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AGACNP > policy > Flashcards

policy Flashcards

1
Q

What are the two main goals of HP 2020?

A

Increase quality and years of healthy life

eliminate health disparities

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2
Q

Test that measures a patient’s risk of falling

A

Get-up and Go Test

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3
Q

pain assessment tool for non-communicating patients

A

Critical Care Pain Observation Tool

CPOT

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4
Q

What are the 5 behaviors that are assessed in the Pain assessment in advanced dementia scale?

A 
breathing
negative vocalization
facial expression
body language
consolability
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5
Q

Type of Advance Directive that may or may not include a living will

A

Healthcare Directive

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6
Q

What assessment tool identifies if a complete assessment for anxiety is needed

A

Generalized Anxiety Disorder 7

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7
Q

In case of emergency call?

A

security

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8
Q

What are nursing informatics roles

A

Practice
Education
Government
Industry

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9
Q

Scale that assess the severity of pain and impact of daily functions

A

Brief Pain Inventory

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10
Q

What supersedes the right to confidentiality

A

duty to warn

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11
Q

Equipment and supplies ordered by a healthcare provider for everyday or extended use

A

Durable Medical Equipment

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12
Q

What is the life expectancy of DME

A

at least 3 years

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13
Q

What are the principles of Benchmarking

A

Maintaining quality
Improving customer satisfaction
improving patient safety
continuous improvement

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15
Q

When initiating change, where do you begin?

A

most local, move upward and outward.

hospital, community, region, state and then national

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16
Q

What is the key to therapeutic communication

A

LISTEN MORE THAN YOU TALK

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17
Q

Examples of HIPAA protected information

A

written medical record
conversations about treatment
patient billing information

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18
Q

What assessment tool identifies the need for further assessment for alcohol or drug screening

A

CAGE-AID

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19
Q

Assessment tool for dementia and delirium

A

Mini-mental state exam

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20
Q

What are examples of meaningful use in electronic medical records

A

improved quality, reduced disparities, engage patients, improve care coordination, maintain privacy

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22
Q

What are methods or establishing rapport and therapeutic relationships with patients?

A

non-judgmental approach
mutual trust
professional boundaries
confidentiality

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23
Q

A written statement of a patient’s intent regarding medical treatment

A

Advance Directive

Self Determination Act 1990

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24
Q

What is the strongest method to evaluate teaching

A

return demonstration

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25
Q

What is the initiative that provides future nurses with the knowledge, skills and attitude to ensure continuous improvement in quality

A

QSEN

Quality and Safety Education for Nurses Initiative

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26
Q

Who are the covered entities that are required to follow HIPAA

A

Health plans
Health care providers
Healthcare clearinghouses

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27
Q

Who makes patient safety goals

A

Joint Commission

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28
Q

What acts must be reported

A

criminal acts
acts with dangerous weapon
suspected or actual child abuse
suspected or actual elder abuse

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29
Q

What assessment tool screens for behavioral health symptoms

A

Patient Stress Questionairre

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30
Q

Peer review is required for?

A

Magnet recognition

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30
Q

What are examples of those not required to follow HIPAA

A

life insurers
employers
workers comp
state agencies

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33
Q

Supplemental insurance that covers physician services, outpatient hospital services, labs and diagnostic procedures

A

Medicare B

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34
Q

A limited exam of the affected body area or organ system

A

expanded problem focused

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35
Q

What complementary medicine (alternative medicine) can aid with coordination in Parkinsons?

A

Tai Chi

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36
Q

Who enforces HIPAA

A

The Office for Civil Rights

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37
Q

What is the comparison and measurement of healthcare organization’s services against other national healthcare organizations

A

Benchmarking

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38
Q

scale that assess the conscious state of a patient

A

Ramsay Sedation Scale

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38
Q

Who do you work for?

A

the patient

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39
Q

Used to assess the progression of illness, need for care and effectiveness of rehab/treatment

A

Katz Index of ADL

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40
Q

10 point Scale that assess the levels of anxiety, Agitation and sedation

A

Richmond Agitation Sedation Scale

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41
Q

What is the most common screening tool for depression

A

PHQ9

Patient Health Questionairre 9

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42
Q

Provides limited prescription drug coverage

A

Medicare D

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43
Q

HIPAA title 2 covers who

A

confidentiality provisions- sets national standards for the security of electronic protected health information

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44
Q

In acute grief or crisis offer?

