, for her protection, that her husband has HIV? ANS: No, not without his
permission

How can the ANCP prepare to get involved in future mass casualty event? ANS: Pre enroll in disaster
volunteer program

An 80 year old male patient with dementia requires long-term care placement. To which funding agency
does the patient apply after "spending down" to qualify? ANS: Medicaid

Your patient is worried about insurance coverage and asks you for advice on Medicaid. You instruct the
patient that Medicaid: ANS: Pays after insurance and 3rd party payers have paid

You are giving a dinner presentation to a group. The pharmaceutical rep calls you the night before and
wants you to say that their drug is the only one that workds. What ethical principles does this challenge?
ANS: Veracity and fidelity

Health literacy ANS: Average american: 8th grade level

Quality assurance ANS: A process for evaluating the care of patients using established standards of care
to ensure quality

CPI ANS: Measures structure, processes, and outcomes

, A root cause analysis of a crisis situation in the ICU identified a lack of clinician-family communication as
the basis for the resulting adverse outcome. As part of the performance improvement plan, the NP is
asked to develop evidence-based policies to establish clinician-family communication standards in the
unit. These policies should include: ANS: Guidelines for having discussions with family members that are
geared toward establishing treatment goals

Which clinical scenario does the NP evaluate for a quality improvement process change? ANS: An
increased incidence of postoperative sternal wound infections

Goals set forth in healthy people 2020 by the US department of Health and Human services include:
ANS: elimination of health disparities (and increased QOL/LOL)

Based on the individual's culture, ethnicity, and personal choices, the NP can optimize the therapeutic
partnership with the patient by: ANS: Tailoring his or her communication style to the patient's
preference

A 70 year old patient with a history of DM, HTN, OAs, and a new diagnosis of CAD, is being discharged.
The adult-gerontology acute care NP teaches the patient that the first point of contact for health care
needs is the: ANS: PCP

The NP is asked to provide evidence to the hospital administration about the safety of NP placing central
lines. Which resource provides the strongest level of evidence? ANS: A systematic review (meta analysis)

What legislation allowed NPs to be recognized Medicare providers in all geographical areas with their
own provider number? ANS: Balanced Budget act

True/false: restraining an unwilling patient is grounds for malpractice? ANS: False, if they are a danger
you can restrain

Patient presents to the clinic for routine f/u and passes out. You revive the patient and admit overnight.
Which of the following would qualify as incident to billing? ANS: Temperature and weight recording

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