Scope of practice Exam Questions with Verified Answers,100% CORRECT

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Scope of practice Exam Questions with Verified Answers APRN is an umbrella term for - CORRECT ANSWER -Nurse practitioner -Clinical Nurse specialist -Nurse midwife -Nurse anesthetist "Holding ... oneself out" - CORRECT ANSWER means to use the title of nurse practitioner An applicant for initial qualification or certification as a nurse practitioner shall meet the following requirements: - CORRECT ANSWER (a)Hold a valid and active registered nursing license. (b) Possess a master's degree in nursing, a master's degree in a clinical field related to nursing, or a graduate degree in nursing. (c) Satisfactorily complete a nurse practitioner program approved by the board NP legal scope of practice in CA - CORRECT ANSWER •The nurse practitioner shall function within the scope of practice as specified in the Nursing Practice Act and as it applies to all registered nurses. •The NP does not have an additional scope of practice beyond the usual RN scope and must rely on standardized procedures for authorization to perform overlapping medical functions. •Standardized procedures are the legal authority in California to exceed the usual scope of RN practice •NP: includes diagnosis and treatment •RN: includes nursing diagnosis, nursing intervention, & nursing treatments NP Practice: Standardized Procedures in CA - CORRECT ANSWER •Standardized procedures are the legal mechanism for registered nurses, nurse practitioners to perform functions which would otherwise be considered the practice of medicine. •Standardized procedures must be developed collaboratively by nursing, medicine, and administration in the organized health care system where they will be utilized. •They must have: -->Method for evaluating individuals -->Method for periodic review -->Specify experience, training requirements -->Etc. Concept of primary care - CORRECT ANSWER •Primary health care is defined as, that which occurs when a consumer makes contact with a health care provider, who assumes responsibility and accountability for the continuity of health care regardless of the presence or absence of disease CCR 1480 (b). •In some cases, the NP will be the only health professional to see the patient and, in the process, will employ a combination of nursing and medical functions approved by standardized procedures. Furnishing controlled substances - CORRECT ANSWER •The NP is required to have a furnishing certificate from the Board of Registered Nursing and a Drug Enforcement Administration registration number. •The furnishing of drugs including controlled substances shall be further limited to those drugs agreed upon by the NP and physician and specified in the standardized procedure. •When Schedule ll controlled substance is furnished or ordered the protocols shall address the diagnosis of the illness, injury, or condition for which the Schedule ll controlled substance is to be furnished. •The NP authorized to furnish Schedule II by approved standardized procedure, who has a United States DEA number, shall complete, as part of their continuing education requirement, a course including Schedule II controlled substance based on the standards developed by the BRN. NP Licensure & Certification in CA requirements - CORRECT ANSWER •NP application fee - $500 •Completed Applications for NP Certification •Completed Verification of NP Academic Program Form •Submitted by NP program •Official sealed transcript from NP program CA Scope of practice - CORRECT ANSWER The NP does not have an additional scope of practice beyond the usual RN scope and must rely on standardized procedures for authorization to perform overlapping medical functions -Practice Authority: Nurse practitioners must have a standardized procedure or protocol in place that must be developed and approved by the supervising physician. Cal. Bus & Prof Code §2836.1. -Prescriptive Authority: Drugs or devices furnished by the NP must be ordered in accordance with the policies and protocols set forth in the agreement with the supervising physician. The NP may furnish drugs and devices within the NP's area of practice. Physician involvement is required when the NP is furnishing Schedule II or III controlled substances, and a patient-specific protocol is required. Cal. Bus. & Prof. Code §2836.1 Nurse Practitioner as a Primary Care Provider - CORRECT ANSWER NPs are recognized in state policy as primary care providers. Primary care provider means a person responsible for coordinating and providing primary care to members, within the scope of their license to practice, for initiating referrals and for maintaining continuity of care. A primary care provider may be a primary care physician or nonphysician medical practitioner including a nurse practitioner, certified nurse midwife or physician assistant. 