ANCC AGACNP ADULT-GERONTOLOGY
ACUTE CARE NURSE PRACTITIONER
(AGACNP-BC) EXAM BANK | ACCURATE
CURRENTLY TESTING ALL EXAM
QUESTIONS AND ANSWERS | EXPERT
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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
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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
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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
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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