Nurse Practitioner Core Competencies correct answer: all nurse practitioners upon graduation are expected to meet these. These include scientific
... [Show More] foundations, leadership, quality, practice inquiry, technology and information literacy, policy, health delivery system, ethics, and independent practice
history of NP role correct answer: the NP role was introduced in 1965 by Loretta Ford and Henry Silver, MD at the University of Colorado. They identified new roles in which experienced RNs with advanced education and skills were performing clinical duties traditionally reserved for physicians.
License, Accreditation, Certification, and Education Consensus Model correct answer: adopted by many nursing organizations, this provides guidance for states to adopt uniformity in the regulation of APRN roles; finalized in 2008
state legislative statutes correct answer: grant legal authority for NP practice
Nurse Practice Act correct answer: every state has one; provides title protection (who may be called a nurse practitioner), defines advanced practice, prevailing state laws that define scope of practice, places restrictions on practice, sets NP credentialing requirements, states grounds for disciplinary action, and may specifically require that an NP develop a collaborative agreement with a physician
States grounds for disciplinary action correct answer: practicing without a valid license, falsification of records, medicare fraud, failure to use appropriate nursing judgment, failure to follow accepted nursing standards, failure to complete accurate nursing documentation
collaborative agreement correct answer: a protocol that describes what types of drugs might be prescribed and defines some form of oversight for NP practice
licensure correct answer: a process by which an agency of state government grants permission to persons to engage in the practice of that profession; also prohibits all others from legally doing protected practice
credentialing correct answer: process used to protect the public by ensuring a minimum level of professional competence
certification correct answer: credential that provides title protection; determines scope of practice; process by which a professional organization or association certifies that a person licensed to practice as a professional meets set standards, assures public of mastery, assures person has acquired necessary skills
scope of practice correct answer: defines NP roles and actions; identifies competencies assumed to be held by all NPs who function in a particular role; varies broadly from state to state
standards of practice correct answer: authoritative statements regarding the quality and type of practice that should be provided; provide a way to judge nature of care provided; can be used to legally describe standard of care that must be met by a provider; may be precise protocols or more general guidelines
confidentiality correct answer: client's right to assume that info given to provider will not be disclosed, protected under federal stature through the Medical Record Confidentiality Act of 1995; pertains to written and verbal info; requires provider obtain signed medical authorization and consent forms to release medical records and info when requested by client or another healthcare provider
HIPAA correct answer: guarantees clients four fundamental rights: to be educated about privacy protection, to have access to their own medical records, to request amendment of their health info to which they object, and to require their permission for disclosure of their personal info
HITECH correct answer: health information technology for economic and clinical health act of 2009; incentive payments for sharing specific EHR data, meaningful use incentives
exceptions to guaranteed confidentiality correct answer: when appropriate person or organizations determine that the need for info outweighs principle of confidentiality, if a client reveals an intent to harm self or others, info given to attorneys involved in litigation, releasing records to insurance companies, answering court orders, subpoenas, or summons, meeting state requirements for mandatory reporting of diseases or conditions, Tarasoff principle, in cases of elder or child abuse
informed consent correct answer: communication process between provider and client that results in client's acceptance or rejection of proposed treatment; right of all competent adults and emancipated minors
emancipated minor correct answer: persons younger than 18 who are married, parents, or self-sufficiently living away from the family domicile
elements of informed consent correct answer: must include nature/purpose of tx, risks/benefits of tx, risks/benefits of NOT doing tx, alternative tx, diagnosis and prognosis. Provider must document in medical record that informed co [Show Less]