22 CCR §53810(gg) California was 1 of 22 states and the only western state that restricts NPs by requiring them to work with physician oversight. Full Practice Authority (FPA) for CA NP's - CORRECT ANSWER Assembly Bill 890, allows NPs to practice independently in 2023. •NPs will have to operate under a doctor's supervision for a minimum three-year transition period before embarking on their own practices. •Current California law requires nurse practitioners, who hold masters or doctorate degrees to operate under a doctor's supervision. •The new law will direct the BRN to establish a commission to oversee implementation and requirements. •Opposition to the bill came primarily from doctor groups including the California Medical Association •California will still have among the most restrictive policies on nurse practitioner independence in the country Bill AB 890 - CORRECT ANSWER •The bill (AB 890) was heavily amended in the state Senate. •The measure may impose several hoops for nurse practitioners to jump through. •Before they can practice independently, nurse practitioners would have to be certified by preapproved national nursing boards •Once certified, they would have to practice under physician supervision for at least three years before they can strike out on their own. The president of the American Association of Nurse Practitioners, said in a statement that the bill is choked by too much red tape to provide any meaningful change. Practice authority - CORRECT ANSWER •Beginning January 2023, nurse practitioners may practice independently after working under the supervision of a physician for three years. •The NP must notify patients that they are not being supervised by a physician. Prescriptive authority - CORRECT ANSWER •Beginning January 2023, a NP may prescribe drugs and devices, including controlled substances, after practicing under the supervision of a physician for three years. Nurse as PCP in CA - CORRECT ANSWER •NPs are recognized in state policy as primary care providers. •responsible for coordinating and providing primary care within the scope of their license to practice. CA NP Certification - CORRECT ANSWER Documentation submitted directly to the Board of Registered Nursing: 1.Completed Application for Nurse Practitioner (NP) Certification and applicable fee. (Page 1-3) 2.Completed Verification of Nurse Practitioner Academic Program form submitted by the nurse practitioner academic program. (Page 3) 3.Official, sealed transcript showing evidence of date of graduation or post-graduation nurse practitioner program CA NP Programs-method one - CORRECT ANSWER California-Based Nurse Practitioner Education Program www.rn.ca.gov/education/apprograms.shtml#np Documentation submitted directly to the Board of Registered Nursing 1. Completed Application for Nurse Practitioner (NP) Certification and applicable fee (Page 1-3) 2. Completed Verification of Nurse Practitioner Academic Program form submitted by the nurse practitioner academic program. (Page 3) 3. Official, sealed transcript showing evidence of date of graduation or post-graduation nurse practitioner program. CA Furnishing Number requirements - CORRECT ANSWER Documentation submitted directly to the Board of Registered Nursing: 1.Nurse Practitioner Furnishing Number Application form completed by the applicant. 2. Advanced Pharmacology Course Verification form completed by the director of the Nurse Practitioner Furnishing numbers - CORRECT ANSWER •The BRN issues a furnishing number to a nurse practitioner that allows him or her to "order" or furnish drugs and devices to patients using approved standardized procedures. •Furnishing number fee: $400.00 •Completed Application for NP Furnishing •Advanced Pharmacology Course Verification form completed by the director of the NP Program •Submit with NP application DEA numbers - CORRECT ANSWER •A nurse practitioner with a furnishing number may obtain a Drug Enforcement Administration (DEA) registration number if they want to order controlled substances as needed for patient care. •$888.00 every 3 years •Schedules III - V •Additional coursework for Schedule II CURES - CORRECT ANSWER •The Controlled substance Utilization Review and Evaluation System (CURES), maintained by the Department of Justice (DOJ), tracks all Schedule II, III, and IV controlled substances dispensed in California. • CURES contains the following information: patient name, patient date of birth, patient address, prescriber