1. What are the four core competencies of advanced nursing practice according to the American
Association of Colleges of Nursing (AACN)?
Answer: The four core competencies are:
- Direct clinical practice: providing expert care to individuals, families, groups, communities, and
populations
- Professional leadership: influencing health care outcomes through advocacy, policy, education,
and research
- Collaboration: working with other health professionals and stakeholders to improve health care
quality and access
- Ethical decision-making: applying ethical principles and standards to complex situations and
dilemmas
2. What is the difference between prescriptive authority and scope of practice for advanced
practice registered nurses (APRNs)?
Answer: Prescriptive authority refers to the legal right of APRNs to prescribe medications and
other treatments within their scope of practice. Scope of practice refers to the range of services
and activities that APRNs are educated, certified, and authorized to perform by state laws and
regulations.
3. What are some of the benefits and challenges of interprofessional collaboration for advanced
nursing practice?
Answer: Some of the benefits of interprofessional collaboration are:
- Improved patient outcomes and satisfaction
- Enhanced communication and coordination of care
- Reduced errors and adverse events
- Increased efficiency and cost-effectiveness
- Shared learning and innovation
Some of the challenges of interprofessional collaboration are:
- Role confusion and conflict
- Lack of trust and respect
- Power imbalance and hierarchy
- Different values and cultures
- Legal and ethical issues
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