NSG 6006 Pre-Specialty Evaluation Exam (NSG6006)

Exam (elaborations) NSG 6006 Pre-Specialty Evaluation Exam (NSG6006) 1. The leadership core competency of advanced practice nursing includes which three characteristics? - Mentoring, Innovation, Activism MIA 2. Which three primary criteria for advanced nursing are identified in Hamric'ss Integrative Model of Advanced Practice Nursing? - Guidance Graduate education Patient-focused practice 3. What four components of advanced practice nursing (APN) are specified by the National Council for State Boards of Nursing Consensus Model for APRN regulation? - Licensure, Accredtation, Certification, Education 4. To meet Medicare's coverage requirements, the Nurse Practitioner's services must be: - Provided to state restrictions and supervision requirement 5. The APN wants to develop a community education program for hypertension and stroke prevention. She recognizes that the individual's lifestyle and pattern of behavior need to be addressed for the program to be successful. Which theory would be most approopriate to guide the program development? - Health as Expanding Consciousness 6. Place the following four steps of APN core competency of evidence based practice in order - Critically appraise and extract evidence Formulate a measurable clinical question Review literature for relevant studies Implement useful findings in clinical decision making CFRI 7. When considering a theory for use in guiding practice, the APN should examine the Conceptual-Theoretical-Empirical (C-T-E) linkages by for which criteria? - Specification adequadecy 8. Which two options are barriers to the conceptualization of Advanced Practice Nursing? - Need to differentiate between advanced practice nursing and medicine 9. A primary care nurse practitioner (NP) is seeking additional support from ancillary health services for a diabetic client who is noncompliant with nuncompliant with nutrition, exercise and medicaion. Which barrier to ethical practice is influencing the NPs practice - Organizational/Environmental 10. A primary care nurse practitioner (NP) is seeking additional support from ancillary health services for a diabetic client who is noncompliant with nutrition, exercise and medication. Which barrier to ethical practice is influencing the NPs practice - Organizational/Environmental 11. metaparadigm must include which of the following 3 characteristics? - Encompass all phenomena of interest - be perspective-neutral - be global in scope 12. An adult gerontology nurse practitioner is employed in a rural practice that is initiating a school based primary healthcare program. - All nurse practitioners in the practice are required to initiate preparations to facilitate conducting patient visits in the new setting. This study source was downloaded by from CourseH on 08-15-2021 13:27:59 GMT -05:00 This study resource was shared via CourseH NSG 6006 Pre-Specialty Evaluation Exam 13. Which role concepts best describes what the adult gerontology nurse practitioner is experiencing? - Role incongruity 14. What set of components is essential in a scientific theory? I- nterrelated concepts, definitions, and propositions 15. The leadership core competency of advanced practice nursing includes which three characteristics? - Mentoring, Innovation, Activism 16. Utilizing Fawcett's evaluation of the Conceptual-Theoretical-Empirical Structure (CTE) of a theory the APN knows that the empirical indicators of a theory are examined for? - Empirical adequacy 17. Which of the following statements defines Hamric's conceptual definition of advanced practice nursing? - The patient-focused application of an expanded range of competencies to improve health outcomes for patients and populations within a specialized clinical area of the larger discipline of nursing 18. Which leadership style involves development of unity between the leader and followers to achieve a collective purpose? Transformational 19. A newborn is in respiratory distress and requires ventilation. Tests reveals that he does not produce surfactant due to the abscence of: Type II alveolar cells 20. According to Madeline Leininger, cultural care/accommodation/negotiation refers to actions/decisions that help a particular culture adapt to or negotiate with others for satisfying healthcare outcomes 21. The analysis of a theory or conceptual model includes examining the origins. Which would not be considered an aspect of origin of the theory/model The unique focus 22 Which statement provides the most accurate information regarding the transmission of herpes simplex virus (HSV). the risk of transmission is present even during latent periods 23. How does health policy specifically influence health care practice in the United States Health policy directs efforts by the CDC and protects Americans against population based disease. 24. Team STEPPS training through the Agency for Health Research and Quality is focused on patient safety. The primary tenets of this training are focused specifically on - All of the above (Interdisciplinary collaboration, Communication, Teamwork) 25. Currently 10,000 Baby Boomers are entering Medicare system daily. The Affordable Care Act was designed to improve health care delivery through prevention and promotion programs. What initiative specifically focuses on the aging American - Mult chronic conditions 26. A nurse practitioner is applying for their first position. In researching different hospital types, there are various various descriptions of their type. Some of these include public, proprietary, and voluntary (not-for-profit) hospitals. What qualifications would determine the hospital type This study source was downloaded by from CourseH on 08-15-2021 13:27:59 GMT -05:00 This study resource was shared via CourseH - How profits are distributed 27. The Consensus Model for Advanced Practice Registered Nurse Regulations addresses which four areas? - SRPP Specialty areas Roles and titles to be used Population foci Preparation for emerging APRN roles 28. How can the APN best influence development and passage of a specific health policy age - Determine the best fit between legislative agenda, supporting organizations, and health policy issue. 