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Final Exam NU 664 Set 1 Questions with Solutions
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Final Exam NU 664 Set 1Questions with Solutions
ARRN - -Clear expectations for licensures accreditation certification and
education for all APRNs
-Standards/scope of practice - -Licensed and independent practitioners,
assess, diagnosis and treat and manage acute episodic and chronic illnesses.
-Statutory Law - -States have a duty to protect those who receive nursing
care
-Role of NONPF - -the National Organization of Nurse Practitioner Faculties.
This is the only organization specifically dedicated to promoting and
supporting high quality nurse practitioner education. The NONPF provides
ongoing support to NP educators through establishing competencies,
methods of evaluation, and strategic partnerships.
-The NONPF primarily concentrates - -on the development of standards
necessary to foster optimum graduate educational programs. This network
continually collects data and utilizes expert knowledge of its membership to
seminally publish updated curricular frameworks
-Clinical interview terms, techniques, and goals - -CC, HPI, PMH,
Assessment, diagnosis, structured and unstructured. MMSE, active listening.
-Case formulation - -Theoretically based explanation or conceptualization of
the information obtained from a clinical assessment which offers a
hypothesis and provides a framework of treatment.
-Grief process and treatment - -Kubler Ross: denial, anger, bargaining,
depression, and acceptance.
Instrumental: problem solving
Intuitive emotional
-Risk assessment (suicide, self-harm, homicide, etc.) - protective and risks
factors - -Highest risk group- white, middle-aged males
Next highest- aged 85 and older
-Screening tool- Ask Suicide-Screening Questions (ASQ) - -made of 4
questions to ask youth in medical settings
-Common screening tools - -PHQ-9 for depression
Columbia-Suicide Severity Rating Scale (C-SSRS)
, SAFE-T (Suicide Assessment Five-Step Evaluation and Triage)
-Highest risk for self-injury - -socioeconomic disadvantage, depression,
substance abuse, and anxiety
-Self-injury increases - -risk of later suicide
-Primary prevention - -concerned with the prevention of the onset of
disease; goal is to reduce the incidence of disease; e.g. vaccinations
-Secondary prevention - -concerned with trying to detect a disease early
and prevent it from getting worse; e.g. regular exams and screening tests
-Tertiary prevention - -concerned with reducing the impact of an ongoing
illness or injury that has lasting effects; e.g. cardiac or stroke rehab
programs, support groups
-Levels of prevention - -primary, secondary, tertiary - this is important for
public patient education/screening/epidemiological measures, and promoting
health.
-Neuroanatomy - -neurotransmitters, brain plasticity, epigenetics, major
areas of the brain such as the amygdala, prefrontal cortex, hypothalamus
-Dopamine - -responsible for drive, motivation, and reward, inhibition of
prolactin, controls motor (imbalance causes Parkinson's, extapyramidal
symptoms)
-Serotonin - -satisfaction, sociality, lowers anxiety and impulsivity,
decreases sex drive, 90% serotonin in GI tract
-Too much- bleeding, GI motility, nausea
- Zofran blocks serotonin
-Norepinephrine - -concentration, attention, vigilance, energy, tachycardia,
HTN, glucose to essential organs
-Fear increases NE to brain, epinephrine to blood
-Fight or flight
-Glutamate - -being "on", excitatory (think gluta-MATE mating)
-GABA - -being "off", inhibitory, relaxation, euphoria, decreases muscle
activity, slows breathing, decreases anxiety and seizures (think gabapentin)
-Acetylcholine - -bradycardia, GI motility, salivation, lacrimation, urination,
sexual arousal, muscle contraction
- In the hippocampus- learning, memory, awakeness, attention
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