Download Gerontology Considerations for Renal Physiologic Changes and more Exams Nursing in PDF only on Docsity!
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
Autonomy - CORRECT ANSWERS duty to respect an individual's thoughts and actions (tend to be in conflict with beneficence) Dismissing/discharging a pt or closing practice - CORRECT ANSWERS NP cannot withdraw from caring for a pt without notification Examples of reasons for discharging a pt from practice: - CORRECT ANSWERS abuse, refusal to pay, persistent non-adherence to care Steps for discharging a pt from practice: - CORRECT ANSWERS send a certified letter with return receipt (copy for chart), provide general healthcare coverage for 1st 15-30 days post termination deadline, obtain release of info to provide copies of all needed records for next care provider Obligations in closing practice d/t relocation, retirement - CORRECT ANSWERS give pt adequate time to find another provider, keep all files for min 5 years, provide timely notification and names of other providers and resources for future care Role of NP developed in the early... - CORRECT ANSWERS 1960s as a result of physician shortages in the area of peds First NP program was peds, begun in... - CORRECT ANSWERS 1964 by Dr. Loretta Ford and Dr. Henry Silver at CU Health Sciences mainly focusing on ambulatory and outpt care Historical service of NPs in primary care resulted in part from the... - CORRECT ANSWERS availability of federal funding for preventive and primary care NP education Movement of NPs expanded to the... - CORRECT ANSWERS inpt setting as a result of managed care, hospital restructuring, and decreases in medical residency programs
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
4 distinct roles for NPs: - CORRECT ANSWERS clinician, consultant/collaborator, educator, researcher Crisis/Acute Grief Communication - CORRECT ANSWERS Acknowledge feelings Offer self Crisis Intervention - CORRECT ANSWERS Boundaries Security if necessary, NOT police Establish trust/rapport Advance Directive - CORRECT ANSWERS Written statement of patient's intent regarding medical treatment The Patient Self-Determination Act of 1990 - CORRECT ANSWERS All patients in a hospital setting are required to be advised of their right to execute an advance directive Living Will - CORRECT ANSWERS Compilation of statements that specify which life- prolonging measures one does and does not want if they become incapacitated Durable Power of Attourney - CORRECT ANSWERS Individual designated in the living will that is authorized to make medical decisions in the event patient is incapacitated Title I of HIPPA - CORRECT ANSWERS Protects health insurance coverage for workers and their families in the event they change or lose their jobs Licensure - CORRECT ANSWERS 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 ANSWERS a governmental regulatory body (ie. state board of nursing)
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
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 ANSWERS incident reports Policies regarding incident reports should address: - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS ppl notified after receiving complaint; ppl responsible for responding; ppl responsible for monitoring follow up Action taking initiatives: - CORRECT ANSWERS Prevention, correction (corrective steps must be monitored and audited), documentation, education, departmental coordination Medical Futility - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS state that pt is able to make personal decisions about their care
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
competence implies that ability to: - CORRECT ANSWERS understand, reason, differentiate good and bad, and communicate informed consent - CORRECT ANSWERS pt has received adequate instruction or info regarding aspects of care to make prudent, personal choice regarding such tx Informed consent includes: - CORRECT ANSWERS discussing benefits and risk consent is assumed if... - CORRECT ANSWERS pt's condition is life threatening Danforth Amendment 1991 - CORRECT ANSWERS 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 - CORRECT ANSWERS study of moral conduct and behavior protecting the rights of an individual 1st priority is the - CORRECT ANSWERS most salvagable pts. Most critically injured cared for last. Key ethical principles are: - CORRECT ANSWERS nonmaleficence, utilitarianism, beneficence, justice, fidelity, veracity, autonomy Nonmaleficence - CORRECT ANSWERS duty to do no harm Utilitarianism - CORRECT ANSWERS the right act is the one that produces the greatest good for the greatest number Beneficence - CORRECT ANSWERS duty to prevent harm and promote good
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
