PNP-PC Part 5 Flashcards

1
Q

Who started the first NP program at the University of Colorado Health Sciences Center?

A

Dr. Loretta Ford and Dr. Henry Silver

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2
Q

Provides direct patient care, collecting and analyzing data to appropriately manage care

A

Clinician

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3
Q

Engaged in shared planning and interventions with other health care professionals to attain desired patient goals

A

Consultant/Collaborator

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4
Q

Teaches patients, families, peers, and communities about a variety of health care issues

A

Educator

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5
Q

Uses knowledge about research process to appraise evidence and provide evidence-based patient care

A

Research/EBP mentor

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6
Q

Roles of APRN

A

Clinician
Consultant/Collaborator
Educator
Research/EBP mentor

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7
Q

Establishes measurable goals to improve health and quality of life

A

Healthy People 2020

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8
Q

Outlines strategies to collect, analyze, interpret, disseminate, and use data about the nation’s health and to plan and implement prevention programs

A

Healthy People 2020

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9
Q

Goals:
Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death
Achieve health equity, eliminate disparities, and improve the health of all groups
Create social and physical environments that promote good health for all
Promote quality of life, healthy development, and healthy behaviors across all life stages

A

Healthy People 2020

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10
Q

Purpose is to give clinical guidelines and health education
Screening test, targeted physical exams, immunizations, and health counseling that are recommended as part of routine health evaluation

A

U.S. Preventive Services Task Force

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11
Q

Define the practice of nursing throughout all of the states and territories

A

State Nursing Practice Acts

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12
Q

Make the rules and regulations that govern RN and APRN practice

A

State Board of Nursing

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13
Q

Authority to license
Establish a scope of practice for RNs
Determine disciplinary actions

A

State Boards of Nursing

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14
Q

Defined by Nurse Practice Act

Authorized by state legislature

A

Statues

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15
Q

Rules

Made by state agencies under the executive branch of state government

A

Regulations

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16
Q

Describes professional guidelines and parameters within which nurses in various APRN specialties may practice

Varies from state to state

NPs have authority to diagnose, treat, and prescribe medications without the requirement of physician collaboration or oversight in many states and DC

A

Scope of Practice

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17
Q

Designation made by State Board of Nursing

Individual has met certain qualifications

A

Licensure

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18
Q

All APRNs are ________ by RNs

A

licensed

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19
Q

APRNs are _________ by state to practice

A

authorized

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20
Q

Process by which a non-governmental agency that validates that an individual has met certain predetermined standards
Provides quality assurance for the public

A

Certification

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21
Q

Validation of required: education, licensure, certification

Can be carried by a government agency (board of nursing) and private agency (hospital)

A

Credentialing

22
Q

Mandate accountability and responsibility for safe practice
Assure provision of care by qualified professionals
Acknowledge advanced scope of practice
Validate compliance with state and federal laws regarding nurse practice

A

Credentialing

23
Q

Employer gives permission to perform specific tasks (H&Ps, suture, prescribe, write orders, circumcision, LPs)

May require certain education, proctoring, documentation, and approval of supervision

Could be more restrictive than state requirements

A

Privileging

24
Q

Dictates level of prescriptive authority allowed
Specifies continuing education requirements
Varies state by state

A

State statues (SBON)

25
Q

Federally issued and site-specific

Some states have APRN compact which allows multistate privileges for legend drugs only

A

Drug Enforcement Administration (DEA) Number

26
Q

HIPPA mandated standardized provider numbers

Assigned by National Plan and Provider Enumeration System (NPPES)

A

National Provider Identifier (NPI) number

27
Q

Level of visit code for nurse visit

A

Level 1

28
Q

Level of visit code for problem focused

A

Level 2

29
Q

Level of visit code for expanded problem focused

A

Level 3

30
Q

Level of visit code for detailed visit

A

Level 4

31
Q

Level of visit code for comprehensive visit

A

Level 5

32
Q
Chief complaint
Brief HPI (1-3 elements)
A

Level 2-problem focused

33
Q
Chief complaint
Brief HPI (1-3 elements)
ROS (problem pertinent 1 system)
A

Level 3-expanded problem

34
Q
Chief complaint
Extended HPI (>4 elements)
Extended ROS (2-9 systems)
Pertinent FH (1 area)
A

Level 4-detailed

35
Q
Chief complaint
Extended (>4 elements)
Complete  ROS (>10 systems)
Complete FH (2 areas)
A

Level 5-comprehensive

36
Q

Involves legal wrongs committed by one person against another person

Includes negligence and malpractice

A

Tort law

37
Q

Failure of an individual to do what a reasonable person would do and results in injury to the other person

A

Negligence

38
Q

Responsibility of NP for failing to meet standard of care that result in harm (invasion of privacy and reporting statutes)

Ie. HIPPA violation
Ie. failure to report a mandatory report

A

Liability

39
Q

Failure of a professional to render services with degree of care, diligence, and precaution that another member of the same profession under similar circumstances would render

May involve:
Professional misconduct
Unreasonable lack of skill
Illegal/immoral conduct
Other allegations resulting in harm to a patient
A

Malpractice

40
Q

Covers events that occur during policy period without regard to when injury was discovered and claim was filled

A

Occurrence coverage

41
Q

Cover only claims that are filed during the policy period regardless of when they occurred

A

Claims-made coverage

42
Q

Bought at the end of the claims-made policy to extend coverage

A

Tail insurance

43
Q

Promotion of a person’s independence and self-determination

A

Autonomy

44
Q

Duty to help others

A

Beneficence

45
Q

Duty to avoid inflicting harm

A

Nonmaleficence

46
Q

Impartiality and fairness

A

Justice

47
Q

Faithfulness, commitment

A

Fidelity

48
Q

Producing the greatest good for the greatest number

A

Utilitarianism

49
Q

Truthfulness

A

Veracity

50
Q

Measurement of range and sensitivity of person’s hearing

A

Audiometry

51
Q

Sound waves travel to the inner ear through ear canal, eardrum, and bones of middle ear

A

Air conduction

52
Q

Sound waves pass through bones and behind ear

A

Bone conduction