NU664 Final Exam Set 1 | Questions & Answers (Verified) 2024 ARRN - Answer - Clear expectations for licensures accreditation certification and education for all APRNs Standards/scope of practice - Answer - Licensed and independent practitioners, assess, diagnosis and treat and manage acute episodic and chronic illnesses. Statutory Law - Answer - States have a duty to protect those who receive nursing care Role of NONPF - 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 educators through establishing competencies, methods of evaluation, and strategic partnerships. The NONPF primarily concentrates - 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 - Answer - CC, HPI, PMH, Assessment, diagnosis, structured and unstructured. MMSE, active listening. Case formulatio n - 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 - Answer - Kubler Ross: denial, anger, barg aining, depression, and acceptance. Instrumental: problem solving Intuitive emotional Risk assessment (suicide, self -harm, homicide, etc.) - protective and risks factors - Answer - Highest risk group - white, middle -aged males Next highest - aged 85 and olde r Screening tool - Ask Suicide -Screening Questions (ASQ) - Answer - made of 4 questions to ask youth in medical settings Common screening tools - 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 - Answer - socioeconomic disadvantage, depression, substance abuse, and anxiety Self-injury increases - Answer - risk of later suicide Primary prevention - Answer - concerned with the prevention of the onset of disease; goal is to reduce the incidence of disease; e.g. vaccinations Secondary prevention - Answer - concerned with trying to detect a disease early and prevent it from getting wo rse; e.g. regular exams and screening tests Tertiary prevention - 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 - Answer - primary, secondary, tertiary - this is important for public patient education/screening/epidemiological measures, and promoting health. Neuroanatomy - Answer - neurotransmitters, brain plasticity, epigenetics, major areas of the brain such as the amygdala, p refrontal cortex, hypothalamus Dopamine - Answer - responsible for drive, motivation, and reward, inhibition of prolactin, controls motor (imbalance causes Parkinson's, extapyramidal symptoms) Serotonin - Answer - satisfaction, sociality, lowers anxiety an d impulsivity, decreases sex drive, 90% serotonin in GI tract -Too much - bleeding, GI motility, nausea - Zofran blocks serotonin Norepinephrine - Answer - concentration, attention, vigilance, energy, tachycardia, HTN, glucose to essential organs -Fear incr eases NE to brain, epinephrine to blood -Fight or flight Glutamate - Answer - being "on", excitatory (think gluta -MATE mating) GABA - Answer - being "off", inhibitory, relaxation, euphoria, decreases muscle activity, slows breathing, decreases anxiety and seizures (think gabapentin) Acetylcholine - Answer - bradycardia, GI motility, salivation, lacrimation, urination, sexual arousal, muscle contraction - In the hippocampus - learning, memory, awakeness, attention Histamine - Answer - Hayfever Itching Sleeping
