Policy, surveillance, practice issues

Question 1

Proportion of those with the abnormality who are correctly identified through screening

Answer 1

Sensitivity

Question 2

Proportion of those without the abnormality who are quickly identified as negative through the screening

Answer 2

Specificity

Question 3

Reporting statues must notify

Answer 3

Gonorrhea, chlamydia, syphilis, TB, HIV
Animal bites
Abuse (child/elder)
Crimean acts/injury from dangerous weapon —police

Question 4

Enhance quality of care and improve pt outcomes

Answer 4

Collaborative practice

Question 5

Medicare A

Answer 5

Covers inpatient /hospital , skilled nursing facilities , home health, hospice

Qualify at 65 years

Question 6

Medicare serves what population

Answer 6

Medicare CARE- for elders

Question 7

Medicaid serves what population

Answer 7

Children ; low income

Question 8

Medicare B

Answer 8

MD services, outpatient /labs/diagnostics/medical equipment some home health

85% reimbursement received by NPs in collab with MD

Question 9

Medicare C

Answer 9

A+B = C

Medicare Atvantage/choice

HMOS, PPOs receive both services

Question 10

Medicare D

Answer 10

Limited prescription drug coverage
Monthly premium
Co pay each prescription

Question 11

Incident to billing

Answer 11

MD must be in office where service provided
Reflects active participation
NOT ALLOWED In hospital setting

Question 12

Comprehensive and systematic approach to provide quality care , mobilize, monitor and control resources patient uses during course of illness

Answer 12

Case mangement

Question 13

Management process of monitoring, evaluation and continuous review and improving quality in providing health care

Answer 13

quality improvement

Question 14

Process for evaluating the care of patients using established standard of care to ensure quality

Answer 14

Quality assurance

Question 15

Based on legal allowances in each states delineated by individual state nurse practice acts

Answer 15

Scope of practice

Question 16

authorization of boards of nursing in each state establish authority ( prescription authroity , disciplinary grounds ) for licensure

Answer 16

State practice acts

Question 17

Credentials

Answer 17

Encompassing required education, licensure and certification to practice as NP

Question 18

Establishes that a person is QUALIFIED to perform a professional/particular role , granted by rules and regulations by a governmental regulatory body (state Board)

Answer 18

Licensure

All aprns are licensed as RNs and authorized by STATE to practice

Question 19

Established that a person has met standards for a profession which signifying mastery of specialized knowledge and skills granted by non governmental agencies

Answer 19

E.g. ANCC, ANCP,PNCB

Certification

Non-governmental —-validates met certain standards (quality assurance to public)

Question 20

Credentialing

Answer 20

By private hospital or BON (governmental agency) validates competence
Validation of credentials, licensure, certification

Question 21

Privileging

Answer 21

Granted by committee to allow NP to practice in inpatient setting; granted in partial or full To perform specific task (suture, LO, orders, prescribe)

Can be more restrictive than state requirement

Question 23

Patient has received adequate instruction and info. Regarding aspects of care to make a personal choice regarding treatment

Answer 23

Informed consent

Question 24

Duty to do no harm

Answer 24

Non maleficense

Question 25

Duty to be fair

Answer 25

Justice

Question 26

Duty to be faithful

Answer 26

Fidelity

Question 27

Duty to be truthful

Answer 27

Veracity

Question 28

Duty to respects an individuals thoughts and actions

Answer 28

Autonomy

Question 29

Duty to prevent harm and promote good

Answer 29

Beneficence

Question 30

Right act that one produces the greatest good for greatest number

Answer 30

Utilitarianism

Question 31

First Np pro gram

Answer 31

PEDIatrics by Henry silver /Loretta ford 1964

Question 33

Experimental manipulation of variables using randomization and a control group to tests effects of an experiment

Answer 33

Experimental research

Question 34

Quasi experimental research

Answer 34

Manipulating variables but no randomization or comparison group to test effects on intervention/experiment

Question 35

P< 0.05

Answer 35

Means what your seeing is 95% not due to chance

Level of significance

Question 36

Indicates average amount of deviation from mean

Answer 36

Standard deviation

Question 37

Confidence interval

Answer 37

Interval precise / range of values

2.8-3.3 terminal ill patients have between 2.8-3.3 episodes of emesis every 24 hours

Question 38

LACE

Answer 38

LICENSURE / ACCREDITATION/ CERTIFICATION/ EDUCATION

Question 39

LACE: APRN Consensus Model

Answer 39

Call board of nursing to be the regulatory body that issues and provides oversight of APRNS

Must be licensed, certified and educated in 1/4 roles of APRN population Foci

Question 40

Healthy people 2030

Answer 40

High quality
Longer life free of preventable disease/disability/injury
Health equity
Eliminate disparities

Question 41

Legal wrongs committed by one person to another

Answer 41

Tort law

Question 42

Failure of individual to do what is reasonably person would do and results in injury

Answer 42

Negligence

Question 43

Failing to meet standard of care that results in harm

Answer 43

Liability

Question 44

CPA

Answer 44

Required by law in some states

Document mutually agreed professional language and practice guidelines b/w APRN and MD

Question 53

2 board categories of research ex post facto/ correlational and descriptive

Answer 53

NON EXPERIMENTAL