ANCC Adult-Gerontology Acute Care Nurse
Practitioner (AGACNP-BC) Exam Review | Verified
2025
/ Scope of Practice - Answer-Based on legal allowances in each state, individual state
nurse practice acts providing guidelines for nursing practice
/.Key elements of the NP role include - Answer-integration of care across the acute
illness continuum with collaboration and coordination of care; research based clinical
practices, clinical leadership, family assessment, and discharge planning
/.Standards of Advanced Practice are delineated by... - Answer-American Nurses
Association which measure quality of practice, service, or education
/.State Practice Acts - Answer-Authorize Boards of Nursing in each state to establish
statutory authority for licensure of RNs
/.State Practice Acts - authority includes: - Answer-use of title, authorization for scope of
practice including prescriptive authority, and disciplinary grounds
/.States vary in practice requirements, such as - Answer-certification
/.Prescriptive authority - Answer-Ability and extent of NPs ability to prescribe meds
/.DEA has ruled that nurses in advanced practice may obtain.. - Answer-registration
numbers, state practice acts dictate level of prescriptive authority allowed
/.Credentials encompass... - Answer-required education, licensure and certification to
practice as an NP
/.Credentials establish... - Answer-minimal levels of acceptable performance
/.Credentialing is necessary to: - Answer-ensure that safe healthcare is provided by
qualified individuals; comply with federal and state laws r/t APN
/.Credentials also... - Answer-acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
/.Licensure - Answer-establishes that a person is qualified to perform in a particular
professional role
,/.Licensure is granted as defined by rules and regulations set forth by - Answer-a
governmental regulatory body (ie. state board of nursing)
/.Certification - Answer-Person has met certain standards that signify mastery of
specialized knowledge
/.Certification is granted by nongovernmental agencies such as - Answer-ANCC, AANP
/.Admitting privileges to hospitals (non physican) were granted - Answer-1983 by JC
/.Credentialing and privileging - Answer-process which an NP is granted permission to
practice in an inpt setting
/.Credentialing with hospital privileges is granted by a - Answer-Hospital Credentialing
Committee
/.Pt Medical Abandoment - Answer-When caregiver-pt relationship is terminated w/o
making reasonable arrangements w an appropriate person so that care can be
continued
/.Determination of pt abandonment depends on factors such as: - Answer-Whether NP
accepted pt assignment, whether NP provided reasonable notice before termination,
whether reasonable arrangements could have been made
/.Following do not constitute pt abandonment - Answer-NP refuses to accept
responsibility for pt assignment when NP has given reasonable notice to proper
authority that NP lacks competence to carry out assignment; NP refuses assignment of
a double shift or addtl hrs beyond posted work schedule when proper notification has
been given..latter phrase can be controversial
/.Risk Mgmt - Answer-Systematic effort to reduce risk begins w formal written risk mgmt
plan that includes: organizations goals, delineation of program's scope, components,
methods; delegating responsibility for implementation and enforcement; demonstrating
commitment by the board; confidentiality and immunity from retaliation for those who
report sensitive info
/.Most common method of documentation for risk mgmt - Answer-incident reports
/.Policies regarding incident reports should address: - Answer-ppl authorized to
complete report; ppl responsible for review of a report, immediate actions needed to
minimize the effects of the event; ppl responsible for follow up; plan for monitoring
aftermath; security/storage of completed report
/.Risk mgmt - Satisfaction surveys - Answer-Important for identifying problems before
they develop into incidents or claims; for pts and employees
,/.Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and
managing complaints by clearly identifying: - Answer-ppl notified after receiving
complaint; ppl responsible for responding; ppl responsible for monitoring follow up
/.Action taking initiatives: - Answer-Prevention, correction (corrective steps must be
monitored and audited), documentation, education, departmental coordination
/.Medical Futility - Answer-Interventions that are unlikely to produce significant benefit
for pt - "Does the intervention have any reasonable prospect of helping this pt?"
/.Two kind of medical futility: - Answer-Quantitative futility: likelihood that intervention
will benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor
/.Informed consent - competence (decisional capability) - Answer-state that pt is able to
make personal decisions about their care
/.competence implies that ability to: - Answer-understand, reason, differentiate good and
bad, and communicate
/.informed consent - Answer-pt has received adequate instruction or info regarding
aspects of care to make prudent, personal choice regarding such tx
/.Informed consent includes: - Answer-discussing benefits and risk
/.consent is assumed if... - Answer-pt's condition is life threatening
/.Danforth Amendment 1991 - Answer-pts are informed at time of admission to federally
funded institution (such as hospital, nursing home, hospice, HMO, etc) that they have
the right to refuse care as long as the pt has decisional capability (competence)
/.Ethics - Answer-study of moral conduct and behavior protecting the rights of an
individual
/.1st priority is the - Answer-most salvagable pts. Most critically injured cared for last.
