In the 1940s and 1950s, Loretta Ford, known as the pioneer for nurse practitioners (NPs), was a public health nurse in rural Colorado. During that time period, there was a shortage of physicians to care for children and families. To address this gap, Loretta Ford and Dr. Henry K. Silver started the first pediatric nurse practitioner program at the University of Colorado Medical Center in 1965. Since this time, nurse practitioners have been in great demand to meet the evolving healthcare needs of individuals, families, and communities. Nurse practitioners are prepared to prevent diseases, promote health, provide treatment, and support health maintenance. They are well equipped to provide safe, high-quality, cost-effective, and accessible care NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.
After your program ends—you’re almost there—the next step toward becoming an NP is knowing what the requirements for certification and licensure in your state are and preparing to meet them. Each state has different laws regarding the role of the nurse practitioner that may significantly impact NP practice. You will also explore other nurse practitioner professional issues and complete a Knowledge Check to gauge your understanding of them.
Students will:
Now that you are in your final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass a national AGPCNP certification exam. Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.
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Although there is a movement called the APRN Consensus Model to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.
Another important area to consider and plan for is prescriptive authority. Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the medical board, state board of pharmacy, or nursing board for the appropriate state licensure being pursued. The authority to write for a controlled substance is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.
Finally, the legal landscape for NPs is constantly changing as the status of NPs as providers improves on a national level. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a nurse practitioner.
For this Discussion, you examine professional issues for your state, including certification and licensure, scope of practice, independent practice, prescriptive authority, and legislative activities.
To prepare:
Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on 2 different days in one or more of the ways listed below.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
To access your rubric:
Week 1 Discussion Rubric
To Participate in this Discussion:
Week 1 Discussion NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.
Knowledge Check: Professional Issues
This Knowledge Check consists of 10 short-answer and true/false questions that focus on the following content areas:
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To Prepare:
Complete the Knowledge Check.
To submit your Knowledge Check:
Week 1 Knowledge Check
What’s Coming Up in Week 2?
In Week 2, you will continue your exploration of professional issues related to advanced nursing practice and complete a Knowledge Check on these topics. You will also take a practice exam in your certification review textbook. Because this is a pre-assessment used to gauge your current knowledge, there is no need to worry about preparing for this test NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.
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In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via Meditrek .
For information on the practicum application process and deadlines, please visit the Field Experience: College of Nursing: Application Process – Graduate web page.
Please take the time to review the Appropriate Preceptors and Field Sites for your courses.
Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the Field Experience: College of Nursing: Student Resources and Manuals web page.
To go to the next week:
Week 2
Week 2: Nurse Practitioner Professional Practices
As healthcare providers, we strive to deliver optimal, safe care. Ongoing healthcare research, evidenced-based care, and effective guidelines for practice offer a stabilizing force. Our duty, as healthcare providers, is to “do no harm.” As providers, primary care nurse practitioners provide preventive and primary care, which entails complex management. Understanding legal terminology is essential to the role. Terms such as “standard of care,” “malpractice,” and “negligence” are inevitable and essential components for understanding the legal challenges advanced practice nurses will experience during their careers NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.
Another essential professional element in clinical practice is reimbursement. All NPs must give due diligence and ensure all services provided are accurately coded and billed appropriately. Avoiding fraudulent billing is a key element to your success as an NP. As providers, we are ultimately responsible for billing that occurs with our assigned Medicare, Medicaid, and other third-party reimbursement entities’ assigned numbers.
This week, you will explore nurse practitioner professional practices and complete a Knowledge Check on those topics. You will also take a practice exam, which will help you assess your current knowledge level in the content areas that will be assessed on the certification exam.
Learning Objectives
Students will:
Chapter 31 of your Nurse Practitioner Certification Intensive Review text contains practice exam questions that will help you prepare to take the national certification.
To Prepare:
This knowledge check consists of 10 short-answer and true/false questions that focus on the following content areas:
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To Prepare:
Complete the Knowledge Check.
To submit your Knowledge Check:
Week 2 Knowledge Check
Looking Ahead to the Week 10 Assignment: Nurse Practitioner Career Planner
For this Assignment, you will create a professional Career Planner that includes a cover letter, resume, philosophy statement, and letters of recommendation that you may use as you pursue your next professional role.
It is recommended that you review the Career Planner guide in this week’s resources and work on your planner throughout the term. See the Week 10 Assignment area for complete instructions NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.
What’s Coming Up in Module 2?
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In Module 2, you will begin a systematic review of disease processes in the body systems. Through complex case analysis and comprehensive review, you will have the opportunity to synthesize and deepen your knowledge.
Beginning in Module 2, you will practice taking multiple-choice questions designed to help you prepare for your certification exam. Each set of Comprehensive Practice Questionsconsists of 30 questions. Unlike the Knowledge Checks, which focus only on the topics of the week, these comprehensive questions may be pulled from any area of knowledge that might appear on the certification exam.
To go to the next module:
Module 2
Which simple pleasures do you most enjoy? Perhaps there is a certain comfort food that always hits the spot. It may be that you enjoy listening to your favorite music—or even singing along. Or perhaps you simply enjoy stopping to smell the flowers. The beauty of a simple pleasure is that while it may not change the course of your day, it can briefly put a smile on your face. But what if your ability to enjoy these simple pleasures was suddenly impaired? Suddenly, minor pleasures would make a significant impact on your life.
