1. Scope of Practice - Answer- Based on legal allowances in each state, individual
state nurse practice acts providing guidelines for nursing
... [Show More] practice
2. 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
3. Standards of Advanced Practice are delineated by... - Answer- American Nurses
Association which measure quality of practice, service, or education
4. State Practice Acts - Answer- Authorize Boards of Nursing in each state to
establish statutory authority for licensure of RNs
5. State Practice Acts - authority includes: - Answer- use of title, authorization for
scope of practice including prescriptive authority, and disciplinary grounds
6. States vary in practice requirements, such as - Answer- certification
7. Prescriptive authority - Answer- Ability and extent of NPs ability to prescribe meds
8. DEA has ruled that nurses in advanced practice may obtain.. - Answerregistration numbers, state practice acts dictate level of prescriptive authority allowed
9. Credentials encompass... - Answer- required education, licensure and certification
to practice as an NP
10. Credentials establish... - Answer- minimal levels of acceptable performance
11. Credentialing is necessary to: - Answer- ensure that safe healthcare is provided
by qualified individuals; comply with federal and state laws r/t APN
12. Credentials also... - Answer- acknowledges the scope of practice of NP,
mandates accountability, enforces professional standards for practice
13. Licensure - Answer- establishes that a person is qualified to perform in a
particular professional role
14. Licensure is granted as defined by rules and regulations set forth by - Answer- a
governmental regulatory body (ie. state board of nursing)
15. Certification - Answer- Person has met certain standards that signify mastery of
specialized knowledge
16. Certification is granted by nongovernmental agencies such as - Answer- ANCC,
AANP
17. Admitting privileges to hospitals (non physican) were granted - Answer- 1983 by
JC
18. Credentialing and privileging - Answer- process which an NP is granted
permission to practice in an inpt setting
19. Credentialing with hospital privileges is granted by a - Answer- Hospital
Credentialing Committee
20. 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
21. Determination of pt abandonment depends on factors such as: - AnswerWhether NP accepted pt assignment, whether NP provided reasonable notice before
termination, whether reasonable arrangements could have been made
22. 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
23. 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
24. Most common method of documentation for risk mgmt - Answer- incident reports
25. 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
26. Risk mgmt - Satisfaction surveys - Answer- Important for identifying problems
before they develop into incidents or claims; for pts and employees
27. 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
28. Action taking initiatives: - Answer- Prevention, correction (corrective steps must
be monitored and audited), documentation, education, departmental coordination
29. Medical Futility - Answer- Interventions that are unlikely to produce significant
benefit for pt - "Does the intervention have any reasonable prospect of helping this
pt?"
30. 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.
Key ethical principles are: - Answer- nonmaleficence, utilitarianism, beneficence,
justice, fidelity, veracity, autonomy
Nonmaleficence - Answer- duty to do no harm
Utilitarianism - Answer- the right act is the one that produces the greatest good for
the greatest number
Beneficence - Answer- duty to prevent harm and promote good
Justice - Answer- duty to be fair
Fidelity - Answer- duty to be faithful
Veracity - Answer- duty to be truthful (tends to be in conflict with fidelity)
Autonomy - Answer- duty to respect an individual's thoughts and actions (tend to be
in conflict with beneficence)
Dismissing/discharging a pt or closing practice - Answer- NP cannot withdraw from
caring for a pt without notification. Continues... [Show Less]