NSG6006 Questions and Answers Already Passed

NSG6006 Questions and Answers Already Passed To meet Medicare's coverage requirements, the Nurse Practitioner's services must be: Provided subject to state restrictions and supervision requirements Which organization allows the use of the "BC" credential? American Nurses Credentialing Center (ANCC) The Consensus Model for Advanced Practice Registered Nurse Regulations addresses which four areas? SRPP Specialty areas Roles and titles to be used Population foci Preparation for emerging APRN roles The term advanced nursing practice (APN) includes nurses who are: Certified APRNs with a minimum of a master's degree 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. 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. Which is the gold standard research design for generating evidence? Randomized Control Trial Which set of components is essential in a scientific theory? Interrelated concepts definitions propositions 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. 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? What are the three major categories of Nola Pender's Health promotion model? Behavior-specific cognitions and affect Characteristics and experiences Behavioral outcomes Raynaud phenomenon is classified as a type III hypersensitivity reaction and is due to: Immune complexes that are deposited in capillary beds, blocking circulation 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 Which agency houses the US Protective and Safety Task Force (USPSTF)? Agency for Health, Research and Quality Which 2 organizations administer nurse practitioner certification programs? American Association of Nurse Practitioners (AANP) American Nurses Credentialing Center (ANCC) A metaparadigm must include which of the following 3 characteristics? Encompass all phenomena of interest Be perspective—neutral Be global in scope Which statement best reflects King's theory? Imogene King Conceptual system- Theory of Goal Attainment If nurses with special knowledge and skills communicate appropriate information to clients, mutual goal-setting and goal attainment will occur Which agency will the APN reference when seeking the current evidence-based guidelines directing standards of care? Agency for Health Research and Quality (AHRC) A 43-year old woman has a 12-hour history of sudden onset of right upper quadrant abdominal pain with radiation to the shoulder, fever, and chills. She has had similar, milder episodes in the past. Examination reveals marked tenderness to right upper quadrant abdominal palpation. Her most likely diagnosis is: Acute cholecystitis What theory is used to describe the cause of endometriosis? Endometrial tissue passes through the fallopian tubes and into the peritoneal cavity and remains responsive to hormones. Chronic pain, physical disability, social support, age and gender are related to perceived daily stress, which is related to depression. This is an example of which type of theory? Explanatory The leadership core competency of advanced practice nursing includes which three characteristics? Mentoring Innovation Activism Which of the following philosophies of work view would characterize human beings as holistic; parts are viewed only in the context of the whole? Reciprocal Interaction A novice nurse practitioner is experiencing feeling of inferiority toward more experienced clinicians in the practice. She has identified that time constraints for visits and expectations to increase productivity limits her ability to address these non-adherent issues during client visits. Which barrier to ethical practice is influencing practice? Organizational/Environmental Utilizing Johnson's Behavioral systems model (JBSM), the APN discovers that a patient is not sure who he can depend on because his wife is emotionally distant. This data would be characteristic of which subsystem of the JBSM. Dependency subsystem "A purposeful, complex, dynamic, collaborative, and holistic interpersonal process aimed at supporting and facilitating patients and families through health-related experiences and transitions to achieve health-related goals (mutually determined when possible)" defines which APN role? Coach (intervention, rather than a noun) A 60 year old female with a history of emphysema presents to the primary care office with complaints of cough and shortness of breath at rest. During the physical exam, the nurse practitioner recognizes clubbing, barrel chest, and prolonged expiration. The nurse practitioner understands that the patient is exhibiting symptoms resulting from which type of pulmonary disease process? Obstructive Which of the following statements accurately defines Hamric's conceptual definition of advanced practice nursing? 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. Which of the following three complications are associated with chronic hepatitis B? Continued infectivity Uncompensated cirrhosis Hepatocellular carcinoma (HCC) The central competency, direct clinical practice, is characterized by which three of the following? Expert clinical performance Formation of a therapeutic partnership with patients Holistic approach Which payment system seeks Medicare reimbursement under the MACRA legislation for providing high quality patient-specific care and improved outcomes? Merit Incentive Based Payment What four components of advanced practice nursing (APN) are specified by the National Council for State Boards of Nursing Consensus Model for APRN regulation? Licensure, Accreditation, Education, Certification Which learning theory would be most applicable as a guide for the development of a program to help families of patients in palliative care? Humanistic Learning Theory What terms indicate appropriate progression associated with the history and evolution of advance practice nursing? Specialist, Expanded Role, Advanced Practice 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 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 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 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 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 For nursing to be considered a discipline, which statement is true? Context has considerable influence on the development of the knowledge base. The APN wants to develop a community educational program for hypertension and stroke prevention. She recognizes that the individual's lifestyle and pattern of behavior need to be addressed for the program to be successful. Which theory would be most appropriate to guide the program development? Health as Expanding consciousness When considering a theory for use in guiding practice, the APN should examine the Conceptual-Theoretical-Empirical (C-T-E) linkages by for which criteria? Specification adequacy Hamric's Integrative Model of Advanced Practice • Direct Clinical Practice • Guidance and coaching • Consultation • Evidence-based practice • Leadership • Collaboration • Ethical decision making Which three primary criteria for advanced practice nursing are identified in Hamric's Integrative Model of Advanced Practice Nursing? Guidance, Graduate education, Patient-focused practice, Certification In septic shock, which mediators are anti-inflammatory? Interleukin (IL-4, IL-10, IL13) 4-10-13 The link between major depression and cortisol secretion is that individuals with depression: Show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression. An adult-gerontology nurse practitioner is employed in a rural practice that is initiating a school-based primary healthcare program. All nurse practitioners in the practice are required to initiate preparations to facilitate conducting patient visits in the new setting. Which role concepts best describes what the adult-gerontology nurse practitioner is experiencing? Role incongruity A MSN student is noting challenges related to attending school while attempting to balance other work, family, and social responsibilities. Which of the following role concepts illustrates the MSN student's experience? Role Stress Place the following four steps of APN core competency of evidence based practice in order. Critically appraise and extract evidence Formulate a measurable clinical question Review literature for relevant studies Implement useful findings in clinical decision making You are seeing a 40 year old patient who has started varenicline (Chantix) 3 weeks ago as a tool for smoking cessation. What is the most important question to ask during the visit? Have you noticed change in your mood? A primary care nurse practitioner (NP) is seeking additional support from ancillary health services for a diabetic client who is noncompliant with nutrition, exercise, and medication. Which barrier to ethical practice is influencing the NP's practice? Patient-provider How has the Quality Chasm Report been used to direct US health care? As a framework for safe, effective, efficient, equitable, timely, and patient centered care. What causes type I DM? Immune destruction of the pancreas Most at risk for PNA? A 32 year old woman who underwent a splenectomy after a motor vehicle accident What specific developments have primarily occurred because of the Affordable Care Act (ACA)? Development of patient centered outcomes Use of comparative effectiveness research Quality payment structures that impact APN reimbursement Hamric's Integrative Model of Advanced Practice Nursing identify the central competency of advance practice nursing that directs the other six core competencies. Direct Clinical Practice According to Madeline Leininger, cultural care/accommodation/negotiation refers to actions/decisions that help a particular culture: Adapt to or negotiate with others for satisfying healthcare outcomes Best risk factor for 62 yo for BPH screening? Increased age The family nurse practitioner examines a patient who has sustained a non-work-related injury that interferes with his ability to perform his job. The patient does not qualify for medical disability and has a reasonable chance of engaging in a suitable occupation with proper therapy. What type of services or benefits should the nurse practitioner recommend? Vocational rehabilitation services