29. Which set of components is essential in a scientific theory? - Interrelated concepts definitions propositions 30. The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for the national direction? - To protect against high out-of-pocket costs by prohibiting insurers from denying coverage based on pre-existing conditions. 31. After thoroughly researching the topic of interest, what is the next step an APN should ask in selecting a theory/model for use in practice or research? - Have several different theories/models been examined? 32. Utilizing Johnson's Behavioral systems model (JBSM), the APN discovers that a patient is not sure who he can depend on because his wife is emotionally distant. This data would be characteristic of which subsystem of the JBSM. - Dependency subsystem 33. which agency’s initiative establishes national health promotion and prevention efforts and establishes benchmarks for monitoring the progress of health among Americans over a 10-year timeframe? - Centers for Disease Control and Prevention (CDC) 34. . Development of the first pediatric nurse practitioner program at the University of Colorado in 1965 is credited to which two individuals? - Henry Silver, MD, Loretta ford Ball and Cox: A Theory of Legitimate Influence 35. Subjects (N = 36) from the United States, Canada, United Kingdom, and Australia participated; they were required to be master's-prepared or graduate students preparing for an advanced practice role. The investigators conducted interviews and made observations of the participants over a 3-year period. The theory emerged from this study; work suggests that the activities of APNs, in this case NPs and CNSs, are strategic and focused and that some activities involve direct service to patients, whereas others are aimed at communication and system issues This study source was downloaded by from CourseH on 08-15-2021 13:27:59 GMT -05:00 This study resource was shared via CourseH Oberle and Allen 36. They refer to practice by the term praxis, which captures the values-oriented, reflective, and creative nature of the work of nurses. They conceive of nursing as a dialectic (back and forth) process between the nurse's knowledge and his or her experiences and relationships with patients; As nurses accumulate experience, this dialectic process that occurs in relationships with patients contributes to developing expertise Shuler's Model of Nurse Practitioner Practice 37. a complex systems model that is holistic and wellness-oriented. It is definitive and detailed in terms of how the NP-patient interaction, patient assessment, intervention, and evaluation should occur; It is complex and its value for understanding NP practice may not become clear until one is in practice; is intended to describe the NP's combined functions (i.e., nursing and medicine), benefits for practitioner and patient, and a framework whereby NP services can be evaluated Fenton's and Brykczynski's Expert Practice Domains of the Clinical Nurse Specialist and Nurse Practitioner 38. Their findings further illuminate why Benner's work has influenced descriptions of advanced practice. By examining the extent to which APNs demonstrate the seven domains found in experts by experience and uncovering differences, the findings offer a possible explanation of the differences between expert and advanced practice. In addition, they also describe ways in which two advanced practice nursing roles, CNSs and NPs, may be different with regard to practice domains and competencies AACN Synergy Model 39. The synergy model describes patient-nurse relationships that are based on the needs of patients and their families. The fundamental premise of the synergy model is that patient's characteristics drive the nurse's competencies. - Three outcomes: Patient outcomes, nurse outcomes and system outcomes. 40. Which statement best describes raynauds disease - Vasospastic disorder of the small arteries and arterioles of the fingers and less commonly on the toes 41. The surfactant produced by type II alveoloar cells facilitates alveolar distention and ventilation by which mechanisms - Decreasing surface tension in the alveoli 42. Septic shock caused from release of too much endotoxins and releases vasoactive peptides and cytokines, which reduced blood pressure, decreases oxygen delivery, and produced cardiovascular shock, it can also activate coagulation cascade leading to DIC, 43. Which hormone increases the formation of glucose from amino acids and free fatty acids? - CORTISOL This study source was downloaded by from CourseH on 08-15-2021 13:27:59 GMT -05:00 This study resource was shared via CourseH 44. 24) difference between innate and adaptive - innate- non specific , BORN WITH Adaptive- specific to only one type of antigen , ACQUIRED 45. Klinefelter: caused by at least 2 X chromsomes and 1 Y / s/s male appearance but develops breasts, small testes, long limbs, sparse body hair 46.. What is most common form of vitamin b12 deficiency? -pernicious anemia 47. The nurse practitioner orders bilateral wrist X-rays on a 69-year-old gentleman complaining of pain in both wrists for the past 6 weeks not related to any known trauma. The nurse practitioner suspects elderly onset rheumatoid arthritis. The initial radiographic finding in a patient with elderly onset rheumatoid arthritis would be: - Soft tissue swelling 48. Your 77-year-old patient complains of frequent urination, hesitation in getting the stream started, and nocturnal frequency of urination that is bothersome. On DRE, there is an enlarged, firm, non-tender, smooth prostate. The clinician should recognize these as symptoms of: - BPH 49. What is primary prevention - Prevention of disease 50. What is secondary prevention - Early screening and detection of disease 51. What is tertiary prevention - The restoration of health after illness or disease has occurred 52. How does varencline work in the body? - selectively binds to alpha, beta, and nicotinic acetylcholine receptors, acting as a nicotine agonist (preventing the binding of nicotine to receptors) 53. Flu vaccine - Can get starting at 6months and older This study source was downloaded by from CourseH on 08-15-2021 13:27:59 GMT -05:00 This study resource was shared via