Exam (elaborations)

AGACNP Exam Review Questions and Answers 100% Pass

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AGACNP Exam Review Questions and Answers 100% Pass Scope of Practice - ANSWER-Based on legal allowances in each state, individual state nurse practice acts providing guidelines for nursing practice Key elements of the NP role include - ANSWER-integration of care across the acute illness continu...

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agacnp exam review questions and answers 100 pass

Institution 2025 Prep Tests
Course 2025 Prep Tests

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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024

AGACNP Exam Review Questions and

Answers 100% Pass

Scope of Practice - ANSWER✔✔-Based on legal allowances in each state, individual state nurse practice

acts providing guidelines for nursing practice

Key elements of the NP role include - ANSWER✔✔-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... - ANSWER✔✔-American Nurses Association which

measure quality of practice, service, or education

State Practice Acts - ANSWER✔✔-Authorize Boards of Nursing in each state to establish statutory

authority for licensure of RNs

State Practice Acts - authority includes: - ANSWER✔✔-use of title, authorization for scope of practice

including prescriptive authority, and disciplinary grounds

States vary in practice requirements, such as - ANSWER✔✔-certification

Prescriptive authority - ANSWER✔✔-Ability and extent of NPs ability to prescribe meds

DEA has ruled that nurses in advanced practice may obtain.. - ANSWER✔✔-registration numbers, state

practice acts dictate level of prescriptive authority allowed

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Credentials encompass... - ANSWER✔✔-required education, licensure and certification to practice as an

NP

Credentials establish... - ANSWER✔✔-minimal levels of acceptable performance

Credentialing is necessary to: - ANSWER✔✔-ensure that safe healthcare is provided by qualified

individuals; comply with federal and state laws r/t APN

Credentials also... - ANSWER✔✔-acknowledges the scope of practice of NP, mandates accountability,

enforces professional standards for practice

Licensure - ANSWER✔✔-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 - ANSWER✔✔-a governmental

regulatory body (ie. state board of nursing)

Certification - ANSWER✔✔-Person has met certain standards that signify mastery of specialized

knowledge

Certification is granted by nongovernmental agencies such as - ANSWER✔✔-ANCC, AANP

Admitting privileges to hospitals (non physican) were granted - ANSWER✔✔-1983 by JC

Credentialing and privileging - ANSWER✔✔-process which an NP is granted permission to practice in an

inpt setting

Credentialing with hospital privileges is granted by a - ANSWER✔✔-Hospital Credentialing Committee

Pt Medical Abandoment - ANSWER✔✔-When caregiver-pt relationship is terminated w/o making

reasonable arrangements w an appropriate person so that care can be continued

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Determination of pt abandonment depends on factors such as: - ANSWER✔✔-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 - ANSWER✔✔-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 - ANSWER✔✔-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 - ANSWER✔✔-incident reports

Policies regarding incident reports should address: - ANSWER✔✔-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 - ANSWER✔✔-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: - ANSWER✔✔-ppl notified after receiving complaint; ppl responsible for

responding; ppl responsible for monitoring follow up

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Action taking initiatives: - ANSWER✔✔-Prevention, correction (corrective steps must be monitored and

audited), documentation, education, departmental coordination

Medical Futility - ANSWER✔✔-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: - ANSWER✔✔-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) - ANSWER✔✔-state that pt is able to make

personal decisions about their care

competence implies that ability to: - ANSWER✔✔-understand, reason, differentiate good and bad, and

communicate

informed consent - ANSWER✔✔-pt has received adequate instruction or info regarding aspects of care

to make prudent, personal choice regarding such tx

Informed consent includes: - ANSWER✔✔-discussing benefits and risk

consent is assumed if... - ANSWER✔✔-pt's condition is life threatening

Danforth Amendment 1991 - ANSWER✔✔-pts are informed at time of admission to federally funded

institution (such as hospital, nursing home, hospice, HMO, etc) that they have the right to refuse care as

long as the pt has decisional capability (competence)

Ethics - ANSWER✔✔-study of moral conduct and behavior protecting the rights of an individual

1st priority is the - ANSWER✔✔-most salvagable pts. Most critically injured cared for last.

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