Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Nurse Practitioner Essentials and Competencies: A Comprehensive Guide, Exams of Nursing

A comprehensive overview of the essential knowledge, skills, and competencies required for becoming a nurse practitioner (np). It delves into the core principles of np practice, including advanced pharmacology, pathophysiology, and physical assessment. The document also explores the key competencies that define the np role, such as leadership, quality improvement, technology and information literacy, practice inquiry, policy, healthcare delivery, ethics, and independent practice. It highlights the importance of the msn essentials and core competencies, guided by the american association of colleges of nursing (aacn) and the national organization for nurse practitioner faculties (nompf).

Typology: Exams

2024/2025

Available from 02/22/2025

emilly-martin
emilly-martin 🇺🇸

4.3

(3)

1.2K documents

1 / 37

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
FNP Practicum Quiz for Guarantee Success
Services they provide include:
• Diagnosis, and management of common, and complex medical conditions
- Solution Nurse practitioner
According to who, NPs are:
• Registered professional nurses, prepared through advanced graduate
education and clinical training, to provide a range of health services -
Solution state nurse practitioner organization
According to a who:
"NPs are quickly becoming the health partner of choice for millions of
Americans.
- As clinicians that blend clinical expertise in diagnosing and treating health
conditions with an added emphasis on disease prevention and health
management, NPs bring a comprehensive perspective to health care." -
Solution national NP organization
who defines an NP as follows:
- "A nurse practitioner (NP) is an RN who has earned a separate license as
an NP through additional education and experience in a distinct specialty
area of practice.
- Nurse practitioners may diagnose, treat, and prescribe for a patient's
condition that falls within their specialty areas of practice.
- This is done in collaboration with a licensed physician qualified in the
specialty involved and in accordance with an approved written practice
agreement and protocols.
- Nurse practitioners are autonomous and do not practice under the
supervision of the collaborating physician. - Solution board of nursing
According to who, Nurse practitioner means:
- A nurse practitioner who performs such services as such individual is
legally authorized to perform (in the state in which the individual performs
such services) in accordance with state laws and who meets such training,
education, and experience required as the Secretary has prescribed in
regulations" - Solution federal law
this alternative name for NPs:
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25

Partial preview of the text

Download Nurse Practitioner Essentials and Competencies: A Comprehensive Guide and more Exams Nursing in PDF only on Docsity!

FNP Practicum Quiz for Guarantee Success

Services they provide include:

