Whnp Boards - Role Dvmt, Trends, Issues (Purple Book)/24 Questions And Answers
APRN is a nurse who has accomplished the following: - ANS-1. Completed an
accreditted graduate level program preparing for one of the 4 ARNP roles
2. Passed a national certification exam.
3. Educationally prepared to assume responsibility and accountability for health
promotion/management, assessment, diagnosis, w/ Rx and non-Rx interventions
4. Obtained clinical experience of sufficient depth and breadth to reflect the intended
license.
4 ARNP roles - ANS-Nurse practitioner, CNM, CRNA, CNS
What does the ARNP do? - ANS-Primary and/or speciality care providers who practice
in ambulatory, acute, and long-term care settings, providing nursing and medical
services to individuals, families and groups (AANP, 2007)
Where was the first NP program developed? - ANS-1964 at University of Colorado
Health Sciences Center, prompted by a shortage of physicians in the area, PNPs
(pediatric nurse practitioners) became the care model for development of NPs in other
specialty areas.
Professional organizations that provide guidelines for Women's Health Nurse
Practitioner Practice - ANS-AWHONN - Association of Women's Health, Obstetrics, and
Neonatal Nurses
NPWH - National Association of Nurse Practitioners in Women's Health
Women's Health Nurse Practitioner Certification is provided by - ANS-National
Certification Corporation (NCC)
WHNP certification must be renewed every how many years and how. - ANS-Renewed
Q3 years, through reexamination or achievement of specified hours of continuing
education.
Healthy 2010 initiatives - ANS-Prevention agenda for the nation to increase years of
healthy life while reducing health disparities.
Objectives significant as leading national health indicators
Origin is the 1979 Surgeon General's report on health promotion and disease
prevention entitled "Healthy People".
Primary Care and Healthcare Reform has 4 critical issues - ANS-Access, quality, cost,
healthcare workforce
2 Types of Professional Liability Insurance - ANS-Occurrence and Claims Made
Occurrence - covers event of malpractice that occurred during the policy period without
regard to when the claims are reported; provides protections for each policy period
indefinitely; broadest protection available.
Claims Made - incident must happen and be reported while policy is in force; requires
purchase of a tail policy to protect, once policy period ends.
Scope of Practice - ANS-Describes practice limits and sets parameters within which the
APRN may legally practice.
Defines what is legally allowable, what can delegate, and when collaboration is
required, based on state laws regulated by the Nurse Practice Act
Standards of Practice - ANS-Describes the minimum levels of acceptable performance
for a profession or specialty.
Evolves from the scope of practice, provides specifications for acceptable levels of care
and a mechanism for determining excellence in care, provides the framework for
developing competency standards, establishes education preparation for basic practice,
provides QA, legal expectations of practice
Nurse Practice Act - ANS-Legislative enactments that define the practice of nursing,
gives guidance on the scope of practice issues, and sets the standards for practice,
passage through state legislatures make these the law under which nursing is practiced
in that state.
Types of Nurse Practice Acts - ANS-Licensure statutes limit practice to individuals with
specific qualifications as determined by law.
Registration or certification statutes provide a definition and limit to as to who may use
title, without restraint of practice.
Credentialling - ANS-The process of assessing and validating the qualifications of a
licensed independent practitioner (LIP) to provide member health services in a
healthcare network or it's components.
Mandates accountability and responsibility for competence.
Assures that care is provided by qualified practitioners.
Testifies to compliance with federal and state laws regarding nursing and midwifery
practice.
Acknowledges advanced scope of practice.
Privileging - ANS-Authorization granted to a practitioner by the healthcare network or
component of the network to provide specific patient care services that must fall within
defined limits based upon the LIPs qualifications and current competence. The Joint
Commission modified its standards on staff privileges to include nonphysician providers
who were LIPs
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