ANCC Exam Questions With Accurate Answers 2024-2025
History of NP Role - Ford and SIlver in CO in 1965
state legislative statutes - grant legal authority, the nurse practice act, may require
collaborative agreement
collaborative agreement - what types of drugs may be prescribed and of some oversight
board
statutory law - rules differ for each state, further define scope of practice
licensure - Answer agency of state grants permission to individuals accountable for the
practice of a profession
credentialing - Answer protect the pubic by ensuring minimum level of competence
certification - Answer determines scope of practice, certifies that an individual has met
certain standards
scope of practice - Answer defines NP roles and action, varies from state to state
standards of practice - Answer regarding the quality and type of practice, a way to
judge the nature of care given
confidentiality -Answer information is not disclosed, protected by Medical Record
Confidentiality Act of 1996
HIPAA - Answer health care privacy act: educated about HIPAA, have access to medical
records, request amendments, require their permission for disclosure
,Tarasoff principle - Answer 1976 - duty to warn victims of potential harm from client
Justice - Answer doing what is fair, fairness in care
Beneficence - Answer promoting well being and doing good
nonmalfeasance - Answer doing no harm
fidelity - Answer being true and loyal
autonomy - Answer doing for self
veracity - Answer telling the truth
respect - Answer treating everyone with equal respect
deontological theory - Answer action is judged based on the act itself
teleological theory - Answer action is judged based on the consequences
virtue ethics - Answer actions are chosen based on moral virtues of the person
Four elements of malpractice - Answer duty, breach of duty, proximate cause, damages
competency - Answer legal, not medical concept - determination that client can make
reasonable judgments and decisions regarding treatment and health concerns
primary prevention-Answer reducing the incidence of mental disorders
,ex. stress management classes, smoking prevention, DARE
secondary prevention-Answer aimed at reducing prevalence
ex. telephone hotlines, crisis intervention, disaster response
tertiary prevention-Answer aimed at reducing the disability and severity of mental
disorder
ex. day programs, housing, social skills training
biological risk factors-Answer hx of mental illness, poor nutrition, poor health
Psychosocial risk factors. Poor self-concept, external locus of control, poor ego
defenses.
Social risk factors. Poor occupational stress, poor socio-economic status, low social
integration level.
Research utilization. Synthesizing, disseminating, and using the research-generated
knowledge to create a change in practice.
Evidence-based practice. An integration of the best research evidence with clinical
expertise and the patient's values and needs.
evidence based practice model - Answer P - patient, population, problem
I - intervention
C- comparison treatment or placebo
O - outcome
internal validity - Answer the treatment caused a change in the outcome
, external validity - Answer the outcome is generalizable to the population
IRB - Answer protects rights of participants in studies - the belmont report
Trust v Mistrust - Answer 0-1 year
ability to form relationships, hope, trust in others
The crises or basic conflicts in Erik Erikson's psychosocial stage theory:
Autonomy v Shame and doubt - Answer 1-3 years
self control, self esteem, will power
Initiative v guilt - Answer 3-6 years
self directed behavior, goal formation, sense of purpose
Industry v inferiority - Answer 6-12 years
ability to work, sense of competency and achievement
Identity v role confusion - Answer 12-20 years
personal sense of identity
Intimacy v isolation - Answer 20-35 years
committed relationships, capacity to love
generativity v self absorption or stagnation - Answer 35-65 years
ability to give time and talent to others, ability to grow and change