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Role Comp Final Exam
Questions with Accurate
Answers
3 primary criteria to be an APRN correct answer a) The APRN must possess an earned graduate degree with a concentration in an APRN role. This must be a Master's or Doctorate degree. The curricular must include theories and research findings relevant to the selected core discipline. Clinical training must include a minimum of 500 clinical hours for Master's degree and 1000 clinical hours for Doctorate. b) Professional certifications for practice at the level within a clinical population focus. c) A practice focused on patients and their families. Collaboration correct answer Working with other healthcare professionals with shared decision making and responsibilities.
- Example: Developing a partnership with other healthcare members to impact care for the patients benefit. Consultation correct answer Utilize other specialties of disciplines. Example: Consultation of Cardiology for a patient having chest pain Define AND briefly describe EACH of the National Organization of Nurse Practitioner Faculty (NONPF) competencies for Nurse Practitioners. Include the overall purpose or goal of these competencies correct answer NONPF Core Competencies represent the competencies for entry into practice after completing Graduate School. The overall goal of these competencies are to ensure the NP is able to provide complete and competent care based on an evidence based approach Define AND describe (1-2 sentences) YOUR specific clinical role concentration (FNP, WHNP, PCPNP, AGACNP, PCMHNP, etc). (Make sure to identify your patient population) correct answer My specific concentration will be Adult Geriatric Acute Care. My discipline will focus on the adult population requiring advanced assessments and treatments for acute problems. My setting will include patients 13 years and older admitted to the hospital for exacerbation of chronic conditions or admitted for life threatening complications
Define APRN correct answer A. An APRN is a nurse that has completed advanced educational requirements in a selected setting. They are able to assess, diagnose, order test, and prescribe medication to treat patients suffering from a variety disorders. Define NP (include - what does an NP do? What services do NPs provide??) correct answer A. Nurse Practitioners are Advanced Nurse Practitioner's that specialize in areas of care. The specialties include: Family Practice, Adult-Geriatric (Acute or Primary), Pediatric (Acute or Primary), Psychiatric Mental Health, Neonatal, and Women's Health. NP's provide care in almost all clinical setting such as in hospital, clinics, or primary care provider offices. NP's have the ability to assess, order diagnostic test, labs, and order prescriptions to prevent or treat diseases on all spectrums. Describe (1) National, (2) State, and (3) Local factors (which can include organizations) that will DIRECTLY affect your future NP practice (ie, who or what directly impacts what you can and cannot do as an NP- refer back to question #5 if you need). Make sure to describe at least 3 examples of each correct answer A. Local Factors:
- Hospital: Bylaws can restrict or promote the NP practice.
- Privileges: The ability to admit or discharge patients from certain units like PACU, ICU, ect. can impact practice.
- Physician Oversight: Certain procedures requiring physician oversight, such as procedural sedation, can impact the NP's care. A. State Factors: (Louisiana)
- Collaborating Agreement: Louisiana requires that the NP have a collaborative agreement and that agreement outline the NP's authority.
- State Laws: If the collaborating physician or a second "back-up" physician cannot be contacted, the Louisiana Nurse Practice Act prohibits the NP from prescribing for that time period.
- Prescriptive Authority: In Louisiana, the NP cannot treat chronic pain or obesity. B. National:
- Reimbursement: Medicare only pays 85% up to what a physician gets or 80% lesser of the actual charge.
- Requirements for physician cosignatures for prescriptive and hospital admission capabilities, the inability of APRNs to be listed as the providers of record or to carry their own patient panels, and electronic health records that do not capture APRN care.
B. The American Nurses Credentialing Center (ANCC). The ANCC is a subsidiary of the American Nurses Association (ANA). Certification provided include Adult-Gerontology Acute Care Nurse Practitioner- Board Certified (AGACNP-BC) Identify what organization determines YOUR standards of care (or practice guidelines) for YOUR specific clinical concentration correct answer A. The American Association of Critical-Care Nurses establishes the scope and standards for acute and critical care nursing, acute care clinical nurse specialists and acute care nurse practitioners. B. The American Association of Nurse Practitioners Independent Practice correct answer Ensures NPs have the necessary academic and professional training to work as licensed independent practitioners. The competency ensures that nurses can provide all of the services permitted by law. These services include assessing, diagnosing, and treating patients with minimal direction, oversight, or supervision. Leadership correct answer Focus on professional accountability, scholarship, and advocacy. These skills help ensure that nurse practitioner students understand their scope and standards of practice and are prepared to lead healthcare teams. Leadership correct answer Provide professional, clinical, and systematic leadership roles by serving as mentors and role models for staff. Example: Precepting a Nurse Practitioner student after graduating List AND describe the 4 types of APRNs correct answer A. The Clinical Nurse Specialist: Care for complex and vulnerable populations, educate, support interprofessional staff, and provide clinical expertise to facilitate change in a health care system. B. Certified Nurse Practitioner: Provide primary, acute or specialty care across lifespans. NP's are licensed in all states and practice under the rules and regulations of that state. There are several specialties of Nurse Practitioner: Primary care, Acute Care, Neonatal, Pediatric, Psychiatric, and Women's health. C. Certified Nurse-Midwives: Provide primary, gynecological, and reproductive health care. Midwives must obtain a graduate degree from an accredited program. D. Certified Registered Nurse Anesthetists: Provide a full range of anesthesia and pain management across lifespans. The CRNA is the oldest APRN specialty.
Louisiana's regulatory requirements for APRN Licensure comply with the Consensus Model for Regulation: LACE. Considering this, what are Louisiana's regulatory requirements for an APRN? correct answer A. "Advanced practice registered nursing" means nursing by a certified registered nurse anesthetist, certified nurse midwife, clinical nurse specialist, or nurse practitioner which is based on knowledge and skills acquired in a basic nursing education program, licensure as a registered nurse, and a minimum of a master's degree with a concentration in the respective advanced practice nursing specialty which includes both didactic and clinical components, advanced knowledge in nursing theory, physical and psychosocial assessment, nursing interventions, and management of health care. The APRN must hold a current, unencumbered nursing license in Louisiana. Continuing education is required annually for licensure and the APRN that has prescriptive authority and active controlled dangerous substance (CDS) license must complete an additional 3 hours of education that includes best practices for the prescribing of CDS, drug diversion training, appropriate treatment for addiction, and the treatment of chronic pain Policy correct answer Guidelines used to oversee and fund decisions related to patient care. These policies ultimately determine the allocation of resources at the local, state, or federal levels. Practice Inquiry correct answer Provides nurses with the ability to apply research to clinical settings. This competency ensures that NPs understand research materials and translate that information into practice. Nurses must use critical thinking skills to determine how current research can increase the effectiveness of standards or modify guidelines to positively benefit health outcomes Promoting and Protecting Health and Preventing Disease correct answer A. Recognizing and modifying health risk factors to implement primary, secondary, and tertiary care. Example: Recognizing the risk of developing a DVT in a patient immobilized and prescribing antiplatelets for prevention. Quality correct answer Emphasizes the assessment of research and how it can help improve health outcomes. NPs need to access, assess, and apply the most up-to-date data while considering how cost, safety, and access to healthcare impact the quality of care. Scientific Foundation Competencies correct answer Focus on the analysis and use of data that can help assess, enhance, and improve healthcare delivery. It emphasizes evidence-based care using both qualitative and qualitative research. Technology and Information Literacy correct answer Using new technology to access, manage, create, and evaluate health-related information allows them to practice more efficiently. NPs who integrate
