Final Exam NU 664 Set 1 ARRN - correct answer Clear expectations for licensures accreditation certification and education for all APRNs Standards/scope of practice - correct answer Licensed and independent practitioners, assess, diagnosis and treat and manage acute episodic and chronic illnesses. Statutory Law - correct answer States have a duty to protect those who receive nursing care Role of NONPF - correct answer 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 e ducators through establishing competencies, methods of evaluation, and strategic partnerships. The NONPF primarily concentrates - correct answer 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 - correct answer CC, HPI, PMH, Assessment, diagnosis, structured and unstructured. MMSE, active listening. Case formulation - correct answer 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 - correct answer Kubler Ross: denial, anger, bargaining, depression, and acceptance. Instrumental: problem solving Intuitive emotional Risk assessment (suicide, self -harm, homicide, etc.) - protective and risks factors - correct answer Highest risk group - white, middle -aged males Next highest - aged 85 and older Screening tool - Ask Suicide -Screening Questions (ASQ) - correct answer made of 4 questions to ask youth in medical settings Common screening tools - correct answer 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 - correct answer socioeconomic disadvantage, depression, substance abuse, and anxiety Self-injury increases - correct answer risk of later suicide Primary prevention - correct answer concerned with the prevention of the onset of disease; goal is to reduce the incidence of disease; e.g. vaccinations Secondary prevention - correct answer concerned with trying to detect a disease early and prevent it from getting worse; e.g. regular exams and screening tests Tertiary prevention - correct answer 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 - correct answer primary, secondary, tertiary - this is important for public patient education/screening/epidemiological measures, and promoting health. Neuroanatomy - correct answer neurotransmitters, brain plasticity, epigenetics, major areas of the brain such as the amygdala, prefrontal cortex, hypothalamus Dopamine - correct answer responsible for drive, motivation, and reward, inhibition of prolactin, controls motor (imbalance causes Parkinson's, extapyramidal symptoms) Serotonin - correct answer satisfaction, sociality, lowers anxiety and impulsivity, decreases sex drive, 90% serotonin in GI tract -Too much - bleeding, GI motility, nausea - Zofran blocks serotonin Norepinephrine - correct answer concentration, attention, vigilance, energy, tachycardia, HTN, glucose to essential organs