A

self…and acknowledge feelings

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45
Q

CAGE

A

Cut down drinking
Annoyed by people
Guilt about drinking
Eye opener

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46
Q

an extended exam of the affected body area or organ system and other symptomatic areas

A

detailed

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47
Q

HIPAA Title 1 covers who

A

The patient. This is COBRA

Comprehensive Omnibus Reconciliation Act

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49
Q

Act that establishes a voluntary reporting system to enhance the data available to asses and resolve patient safety and health care quality issues

A

The Patient Safety and Quality Improvement Act

provides confidentiality

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50
Q

A written compilation of statements in a document that specifies which life prolonging measures? Often grants durable power of attorney to a significant other with incapacaitation

A

Living Will

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51
Q

Do you delay discharge for routine exams?

A

no, refer to their primary provider

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52
Q

What are the three principles of instruction

A

Mentoring, role modeling and counseling

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52
Q

What diagnoses must be reported in most states?

A 
Gonorrhea
Chlamydia
Syphilis
HIV
TB
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53
Q

What is the most powerful data collected?

A

Subjective data from the patient

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54
Q

Type of Medicare that covers inpatient

A

Medicare A

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56
Q

What is the process by which registered nurses systematically access, monitor and make judgment about the quality of nursing care by peers?

A

Peer review

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57
Q

A general multi-system exam or a complete exam of a new patient

A

comprehensive

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58
Q

What is the AGACNP’s role in tests and procedures?

A

facilitate the scheduling
educate the patient
perform or assist with the procedure
assess the patient for adverse reactions

59
Q

Does Medicare cover hearing aids?

A

no

59
Q

What are the goals of technology in nursing?

A

capture the tasks performed
enhance scope of practice
make practice knowledge driven

59
Q

Who sets the standards for reimbursement and cutting costs

A

Medicare

61
Q

A limited exam of the affected body part

A

problem focused

61
Q

Medicare that reimburses 85% of physician for services provided with collaboration of physician

A

Medicare B

62
Q

When treating patients, what first?

A

medical conditions before psychosocial

63
Q

What promotes self-regulation in practice

A

peer review

64
Q

What does drawing a clock assess

A

cognitive impairment

64
Q

Assess for depression in the geriatric

A

Geriatric depression scale

65
Q

The legal responsibility the NP has for actions that fail to meet the standard of care

A

liability

66
Q

failure of an individual to do what a reasonable person would do- resulting in injury

A

negligence

67
Q

failure of an individual to render services with the degree of care, diligence and precaution

A

malpractice

68
Q

fear of harm

A

assault

69
Q

actual harm

A

battery

70
Q

communication that causes damaged reputation

A

defamation

71
Q

defamation by written material

A

libel

72
Q

defamation by speech

A

slander

73
Q

true positives; the degree to which those who have a disease screen or test positive

A

sensitivity

74
Q

true negatives; the degree to which those who have a disease or test negative

A

specificity

75
Q

The frequency with which a disease appears in a population

A

incidence

76
Q

The proportion of a population that is affected by a disease

A

prevalence

77
Q

level of prevention that promotes health

A

primary

78
Q

level of prevention that focuses on the early identification

A

secondary

79
Q

level of health that includes rehabilitation and restoration of health

A

tertiary

80
Q

This contributes to the elimination of racial and ethnic health disparities and to improve the health of all Americans

A

Culturally and Linguistically Appropriate Services

CLAS

81
Q

HC organizations must offer language assistance services

A

Standard 5

82
Q

HC organizations must provide notices in preferred language

A

Standard 6

83
Q

HC organizations must assure competence of language- not using family/friends to translate

A

Standard 7

84
Q

Services that do not meet Medicare’s definition of physician services

A

regular physical exam
health maintenance screenings
counseling for well patients

85
Q

In the OFFICE setting, services billed under the physicians provider number to get the full physician fee

A

Incident to billing- not allowed in the inpatient setting

86
Q

This is federally funded and benefits vary from state to state

A

Medicaid

87
Q

QA, QI and CPI all do what?

A

monitoring, evaluating and continuous review for the improvement of quality in health care

88
Q

This is a tool for identifying prevention strategies to ensure safety- moves beyond the culture of blame

A

Root Cause Analysis

89
Q

Who determines the scope of practice?

