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Exam (elaborations)

NP role Exam Questions and Complete Answers| Verified 100% Correct| Newest

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NP role Exam Questions and Complete Answers| Verified 100% Correct| Newest

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NP role Exam Questions and Complete Answers|
Verified 100% Correct| Newest 2024-2025

Describe the components of the DNP Scholarly Project as designated by the American
Association of Colleges of Nursing (AACN) - ✔✔As per the AACN, the DNP Scholarly
Project must meet the following criteria: (a) focus on a change that impacts healthcare
outcomes either through direct or indirect care; (b) have a systems (micro-, meso-, or
macro-level) or population/aggregate focus; (c) demonstrate implementation in the
appropriate arena or area of practice; (d) include a plan for sustainability (e.g. financial,
systems or political realities, not only theoretical abstractions); (e) include an evaluation
of processes and/or outcomes (formative or summative); (f) be designed so that
processes and/or outcomes will be evaluated to guide practice and policy; and (g)
provide a foundation for future practice scholarship.


Discuss the scope of practice and expanded opportunities made available to the nurse
practitioner who earns a doctor of nursing practice (DNP) degree - ✔✔For the nurse
practitioner who earns a DNP, the scope of practice does not change. However, by way
of knowledge and skills gained in a DNP program, the nurse practitioner (NP) may have a
greater impact on health outcomes for patients and populations. In addition, the
DNP/NP may clinically practice in nearly any setting; including in a community health
center leadership role, in larger acute care facilities, as a solo practitioner, and in nurse-
managed health centers. The DNP/NP also may perform and apply research. For the
DNP/NP, opportunities also include obtaining joint appointments with educational
institutions and healthcare facilities, as well as serving as a leader in disease
management.


Explain the relevance of nursing philosophies and theories to the nurse practitioner's
delivery of patient care. - ✔✔Nursing philosophies and theories serve as the
foundation for delivery of patient care by the nurse practitioner (NP). Concepts
described in nursing philosophies and theories form the basis for excellence in nursing
practice and serve to illustrate the NP's distinctive qualities. Nursing philosophies and
theories conceptualize unique qualities; including the NP's ability to build trust, instill
confidence, and create a positive patient-NP relationship.

,Discuss the relationship between a microsystem and a macrosystem in the context of a
family unit. - ✔✔The family microsystem comprises the nuclear family and extended
family members, as well as the roles and expectations for each family member. The
macrosystem represents the larger world in which the family lives and interacts, and
serves as a social framework that has unintentional influences on values, attitudes, and
behaviors through time. The macrosystem may impact the family's overall development
and well-being across the family lifespan. Components of the macrosystem include
social expectations, legal and moral perspectives, and cultural traditions that affect the
ways individuals treat and are treated by others.


Which step does the nurse practitioner include when applying the structural approach
to family unit assessment?
a. Consider normal family changes and experiences over the family members' lifetime
b. Assess both individual family members and families as a whole unit
c. Emphasize dimensions of time and change in the family's membership structure
d. Recognize the cluster of expectations or norms for any family member's status
position - ✔✔Recognize the cluster of expectations or norms for any family member's
status position


The nurse practitioner considers the combined effects of both normative events and
unexpected events on the family unit's health. Which family theory is most congruent
with the nurse practitioner's assessment approach?
a. Family stress theory
b. Individual life span theory
c. Family development theory

d. Life course theory - ✔✔Family stress theory


Summarize the basic nature of resilience including behaviors demonstrated by resilient
individuals. - ✔✔Resilience is defined as the ability of an individual or family to

,function well and attain life goals despite overbearing stressors or challenges that might
easily impair the person or family unit. Primary desired outcomes associated with
resilience include moderating the negative effects of stress and promoting adaptation.
While resilience is sometimes conceptualized as the ability to withstand a crisis that is
brief in nature, in most cases, resilience is associated with how an individual or family
manages a pervasive social condition such as poverty, a devastating illness, or a critical
injury. Behaviors that are reflective of resilience include preserving hope;constructing a
meaningful account of life events or situations; reaching out to others for help as
needed; and identifying or developing resources and strengths to manage stressors
flexibly and gain a positive outcome.


Individual, family, and social factors that promote resilience include which
characteristic?
a. External locus of control
b. Dependency
c. Spirituality

d. Upward social comparison - ✔✔Spirituality


When collecting data related to family structure, which information is needed for
assessment of the family constellation?
a. Identification of immediate family members
b. Current level of financial support
c. Strategies used for stress management

d. Eligibility for financial assistance - ✔✔Identification of immediate family members


Describe family capacity including strategies that support family capacity-building. -
✔✔Family capacity is the extent to which a family's needs, goals, strengths,
capabilities, and aspirations can meet the family's ability to function to its fullest
potential. Similar to resilience, family capacity may be reflective of the family's ability to
adapt and change. Family capacity-building involves increasing the family members'

, competence in implementing strategies to enhance their development and build their
problem-solving skills while increasing their confidence that they are able to do so.


Which factor represents a limitation associated with use of a genogram for family health
assessment?
a. Data collection requires extensive interviewing
b. Family members tend to be disengaged from the process.
c. All information must be obtained in one sitting.

d. Cultural assessment data is not included. - ✔✔Cultural assessment data is not
included.



Compare and contrast the genogram and the family pedigree. - ✔✔A genogram is an
assessment tool or clinical method of taking, storing, and processing family information
for the benefit of the patient and the family. Information collected for use in agenogram
is displayed as a graphic representation of family members and their relations over
three generations. The information collected for the genogram may include genetic,
medical, social, behavioral, and cultural aspects of the family. Similar to a genogram, a
family pedigree is a graphic representation of a person's medical and biological history
and is often referred to as the "family tree." Like the genogram, the pedigree is a family
history assessment tool developed in an interview with a patient and is displayed as a
graphic representation. A pedigree can be a powerful tool for use in health risk
identification, diagnosis, and intervention. However, the pedigree provides little insight
into family dynamics or the complex context of the patient and family in the community.
While the genogram focuses on family relationships and communication patterns, the
pedigree is a collection of the family health history and an assessment of disease risk
factors.


Summarize the three general components of a comprehensive prioritized problem list. -
✔✔Contents of the problem list may vary based on healthcare organizational
requirements and healthcare provider preferences. In general, main components of a
comprehensive prioritized problem list include (a) a list of chronic diseases or illnesses;

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