You want to get more funding for your hospital's Rapid Response Team. How should you present this issue to the committee? - ✔✔ Stress importance of
... [Show More] the team (answer is worded as looking up evidence about how the team affects outcomes, like a meta-analysis)
What is the best way for the AGACNP to get involved in policy making?
a. Attend legislative days at the state capitol
b. Join a hospital committee
c. Write to your local congressman
d. Review literature and give more in-services - ✔✔ b. Join a hospital committee
What is the best way for the AGACNP to demonstrate and advocate for full scope of practice?
a. Join a hospital committee
b. Petition the government
c. Bill for independent services
d. Start your own practice - ✔✔ c. Bill for independent services
Which of the following is considered a high acuity role for the AGACNP?
a. Primary care clinic
b. Cardiology office
c. Community health department
d. Minute Clinic - ✔✔ b. Cardiology office
What is the best way to advocate for gay and lesbian population in your area?
a. Participate at a high state or national level
b. Join a non-profit advocacy group
c. Consider lobbying the government
d. Start at your facility - ✔✔ d. Start at your facility
(answers are worded differently. One of them is "decrease bias in healthcare" and another is something like "create inservices in healthcare" and another is "obtain funding to increase access."
Which of the following is most important to evaluate statistical significance when reviewing the literature?
a. Consider the sample size
b. Make sure the confidence interval is tight
c. See if the p-value is less than the α-coefficient
d. Determine the error rate - ✔✔ a. Consider the sample size
(Answers are worded differently. "Ensure confounding variables were eliminated" & "P value is less than null hypothesis" were two of them.
When closing a practice, the NP is required to do all of the following except
a. Give the pt adequate time to find another provider
b. Keep all of the patient's records for a minimum of five years
c. Send a certified letter with a return receipt requested
d. Provide names of other providers for future care - ✔✔ c. Send a certified letter with a return receipt requested (this is for discharging/firing a patient from your practice)
Which of the following components of an evidenced based research process is the most important for NP to participate in?
a. Specifying methods of data collection
b. Formulating the hypothesis
c. Carefully reviewing the literature
d. Formulating the research problem - ✔✔ d. Formulating the research problem
9. A former pt of an NP is writing blog posts, sending emails, and distributing false, accusatory statements about the NP's practice. Which of the following forms of defamation is this?
a. libel
b. slander - ✔✔ a. libel
Can you tell the pt's wife, for her protection, that her husband has HIV? - ✔✔ No, not without his permission.
How can the ANCP prepare to get involved in future mass casualty event? - ✔✔ Pre-enroll in disaster volunteer program
An 80-year-old male patient with dementia requires long-term care placement. To which funding agency does the patient apply after "spending down" to qualify? - ✔✔ Medicaid
Your pt is worried about insurance coverage and asks you for advice on Medicaid. You instruct the patient that Medicaid: - ✔✔ Pays after insurance and 3rd party payers have paid
You are giving a dinner presentation to a group. The pharmaceutical rep calls you the night before and wants you to say that their drug is the only one that works. What ethical principles does this challenge? - ✔✔ Veracity and Fidelity
Quality assurance - ✔✔ A process for evaluating the care of pts using established standards of care to ensure quality
CPI measures what 3 measures to improve nursing? - ✔✔ Structure, processes, and outcomes
A root cause analysis of a crisis situation in the ICU identified a lack of clinician-family communication as the basis for the resulting adverse outcome. As part of the performance improvement plan, the NP is asked to develop evidence-based polices to establish clinician-family communication standards in the unit. These policies should include: - ✔✔ Guidelines for having discussions with family members that are geared toward establishing treatment goals.
Which clinical scenario does the NP evaluate for a quality improvement process change? - ✔✔ An increased incidence of postoperative sternal wound infections
Goals set forth in "Healthy People 2020" by the United States Department of Health and Human Services include: - ✔✔ Elimination of health disparities. (and ↑QOL/LOL)
Based on the individual's culture, ethnicity, and personal choices, the NP can optimize the therapeutic partnership w/the patient by: - ✔✔ Tailoring his or her communication style to the patient's preference.
A 70-year-old pt with a hx of DM, HTN, OAs, and a new diagnosis of coronary artery disease, is being discharged. The AGAC-NP teaches the patient that the first point of contact for health care needs is the: - ✔✔ PCP
The NP is asked to provide evidence to the hospital administration about the safety of NP placing central lines. Which resource provides the strongest level of evidence? - ✔✔ A systematic review (meta-analysis is even stronger)
What legislation allowed nurse practitioners to be recognized Medicare providers in all geographical areas with their own provider number? - ✔✔ Balanced Budget Act
True/False: restraining an unwilling patient is grounds for malpractice? - ✔✔ False, if they are a danger you can restrain
Pt presents to the clinic for routine f/u and passes out. You revive the pt and admit overnight. Which of the following would qualify as incident-to-billing? - ✔✔ Temperature and weight recording
The NP program initiated, primarily, because of what issue in healthcare at the time? - ✔✔ Pediatric physician shortage
Elderly F pt takes a turn for the worse. The husband is crying when you enter the room and begins telling you what end-of-lifecare he prefers. What do you do? - ✔✔ Ask him to speak candidly with you
Pt calls to complain about bills and states he has Medicare, which should cover all costs. You explain: - ✔✔ Since you are healthy, exams are not covered.
Doc calls from another center asking if you can tell him what kind of orders he should give for maintenance of patient... - ✔✔ HIPAA breach
Pt in ER not doing well, primary md calls: - ✔✔ Give info
NP working on ESRD research project . A colleague renal specialist asks for pt info on your patients: - ✔✔ HIPAA breach
Who enforces HIPAA? - ✔✔ Office of Civil Rights /Dept. Health and Human Services
Who ISN'T covered by HIPPA? - ✔✔ Law enforcement/municipal offices, CPS/schools, employers/ workmans comp. Life insurance [Show Less]