A

The individual state nurse practice act

90
Q

Who identifies the standards of advanced practice

A

the American Nurses Association

91
Q

Who dictates the level of prescriptive authority

A

the state

92
Q

This ensures the required level of education, licensure and certification

A

credentials

93
Q

This means you are qualified

A

licensure

94
Q

This means you have a mastery of knowledge

A

certification

95
Q

in 1983 the JC did what?

A

allowed non-physicians to admit to the hospital

96
Q

Who sets forth privileges?

A

the hospital credentialing committee

97
Q

The likelihood that an intervention will benefit the patient is extremely poor

A

quantitative futility

98
Q

The quality of the benefit of an intervention to the patient is poor

A

qualitative futility

99
Q

This implies that the patient is able to understand, reason, differentiate good and bad and communicate

A

competence

100
Q

Do no harm

A

nonmaleficence

101
Q

The duty to prevent harm and promote good

A

beneficence

102
Q

the duty to be fair

A

justice

103
Q

the duty to be faithful

A

fidelity

104
Q

The duty to be truthful

A

veracity

105
Q

the duty to respect an individuals thoughts and actions

A

autonomy

106
Q

the right act is the one that produces the greatest good to the greatest number

A

utilitarianism

107
Q

What are the steps in discharging a patient from a practice

A
  1. certified letter

2. provide coverage for first 15-30 days post termination

108
Q

What are the obligations in closing a practice?

A
  1. give the patient time to find another provider
  2. keep files for a min of 5 years
  3. provide timely notification and names of other providers for future care
109
Q

When was the NP role developed

A

the early 1960s

110
Q

What was the first NP program

A

pediatric NP

111
Q

What expanded the role of the NP

A

managed care
decrease in medical residency programs
hospital reconstruction

112
Q

What is the best way for the AGACNP to get involved in policy making

A

Join a hospital committee

113
Q

What is the best way for the AGACNP to demonstrate and advocate for full scope of practice?

A

Bill for independent services

114
Q

Which of the following is considered a high acuity role for the AGACNP?

A

a. Primary care clinic
b. Cardiology office**
c. Community health department
d. Minute Clinic

115
Q
  1. Which of the following is most important to evaluate statistical significance when reviewing the literature?
A

Consider the sample size

116
Q

When closing a practice, the NP is required to do all of the following except

A

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

117
Q

Which of the following components of an evidenced based research process is the most important for NP to participate in?

A

Formulating the research problem

118
Q

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

119
Q

Can you tell the pt’s wife, for her protection, that her husband has HIV?

A

No, not without his permission.

120
Q

How can the ANCP prepare to get involved in future mass casualty event

A

Pre-enroll in disaster volunteer program

121
Q

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?

A

Medicaid

122
Q

Your pt is worried about insurance coverage and asks you for advice on Medicaid. You instruct the patient that Medicaid:

A

Pays after insurance and 3rd party payers have paid

123
Q

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?

A

Veracity and Fidelity

124
Q

Quality assurance

A

a process for evaluating the care of pts using established standards of care to ensure quality

125
Q

CPI measures what 3 measures to improve nursing?

A

Structure, processes, and outcomes

126
Q

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:

A

guidelines for having discussions with family members that are geared toward establishing treatment goals.

127
Q

Which clinical scenario does the NP evaluate for a quality improvement process change

A

An increased incidence of postoperative sternal wound infections

128
Q

Goals set forth in “Healthy People 2020” by the United States Department of Health and Human Services include

A

elimination of health disparities. (and ↑QOL/LOL)

129
Q

Based on the individual’s culture, ethnicity, and personal choices, the NP can optimize the therapeutic partnership w/the patient by

A

Tailoring his or her communication style to the patient’s preference.

130
Q

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:

A

primary care provider

131
Q

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

A systematic review (meta-analysis is even stronger)

132
Q

What legislation allowed nurse practitioners to be recognized Medicare providers in all geographical areas with their own provider number?

A

Balanced Budget Act

133
Q

True/False: restraining an unwilling patient is grounds for malpractice

A

False, if they are a danger you can restrain

134
Q

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?

A

Temperature and weight recording

135
Q

The NP program initiated, primarily, because of what issue in healthcare at the time?

A

Pediatric physician shortage

136
Q

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?

A

Ask him to speak candidly with you

137
Q

Pt calls to complain about bills and states he has Medicare, which should cover all costs. You explain:

A

Since you are healthy, exams are not covered.

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