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Heath Policy IV
ANCC Board Review
| Question | Answer |
|---|---|
| Who defines the NPs scope of practice? | State Board Nurse Practice Acts |
| What is the role of state practice acts? | they authorize boards of nursing in each state to establish statutory authority for licensure of registered nruses |
| what determines the NPs level of prescriptive authority | State practice acts |
| What is the role of the American Nurses Association? | determines STANDARDS of advanced practice. |
| True or false: NP scope of practice varies from state to state | True Established by individual state practice acts |
| what is encompassed in credentials | required education, licensure and certification to practice as an NP |
| What does credentialing establish | minimal levels of acceptable performance |
| what is licensure | establishes that a person is qualified to perform in a particular professional role |
| how is licensure granted | by state board of nursing |
| What does certification establish | that the individual has met certain standards in a given profession which signifies MASTERY of specialized knowledge and skill |
| Who grants certification | Nongovernmental agencies ANCC, AANP, etc |
| What organization allowed for NPs to have admitting privileges in the hospital | Joint Commission in 1983 |
| What is Credentialing and Privileging | process by which the NP is granted permission to practice in an inpatient setting can be full or in part depending on the hospital credentialing committee |
| What is medical abandonment | results from caregiver-pt relationship is terminate without making reasonable arrangements with an appropriate person |
| what circumstances do not constitute pt abandonment | NP refuses assignment due to lack of competence to carry out said assignment and has given proper notice refusal of an assignment of a double shift or additional hours beyond the posted work schedule |
| What is risk MGMT | systematic effort to reduce risk begins with formal, written risk MGMT plan |
| what are the most common form of documentation in the risk mgmt pan | Incident reports |
| What is a Satisfaction survey | a form that allows for identifying problems before they develop into actual incidents or claims; important to track and analyze |
| A key source of potential risk management information would be | Complaints |
| Two types of satisfactions surveys | Patient Employee/practitioner |
| Who does a risk MGMT tack and manage complaints | By identifying the following Persons notified persons responsible for responding and persons responsible for monitoring followup resolution of the complaint |
| Medical futility is | any given intervention that is unlikely to produce significant benefit for the patient |
| What are the two kinds of medical futility | Quantitative and Qualitative |
| The likelihood that an interventions will benefit the patient is extremely poor | Quantitative futility |
| the quality of benefit an intervention will produce is extremely poor | Qualitative |
| Nonmaleficence | duty to do no harm |
| Utilitarianism | the right act is the one that produces the greatest good for the greatest number -least sick treated first in disaster area mentality |
| Beneficence | duty to prevent harm and promote good |
| Justice | the duty to be fair |
| Fidelity | they duty to be faithful |
| Veracity | they duty to be truthful |
| Autonomy | duty to respect an individuals thoughts and actions |
| what does an NP have to provide the patient if he or she intends to dismiss he or she | notification |
| what are some examples or reasons for discharging a patient | abuse from the patient, refusal to pay for services, persistent non adherence to recommended care |
| Steps for discharging pt | 1. certified letter 2. provide general health care for first 15-30 days post-termination |
| what are the obligations when closing a practice due to retirement or relocation | 1. give pt adequate time to find new provider 2. keep all files for 5 year minimum 3. avoid complaints of pt abandonment, provide timely notification, and names of other providers and resources for future cases |
| how was the NP role developed | developed as a result of physician shortages in pediatrics (1960) |
| What was the first NP program | pediatric program developed by Dr. Loretta Ford |
| What promoted the growth of NP roles and expansion into the hospital | managed care, hospital restructuring and decreases in medical residency programs |
| What is Nonexperimental research | "no experiment" design |
| What categories of research are included in non experimental research | Descriptive and ex post facto/correlational research |
| What is the goal of descriptive research | aims to describe situations experiences and phenomena as they exist |
| Goal of ex post facto or correlational research is | to examine relationships among variables |
| Cross sectional study | examines a population with very similar attribute ex: asthma but differ in one specific variable like age. attempt to find relationships between variables at specific point in time |
| Cohort study | compares at a specific point in time. groups are a like in many way but differ by certain characteristics ie men who smoke vs those who do not |
| Longitudinal | take multiple measures of a group/population over an extended period of time to find relationships between variables |
| Experimental research | includes experimental manipulation of variables with utilization of randomized and control group |
| Quasi-experimental | research that involves manipulation variables but lacks comparison group or randomization |
| Qualitative research | Includes case studies, open-ended questions, field studies, participant observation and ethnographic studies exploration oh phenomena through detailed description of people, events, stiuations, or observed behavior |
| Confidence interval | interval with limited at either end, with specified probability of including the parameter being estimated |
| A patient is shaking a fist in the air in the direction of another person in a threatening manner. This is an example of | Assault |
| what is Battery | illegal, willful, violent or negligent striking of a person, his clothes, or anything with which he is in contact |
| can you commit battery on an unconcious person | YES |
| What is libel | defaming, distributed in written material |
| What is slander | Spoken defamation to those who are not the defamed |
Created by:
EL92578
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