/.Key ethical principles are: - Answer-nonmaleficence, utilitarianism, beneficence,
justice, fidelity, veracity, autonomy
/.Nonmaleficence - Answer-duty to do no harm
/.Utilitarianism - Answer-the right act is the one that produces the greatest good for the
greatest number
/.Beneficence - Answer-duty to prevent harm and promote good
, /.Justice - Answer-duty to be fair
/.Fidelity - Answer-duty to be faithful
/.Veracity - Answer-duty to be truthful (tends to be in conflict with fidelity)
/.Autonomy - Answer-duty to respect an individual's thoughts and actions (tend to be in
conflict with beneficence)
/.Dismissing/discharging a pt or closing practice - Answer-NP cannot withdraw from
caring for a pt without notification
/.Examples of reasons for discharging a pt from practice: - Answer-abuse, refusal to
pay, persistent non-adherence to care
/.Steps for discharging a pt from practice: - Answer-send a certified letter with return
receipt (copy for chart), provide general healthcare coverage for 1st 15-30 days post
termination deadline, obtain release of info to provide copies of all needed records for
next care provider
/.Obligations in closing practice d/t relocation, retirement - Answer-give pt adequate time
to find another provider, keep all files for min 5 years, provide timely notification and
names of other providers and resources for future care
/.Role of NP developed in the early... - Answer-1960s as a result of physician shortages
in the area of peds
/.First NP program was peds, begun in... - Answer-1964 by Dr. Loretta Ford and Dr.
Henry Silver at CU Health Sciences mainly focusing on ambulatory and outpt care
/.Historical service of NPs in primary care resulted in part from the... - Answer-
availability of federal funding for preventive and primary care NP education
/.Movement of NPs expanded to the... - Answer-inpt setting as a result of managed
care, hospital restructuring, and decreases in medical residency programs
/.4 distinct roles for NPs: - Answer-clinician, consultant/collaborator, educator,
researcher
/.Crisis/Acute Grief Communication - Answer-Acknowledge feelings
Offer self
/.Crisis Intervention - Answer-Boundaries
Security if necessary, NOT police
Establish trust/rapport
Practitioner (AGACNP-BC) Exam Review | Verified
2025
/ Scope of Practice - Answer-Based on legal allowances in each state, individual state
nurse practice acts providing guidelines for nursing practice
/.Key elements of the NP role include - Answer-integration of care across the acute
illness continuum with collaboration and coordination of care; research based clinical
practices, clinical leadership, family assessment, and discharge planning
/.Standards of Advanced Practice are delineated by... - Answer-American Nurses
Association which measure quality of practice, service, or education
/.State Practice Acts - Answer-Authorize Boards of Nursing in each state to establish
statutory authority for licensure of RNs
/.State Practice Acts - authority includes: - Answer-use of title, authorization for scope of
practice including prescriptive authority, and disciplinary grounds
/.States vary in practice requirements, such as - Answer-certification
/.Prescriptive authority - Answer-Ability and extent of NPs ability to prescribe meds
/.DEA has ruled that nurses in advanced practice may obtain.. - Answer-registration
numbers, state practice acts dictate level of prescriptive authority allowed
/.Credentials encompass... - Answer-required education, licensure and certification to
practice as an NP
/.Credentials establish... - Answer-minimal levels of acceptable performance
/.Credentialing is necessary to: - Answer-ensure that safe healthcare is provided by
qualified individuals; comply with federal and state laws r/t APN
/.Credentials also... - Answer-acknowledges the scope of practice of NP, mandates
accountability, enforces professional standards for practice
/.Licensure - Answer-establishes that a person is qualified to perform in a particular
professional role
,/.Licensure is granted as defined by rules and regulations set forth by - Answer-a
governmental regulatory body (ie. state board of nursing)
/.Certification - Answer-Person has met certain standards that signify mastery of
specialized knowledge
/.Certification is granted by nongovernmental agencies such as - Answer-ANCC, AANP
/.Admitting privileges to hospitals (non physican) were granted - Answer-1983 by JC
/.Credentialing and privileging - Answer-process which an NP is granted permission to
practice in an inpt setting
/.Credentialing with hospital privileges is granted by a - Answer-Hospital Credentialing
Committee
/.Pt Medical Abandoment - Answer-When caregiver-pt relationship is terminated w/o
making reasonable arrangements w an appropriate person so that care can be
continued
/.Determination of pt abandonment depends on factors such as: - Answer-Whether NP
accepted pt assignment, whether NP provided reasonable notice before termination,
whether reasonable arrangements could have been made
/.Following do not constitute pt abandonment - Answer-NP refuses to accept
