question

The original nurse practitioner program was institutionalized as a(n):

answer

Pediatric program

question

What was the very first nurse practitioner membership organization to form?

answer

NAPNAP (National Association of Pediatric Nurse Practitioners)

question

Pediatric Nurse Practitioners who are credentialed through PNCB use the credential...

answer

CPNP

question

Beneficence

answer

The desire to act in the best interest/benefit of others; the strongest guiding principle of health professionals

question

Autonomy

answer

The right of an individual to self-determination, where an individual freely governs his or her own actions

question

Nonmalficence

answer

To do ho harm

question

Justice

answer

The fair distribution of rights and resources

question

Credentialing

answer

Validation of licensure, educational preparation, and certification in a clinical practice area

question

Process of assessing quality of care or services in which an organization demonstrates that it meets a set of minimum standards:

answer

Accreditation

question

Privileging

answer

The process performed by a health care institution which grants the nurse practitioner specific authority to perform designated clinical activities in their facility

question

In order for a pediatric nurse practitioner to prescribe controlled substances, they must apply for and receive a:

answer

Drug Enforcement Agency (DEA) number

question

Which governing agency grants pediatric nurse practitioners a Medicare personal identification number (PIN)?

answer

Health Care Financing Administration

question

Who is responsible for utilizing current procedural terminology (CPT)?

answer

The health care provider at the time of service

question

Collaborative practice agreement (employment contract):

answer

Written legally binding agreement between the employer and prospective employee

question

A 2-month-old Hispanic infant is brought in for a well visit. The mother tells you that the infant's grandmother wants her to place a charm on a string that the baby wears as a necklace to fight off evil spirit (MAL DE OJO): What would a culturally sensitive response be?

answer

Inform the mother to keep the charm on the string and to place this around the baby's wrist to avoid a choking incident

question

The Medicare fee for services reimbursement of Nurse Practitioners is how much?

answer

85%

question

What is the aim of evidence-based practice?

answer

Use of research to support clinical practice decisions

question

Clinical reasoning is generally optimal in the pediatric nurse practitioner who:

answer

Reads extensively in their practice area

question

What is the ethical code for the nursing profession?

answer

ANA code for nurses

question

How should assessment data be organized?

answer

So that related findings are grouped together

question

How are the pediatric nurse practitioners diagnostic conclusions best supported?

answer

Assessment data that are congruent with what is expected for the problem

question

Shewhard Cycle

answer

Plan-Do-Check-Act; a method of continuous quality improvement that is used to solve problems Plan - identify and analyze the problem Do - generates solutions and implementing solutions on a trial basis Check - gathering and analyzing data to determine the effectiveness of the solution Act - identifying changes that need to be made to fully implement the solution

question

Cultural Humility

answer

- Lifelong commitment to self-evaluation and self-critique, and to developing mutually beneficial, nonpaternalistic partnerships - Based on being receptive to learning from others and interacting in a non-judgmental way

question

Cultural competence

answer

Assumes an inclusive approach, allowing the provider to provide meaningful, supportive care that preserves human rights and dignity for all.

question

Standards of practice

answer

- Authoritative statements by which to measure quality of practice, service, or education - Establish minimum levels of acceptable performance

question

Scope of Practice

answer

- What is legally allowable in each state under the Nursing Practice Act - Varies widely from state to state

question

Prescriptive authority

answer

Physician signature on prescriptions written by NP is not required in any state

question

Nurse Practice Acts

answer

Authorize Boards of Nursing in each state to establish statutory authority for licensure of registered nurse - Authority includes use of title, authorization for scope of practice, and disciplinary grounds

question

Clinical practice guidelines

answer

Systematically developed statements to assist practitioner and patient about appropriate care for specific clinical outcomes

question

Four essential components to the APRN regulatory model are:

answer

LACE: i. Licensure ii. Accreditation iii. Certification iv. Education

question

Credentialing

answer

Regulatory mechanisms to ensure accountability for competence to practice Validation of required education, licensure, and certification

question

Licensure

answer

The granting of authority to practice; The process by which boards of nursing grant permission to an individual to engage in nursing practice after determining that the applicant has attained the competency necessary to perform a unique scope of practice

question

Accreditation

answer

The formal review and approval by a recognized agency of educational degree or certification programs in nursing or nursing-related programs

question

Certification

answer

The formal recognition of the knowledge, skills and experience demonstrated by the achievement of standards identified by the profession Assures the public that an individual has mastered a body of knowledge and acquired skills in a particular specialty

question

At minimum, all APRN education must include the APRN core. These include courses in which three topics?

