Exam (elaborations)

NP role final exam |159 questions with 100% correct answers

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Course
ADVANCED NURSING PRACTICE

Institution
Duke University

In which specialty are most nurse practitioners educated? Peds Primary care Family Adult gerontology primary care Which factor represents a potential barrier to Nurse Practitioner's practice in a primary care setting? Cost effectiveness Professional growth Aging baby boomers Collabo...

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NP role final exam |159 questions with 100% correct answers
In which specialty are most nurse practitioners educated?
Peds
Primary care
Family Adult gerontology - answer primary care
Which factor represents a potential barrier to Nurse Practitioner's practice in a primary care setting?
Cost effectiveness
Professional growth
Aging baby boomers
Collaboration agreements - answer Collaboration agreements
Distinguish among the advanced practice registered nursing (APRN) roles recognized by the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education. - answer Under the APRN model of regulation, the 4 roles recognized are
Certified registered nurse anesthetist
Certified nurse midwife
Clinical nurse specialist
Certified nurse practitioner
APRNs are certified in one of the 4 roles and at least one of the six population foci: family/individual across the lifespan, adult-gerontology, pediatrics, neonatal, women's health, and/or psych
Which topic is specifically addressed in outcomes designated by the AACN essentials for Master's education in nursing? physical assessment
pathophysiology
population health
pharmacology - answer population health
Which organization outlined core competencies for nurse practitioners in all tracks and specialties?
American Association of Nurse Practitioners (AANP) National Organization for Nurse Practitioner Faculties (NONPF)
American Association of Colleges of Nursing (AACN) National Council of State Boards of Nursing (NCSBN) - answer NONPF
Differentiate between the focus of the doctor of nursing practice (DNP) and the doctor of philosophy (PhD) in nursing. - answer DNP's educational focus is on clinical practice and the PhD
is more specific for research
Which American Association of Colleges of Nursing (AACN) essential is unique to the doctor of nursing practice (DNP) program?
a. Background for practice from sciences and humanities b. Advanced nursing practice c. Healthcare policy for advocacy in health care d. Organizational and systems leadership - answer Advanced nursing practice
Describe the components of the DNP Scholarly Project as designated by the American Association of Colleges of Nursing (AACN) - answer As per the AACN, the DNP Scholarly Project must meet the following criteria: (a) focus on a change that impacts healthcare outcomes either
through direct or indirect care; (b) have a systems (micro-, meso-, or macro-level) or population/aggregate focus; (c) demonstrate implementation in the appropriate arena or area of practice; (d) include a plan for sustainability (e.g. financial, systems or political realities, not only theoretical abstractions); (e) include an evaluation of processes and/or outcomes (formative or summative); (f) be designed so that processes and/or outcomes will be evaluated to guide practice and policy; and (g) provide a foundation for future practice scholarship.
Discuss the scope of practice and expanded opportunities made available to the nurse practitioner who earns a doctor of nursing practice (DNP) degree - answer For the nurse practitioner who earns a DNP , the scope of practice does not change. However, by way of knowledge and skills gained in a DNP program, the nurse practitioner (NP) may have a greater impact on health outcomes for patients and populations. In addition, the DNP/NP may clinically practice in nearly any setting; including in a community health center leadership role, in larger acute care facilities, as a solo practitioner, and in nurse-managed health centers. The DNP/NP also may perform and apply research. For the DNP/NP , opportunities also include obtaining joint
appointments with educational institutions and healthcare facilities, as well as serving as a leader in disease management.
Explain the relevance of nursing philosophies and theories to the nurse practitioner's delivery of
patient care. - answer Nursing philosophies and theories serve as the foundation for delivery of patient care by the nurse practitioner (NP). Concepts described in nursing philosophies and theories form the basis for excellence in nursing practice and serve to illustrate the NP's distinctive qualities. Nursing philosophies and theories conceptualize unique qualities; including
the NP's ability to build trust, instill confidence, and create a positive patient-NP relationship.
Discuss the relationship between a microsystem and a macrosystem in the context of a family unit. - answer The family microsystem comprises the nuclear family and extended family members, as well as the roles and expectations for each family member. The macrosystem represents the larger world in which the family lives and interacts, and serves as a social framework that has unintentional influences on values, attitudes, and behaviors through time. The macrosystem may impact the family's overall development and well-being across the family
lifespan. Components of the macrosystem include social expectations, legal and moral perspectives, and cultural traditions that affect the ways individuals treat and are treated by others.
Which step does the nurse practitioner include when applying the structural approach to family unit assessment?
a. Consider normal family changes and experiences over the family members' lifetime
b. Assess both individual family members and families as a whole unit c. Emphasize dimensions of time and change in the family's membership structure
d. Recognize the cluster of expectations or norms for any family member's status position - answer Recognize the cluster of expectations or norms for any family member's status position
The nurse practitioner considers the combined effects of both normative events and unexpected events on the family unit's health. Which family theory is most congruent with the nurse practitioner's assessment approach?
a. Family stress theory
b. Individual life span theory c. Family development theory d. Life course theory - answer Family stress theory
Summarize the basic nature of resilience including behaviors demonstrated by resilient individuals. - answer Resilience is defined as the ability of an individual or family to function well
and attain life goals despite overbearing stressors or challenges that might easily impair the person or family unit. Primary desired outcomes associated with resilience include moderating the negative effects of stress and promoting adaptation. While resilience is sometimes conceptualized as the ability to withstand a crisis that is brief in nature, in most cases, resilience is associated with how an individual or family manages a pervasive social condition such as poverty, a devastating illness, or a critical injury. Behaviors that are reflective of resilience include preserving hope;constructing a meaningful account of life events or situations; reaching out to others for help as needed; and identifying or developing resources and strengths to manage stressors flexibly and gain a positive outcome.
Individual, family, and social factors that promote resilience include which characteristic?
a. External locus of control b. Dependency
c. Spirituality
d. Upward social comparison - answer Spirituality
When collecting data related to family structure, which information is needed for assessment of
the family constellation?

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