Credentials encompass... - CORRECT ANSWERS required education, licensure and certification to practice as an NP Credentials establish... - CORRECT ANSWERS minimal levels of acceptable performance Credentialing is necessary to: - CORRECT ANSWERS ensure that safe healthcare is provided by qualified individuals; comply with federal and state laws r/t APN Credentials also... - CORRECT ANSWERS acknowledges the scope of practice of NP, mandates accountability, enforces professional standards for practice COBRA COBRA - CORRECT ANSWERS protects health insurance coverage for workers and their families in the event worker loses or changes jobs Who enforces HIPPA - CORRECT ANSWERS Office for Civil Rights Patient Safety Rule - CORRECT ANSWERS Protects patient information to analyze patient safety events and improve True or False: A patient has the right to see their medical record - CORRECT ANSWERS True The Privacy Rule: Patient's Rights - CORRECT ANSWERS See/have their medical record Corrections added to medical record Patient Safety and Quality Improvement Act (PSQIA) - CORRECT ANSWERS Voluntary reporting system
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
improve patient safety outcomes through anonymous reporting by providers of patient safety outcomes and events Duty to Warn - CORRECT ANSWERS Patient's condition may endanger others overrides confidentiality Patient is diagnosed with HIV. Duty to Warn applies how? - CORRECT ANSWERS Can notify providers not family Invasion of Privacy - CORRECT ANSWERS Damaging one's reputation as a result of sharing patient information without their permission When can invasion of privacy charge not be made - CORRECT ANSWERS in good faith accurate information receiver has valid reason to obtain information Initiating any change in heathcare - CORRECT ANSWERS Begin at most local level and expand outward What comes first when treating a patient with a medical and psychosocial condition - CORRECT ANSWERS Medical condition strongest method to evaluate teaching - CORRECT ANSWERS returned demonstration when to transfer to teritary care facility - CORRECT ANSWERS seriously ill or injured patients that cannot be cared for at your institution stabilize and ship Patient reluctant to undergo procedure. you should? - CORRECT ANSWERS Fully educate patient and tell them why
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
NPs must report to state - CORRECT ANSWERS Criminal acts and injury from dangerous weapon (GSW) Gonorrhea Chlamydia Syphillis HIV TB Animal bites Suspected/actual child abuse Domestic violence Physical Therapy - CORRECT ANSWERS Strength training coordination Occupational Therapy - CORRECT ANSWERS ADLs Medicare - CORRECT ANSWERS Third party payers sets the standard for reimbursement and cutting costs
65 yo. Disabled Medicaid - CORRECT ANSWERS Third party payers Poverty Medicare A - CORRECT ANSWERS Covers inpatient hospitalizations SNF home health
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
hospice
65 yo. Medicare B - CORRECT ANSWERS Covers physician services outpatient hospital services labs/diagnostic procedures medical equipment Pay premium NPs 85% physician scheduled fee Medicare B pays how much of bill - CORRECT ANSWERS Medicare pays 80% and patient pays 20% Medicare D - CORRECT ANSWERS Limited prescription drug coverage Monthly premium required Co-pay on each prescription required Incident-to-Billing - CORRECT ANSWERS Services billed under MD provider number to get the full physician fee Under MD direct supervision Does direct supervision require MD to be physically in the room with NP to be eligible for incident-to-billing - CORRECT ANSWERS no same office suite and easily accesible does incident-to-billing apply to the inpatient hospital setting - CORRECT ANSWERS No. NP must bill under their NPI in the hospital setting
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
How can the ACNP demonstrate and advocate for full scope of practice? - CORRECT ANSWERS ACNP bills independently State Practice Acts - CORRECT ANSWERS STATE Board of Nursing grants authority includes title, authorization of scope including prescriptive authority, disciplinary grounds What dictates the nurse practitioners prescriptive authority - CORRECT ANSWERS State Nurse Practice Acts State Board of Nursing Credentials - CORRECT ANSWERS Encompass required education, licensure and certification to practice as an NP Establish MINIMAL levels of acceptable performance Licensure - CORRECT ANSWERS GOVERNMENT STATE BOARD OF NURSING Establishes a person is qualified to perform Certification - CORRECT ANSWERS NONGOVERNMENTAL AGENCIES ANCC Establishes a person has met certain standards which signify mastery of specialized knowledge and skills Licensure vs. Certification - CORRECT ANSWERS Government state board of nursing vs. nongovernmental agencies ancc Credentialing and Privileging - CORRECT ANSWERS Process by which a nurse practitioner is granted permission to practice in an inpatient setting
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
Hospital Credentialing Committee - CORRECT ANSWERS Comprised of physcians Credentialing with hospital privileges grant Most common method of documentation in Risk Management - CORRECT ANSWERS Incident Reports Medical Futility - CORRECT ANSWERS Interventions that are unlikely to produce any significant benefit for the patient Quantitative Futility - CORRECT ANSWERS Where the likelihood that an intervention will benefit the patient is extremely poor Qualitative Futility - CORRECT ANSWERS Where the quality of the benefit an intervention will produce is extremely poor Competence - CORRECT ANSWERS Decisional capability State in which patient can make personal decisions about their care Informed Consent - CORRECT ANSWERS Patient has received adequate instruction or information regarding aspects of care to make a personal choice Informed Consent includes - CORRECT ANSWERS discussing all risks and benefits Ethics - CORRECT ANSWERS The study of moral conduct and behavior Nonmaleficence - CORRECT ANSWERS Duty to do no harm Utilitarianism - CORRECT ANSWERS Produce the greatest good for the greatest number