name, prescriber DEA number, pharmacy name, pharmacy license number, date prescription was dispensed, prescription number, drug name, drug quantity and strength, and number of refills remaining. •Mandatory Use as of October 1, 2018 Adult-Gerontology Primary Care Nurse Practitioner Certification-ANCC Exam Requirements - CORRECT ANSWER •Adult-Gerontology Primary Care Nurse Practitioner Certification (AGPCNP-BC) - ANCC $395.00 (may be discounted) •Hold a current, active RN license in a state or territory of the United States •Hold a master's, postgraduate, or doctoral degree from an adult-gerontology primary care nurse practitioner program accredited by the Commission on Collegiate Nursing Education. •Advanced physiology/pathophysiology •Advanced pharmacology •Advanced physical assessment •Transcripts •Verification of education signed by faculty NP vs PA - CORRECT ANSWER •A PA is a healthcare provider who practices medicine with physician supervision. •True physician extenders •NPs are nurses with broadened scope of practice and are not defined as physician-supervised professionals •Practice under their own licenses DNP vs PHD focus - CORRECT ANSWER •A degree option for NPs who would like a terminal degree but would like to maintain a focus in: •Clinical •Policy •Operations •PhD - research focus Nursing Practice Act - CORRECT ANSWER Document defining the legal scope of practice for all RNs Standardized procedures - CORRECT ANSWER legal mechanism for RNs and NPs to perform functions which would otherwise be considered the practice of medicine Type of care that NPs in CA are prepared to provide - CORRECT ANSWER primary care 2 words to describe one who possesses and exercises the degree of learning, skill and care ordinarily possessed and exercised by a member of the appropriate discipline in practice - CORRECT ANSWER "Clinically competent" Disciplines required to participate in developing a standardized procedure - CORRECT ANSWER -Nursing -Medicine -Administration Must be provided to the hiring organization prior to performing functions specified in a standardized procedure - CORRECT ANSWER Satisfactory evidence that the nurse meets experience, training and/or education requirements to perform the function # of elements required in a standardized procedure per CA Title 16 - CORRECT ANSWER 11 Items in the medical practice act which require standardized procedure for an RN or NP to carry out - CORRECT ANSWER -Diagnose -use drugs in or upon -sever or penetrate tissue Permitted by NPs under new CA legislation effective 1/1/2010 (with SP) - CORRECT ANSWER -Order durable medical equipment (DME) -Certify disability -Approve home health services CA assembly bill granting FPA to CA NPs - CORRECT ANSWER California AB 890 Year in which bill granting full practice authority in CA became/becomes effective - CORRECT ANSWER 2023 Years of supervised physician practice required in order to apply for FPA in CA - CORRECT ANSWER 3 Requirement prior to starting period of physician supervision for CA FPA - CORRECT ANSWER National Certification Required pt notification when seen by an NP with FPA in CA - CORRECT ANSWER The NPs must notify the patients that they are not being supervised by a physician A health care provider who assumes responsibility for continuity of health care regardless of the absence or presence of illness - CORRECT ANSWER Primary Health care provider 3 initial requirements for NP license in CA - CORRECT ANSWER -Active RN license -Master's degree -Completion of Board certified NP program An NP who does not issue a controlled substance prescription as an electronic data transmission due to technological or electrical failure shall - CORRECT ANSWER Document the reason in the patient record ASAP or within 72 hours of the end of the tech/electronical failure Required for an NP to prescribe any medication - CORRECT ANSWER Furnishing number Subject of AB 2789 Prescribing Law in California that took effect 1/1/2022 - CORRECT ANSWER Electronic prescribing requirement 3 things required for NP to prescribe schedule II controlled substances - CORRECT ANSWER -DEA number -BRN approved Schedule II course -Standardized Procedure 3 exemptions to AB 2789 - CORRECT ANSWER -Technology/electronic failure -out of state pharmacy -terminal illness Required in standardized procedure for scheduled II controlled substances - CORRECT ANSWER -Diagnosis of the illness, injury, condition for which a scheduled II can be prescribed When is a PA allowed to function without physician supervision - CORRECT ANSWER NEVER! 2 categories of NP established by AB 890 - CORRECT ANSWER 103 NP 104 NP [Show More]

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