responsibility for pt assignment when NP has given reasonable notice to proper
authority that NP lacks competence to carry out assignment; NP refuses assignment of
a double shift or addtl hrs beyond posted work schedule when proper notification has
been given..latter phrase can be controversial
/.Risk Mgmt - Answer-Systematic effort to reduce risk begins w formal written risk mgmt
plan that includes: organizations goals, delineation of program's scope, components,
methods; delegating responsibility for implementation and enforcement; demonstrating
commitment by the board; confidentiality and immunity from retaliation for those who
report sensitive info
/.Most common method of documentation for risk mgmt - Answer-incident reports
/.Policies regarding incident reports should address: - Answer-ppl authorized to
complete report; ppl responsible for review of a report, immediate actions needed to
minimize the effects of the event; ppl responsible for follow up; plan for monitoring
aftermath; security/storage of completed report
/.Risk mgmt - Satisfaction surveys - Answer-Important for identifying problems before
they develop into incidents or claims; for pts and employees
,/.Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and
managing complaints by clearly identifying: - Answer-ppl notified after receiving
complaint; ppl responsible for responding; ppl responsible for monitoring follow up
/.Action taking initiatives: - Answer-Prevention, correction (corrective steps must be
monitored and audited), documentation, education, departmental coordination
/.Medical Futility - Answer-Interventions that are unlikely to produce significant benefit
for pt - "Does the intervention have any reasonable prospect of helping this pt?"
/.Two kind of medical futility: - Answer-Quantitative futility: likelihood that intervention
will benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor
/.Informed consent - competence (decisional capability) - Answer-state that pt is able to
make personal decisions about their care
/.competence implies that ability to: - Answer-understand, reason, differentiate good and
bad, and communicate
/.informed consent - Answer-pt has received adequate instruction or info regarding
aspects of care to make prudent, personal choice regarding such tx
/.Informed consent includes: - Answer-discussing benefits and risk
/.consent is assumed if... - Answer-pt's condition is life threatening
/.Danforth Amendment 1991 - Answer-pts are informed at time of admission to federally
funded institution (such as hospital, nursing home, hospice, HMO, etc) that they have
the right to refuse care as long as the pt has decisional capability (competence)
/.Ethics - Answer-study of moral conduct and behavior protecting the rights of an
individual
/.1st priority is the - Answer-most salvagable pts. Most critically injured cared for last.
/.Key ethical principles are: - Answer-nonmaleficence, utilitarianism, beneficence,
justice, fidelity, veracity, autonomy
/.Nonmaleficence - Answer-duty to do no harm
/.Utilitarianism - Answer-the right act is the one that produces the greatest good for the
greatest number
/.Beneficence - Answer-duty to prevent harm and promote good
, /.Justice - Answer-duty to be fair
/.Fidelity - Answer-duty to be faithful
/.Veracity - Answer-duty to be truthful (tends to be in conflict with fidelity)
/.Autonomy - Answer-duty to respect an individual's thoughts and actions (tend to be in
conflict with beneficence)
/.Dismissing/discharging a pt or closing practice - Answer-NP cannot withdraw from
caring for a pt without notification
/.Examples of reasons for discharging a pt from practice: - Answer-abuse, refusal to
pay, persistent non-adherence to care
/.Steps for discharging a pt from practice: - Answer-send a certified letter with return
receipt (copy for chart), provide general healthcare coverage for 1st 15-30 days post
termination deadline, obtain release of info to provide copies of all needed records for
next care provider
/.Obligations in closing practice d/t relocation, retirement - Answer-give pt adequate time
to find another provider, keep all files for min 5 years, provide timely notification and
names of other providers and resources for future care
/.Role of NP developed in the early... - Answer-1960s as a result of physician shortages
in the area of peds
/.First NP program was peds, begun in... - Answer-1964 by Dr. Loretta Ford and Dr.
Henry Silver at CU Health Sciences mainly focusing on ambulatory and outpt care
/.Historical service of NPs in primary care resulted in part from the... - Answer-
availability of federal funding for preventive and primary care NP education
/.Movement of NPs expanded to the... - Answer-inpt setting as a result of managed
care, hospital restructuring, and decreases in medical residency programs
/.4 distinct roles for NPs: - Answer-clinician, consultant/collaborator, educator,
researcher
/.Crisis/Acute Grief Communication - Answer-Acknowledge feelings
Offer self
/.Crisis Intervention - Answer-Boundaries
Security if necessary, NOT police
Establish trust/rapport
