NSG 6006 FORMATIVE EXAM General Document Guidelines

NSG 6006 FORMATIVE EXAM General Document Guidelines Page numbers are cross-referenced with the APA Publication Manual , 6 th ed. If using another APA 6 th ed. reference source, search for topic in table of contents or index. Margins p. 229 1 ” at the top, bottom, left, and right of every page Spacing p. 229 Double space entire paper—no extra spaces (exception: a heading by itself at the bottom of a page—move heading to next page) Alignment p. 229 Flush left (not justified--right margin should be uneven) Typeface p. 228 12-pt Times New Roman; Always! Paragraphs and Indentations p. 87; 229 • Indent the first line of every paragraph 5-7 spaces (1/2 inch) • Space twice after periods in the body of the paper • Space once after periods on the reference list Title Page Format p. 229 Example: p. 41 Exception: You do NOT need to include an Author Note The title page should include the following items: • Running head: XXX Flush left (at 1” margin), aligns with page number on flush right (1” from right margin). Running head: XXX is used only on title page; starting on page 2 to end of paper, use only running header name in all caps, flush with left margin . Align with page numbers flush with right margin. Running head: RUNNING HEADER NAME (Example): Running head: LEADERSHIP ASSESSMENT Choose 2-3 words from title of paper for running header name Running head and running header name have a maximum of 50 characters including letters, spaces and punctuation; count. Note: Running header name (LEADERSHIP ASSESSMENT) is in all caps Page Numbering begins on Page 1, the title page • Page number flush right--title page is page 1 • CONSULT link below for You Tube Video with specific step-by-step instructions for setting up PROFESSIONAL PRACTICE – 17% (30 QUESTIONS) Terms & Definitions • Health People 2010 – to improve access to comprehensive, quality, primary care services. Goals: • Increase the quality and years of healthy life • o Eliminate health disparities among Americans • • Health People 2020 - The program is an initiative that develops evidence-based practice objectives designed to improve the health of all Americans. These objectives are targeted to be followed over a 10-year period 4 foundational healthcare measures 1. General health status 2. Health-related quality of life & well-being 3. Determinants of Health – aim to create social & physical environments that promote good health for all 4. Reduce Health Disparities • Electronic Medical Record (EMR) – Pros: allows for sharing of health information between healthcare entities & with patients, thereby reducing the cost of care, improving care efficiency, avoiding readmission and decreasing duplicate testing. Cons: the potential for data loss in the event of computer or system failure • Medicaid - a government health insurance program for low-income individuals funded by federal & state entities and administered by the state. * Varies from state-to-state. • Medicare – federally funded health insurance program for those 65yrs, those with severe disability no matter income level, or those with ESRD. Qualifying conditions: US citizen, non US citizens after 5 years of permeant residence in the US, veterans are eligible after 65yrs. A. Medicare Part A covers medically necessary inpatient care and supplies; skilled nursing facility B. Medicare Part B covers nursing home/custodial care (ADL’s), home health services, durable medical equipment, outpatient care & preventative services (i.e. 1 mammogram every 12 months) in women 40 and older. Part B DOES NOT cover eyeglasses or routine dental care. • The Barthel Index is a measurement of ability to perform ADL’s C. Medicare Part C – HMO D. Medicare Part D covers prescriptions • A single payer healthcare system refers to a system where in essence the government runs a nationwide insurance plan that pays for all healthcare costs of its members. • Peer Review / 360 degree Evaluation – employees rate other employees in the same job classification, through the use of established criteria. The system has the potential to offer honest & specific feedback that allows the individual to make improvements or adjustments to meet objectives and performance standards • Fidelity – Loyalty & dedication; keeping a promise • Beneficence – promote good & prevent harm • Non-Maleficence – To do no harm • Justice - right to fair and equitable treatment • Autonomy – The right of patients to make clinical decisions about their medical care, assuming the patient is rational & can make informed decisions about care • Veracity – The duty to be truthful • Utilitarianism – produces the greatest good for the greatest number of people PROFESSIONAL PRACTICE – 17% (30 QUESTIONS) Policies & Practice Standards • State Nurse Practice Act NSG6006 Study Guide 5000 (Roles) • History and Developmental Aspects of Advanced Practice Nursing • Definition of advanced practice nurse (APN) • History of APN movement • Evolution of the APN role • Four recognized APN roles ⁃ Clinical nurse specialist ⁃ Nurse practitioner (primary care; acute care) ⁃ Certified nurse midwife ⁃ Certified registered nurse anesthetist • Essentials of masters and doctoral education for APNs • Core competencies of practice • Practice environments, regulation, reimbursement • Scope of practice • Development of the APN role-novice to expert theory (add theories and models) • Dreyfus model: Novice to Expert Skill Acquisition Model • Role Concepts: • Role ambiguity • Role incongruity • Role conflict • Interprofessional role conflict • Role transition • Role stress • Role implementation • Mentoring • Conceptual models for APNs • Conceptualization barriers • Hamric’s Integrative Model • Fenton and Brykczynski’s Expert Practice Domains • Calkin’s Model of Advanced Practice Nursing • Brown’s Framework for Advanced Practice Nursing • Oberle and Allen • Shuler Model of Nurse Practitioner