Exam (elaborations) Walden University NURS 6560
francisstudyguide__2_.docx__version_1.
ISSUES/TRENDS/POLICY
1. You want to get more funding for your hospital’s Rapid Response Team. How should you present this issue to the committee?
a. Stress importance of the team (answer is worded as looking up evidence about how the team affects outcomes, like
a meta-analysis)
b. Describe how to improve and expand the team.
2. 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
3. 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
4. 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
5. 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
(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.”
6. 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
(Answers are worded differently. “Ensure confounding variables were eliminated” & “P value is less than null
hypothesis” were two of them.
7. 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 (this is for discharging/firing a patient from your practice)
d. Provide names of other providers for future care
8. 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
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
10. Can you tell the pt’s wife, for her protection, that her husband has HIV? No, not without his permission.
11. How can the ANCP prepare to get involved in future mass casualty event? Pre-enroll in disaster volunteer program
12. 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
13. 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
, 14. 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
• Health Literacy: Average American-8th grade education level
• Know your QA/QI/CPI basic definitions and goals: verbatim from Barkley’s Book
• One question had Quality Assurance as one answer, then CPI as another option! It
sounded more
like CPI to me.
• 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
adult- gerontology acute care nurse practitioner teaches the patient that the first point of contact for health care needs is
the:
primary care provider
• 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-life care 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.
HIPPA
• Doc calls from another center asking if you can tell him what kind of orders he should give for maintenance of patient… HIPPA.
• Pt in ER not doing well, primary md calls: Give him info
• NP working on ESRD research project . A colleague renal specialist asks for pt info on your patients: HIPPA breach.
• Who enforces HIPPA- Office of Civil Rights /Dept. Health and Human Services
• Who ISN'T covered by HIPPA? Law enforcement/Municipal Offices, CPS/Schools, Employers/Workman’s Comp, Life insurance
• Question about an insurance company calling to verify some patient appointments. You have to pick out that there is already
a medical release signed by the patient. The answer is to give the requested information to them.
Definitions
• Root Cause Analysis – very basic question where RCA is the answer and the question is the definition
• Benchmarking-how institution compares with similar organizations
• Managed Care: know what this is and how it has improved costs. Something about putting caps on payments…
• Peer review-timely, not anonymous, and NP knows how peer review will impact yearly evaluation
• Sensitivity vs specificity… sensitivity is positive and specificity is negative. Know this
backwards and forwards—like what would a high sensitivity say versus a low
sensitivity, in about 3-4 of Phil’s
questions
There was a question where a patient had a multinodular goiter and wanted to know
why the NP was not going to do periodic U/S and Fine needle biopsy in montoring for
, some kind of cancer or
francisstudyguide__2_.docx__version_1.
ISSUES/TRENDS/POLICY
1. You want to get more funding for your hospital’s Rapid Response Team. How should you present this issue to the committee?
a. Stress importance of the team (answer is worded as looking up evidence about how the team affects outcomes, like
a meta-analysis)
b. Describe how to improve and expand the team.
2. 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
3. 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
4. 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
5. 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
(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.”
6. 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
(Answers are worded differently. “Ensure confounding variables were eliminated” & “P value is less than null
hypothesis” were two of them.
7. 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 (this is for discharging/firing a patient from your practice)
d. Provide names of other providers for future care
8. 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
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
10. Can you tell the pt’s wife, for her protection, that her husband has HIV? No, not without his permission.
11. How can the ANCP prepare to get involved in future mass casualty event? Pre-enroll in disaster volunteer program
12. 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
13. 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
, 14. 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
• Health Literacy: Average American-8th grade education level
• Know your QA/QI/CPI basic definitions and goals: verbatim from Barkley’s Book
• One question had Quality Assurance as one answer, then CPI as another option! It
sounded more
like CPI to me.
• 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
adult- gerontology acute care nurse practitioner teaches the patient that the first point of contact for health care needs is
the:
primary care provider
• 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-life care 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.
HIPPA
• Doc calls from another center asking if you can tell him what kind of orders he should give for maintenance of patient… HIPPA.
• Pt in ER not doing well, primary md calls: Give him info
• NP working on ESRD research project . A colleague renal specialist asks for pt info on your patients: HIPPA breach.
• Who enforces HIPPA- Office of Civil Rights /Dept. Health and Human Services
• Who ISN'T covered by HIPPA? Law enforcement/Municipal Offices, CPS/Schools, Employers/Workman’s Comp, Life insurance
• Question about an insurance company calling to verify some patient appointments. You have to pick out that there is already
a medical release signed by the patient. The answer is to give the requested information to them.
Definitions
• Root Cause Analysis – very basic question where RCA is the answer and the question is the definition
• Benchmarking-how institution compares with similar organizations
• Managed Care: know what this is and how it has improved costs. Something about putting caps on payments…
• Peer review-timely, not anonymous, and NP knows how peer review will impact yearly evaluation
• Sensitivity vs specificity… sensitivity is positive and specificity is negative. Know this
backwards and forwards—like what would a high sensitivity say versus a low
sensitivity, in about 3-4 of Phil’s
questions
There was a question where a patient had a multinodular goiter and wanted to know
why the NP was not going to do periodic U/S and Fine needle biopsy in montoring for
, some kind of cancer or
