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WHNP Boards - Role Dvmt, Trends, Issues (purple book) 2023, Exams of Nursing

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)

Typology: Exams

2023/2024

Available from 10/29/2024

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WHNP Boards - Role Dvmt, Trends,
Issues (purple book) 2023
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
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WHNP Boards - Role Dvmt, Trends,

Issues (purple book) 2023

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

  1. Passed a national certification exam.
  2. Educationally prepared to assume responsibility and accountability for health promotion/management, assessment, diagnosis, w/ Rx and non-Rx interventions
  3. 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.

  1. Continuing education to attain/maintain clinical competency
  2. May provide scholarships
  3. Receipt of national publications
  4. Listing of employment opportunities
  5. Professional recognition of excellence in practice Fee-for-service Reimbursement - ANS-Payment in which a usual, customary, or reasonable charge for service as determined by provider is submitted Fee Schedules - ANS-Predetermined payment for services in which equal pay for equal work prevails, and as a resource-based schedule may consider practice expenses, provider skills and time, and malpractice expenses Percentage reimbursement - ANS-Percentage either above or below that is listed on the fee schedule is calculated depending upon who is providing the care Capitation reimbursement - ANS-Payment is made to the provider for each enrolled patient within a managed care organization (MCO) based on the number of terms of the contracts per member per month cost (PMPM) Indirect billing reimbursement - ANS-Method in which the institution is named as the recipient of payment and the provider is usually an employee of the institution Direct billing reimbursement - ANS-Method in which the provider is a recognized provider of services and the payer reimburses on the submission of a bill; advantages of direct billing include: increased availability and access to health care increased choice of providers reduced restrictions on practice potential for cost-effectiveness making visible and legitimate the APRN role Law making - ANS-Activity of state or federal legislative or lawmaking branch of government in which proposals or bills specifically define the actions or solutions to problems that affect a particular interested party Outlines strategies for problem resolution, suggests timelines for implementation, and attaches proposed budges to support start-up programs. Law results after concluding specified processes through the legislative body and signed by the president or state governor Nurse practice acts represent legislative regulation of advanced practice nursing Regulatory action - ANS-Activity within specified and appropriate government agencies in which regulations are developed that specify how the law is to be implemented. Extremely important since the language of law is terse and requires interpretation provided by regulations.

State professional boards serve as regulatory bodies defining regulations stemming from the law. Traditional Health Care delivery system - ANS-Emphasizes independent providers Characteristics: providers chosen by patient with little, if any influence from 3rd party payer; provider reimbursement by patient and insurers in fee-for-service arrangement; insurers reimburse according to usual, customary, and reasonable system, permitting greater latitude in provider rate setting.