Practice • Ball and Cox Theory • Practice Models for APNs • AACN Synergy Model • Dunphy and Winland-Brown Circle of Caring • Advanced Practice Professional Organizational Perspectives AGNP AANP TIPS Action of thiazide diuretics Ocular movement 3,4,6 Definition of sensitivity Erectile disfunction- paxil Tx for anthrax-cipro Cd4200=aids Webber and rinne test Polymyalgia rheumatica Initial evaluation of pt with acute prostatitis- urine and culture Temperal arteritis Labs for thalassemia and sickle cell- hemoglobin electrophoresis Rainbow flashing lights Av nicking Know your HTN meds Know your anemias 3 questions on murmurs psoriasis serum ferritin level 5000 (Roles) • History and Developmental Aspects of Advanced Practice Nursing • Definition of advanced practice nurse (APN) • History of APN movement • Evolution of the APN role • Four recognized APN roles ⁃ Clinical nurse specialist ⁃ Nurse practitioner (primary care; acute care) ⁃ Certified nurse midwife ⁃ Certified registered nurse anesthetist • Essentials of masters and doctoral education for APNs • Core competencies of practice • Practice environments, regulation, reimbursement • Scope of practice • Development of the APN role-novice to expert theory (add theories and models) • Role Transition • Motivational Interviewing • Quality Improvement & Safety • APRN Consensus Model for regulation: Licensure, Accreditation, Certification, Education (LACE) • American Association of Colleges of Nursing • National Organization of Nurse Practitioner Faculties • Role implementation • Mentoring • · Conceptual models for APNs · • Conceptualization barriers · • Hamric’s Integrative Model · • Fenton and Brykczynski’s Expert Practice Domains · • Calkin’s Model of Advanced Practice Nursing · • Brown’s Framework for Advanced Practice Nursing • Oberle and Allen • · Shuler Model of Nurse Practitioner Practice • · Ball and Cox Theory · Practice Models for APNs • · AACN Synergy Model · • Dunphy and Winland-Brown Circle of Caring · • Advanced Practice Professional Organizational Perspectives 1. Once a practice problem has been identified the next step would be to use the PICOT format to ask a question about the problem. PICOT stands for: P—population, I—intervention, C—comparisons, O—outcome, T—time. 2. The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for the national direction? To protect against high out-of-pocket costs by prohibiting insurers from denying coverage based on pre- existing conditions. 3. After thoroughly researching the topic of interest, what is the next step an APN should ask in selecting a theory/model for use in practice or research? Have several different theories/models been examined? 4. Which three roles represent the accepted advanced practice nursing roles? Certified Nurse Midwives (CNM) Clinical Nurse Specialist (CNS) Certified Registered Nurse Anesthetists (CRNAs) 5. What are the three major categories of Nola Pender’s Health promotion model? Behavior-specific cognitions and affect Characteristics and experiences Behavioral outcomes 6. Which theorist/s identifies carative factors as a value system, faith-hope and sensitivity to self and others? This describes which of the following theories? Jean Watson theory of human caring 7. Which set of components is essential in a scientific theory? Interrelated concepts, definitions, and propositions 8. The term advanced nursing practice (APN) includes nurses who are: Certified APRNs with a minimum of a master’s degree 9. To meet Medicare’s coverage requirements, the Nurse Practitioner’s services must be: Provided subject to state restrictions and supervision requirements 10. A 20-year-old female comes to the primary care clinic with clinical findings consistent with acute bronchitis. She is sexually active with a male partner, although she states prior to this relationship she did have two sexual partners. Her menses occurs every 28 days and is regular. An example of a primary prevention activity for this patient is: Counseling about safer sexual practices 45. What terms indicate appropriate progression associated with the history and evolution of advance practice nursing? Specialist, Expanded Role, Advanced Practice 46. An experienced NP, has two separate but equally important ethical obligations that he is unfortunately unable to carry out. This is an example of which barrier to ethical practice? Moral Dilemma 47. Pre-invasive epithelial tumors of glandular or squamous cell origin describes which of the following? Cancer in situ 48. Which two options are barriers to the conceptualization of Advanced Practice Nursing? Interprofessional education and practice Need to differentiate between advanced practice nursing and medicine 49. The Dreyfus Model of Skill Acquisition includes which four stages of APN performance? Expert, Advanced Beginner, Competent, Proficient 50. The nurse practitioner is caring for a client who has undergone a recent gastrectomy who complains of fatigue, palpitations, shortness of breath, and numbness and tingling to their fingers on both hands. The nurse suspects pernicious anemia related to: Deficiency of intrinsic factor production 51. The analysis of a theory or conceptual model includes examining the origins. Which would not be considered an aspect of origin of the theory/model? The unique focus 52. The clinical manifestations of dyskinetic cerebral palsy include: Jerky uncontrolled and abrupt fine musculoskeletal movements 53. Which core competency incorporates assuming complex collaborative roles with stakeholders and communities? Leadership 54. A critical environmental element that affects the authority of advanced practice nurses to practice to their fullest/maximum scope, according to Hamric’s model, is: Health policy 55. For nursing to considered a discipline, which statement is true? 32. For nursing to be considered a discipline which statement is true? a. Defining the knowledge base of nursing is essential and straightforward. b. The discipline of nursing consists of a well-defined knowledge base. c. The human component of the knowledge base of the discipline cannot influence or change the existing knowledge base. d. Context has considerable influence on the development of the knowledge base. 33. Which statements must be present to be considered a metaparadigm? It should (Select all that apply) 34. A philosophy differs from a metaparadigm because it communicates what the members of a discipline believe to be true about the phenomena of interest to the discipline, what they believe about the development of knowledge and the value assigned to their actions and practices. Which of the following philosophies would be characterized as “human beings are holistic; parts are viewed only in the context of the whole”? 