  • Diagnosis, and management of common, and complex medical conditions
  • Solution Nurse practitioner According to who, NPs are:
  • Registered professional nurses, prepared through advanced graduate education and clinical training, to provide a range of health services - Solution state nurse practitioner organization According to a who: "NPs are quickly becoming the health partner of choice for millions of Americans.
  • As clinicians that blend clinical expertise in diagnosing and treating health conditions with an added emphasis on disease prevention and health management, NPs bring a comprehensive perspective to health care." - Solution national NP organization who defines an NP as follows:
  • "A nurse practitioner (NP) is an RN who has earned a separate license as an NP through additional education and experience in a distinct specialty area of practice.
  • Nurse practitioners may diagnose, treat, and prescribe for a patient's condition that falls within their specialty areas of practice.
  • This is done in collaboration with a licensed physician qualified in the specialty involved and in accordance with an approved written practice agreement and protocols.
  • Nurse practitioners are autonomous and do not practice under the supervision of the collaborating physician. - Solution board of nursing According to who, Nurse practitioner means:
  • A nurse practitioner who performs such services as such individual is legally authorized to perform (in the state in which the individual performs such services) in accordance with state laws and who meets such training, education, and experience required as the Secretary has prescribed in regulations" - Solution federal law this alternative name for NPs:
  • Used by physicians' associations, generally aimed at the physician market
  • Refers to NPs collectively - Solution Physician Extender this alternative name for NPs:
  • Some states use this term for reimbursement
  • DEA uses this term for licensure
  • Licensed to dispense controlled or dangerous substances - Solution Mid- Level Practitioner this is defined as :
  • One who has completed an accredited graduate level education.
  • Passed national certification board.
  • Who acquired advanced clinical knowledge and skills.
  • Whose practice builds on the competencies of RN.
  • Educationally prepared to assume responsibility and accountability.
  • Who has clinical experience of sufficient depth.
  • Who obtained a license to practice as APRN. - Solution Nurse Practitioner 9 essentials that focus on outcomes:
  • Background for practice from sciences and humanities
  • Organizational and systems leadership
  • Quality improvement and safety
  • Translating and integrating scholarship
  • Informatics and healthcare technology
  • Healthcare policy and advocacy
  • Interprofessional collaboration
  • Clinical prevention and population health - Solution Masters Essentials Advanced pharmacology, advanced pathophysiology, advanced physical assessment - Solution Masters Essentials in this Essentials and Competencies of the NP:
  • Critically analyze data and evidence for improving advanced nursing practice.
  • Integrates knowledge from the humanities and sciences.
  • Translates research and other forms of knowledge to improve practice.
  • Develops and practice approached based on the integration of research. - Solution Scientific Foundation
  • Advocates for policies for safe and healthy practice. - Solution Policy Competencies in this Essentials and Competencies of the NP:
  • Applies knowledge of organizational practices and complex systems.
  • Effects healthcare change using broad-based skills, including negotiating, consensus building, and partnering.
  • Facilitates the development of healthcare systems that address the needs of culturally diverse population.
  • Evaluates the impact of healthcare delivery.
  • Analyzes organizational structure, functions, and resources.
  • Collaborate in planning for transitions across the continuum of care. - Solution Healthcare Delivery Competencies in this Essentials and Competencies of the NP:
  • Integrates ethical practices in decision-making.
  • Evaluates ethical consequences of decisions.
  • Applies ethically sound solutions to complex issues. - Solution Ethics Competencies in this Essentials and Competencies of the NP:
  • Functions as licensed independent nurse practitioner.
  • Demonstrates high level of accountability.
  • Practice independently, managing diagnosed and undiagnosed patients.
  • Provides patient-centered care recognizing cultural diversity.
  • Educates professional and lay caregivers to provide culturally and spiritually sensitive care.
  • Collaborates with professional and other care givers to achieve optimal care.
  • Coordinates transitional are services.
  • Participate sin the development, use, and evaluation of professional standards. - Solution Independent Practice Competencies founded nurse practitioner practice; served as director at the Boulder County Health Department from 1956-1958, and was appointed assistant professor at the University of Colorado College of Nursing in Denver. - Solution Loretta Ford Mgmt pt health status Maint of NP-pt rel'ship

Teaching and coaching Professional role Negotiating health care delivery systems Monitoring quality of care Providing culturally sensitive care - Solution Nurse practitioner core competencies this individual, along with Dr. Silver developed formalized NP education - Solution Loretta Ford this is the NP that created our formalized program - Solution Loretta Ford one who:

  • Who has completed an accredited graduate level education.
  • Passed national certification board.
  • Who acquired advanced clinical knowledge and skills.
  • Whose practice builds on the competencies of RN.
  • Educationally prepared to assume responsibility and accountability.
  • Who has clinical experience of sufficient depth.
  • Who obtained a license to practice as APRN. - Solution Advanced Practice Registered Nurse (APRN) APRNs do not have compact licenses - Solution true National Provider Identifier - Solution NPI the core credentials of MSN are guided by what? - Solution MSN essentials the MSN essentials is guided by what association? - Solution American Association of Colleges of Nursing (AACN) essentials and competencies of how we develop our NP program and competencies is guided by what? - Solution National organization for nurse practitioner faculties this sets the standards for NP programs - Solution National organization for nurse practitioner faculties (NOMPF)

C. ACE inhibitors D. Thiazide diuretics - Solution C Which of the following medications represent the best choice antihypertensive agent for the indicated patient? A. Beta blocker For a 38-year-old diabetic patient B. ACE inhibitor for patient on a potassium sparing diuretic C. Beta blocker for a patient with a history of migraines D. Diuretic in a patient with a history of gout - Solution C Which of the following valve is most commonly involved in chronic rheumatic heart disease? A. Aortic B. Mitral C. Pulmonic D. Tricuspid - Solution B A patient has diastolic murmur best heard at the 5th intercostal space. This is most consistent with which of the following conditions A. Mitral valve prolapse B. Mitral regurgitation C. Mitral stenosis D. Aortic regurgitation - Solution C Which symptomatic triad is most commonly associated with infectious mononucleosis? A. Fever lymphadenopathy pharyngitis B. Fever fatigue pharyngitis C. Fever headache nuchal rigidity D. Headache lymphadenopathy muffled voice - Solution A Which location should always be avoided in patients with mononucleosis? A. Clindamycin B. Ibuprofen C. Amoxicillin D. Viscous lidocaine - Solution C A 75-year-old patient presents with new onset hearing loss. Exam reveals bilateral cerumen impaction. This type of hearing loss is what? A. Sensorineural