answer

i. Advanced Pharmacology ii. Advanced physiology/pathophysiology iii. Advanced health assessment

question

Interprofessional collaboration

answer

Multiple health workers from different professional backgrounds work together with patients, families, carers, and communities to deliver the highest quality of care.

question

What are the four general domains of interprofessional collaborative practice?

answer

i. Values and ethics ii. Roles and responsibilities iii. Interprofessional communication iv. Teams and teamwork

question

Case management

answer

A collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality cost effective outcomes

question

What is the main goal of case management?

answer

To formulate a plan that enables the patient to move smoothly through the healthcare system

question

Quality Improvement

answer

Systematic and continuous actions that lead to measurable improvement in healthcare services and the health status of targeted patient groups Provides a framework for ongoing evaluation of practice through identification of norms, criteria, and standards that measure program effectiveness and minimize liability Includes activities such as peer review, patient satisfaction surveys, and chart audits

question

Risk management

answer

Systems and activities designed to recognize and intervene to decrease risk of injury to patients and subsequent claims against healthcare providers; based on assumption that many injuries to patients are PREVENTABLE

question

Malpractice

answer

Professional misconduct, unreasonable lack of skill; infidelity in professional or fiduciary duties; illegal, immoral conduct resulting in patient harm Alleged professional failure to render services with degree of care, diligence, and precaution that another member of same profession in similar circumstances would render to prevent patient injury

question

National Practitioner Data Bank

answer

Collects information on adverse actions against healthcare practitioners, including nurses

question

Occurrence coverage

answer

Covers malpractice event that occurred during policy period, regardless of date of discovery or when claim filed

question

Claims made coverage

answer

Covers only claims filed during policy coverage period, regardless of when even occurred

question

Negligence

answer

Failure of individual to do what a reasonable person would do that results in injury to another

question

Medicare Part A covers:

answer

- Hospital care - Skilled nursing facility care - Nursing home care - Hospice - Home health services

question

Medicare Part B covers:

answer

- Covers all medically necessary services: Physician services, physicals, OT, ST, medical equipment, diagnostic tests and some preventive care

question

Medicare Part C (Medicare Advantage) covers:

answer

Includes coverage for Part A and B, plus additional coverage provided by private insurance plans approved by Medicare

question

Medicare Part D covers:

answer

Prescription drug benefits

question

In order to bill Medicare, a Nurse Practitioner must:

answer

- Be a registered professional nurse authorized by the state to practice as a Nurse Practitioner in accordance with the state law - Be certified as a Nurse Practitioner by a recognized national certifying body that has established standards for nurse practitioners - Possess a master's degree in nursing

question

Incident to

answer

Services provided as an integral, yet incidental, part of the physician's personal, professional services in the course of diagnosis or treatment of injury or illness

question

Methods of payment for advanced practice nurses:

answer

i. Fee-for-service Model ii. Episodic Model iii. Capitation Model

question

Sources of research findings include:

answer

- Conferences - Scholarly publications - Distribution of summaries of research studies

question

What are the four major policy and regulation initiatives impacting APRN practice?

answer

i. Consensus Model for APRN Regulation: LACE ii. The Doctor of Nursing Practice movement iii. The Future of Nursing RWJF/IOM Report iv. Patient Protection and Affordable Care Act

question

Managed Care

answer

A network that is integrated and combines financing and delivery of healthcare services to covered individuals

question

What is the most common type of managed care plan?

answer

Health maintenance organizations (HMOs)

question

Health maintenance organizations (HMOs)

answer

Offer preestablished benefit packages - including preventive, inpatient and outpatient care PCP serves as a "gatekeeper" and expert in the individual's care by authorizing specialty visits, hospitalization and other services

question

Preferred Provider organizations (PPOs)

answer

Uses financial incentives to influence consumer and provider behaviors

question

Point of service plans (POS)

answer

Consumers decide whether to use a provider network or seek care outside the network **Most rapidly growing type of managed care

question

Integrated delivery systems

answer

Vertical integration of services across levels of care into seamless system with improved access for enrollees

question

Accountable care organizations (ACOs)

answer

Groups of doctors, hospitals, and other healthcare providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients The goal is to ensure that patients, especially chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors

question

"Covered Entities" as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPPA) include:

answer

i. Health plans ii. Healthcare clearinghouses iii. Healthcare providers who conduct any electronic transitions of health-related information

question

The nurse practitioner role was initially established to:

answer

Improve access to care and partially solve physician shortage

question

Most risk management programs are based on the assumption that:

answer

Many injuries to patients are preventable

question

"Incident to" billing is specific only to:

answer

Medicare

question

Which certifying bodies certify pediatric nurse practitioners?

answer

- PNCB - ANCC

question

Legal authority for APRN practice is granted by:

answer

State law and regulations

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