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Ch.19- Issues in Primary Care

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What factors primarily determine the ability of an Advanced Practice Registered Nurse (APRN) To obtain clinical privledges in an institution? correct answer- Institutional policy, medical staff bylaws, state law, and Joint Commission on Accreditation of Healthcare Organizations accreditation standards. In the outpatient setting, the most common reason for a malpractice suit is failure to ?? correct answer- diagnose correctly and in a timely fashion. The primary nursing responsibility during a crisis situation is to? correct answer- establish a therapeutic relationship What is the best way to monitor compliance? correct answer- Ask the client To reinforce client teaching, a useful strategy is to? correct answer- model or demonstrate the desired behavior. Concrete strategies used to keep your client's attention as you institute client education include? correct answer- translating theoretical information into practical terms. Legal authority for advanced practice nursing rests with? correct answer- The state laws and regulations. Which of the following statements is true regarding the consultative aspects of the APRN role? correct answer- The problem is identified by the clinician who then may decide to call in a consultant, a recognized expert, and a nonhierarchical relationship ensues or is established. When caring for a client that speaks a language different than yours, the ideal strategy is to? correct answer- review the case first with an interpreter before beginning the clinical visit. Some sources suggest that you create a marketing portfolio with documents that support what you have to offer as an APRN. These documents include? correct answer- the state nurse practice act and regulations, prescriptive authority legislation, third-party reimbursement rules and regulations, and practice protocols.

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Ch.19- Issues in Primary Care

What factors primarily determine the ability of an Advanced Practice Registered Nurse
(APRN) To obtain clinical privledges in an institution? correct answer- Institutional
policy, medical staff bylaws, state law, and Joint Commission on Accreditation of
Healthcare Organizations accreditation standards.

In the outpatient setting, the most common reason for a malpractice suit is failure to ??
correct answer- diagnose correctly and in a timely fashion.

The primary nursing responsibility during a crisis situation is to? correct answer-
establish a therapeutic relationship

What is the best way to monitor compliance? correct answer- Ask the client

To reinforce client teaching, a useful strategy is to? correct answer- model or
demonstrate the desired behavior.

Concrete strategies used to keep your client's attention as you institute client education
include? correct answer- translating theoretical information into practical terms.

Legal authority for advanced practice nursing rests with? correct answer- The state laws
and regulations.

Which of the following statements is true regarding the consultative aspects of the
APRN role? correct answer- The problem is identified by the clinician who then may
decide to call in a consultant, a recognized expert, and a nonhierarchical relationship
ensues or is established.

When caring for a client that speaks a language different than yours, the ideal strategy
is to? correct answer- review the case first with an interpreter before beginning the
clinical visit.

Some sources suggest that you create a marketing portfolio with documents that
support what you have to offer as an APRN. These documents include? correct answer-
the state nurse practice act and regulations, prescriptive authority legislation, third-party
reimbursement rules and regulations, and practice protocols.

According to the Joint Commission on Accreditation of Healthcare Organizations,
decisions regarding policy and client care should be made based on? correct answer-
research findings

, Which of the following statements related to statistical techniques and their usage in
research is true? correct answer- To determine the appropriate statistical test to use,
consider sample size, level of measurement, and data type.

According to the health belief model, motivation, or readiness to act, is determined by
which of the following components? correct answer- Perceived threat, efficacy, benefits
of action, and perceived barriers to action.

The Agency for Healthcare Research and Quality (AHRQ) was established to? correct
answer- promote evidence-based practice.

The primary purpose of an institutional review board is to? correct answer- protect
human subjects

The primary purpose of professional licensure is to? correct answer- protect the public
by ensuring a minimum standard for competency.

There are advantages to owning your own practice. However, there are also barriers to
the ability to do this. These barriers include which of the following? correct answer-
Getting and keeping a collaborative physician if required by law, getting on managed
care panels, and getting privledges at hospitals.

The best way in which you, as an individual APRN, can make a difference or true
impact is by? correct answer- writing letters to the editor supporting APRNs.

Schedule IV drugs include which of the following? correct answer- Depressants such as
alprazolam, clonazepam, diazepam, and flurazepam.

Advanced Practice Nurse refers to? correct answer- nurse practitioners, nurse
anesthetists, clinical nurse specialists, and nurse midwives.

According to standards of care and legal prescribing, which of the following questions
must you ask each client before prescribing any medication? correct answer- Are you
breastfeeding?
Are you allergic to any medications?
Are you pregnant?
Have you taken this medication before?
Do you have kidney or liver problems?
What other medications are you taking?
What medical problems do you have?

Ethical responsibilities of the nurse practitioner as an employee include? correct
answer- protecting the employer's trade secrets such as client mailing lists and
remaining unimpaired by drugs or alcohol.

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