B. Conductive C. Cholesteatoma D. Prebyscusis - Solution B A 25-year-old patient presented with sneezing rhinorrhea nasal congestion and facial pain. Which of the following is not associated with allergic rhinitis? A. Sneezing B. Rhinorrhea C. Nasal congestion D. Facial pain - Solution D Patient is diagnosed with acute rhinosinusitis. Symptoms of nasal congestion, head ache and tenderness behind the eyes began three days prior to office visit. Given the clinical presentation and most likely etiology, how should the patient to managed? A. Amoxicillin with clavulanate B. Decongestant and analgesic C. Azithromycin and decongestant D. Levofloxacin - Solution B The patient presents with hordeolum of the right eye. The APRN suspects which is the following organism? A. Staphylococcus B. E. coli C. Candidiasis albicans D. Herpes simples virus - Solution A The APRN conducts a visual screening for a 30 month old and uses which of the following protocol? A. Allen chart B. Snellen letter chart C. Snellen E chart D. Isihara Plate test - Solution A Current treatment guidelines acute group a streptococcal pharyngitis in adults with no known allergies: A. Penicillin B. Leavofloxacin C. Sulfamethoxazole/trimethoprim

D. sterognostic functioning - Solution A A patient who sustained a myocardial infarction comes to the clinic for a refill of Atorvastatin. The family nurse practitioner explains that the medication prescribed for: A. cancer prevention B. primary prevention C. secondary prevention D. tertiary prevention - Solution D That APRN performs a patch test three times per year on patient with controlled allergy symptoms. This practice can constitute as Medicare fraud true or false A. True B. False - Solution B this is claiming for something that you did not do - Solution Medicare fraud this is overdoing something such as overdoing such as unnecessary patch tests - Solution Medicare abuse A soft first heart sound with a holosystolic apical murmur that radiates to the left axilla suggests which of the following? A. Aortic stenosis B. Mitral regurgitation C. Mitral stenosis D. Mitral valve prolapse - Solution B Routine immunization guidelines recommend administering the hepatitis B vaccine at birth and repeating doses at: A. one and six months B. One month and two months C. Four months and two years D. Six months and 12 months - Solution A this is important for the following reasons:

  • Allows NPs to perform at their level of education and training
  • Avoids any charges of practicing medicine without a license
  • Avoids imputation of liability for medical malpractice to someone other than the NP
  • Accountability is placed squarely on the NP - Solution An adequate legal description this is important for the following reasons (cont.):
  • Provides a basis for inclusion of NPs in the legal definition of primary care and/or specialty or acute care providers
  • Establishes the NP as a professional entity, not a non-physician or physician extender
  • To get reimbursement for physician services when provided by the NP - Solution An adequate legal description this organizations definition of an NP's scope of practice includes:
  • "Nurse practitioners (NPs) are licensed, independent practitioners who practice in ambulatory, acute and long-term care as primary and/or specialty care providers.
  • Nurse practitioners assess, diagnose, treat, and manage acute episodic and chronic illnesses.
  • NPs are experts in health promotion and disease prevention.
  • They order, conduct, supervise, and interpret diagnostic and laboratory tests, prescribe pharmacological agents and non-pharmacologic therapies, as well as teach and counsel patients, among other services." - Solution AANP this falls into six categories:
  • Scope of practice is clearly defined by statute
  • Scope of practice is clearly defined by regulation
  • Scope of practice is vaguely defined by the statute
  • Scope is not defined
  • Scope of practice is defined by exception from a state law prohibiting practice of medicine without a license
  • Scope of practice is defined by the individual physician who may delegate to an NP by law - Solution State statutes this scope of practice usually includes:
  • Medical diagnosis
  • Medical treatment - Solution NP this scope of practice usually includes:
  • Nursing diagnosis
  • Nursing interventions/treatments - Solution NP

