ADVANCE PRACTICE NURSING CHAPTERS 1-6 QUESTIONS WITH AN UPDATE OF THE CORRECT

ADVANCE PRACTICE NURSING
CHAPTERS 1-6 QUESTIONS WITH AN
UPDATE OF THE CORRECT ANSWERS




Advanced practice registered nurse (APRN) - correct answer-masters prepared nurse
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who provides direct clinical care
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types of APRN - correct answer-NP, CNM, CRNA, CNS
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APRN roles that require additional licensure - correct answer-NP, CNM, CRNA
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Advance practice nursing (APN) - correct answer-any form of nursing intervention that
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influences health care outcomes for individuals or populations, including direct care of
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individual patients, management care for individuals and populations, administration
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of nursing and health care organizations, and the development and implementation of
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health policy.
b b




Consensus Model for APRN REgulation - correct answer-*done by APRN consensus
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work group and National Council of State Boards of Nursing APRN advisory
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Committee
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*address the irregularities in regulation of APRN across states
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APN examples - correct answer-* CNL, CNS, Nurse Educators (direct pt care)
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* Nurse Administrators, Public Health Nurses, Policy Makers (no direct pt care)
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Clinical Nurse Specialist - correct answer-*conducts a comprehensive health
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assessment
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*leads and participates in the process of selecting, integrating, managing, and
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evaluation technology
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, *leads and facilitates coordinated care and transitions in collaboration w pt and team
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*provides education and coaching to pt with complex needs
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*consults with healthcare teams to integrate needs, preferences, strengths of a
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population into the healthcare plan to optimize outcomes and pt experience
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*analyzes the ethical impact of scientific advances, cost, clinical effectiveness on pt
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family values, preferences
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Clinical Nurse Leader - correct answer-*conducts a holistic assessment and
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comprehensive physical exam of individuals across the lifespan
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*uses it, analytic and evaluation methods
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*facilitates collaborate approaches in the design, coordination and evaluation of
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patient-centered care
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*demonstrates coaching skills to support new idt members in exploring opportunities
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for improving care processes and outcomes
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*engages in partnerships at multiple levels of the health systems to ensure effective
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coordination, delivery, and evaluation of clinical prevention and health promotion
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interventions and services across care environments
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*uses evidence to design and direct system improvements that address trends in
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safety and quality
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*advocates for policies that leverage social changed, promote wellness, improve care
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outcomes, and reduce cost
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Nurse Educator - correct answer-requires specialized preparation
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must be competent clinician
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expertise in the 3 ps-phatho, pharm, phys assessment
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Nurse Practioner - correct answer-*started in 1960s due to shortage of pcp's for the
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pediatric population
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*1990s masters level education
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*2004 AACN recognized DNP for entry-level
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*prescriptive authority in all 50 states and DC b b b b b b b




Nurse-Midwife - correct answer-*first school in 1925 by Mary Breckenridge (founded
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Frontier Nursing Serice)
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*FAmily health services as well as childbirth/women's health
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*prescriptive auth in 50 states, DC, American Samoa, Guam and Puerto Rico
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Nurse Anesthetist - correct answer-A nurse who completes a course of study in an
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anesthesia school; carries out preoperative visits and assessments; administers and
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monitors anesthesia during surgery; and evaluates postoperative status of patients
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Nurse Administrator - correct answer-Nurse who supervises the organization of
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nursing care to ensure overall safety and quality
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No masters degree needed for basic certification
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Master's or higher for Advanced Cert.
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History of NP - correct answer-*Lilian Wald's nurses provided primary care for
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common illness and emergencies that didn't require a referral
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*1965-NP formally developed by Loretta Ford and Henry Siler
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*1970s-federal funding helped establish NP programs b b b b b