AGACNP - Based on Frances Guide Review Answered A+ /latest updated

AGACNP - Based on Frances Guide Review Answered A+ /latest updated 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 (look up evidence about how team affects outcomes) b. Describe how to improve and expand the team 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 your local congressman d. review literature and give more in-services 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 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 What is the best way to advocate for gay and lesbian population? a. participate in a high state or national level b. join a non-profit advocacy group c. consider lobbying the government d. start at your facility 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 alpha-coefficient d. determine the error rate When closing a practice, the NP is required to do all of the following except a. give the patient adequate time to find another provder 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 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 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 Can you tell the patient's wife, for her protection, that her husband has HIV? How can the ANCP prepare to get involved in future mass casualty event? 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? Your patient is worried about insurance coverage and asks you for advice on Medicaid. You instruct the patient that Medicaid: 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 workds. What ethical principles does this challenge? Health literacy Quality assurance CPI Answer- 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 policies to establish clinician-family communication standards in the unit. These policies should include: Which clinical scenario does the NP evaluate for a quality improvement process change? Goals set forth in healthy people 2020 by the US department of Health and Human services include: Based on the individual's culture, ethnicity, and personal choices, the NP can optimize the therapeutic partnership with the patient by: A 70 year old patient with a history of DM, HTN, OAs, and a new diagnosis of CAD, is being discharged. The adult-gerontology acute care NP teaches the patient that the first point of contact for health care needs is the: 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? What legislation allowed NPs to be recognized Medicare providers in all geographical areas with their own provider number? True/false: restraining an unwilling patient is grounds for malpractice? Patient presents to the clinic for routine f/u and passes out. You revive the patient and admit overnight. Which of the following would qualify as incident to billing? The NP program initiated, primarily, because of what issue in healthcare at the time? Elderly patient 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? Patient calls to complain about bills and states he has Medicare, which should cover all costs. You explain: Doc calls from another center asking if you can tell him what kind of orders he should give for maintenance of patient... Patient in ER not doing well, primary MD calls: NP working on ESRD research project. A colleague renal specialist asks for patient info on your patients: Who enforces HIPAA? Who isn't covered by HIPAA? Insurance company calling to verify some patient appointments? Benchmarking Managed care Peer review Sensitivity vs specificity There was a question where a patient had a multinodular goiter and wanted to know why the NP was not going to do periodic US and fine needle biopsy in monitoring for some kind of cancer or complication. The answer I picked was that these tests were not very specific to detect the cancer Reliability Validity of results in an article Statistical significance Privileging Who determines scope of practice? Case management 50-60 year old patient ith a new diagnosis of cancer. To appropriately plan for discharge, what should the NP do? a. consult CM b. Consult SW c. refer to Oncology d. refer to Hospice Nondisclosure Negligence When serving as a nurse researcher, the NP is guided by which ethical principle to ensure that research participants are protected from harm or exploitation? Living will NP sees a patient for HF and performs an H&P. What % is expected to be paid? Focus of palliative care asic improvement in QOL of anyone with an illness at any stage Hospice Scope of practice: integration of care across the acute illness continuum with: a. collaboration b. coordination of care c. research based clinical practice Collaboration Patient is getting d/c'd and need wound care, pulmonary, and follow up. NP's role is to: oordinate services Government is moving towards being cost effective. What is the best way? Protected health information: discussion between the NP and consultant on case onsidered clinical relevance How should the ACNP stay up to date with current information? Which medicare is Hospice covered under? A patient presents to the Er with c/o CP and SOB. The NP misinterprets the EKG and admits the patient fro further monitoring without consulting cardio. Later in the shift, the patient decompensates and goes into cardiac arrest. The patient was resuscitated but sustained permanent brain damage. What grounds of malpractice is the NP accountable for? Healthcare exchange You notice there have been less favorable outcomes and satisfaction surveys in patients treated for sickle cell anemia. How do you approach this problem? a. ask the patients treated how care can be improved b. look back at prior treatment given to see how outcomes can be improved c. form a standardized tx plan for all patients that can be used by all healthcare staff d. form individualized tx plans that can be used by all healthcare staff You have transferred a patient to the SNF. The MD in charge at that facility calls for info about the patient's medical care, what do you do? a. direct him to look it up in the EMR b. refuse to share protected health information c. instruct him to call the department head d. share the information he requests Your patient has refused human blood products based on religious beliefs. He is now rapidly destabilizing. What do you do? a. administer PRBCs as needed b. call the ethics committee c. continue to research alternative treatments d. ask the family to give permission now that he's unconscious