ARRN - -Clear expectations for licensures accreditation certification and education
for all APRNs
Standards/scope of practice - -Licensed and independent practitioners, assess,
diagnosis and treat and manage acute episodic and chronic illnesses.
Statutory Law - -States have a duty to protect those who receive nursing care
Role of NONPF - -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 - -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 - -CC, HPI, PMH, Assessment,
diagnosis, structured and unstructured. MMSE, active listening.
Case formulation - -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 - -Kubler Ross: denial, anger, bargaining, depression,
and acceptance.
Instrumental: problem solving
Intuitive emotional
,Final Exam NU 664 Set 1 Question and answer
Risk assessment (suicide, self-harm, homicide, etc.) - protective and risks factors - -
Highest risk group- white, middle-aged males
Next highest- aged 85 and older
Screening tool- Ask Suicide-Screening Questions (ASQ) - -made of 4 questions to
ask youth in medical settings
Common screening tools - -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 - -socioeconomic disadvantage, depression, substance
abuse, and anxiety
Self-injury increases - -risk of later suicide
Primary prevention - -concerned with the prevention of the onset of disease; goal is
to reduce the incidence of disease; e.g. vaccinations
Secondary prevention - -concerned with trying to detect a disease early and prevent
it from getting worse; e.g. regular exams and screening tests
Tertiary prevention - -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 - -primary, secondary, tertiary - this is important for public
patient education/screening/epidemiological measures, and promoting health.
, Final Exam NU 664 Set 1 Question and answer
Neuroanatomy - -neurotransmitters, brain plasticity, epigenetics, major areas of the
brain such as the amygdala, prefrontal cortex, hypothalamus
Dopamine - -responsible for drive, motivation, and reward, inhibition of prolactin,
controls motor (imbalance causes Parkinson's, extapyramidal symptoms)
Serotonin - -satisfaction, sociality, lowers anxiety and impulsivity, decreases sex
drive, 90% serotonin in GI tract
-Too much- bleeding, GI motility, nausea
- Zofran blocks serotonin
Norepinephrine - -concentration, attention, vigilance, energy, tachycardia, HTN,
glucose to essential organs
-Fear increases NE to brain, epinephrine to blood
-Fight or flight
Glutamate - -being "on", excitatory (think gluta-MATE mating)
GABA - -being "off", inhibitory, relaxation, euphoria, decreases muscle activity, slows
breathing, decreases anxiety and seizures (think gabapentin)
Acetylcholine - -bradycardia, GI motility, salivation, lacrimation, urination, sexual
arousal, muscle contraction
- In the hippocampus- learning, memory, awakeness, attention
Histamine - -Hayfever
Itching
Sleeping