-There are letter grades for the Recommendations: -I -> insufficient evidence- Only low certainty grade* -A -> substantial magnitude of net benefit and certainty of net benefit -B -> substantial magnitude of net benefit with moderate certainty OR vice versa -C -> small magnitude with either high or moderate certainty- *DIFFICULT FOR CLINICIAN TO USE FOR PTS. -D -> No benefit or even harm w/ high-moderate certainty - Solution U.S. Preventative Services Task Force -Advancing the time of diagnosis should be undertaken with confidence that will prevent enough future suffering and prolong life to an extent that outweighs the harms to those is doesn't benefit (because earlier dx can lead to overdiagnosis and unnecessary harm) -Preventative service provided which by nature most will NOT benefit from the service and have potential to cause harm. - Solution U.S. Preventative Services Task Force

  1. Ask
  2. Advise
  3. Assess
  4. Assist
  5. Arrange - Solution 5 A's of smoking cessation 5 A's of smoking cessation - Solution Ask Advise Assess Assist Arrange Nurse Practitioners' Unique Role includes what? - Solution Authentic listening, Empathy, Negotiating, Going above and beyond Elements of nurse practitionering includes what? - Solution communication, diagnostic skills, patient relationship Seeking to truly understand the intent, feelings, and perspective of a speaker's message - Solution Authentic listening

the ability to understand and share the feelings of another - Solution Empathy NPs take which approach to patient centered care?- NPs incorporate vital elements of nursing and philosophical theories, communication skills, diagnostic skills, coaching, educating, and developing reciprocal relationship with patients.

  • Holistic approach to interview, assessment, diagnosis, and mutually agreed upon goals for patient care. - Solution Holistic concerning the whole rather than the parts - Solution Holistic in this:
  • APNs assess, manage, and evaluate the most independent level of clinical nursing practice.
  • APNs are expected to use advanced, highly refined assessment skills and employ understanding of advanced pathophysiology and advanced pharmacology. - Solution APRN focus these include:
  • Scientific underpinnings for practice
  • Organizational and systems leadership
  • Clinical scholarship and analytical methods
  • Information systems/technology
  • Healthcare policy for advocacy in healthcare
  • Interprofessional collaboration
  • Clinical prevention and population health
  • Advanced nursing practice - Solution DNP essentials
  • It offers clinical doctorate for all nurses who seek to improve healthcare delivery systems.
  • Clinicians who are experts in healthcare policy.
  • Offers the Np student additional education and preparation to meet the needs of complex healthcare systems. - Solution DNP DNP focuses on what? - Solution clinical practice instead of research this shaped the education of DNP. - Solution The essentials of doctoral education for advanced nursing practice

