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Reorder the steps for changing a state's nurse practice act (first to last).

__4__Hearing to give testimony__3__Sent to floor of both chambers__2__Referral to committee of jurisdiction__1__Introduction of legislation

__5__Passage through appropriate committees

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This is the correct order: 

2. Legislation must be introduced that amends or adds to current law.

 

4. Once legislation is introduced, it is referred to a committee of jurisdiction (usually a professional licensure committee) for consideration.

 

1. Once the legislation is in committee, the chair of that committee generally calls for a hearing to allow proponents and opponents of the legislation to give testimony regarding the introduced legislation.

 

5. After passing through all appropriate committees, the legislation, at the discretion of the majority party leadership, is taken to the floor of the voting chamber for a vote. In some states, proposed legislation must also go through the appropriations committee of at least one of the voting chambers to determine cost and evaluate fiscal impact on the state.

 

3. After passing through all appropriate committees, the legislation is taken to the floor of the voting chambers. Sometimes this is done simultaneously in both chambers of the state legislature; in others, the legislation passes through one chamber at a time.

Question 50 / 1 point

Which of the following is a main reason a clinical nurse specialist (CNS) would refrain from obtaining prescriptive authority?

Question options:

 

Lack of title recognition

 

Preservation of autonomy

 

Educational requirements

 

Required physician oversight

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This is incorrect. The lack of authorization and the desire to maintain autonomy in nursing practice led many clinical nurse specialists (CNSs) to choose not to obtain authorization in settings in which such authorization is attainable.

Question 70 / 1 point

An advanced practice registered nurse (APRN) is reviewing medical staff standards. Which of the following are used to determine whether hospital privileges are granted?

Question options:

 

Institutional policies

 

Protection of the public

 

Broadened medical scope of practice

 

Provision of medical level care

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This is incorrect. The decision to grant privileges is guided by institutional policies and procedures related to the structure of the decision-making body. Advanced practice registered nurses (APRNs) and physician assistants (PAs) who provide "medical level of care" must be credentialed and privileged through the medical staff standards process.

Question 80 / 1 point

Which of the following justifies the rigor of the credentialing process for advanced practice registered nurses (APRNs)?

Question options:

 

Scope of practice

 

Quality assurance

 

Regulatory oversight

 

Autonomous practice

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This is incorrect. The independence and autonomy of advanced practice registered nurse (APRN) services necessitates the same degree of attention to the processes of credentialing and privileging as accorded to physicians and other providers.

Question 100 / 1 point

Which is a minimum requirement of the Joint Commission for an advanced practice registered nurse (APRN) to be granted disaster privileges?

Question options:

 

Continuing education

 

Oversight of treatment

 

Occurrence of a disaster

 

Professional practice evaluation

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This is incorrect. When a disaster management plan has been activated and/or when the organization is unable to meet immediate patient care needs, an advanced practice registered nurse (APRN) may be granted disaster privileges. At a minimum, the Joint Commission requires verification of license and oversight of care treatment and services (TJC, 2016).

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