ANCC study guide Exam Questions with Verified Answers,100%CORRECT, Exams of Nursing

Download ANCC study guide Exam Questions with Verified Answers,100%CORRECT and more Exams Nursing in PDF only on Docsity! ANCC study guide: legal/ethical/policy 100 Questions with Verified Answers what legal document governs the practice of a NP - CORRECT ANSWER the state nurse practice act What are the 4 ethical principles? (and define) - CORRECT ANSWER 1. beneficence (promoting well being for pt. and society) 2. nonmalefecience - "above all, do no harm" 2. autonomy (person acts intentionally after being given informed consent) 4. justice (equitable distribution of social benefits What is he difference between an ethical dilemma and an ethical conflict? - CORRECT ANSWER ethical dilemma = when asked to choose between two ethically legitimate alternatives (e.g. preserving pt. confidentiality or protecting endangered third parties) ethical conflict = involves the compromise of an ethical principle (usually bc of self interest like pt-therapist sexual relations) YES or NO if ethical below: a. sex with a family member of pt. b. discussing cases with spouse c. confidentiality must be maintained after death of pt. d. Psych provider can make determination of suicide as a result of mental illness for insurance purposes solely from reading the patients records e. Dating a pt. one year after discharge - CORRECT ANSWER a. NO (especially with child/ad) b. NO (even saying pt name is breach of confidentiality) c. YES (only exceptions are legally and protecting others from harm) d. YES (calles psychological autopsy) e. NO (1-2 years maybe.. currently "unethical") f. YES Describe what an assessment of environmental maintenance is? - CORRECT ANSWER assessing for risk of injury, violence, and possession of weapons biggest risk factor for a parent abusing a child? - CORRECT ANSWER past abuse of the parent A group of nursing students at Nurseslabs University is currently learning about family violence. Which of the following is true about the topic mentioned? a. Family violence affects every socioeconomic level. b. Family violence is caused by drugs and alcohol abuse. c. Family violence predominantly occurs in lower socioeconomic levels. d. Family violence rarely occurs during pregnancy. - CORRECT ANSWER a. Family violence affects every socioeconomic level. Family violence occurs in all socioeconomic levels, races, religions, and cultural groups. Although violence is associated with substance abuse, it is not the singular cause. The statement that the family violence predominantly occurs in lower socioeconomic levels is false. Abuse often occurs during pregnancy; about 23% of all pregnant women seeking prenatal care are victims of abuse. What describes reasonable and prudent practice for a NP? - CORRECT ANSWER - professional standards and scope of practice document What determines what is acceptable education prep for practice? - CORRECT ANSWER professional nursing organizations What determines the legal boundaries of practice? - CORRECT ANSWER state legislation statutes - specifically the Nurse Practice act. . REMEMBER!! determines LEGAL practice What grants legal authority for NP practice? - CORRECT ANSWER state legislative statutes (e.g. nurse practice act) What does the state practice act do? - CORRECT ANSWER - defines the scope of practice of NP - protects the title of NP - Has required educational components and certifications c. do things based on moral virtues - compassion, honor, respect, wisdom, honesty, courage or the character of the person making the decision What does the Americans with Disabilities Act do? - CORRECT ANSWER it requires the business of 15 or more employees must not discriminate based on disability (like depression) against qualified persons in hiring, firing, advancement, job training, compensation, and workplace conditions - grants employment with equal basis to others without disability - employers re REQUIRED to make reasonable accommodations (e.g. can have job coach What is competency - CORRECT ANSWER a LEGAL, not a medical concept - a determination that a client can make reasonable judgements and decisions regarding treatment and other health concerns - court rules if a person incompetent What re the four element son negligence to prove malpractice - CORRECT ANSWER 1. Duty: Np should have given reasonable care for tx 2. Breech of Duty: NP violated standard of care of tx 3. Proximate Cause: Causal relationship between the breach and client's injuries 4. Damages: The client experiences permanent and substantial damages as a result What is case management a. define b. overall goal - CORRECT ANSWER a. a system of controlled OVERSIGHT and authorization of SERVICES and benefits provided to clients consisting of coordinating care, ensuring quality outcomes, monitoring plan of care, and doing advocacy b. Overall goal is to promote quality, cost effective outcomes What can be used when a client has severe mental disease and prevent relapse - CORRECT ANSWER durable power of attorney what percentage of homeless has a. substance use b. SCZ - CORRECT ANSWER a. 50% b. 15-45% hoe many migrants and farm workers are there? - CORRECT ANSWER 3 million what is most important when treating those in prisons? - CORRECT ANSWER self- reflection what does forensics do? specifically nurses - CORRECT ANSWER apply science to the knowledge of legal issues - makes relationship for investigation based on crime committed Which is an accurate statement regarding the formal evaluation of quality of care? a. Continuous quality improvement (CQI) programs focus on individual incidents. b. Health care regulatory agencies have not identified an effective means to measure quality. c. Hospitals do not receive payment for services if quality of care evaluations are not performed. d. The Joint Commission mandates that hospitals implement CQI programs - CORRECT ANSWER d. The Joint Commission mandates that hospitals implement CQI programs 20. While providing a history, a patient requests that an acute care nurse practitioner disclose the information gathered with no one but the patient's spouse. By respecting this request, the nurse practitioner demonstrates which component of a therapeutic relationship? a. Autonomy b. Beneficence c. Confidentiality d. Empathy - CORRECT ANSWER c confidentiality An adult nurse practitioner evaluates a patient who has been a victim of domestic violence. After the office visit, law enforcement authorities contact the nurse practitioner, requesting information regarding any visible injuries observed during the visit. The nurse practitioner's response is to: a. call the patient to obtain consent. b. provide the written record, as requested. c. refer the request to the office manager. d. require a court order for release. - CORRECT ANSWER b. provide the written record, as requested. 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? a. Medicaid b. Medicare c. The American Association of Retired Persons d.The United States Social Security Administration - CORRECT ANSWER Medicaid An adult-gerontology acute care nurse practitioner who specializes in cardiology is asked to give a presentation on lipid-lowering drugs. A major drug company that markets a lipid-lowering medication plans to pay the presenter an honorarium, but asks the nurse practitioner to limit his or her remarks to its drug. This situation presents a: breach of contract. conflict of interest. personal choice. reasonable request. - CORRECT ANSWER conflict of interest A hospital requires adult-gerontology acute care nurse practitioners to submit credentialing applications for the purpose of: - authorizing clinical roles and responsibilities. - delineating therapeutic and diagnostic services. - monitoring the nurse practitioner's clinical activities. - verifying education, licensure, and experience. - CORRECT ANSWER - verifying education, licensure, and experience. primary prevention. secondary prevention. tertiary prevention. - CORRECT ANSWER tertiary prevention. what is tertiary prevention - CORRECT ANSWER Tertiary prevention generally consists of the prevention of disease progression and attendant suffering after it is clinically obvious and a diagnosis established. This activity also includes the rehabilitation of disabling conditions. Examples include eliminating offending allergens from asthmatic patients; routine screening for and management of early renal, eye, and foot problems among diabetics; and preventing reoccurrence of heart attack with anticlotting medications and physical modalities to regain function among stroke patients A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mild euphoria shows symptoms associated with the use of: benzodiazepine (Alprazolam). cocaine. morphine (MS Contin). oxycodone (OxyContin). - CORRECT ANSWER coaine Which symptom requires immediate medical attention for a 16-year-old female patient who recently started using oral contraceptives? Increasing breast tenderness. Increasing emotional lability. Spotting between periods. Worsening headaches. - CORRECT ANSWER Worsening headaches. The pediatric primary care nurse practitioner obtains a sexual history from a 15- year-old female patient. The patient reports that her boyfriend has recently been pressuring her to agree to engage in sexual intercourse. The nurse practitioner: explains the risks of having unprotected sexual intercourse. explores the patient's feelings about consenting to sexual intercourse. offers the patient oral or transdermal birth control medications. performs a gynecologic examination to obtain a baseline Pap test. - CORRECT ANSWER explores the patient's feelings about consenting to sexual intercourse. . In reacting to parental divorce, a child between the ages of 9 and 12 differs from a younger child in his or her: a. acceptance of the family's dissolution. b. experience of grief and intense anger. c. positive reaction to the departure of a parent. d. tendency toward emotional decompensation. - CORRECT ANSWER b. experience of grief and intense anger. Evidence-based practice in clinical management is grounded in: clinical practice guidelines. cohort studies. expert opinions. systematic reviews. - CORRECT ANSWER systematic reviews. Statements that define the core knowledge of a pediatric primary care nurse practitioner's care are contained within the professional: accreditation standards. certification requirements. licensure application. scope of practice. - CORRECT ANSWER scope of practice. When does the pediatric primary care nurse practitioner administer the first hepatitis B immunization to an infant born to a mother with an unknown hepatitis B status? Within 12 hours of birth. At two weeks of age. At one month of age. At two months of age. - CORRECT ANSWER Within 12 hours of birth. Which behavior reflects existentially oriented therapy? Attempting to understand a patient's subjective world Challenging a patient's irrational beliefs Developing specific plans for change Establishing general group goals - CORRECT ANSWER Attempting to understand a patient's subjective world Which statement by a male patient who has posttraumatic stress disorder (PTSD) and chronic persistent suicidal ideation indicates a need for hospital assessment? "I feel so bad all the time. I wish I were dead." "My wife is so scared that she has taken all my guns out of the house." "My wife just left with the children. I have no one left and no future." "Those medications you gave me make me feel worse. I stopped taking them." - CORRECT ANSWER "My wife is so scared that she has taken all my guns out of the house." According to current clinical guidelines for treating a patient with bipolar I disorder mania with psychotic features, an adult psychiatric and mental health nurse practitioner prescribes: alprazolam (Xanax). citalopram (Celexa). lamotrigine (Lamictal). quetiapine (Seroquel). - CORRECT ANSWER quetiapine (Seroquel). Which nonpharmacologic treatment modality is recommended for depression? Biofeedback Dialectical behavioral therapy Eye movement desensitization and reprocessing therapy Supportive group therapy - CORRECT ANSWER Supportive group therapy The psychiatric-mental health nurse practitioner is responsible for initiating quality improvement at a community mental health clinic. The effective strategy for evaluating the clinic's services is to: behavior (competency), severity of illness (with high risk), and practice patterns that inhibit or expedite care What are some of the roles of the FDA? - CORRECT ANSWER regulates the intro of new drugs tot he US, protects consumers from the risks associated with drug purchases, approve new drugs before they can be sole, determine which drugs can be OTC or prescription status they DO NOT accept or deny new drug patents what is an insurance "benefit" vs a claim vs pre approval vs denying - CORRECT ANSWER benefit = the amount the insurance pays when the insured suffers a loss claim = request o insurance company to pay benefits for a loss pre-approval = insurance will approve certain claim before it is provided denying a claim = insurance company does not pay a bill bc certain required conditions were not met what is nursing informatics - CORRECT ANSWER integration of nursing knowledge with info processing and communication technology to support health crossing the quality chasm a. who wrote it b what issues contribute to bad quality care c. main point d. six goals of quality care - CORRECT ANSWER a. institute of medicine b. - complexity of knowledge, skills, interventions - increase in chronic conditions - insufficient and disorganized healthcare system - challenge to implement info technology c healthcare professional need to COLLABORATE d. safe, effective, efficient, patient-centered, timely, equitable What is it called when medicare enrollees can purchase private insurance to cover additional medical expenses not covered by medicare? - CORRECT ANSWER medicare + choice Part C 2010 future of nursing:leading change, advancing health a. writer b. what it said - CORRECT ANSWER a. IOM b. nurses should practice to full extent of knowledge, seek higher levels of education, full/equal partners to docs,improved information infrastructure needed what have managed care organizations done to reduce costs - CORRECT ANSWER - enroll employees by offering premiums LESS than traditional insurers - decrease ER visits - decrease # hospital stays - decrease LOS at hospitals - bargain with medical practices for reduced rates on visits of organizations iddim't adopt meaningful use by 2015 what penalty was faced? - CORRECT ANSWER reduced medicare reimbursement rates What are some of the system organization of healtcare - CORRECT ANSWER microsystem = direct pt. care ( macrosystem = hospital, skilled nursing facility megasystem = american healthcare system metasystem = something at societal level of economy, political, social (e.g. global economy) who is eligible for medicaid? - CORRECT ANSWER low income children, low income pregnant women, elderly and disabled that qualify for supplemental security income program who is eligible for medicare? - CORRECT ANSWER elderly over the age of 65 who have worked 40 quarters and paid medicare taxes certain you're ppl with disabilities ppl with end stage renal disease ppl who need a kidney transplant individuals receiving social security disability who have amyotrophic later sclerosis Explain the different parts of Medicare - CORRECT ANSWER Part A = hospitalizations (up to 90 days), skilled nursing facility (up to 100 days), hospice (up to 6 months), some home healthcare Part B = Ambulatory practitioner service, physical, occupational, speech therapy, medical equipment, diagnostic tests, preventative care Part C = OPTIONAL coverage for beneficiaries who can choose to receive all of their health care services through one of the provider organizations covered under the medicare advantage plan Part D = OPTIONAL coverage for outpatient pharmaceuticals to establish a living will one must: - CORRECT ANSWER comprehend the act of wrong and signing the will know the potential heirs understand the extent of ones assets han no undue influence absence of delusions compromising rational thought what are the covered tests within medicare part b - CORRECT ANSWER pap smears, mamagromas, screening for colorectal cancer, prostate cancer, screening for CV dz, screening for diabetes, glaucoma screening, influenza vaccines, PNA vaccines LIVER AND SKIN CANCER NOT COVERED when can you have romantic relationship with client? - CORRECT ANSWER NEVER!! minimum level of professional competence is called - CORRECT ANSWER credentialing what is translational research? - CORRECT ANSWER hows studies can best be translated into practice