35. Scientific theories should be complex, contain clearly outlines characteristics and have a defined purpose. The components that are essential in a theory is the set of: ? 36. Theory attributes meaning, provides explanation, imposes order and organizes logically the events that that healthcare professionals come into contact with. Which is an example of the steps that practitioners take in theorizing? a. Ask certain questions, research the topic, implement what is developed, evaluate the implementation b. Ask certain questions, Question the status Quo, Seek the most plausible answer, Build a narrative for the questions and answers c. Question the status quo, Seek a meaningful answer, Build a program to answer the question and evaluate the program d. Question the status quo, seek a meaningful answer, build a logical structure for the questions and answers, Review other theories about the situation 1. Once a practice problem has been identified the next step would be to use the PICOT format to ask a question about the problem. PICOT stands for: P—population, I—intervention, C—comparisons, O—outcome, T—time. 2. The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for the national direction? To protect against high out-of-pocket costs by prohibiting insurers from denying coverage based on pre- existing conditions. 3. After thoroughly researching the topic of interest, what is the next step an APN should ask in selecting a theory/model for use in practice or research? Have several different theories/models been examined? 4. Which three roles represent the accepted advanced practice nursing roles? Certified Nurse Midwives (CNM) Clinical Nurse Specialist (CNS) Certified Registered Nurse Anesthetists (CRNAs) 5. What are the three major categories of Nola Pender’s Health promotion model? Behavior-specific cognitions and affect Characteristics and experiences Behavioral outcomes 6. Which theorist/s identifies carative factors as a value system, faith-hope and sensitivity to self and others? This describes which of the following theories? Jean Watson theory of human caring 7. Which set of components is essential in a scientific theory? Interrelated concepts, definitions, and propositions 8. The term advanced nursing practice (APN) includes nurses who are: Certified APRNs with a minimum of a master’s degree 9. To meet Medicare’s coverage requirements, the Nurse Practitioner’s services must be: Provided subject to state restrictions and supervision requirements 10. A 20-year-old female comes to the primary care clinic with clinical findings consistent with acute bronchitis. She is sexually active with a male partner, although she states prior to this relationship she did have two sexual partners. Her menses occurs every 28 days and is regular. An example of a primary prevention activity for this patient is: Counseling about safer sexual practices Which agency’s initiative establishes national health promotion and prevention efforts and establishes benchmarks for monitoring the progress of health among Americans over a 10-year timeframe? Centers for Disease Control and Prevention (CDC) 12. Development of the first pediatric nurse practitioner program at the University of Colorado in 1965 is credited to which two individuals? Henry Silver, MD Loretta Ford, MD 13. Raynaud phenomenon is classified as a type III hypersensitivity reaction and is due to: Immune complexes that are deposited in capillary beds, blocking circulation 14. The nurse practitioner is caring for a 21-year-old female who presents with a pruritic, erythematous rash matching pattern of her sandal straps. The nurse practitioner advises the patient to avoid scratching the area due to the risk of developing a secondary infection. The NP understands that the most likely etiology of secondary skins infections is caused by which organism? Staphylococcus aureus 15. How can the APN best influence development and passage of a specific health policy agenda? Determine the best fit between legislative agenda, supporting organizations, and health policy issue. 16. Which is the gold standard research design for generating evidence? Randomized Control Trial 17. The APN is examining a client with new onset HTN. The NP recognizes that HTN may result in significant complications associated with which of the following three organs: Kidneys, Eyes, Brain 18. Which organization allows the use of the “BC” credential? American Nurses Credentialing Center (ANCC) 19. Which agency houses the US Protective and Safety Task Force (USPSTF)? Agency for Health, Research and Quality 20. Which 2 organizations administer nurse practitioner certification programs? American Association of Nurse Practitioners (AANP) American Nurses Credentialing Center (ANCC) 21. Transformational leadership is best defined as: A style that is relational, driven by a common goal, and satisfies the leader and the follower 22. A metaparadigm must include which of the following 3 characteristics? Encompass all phenomena of interest Be perspective—neutral Be global in scope 23. Which statement best reflects King’s theory