Conditions of the head, eyes, ears, nose, and throat (HEENT) can impair many of the activities that put smiles on faces. Hearing, balance, taste, swallowing, speech, and breathing are just some of the functions that can suffer as a result. HEENT issues represent some of the most common reasons that patients visit primary care offices. And while the conditions can be relatively minor issues, such as allergies or sinusitis, HEENT issues can also result from injury, infection, or serious disease.
This week, you practice assessing, diagnosing, and treating patients with HEENT conditions and complete a Knowledge Check on these disorders. You will also reflect on your practice exam results from last week and use them to create a study plan that you will use throughout this course to prepare for the national certification exam NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.
Students will:
Based on your practice exam question results, identify strengths and areas of opportunity and create a tailored study plan to use throughout this course to help you prepare for the national certification exam. This will serve as an action plan to help you track your goals, tasks, and progress.
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To Prepare:
The Assignment:
Submit your study plan.
To submit your completed Assignment for review and grading, do the following:
To access your rubric:
Week 3 Assignment 1 Rubric
To check your Assignment draft for authenticity:
Submit your Week 3 Assignment draft and review the originality report.
To participate in this Assignment:
Week 3 Assignment 1 NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings
Assignment 2: Assessing, Diagnosing, and Treating Patients With HEENT Conditions
Most everyone has at some point experienced minor HEENT conditions, such as a head cold or seasonal allergies, and symptoms, such as a runny nose, watery eyes, or a sore throat. While they are relatively minor and short-lived, they nevertheless impair many of the simple pleasures so many enjoy.
HEENT symptoms can represent a wide variety of issues, some of which suggest problems that extend well beyond their temporary impact on life’s simple pleasures. HEENT conditions can result in dangerous respiratory impairment or be symptoms of life-threatening conditions or disease.
For this Assignment, your instructor will assign a case study, which will give you the opportunity to practice assessing, diagnosing, and treating patients with HEENT conditions.
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To Prepare:
The Assignment
Use the Focused SOAP Note Template to address the following:
Submit your focused SOAP note.
To submit your completed Assignment for review and grading, do the following:
To access your rubric:
Week 3 Assignment 2 Rubric
To check your Assignment draft for authenticity:
Submit your Week 3 Assignment draft and review the originality report.
To participate in this Assignment:
Week 3 Assignment 2
Knowledge Check: HEENT Conditions
This Knowledge Check consists of 10 short-answer and true/false questions that focus on conditions of the head, eyes, ears, nose, and throat (HEENT).
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To Prepare:
Complete the Knowledge Check.
To submit your Knowledge Check:
Week 3 Knowledge Check
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In Week 4, you will continue your review of disease processes related to various body systems, with a focus on cardiac and pulmonary conditions. You will also complete your first set of Comprehensive Practice Questions, which are designed to help you prepare for your certification exam.
To go to the next week:
Week 4
Cardiac and pulmonary conditions account for an overwhelming number of the annual deaths in the United States. Additionally, more than 1.5 million people suffer heart attacks and strokes each year, while hundreds of thousands suffer from a variety of other cardiovascular diseases. Infectious diseases such as COVID-19 present special dangers to high-risk, vulnerable patients. The good news is that medical science continues to make remarkable breakthroughs that offer hope in terms of prevention and treatment. Nurses and the teams with which they collaborate diagnose complex health conditions related to cardiovascular and pulmonary issues, and they work tirelessly to develop and administer treatment plans.
Despite the hope offered by new medications and treatments, patients typically experience stress and anxiety that compound their cardiac and pulmonary conditions. Nurses may use their compassion and expertise to help patients address the realities of their conditions and the requirements of their treatments.
| Top 10 Causes of Death | Annual number of deaths in the United States (2017 CDC data) |
|---|---|
| Heart disease | 647,457 |
| Cancer | 599,108 |
| Accidents (unintentional injuries) | 169,936 |
| Chronic lower respiratory diseases | 160,201 |
| Stroke (cerebrovascular diseases) | 146,383 |
| Alzheimer’s disease | 121,404 |
| Diabetes | 83,564 |
| Influenza and pneumonia | 55,672 |
| Kidney disease | 50,633 |
| Intentional self-harm (suicide) | 47,173 |
This week, you examine cardiac and pulmonary conditions and complete a Knowledge Check on these topics. You also complete the first set of Comprehensive Practice Questions, which are designed to help you prepare for your licensure exam NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.
Reference:
National Center for Health Statistics. (2017). Leading causes of death. https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
Students will:
This Knowledge Check consists of 10 short-answer and true/false questions that focus on cardiac and pulmonary conditions.
Photo Credit: Getty Images
To Prepare:
Complete the Knowledge Check.
To submit your Knowledge Check:
Week 4 Knowledge Check NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.
One goal for this course is to help you prepare for the national certification exam. This week—and again in Weeks 5, 7, and 8—you will practice taking multiple-choice questions designed to help you do just this. Each set of Comprehensive Practice Questions consists of 30 questions. Because the certification exam will assess you on the entire body of nurse practitioner knowledge in which you are obligated to be competent, these questions, too, may be pulled from any area of knowledge that might appear on the exam. This differs from the Knowledge Check questions, which focus solely on the topic for a given week and are designed to give you targeted practice.
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To Prepare:
Complete the Comprehensive Practice Questions.
To submit your Comprehensive Practice Questions:
Week 4 Comprehensive Practice Questions NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings
What’s Coming Up in Week 5?
Next week, you will continue to review disease processes in various body systems, focusing on the gastrointestinal and renal systems. You also complete the next set of Comprehensive Practice Questions.
Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
To go to the next week:
Week 5 NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings
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