this individual developed the first NP program in 1964

  • co-founded with Henry Silver - Solution Loretta Ford An advanced registered nurse practitioner shall perform those functions authorized in this section within the framework of an established protocol that is filed with the board upon biennial license renewal and within 30 days after entering into a supervisory relationship with a physician or changes to the protocol.
  • The board shall review the protocol to ensure compliance with applicable regulatory standards for protocols.
  • The board shall refer to the department licensees submitting protocols that are not compliant with the regulatory standards for protocols.
  • A practitioner currently licensed under chapter 458, chapter 459, or chapter 466 shall maintain supervision for directing the specific course of medical treatment. - Solution Florida NP scope of practice Within the established framework, an advanced registered nurse practitioner may:
  1. Prescribe, dispense, administer, or order any drug; however, an advanced registered nurse practitioner may prescribe and dispense a controlled substance as defined in s. 893.03 only if the ARNP has graduated from a program leading to a master's or doctoral degree in a clinical nursing specialty area with training in specialized practitioner skills.
  2. Initiate appropriate therapies for certain conditions.
  3. Perform additional functions as may be determined by rule
  4. Order diagnostic tests and physical and occupational therapy. - Solution Florida NP scope of practice in this, NPs may also:
  5. Manage selected medical problems.
  6. Order physical and occupational therapy.
  7. Initiate, monitor, or alter therapies for certain uncomplicated acute illnesses.
  8. Monitor and manage patients with stable chronic diseases.
  9. Establish behavioral problems and diagnosis and - Solution Florida NP scope of practice Scope varies by state, In many states, this includes:
  • Diagnosis
  • Treatment
  • Prescriptive authority
  • Admission of patients to hospital - Solution NP scope of practice there is significant overlap between NP and physician scope of practice - Solution true
  • It is the NP's responsibility to perform only the services and care the NP is educated and certified to provide.
  • The answer to whether an NP should take a job can be found by querying the Board of Nursing in the state where the NP is certified and will practice.
  • Solution WORKING OUTSIDE NP CERTIFICATION
  • Some states do not legally require physician involvement in NP practice
  • Majority of states, however, do legally require physician involvement
  • In some states, the involvement ends after a period of time (i.e. after the first 24 months of an NP's practice) - Solution mandated physician involvement Examples of this include:
  • Supervision
  • Collaboration
  • Written protocols
  • Written agreement between NP and physician
  • Delegation
  • Direct - Solution mandated physician involvement this is defined more broadly than the scope of practice for any other healthcare professional. - Solution medical scope of practice The practice of medicine shall mean to suggest, recommend, prescribe, or direct for the use of any person, any drug, medicine, appliance, or other agency, whether material or not material, for the cure, relief, or palliation of any ailment or disease of the mind or body, or for the cure or relief of any wound or fracture or other bodily injury or deformity, or the practice of obstetrics or midwifery, after having received, or with the intent of receiving therefore, either directly or indirectly, any bonus, gift, profit, or compensation; provided, that nothing in this section shall apply to females engaged solely in the practice of midwifery. - Solution medical scope of practice
  • Research as basis for practice - Solution The AANP Within how long of initiating an APRN practice involving direct patient care must a quality assurance plan be submitted? - Solution 1 month this includes:
  • Location of APRN practice site
  • Identification of APRNs peer reviewer or peer review organization
  • Standards of practice set by APRNs national professional organization.
  • Criteria for client referrals, outcomes, and chart documentation.
  • Description of method the peer reviewer will use to address areas in need of improvement. - Solution Quality assurance plan these:
  • Carry out statues of state, and write and administer regulations
  • Ensure NP qualifications are up-to-date
  • Respond to complaints
  • Follow up on malpractice awards - Solution Licensing Boards these:
  • Through accreditation, committees set standards; conduct site visits to ensure standards are met : - Solution Accreditation Commissions these become involved when:
  • suits are filed
  • Plaintiff argues standard of care violated
  • When a judge or jury accepts one side of the argument, a precedent is set
  • Solution The Judicial System
  • Some employers develop performance and evaluation standards for NPs
  • Solution Employers this provides health education to patients about ways to improve, promote, and maintain health status, including but not limited to providing educational information on disease/disease processes, self-care practices, and positive lifestyle choices. - Solution Criterion for evaluation this organization:
  • Consumer-oriented, accredits MCOs
  • Developed a set of clinical performance measures and patient satisfaction surveys
  • Health plans hope to achieve high ratings - Solution National Committee for Quality Assurance (NCQA) this organization:
  • Government agency that seeks to improve quality, safety, and efficiency in health care
  • Panels of experts developed standards on certain illnesses
  • Publishes a compendium of guidelines in the AHRQ National Guideline Clearinghouse at https://www.guideline.gov/ - Solution Agency for Healthcare Research and Quality (AHRQ) this organization:
  • As part of an effort to increase the quality of care, in 2006, Medicare asked physicians to voluntarily report their performance on specified quality measures - Solution Medicare to do this, the NP should use traditional methods, including:
  • Books
  • Newsletters, list-serves
  • Websites
  • Continued education seminars
  • Journals
  • Other practitioners - Solution staying current on standards of care New avenues for doing this include:
  • Audit tools used by MCOs
  • Accreditation guidelines supplied by accrediting organizations
  • NCQA standards
  • AHRQ standards/guidelines
  • State law, if applicable - Solution staying current on standards of care this is:
  • Being developed under managed care
  • Some managed care will only credential board-certified physicians
  • Some managed care will not credential if malpractice claims are involved - Solution Credentialing