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
Ex Post Facto/Correlational Research - CORRECT ANSWERS Examines relationships among varables Cross sectional research - CORRECT ANSWERS Population with a very similar attribute but differ in one specific variable Relationships between variables at specific point in time Cohort - CORRECT ANSWERS Compares one outcome in groups of individuals who are alike but differ in one characterisitc Longitudinal study - CORRECT ANSWERS Multiple measures of a group over an extended period of time Experimental Research Design - CORRECT ANSWERS Manipulation of variables using randomization and control groups to test the effects of an intervention or experiement Quasiexperimental Research - CORRECT ANSWERS Manipulation of variable but lacks randomization and control group Qualitative Research - CORRECT ANSWERS Case studies Open ended questions field study participant observations Used to explore through detailed descriptions of people, events, situations or observed behavior Drawback of qualitative research - CORRECT ANSWERS researcher bias
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
Level of significance - CORRECT ANSWERS p value the probability of false rejection of the null hypothesis in a statistical test p value - CORRECT ANSWERS level of significance t value - CORRECT ANSWERS the mean of two groups Reliability - CORRECT ANSWERS Degree to which an instrument measures the same way over time p <.05 - CORRECT ANSWERS experimental and control groups are considered to be significantly different Validity - CORRECT ANSWERS Degree to which a variable measures what it is intended to measure ANCC is creating questions for boards and is trying to make sure that these questions they are asking are correctly for ACNP's. Is this reliability or validity? - CORRECT ANSWERS Validity. The degree to which a variable measures what it is intended to measure Liability - CORRECT ANSWERS Legal responsibility that a nurse practitioner has for actions that fail to meet the standard of care Standards of care - CORRECT ANSWERS criteria to measure whether negligence has occured Negligence - CORRECT ANSWERS Failure of an individual to do what a REASONABLE person would do resulting in injury to the patient
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
Can NPs order restraints? - CORRECT ANSWERS Yes. Document why restraints are being ordered Degree to which an instrument works the same way over time - CORRECT ANSWERS reliability How is an advanced directive different from a living will? - CORRECT ANSWERS Advance directive a component of a living will Living will designates power of attourney Can you tell the wife the husband has HIV - CORRECT ANSWERS no you have to say "if you were her, wouldnt you want to know" ICU patient is improving but fails the swallow evaluation. What is your next action? - CORRECT ANSWERS Patient does not need ICU. Transfer to sub-actue not med-surg Hispanic M does not speak english and you are evaluating pain. What do you use? - CORRECT ANSWERS Visual pain scale 25 yo. M s/p MVC and cannot feed himself. Who do you consult? - CORRECT ANSWERS Occupational Therapy What is the best way for a NP to get involved with policy change? - CORRECT ANSWERS Join a hospital committee Family is struggling with their father's decompensating condition. Before you consult palliative care, you should? - CORRECT ANSWERS Find out if the patient has an advance directive
PRACTITIONER (AGACNP-BC) 2024 EXAM REVIEW
QUESTIONS AND ANSWERS A COMPLETE SOLUTION THAT
COVERS 2024/2025 BEST GRADED A+ FOR PASS
Your patient is worried about insurance coverage. What should you do? - CORRECT ANSWERS Consult case management What is the best way to ensure better outcomes for a patient? - CORRECT ANSWERS Get everyone under a standardized treatment plan What is the most important variable in determining significance of research before implementing the findings? - CORRECT ANSWERS Sample size Who grants a NP permission to practice in the inpatient setting? - CORRECT ANSWERS Hospital Credentialing Committee An ACNP notices an MCV and stops at the scene to offer assistance. Which of the following statutes protects the CNP from malpractice in this situation? - CORRECT ANSWERS Good Samaritan statute The Federal 1999 Balanced Budget Act allowed for: - CORRECT ANSWERS Medicare reimbursement for advanced practice nurse services The ACNP is involved in outcomes research. All of the following are examples of patient outcomes EXCEPT: a. patient satisfaction b. length of stay c. mortality statistics d. peer review - CORRECT ANSWERS D. Peer review is not a patient outcome The nurse practitioner role in research includes: - CORRECT ANSWERS Utilizing research findings in implementation of guidelines for patient care
