NSG 6006 APN EXAMINATION QUESTIONS AND ANSWERS Advanced practice nursing is 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 di

NSG 6006 APN EXAMINATION QUESTIONS AND ANSWERS Advanced practice nursing is 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" - CORRECT ANSWER -Hamric's definition of advanced practice nursing What is the central competency of any advanced practice nursing regardless of role? - CORRECT ANSWER -direct clinical practice ___________________________ and ___________________________ have distinct definitions and cannot be seen as interchangeable. - CORRECT ANSWER -Advanced practice nursing/advanced nursing practice The term ____________________________ is characterized by the integration an application of a broad range of theoretical and evidence-based knowledge that occurs as part of graduate nursing education - CORRECT ANSWER -Advanced nursing practice Who started the first nurse practitioner program in 1965 at the University of Colorado? - CORRECT ANSWER -Henry Silver and Loretta Ford What has influenced the history of advanced practice nursing? - CORRECT ANSWER -Societal forces including wars, the economic climate, and health care policy The APN movement consists of? - CORRECT ANSWER -Society War Economicclimate Healthcare Policy What is the oldest recognized role of the APN? - CORRECT ANSWER -CRNA What are the 4 recognized roles of the APN? - CORRECT ANSWER -NP CRNA CNS CNM List the core competencies of practice. - CORRECT ANSWER -Direct care, guidance & coaching, consultation, evidence-based practice, leadership, collaboration, and ethical-decision making The consensus model for the APN regulation addresses what 4 areas? - CORRECT ANSWER -Specialty areas Roles and titles Population Foci Preparation for APN roles Which group of nurse specialist was the first to receive direct reimbursement for services rendered? - CORRECT ANSWER -CRNA scope of practice - CORRECT ANSWER -- Describes practice limits and sets parameters within which nurses in various APRN specialties may practice- Differs from state to state; based on state statues promulgated by various state nurse practice acts and rules and regulations for APRN practice Scope of practice - CORRECT ANSWER -Must practice and be certified in the specific specialty Graduate education ANA definition of scope of practice - CORRECT ANSWER -"The description of the who, what, where, when, why, and how of nursing practice" Nursing scope of practice acts are most closely tied to the ______________________ of practice - CORRECT ANSWER -state The Novice to Expert Theory is described by - CORRECT ANSWER -The Dreyfus Model Calkin's Model of Advanced Nursing Practice - CORRECT ANSWER -developed the model to help nurse administrators differentiate advanced practice nursing from other levels of clinical practice in personnel policies, and proposed that this could be accomplished by matching patient responses to health problems with the skill and knowledge levels of nursing personnel; three curves were overlaid on a normal distribution chart. Calkin depicted the skills and knowledge of novices, experts by experience, and APNs in relation to knowledge required to care for patients whose responses to health care problems (i.e., health care needs) ranged from simple and common to complex and complicated unclear expectations, diffuse responsibilities, uncertainties about sub-roles Role ambiguity - CORRECT ANSWER -role ambiguity incompatibility between skills and abilities, personal values, self concept, and obligations - CORRECT ANSWER -role incongruity when role expectations are perceived to be mutually exclusive or contradictory - CORRECT ANSWER -role conflict Perceived economic threat of competition, lack of experience working together, and historical hierarchy - CORRECT ANSWER -interprofessional role conflicts a dynamic process of change over time as new roles are acquired - CORRECT ANSWER -role transition a situation of increased role; performance demand - CORRECT ANSWER -role stress master or doctoral prepared registered nurses who practice as full time or adjunct faculty in college/universities, hospital based educational residency programs, and/or health care facilities. Responsibilities for both classroom and practical setting include mentoring and preparing future generations of nurses and current nurses in practice. They play a vital role in serving as role models, while strengthening the nursing workforce, by assuring quality educational opportunities, guiding employees and/or students through the learning process, as well as implementing evidenced based research into practice; they also play a role in evaluating and documenting educational learning experiences or outcomes. - CORRECT ANSWER -nurse educator