NSG 6660 STUDY GUIDE FOR FINAL EXAM
ADVANCED ASSESSMENT @ TROY
UNIVERSITY
- To articulate professional role identity and function;
to differentiate among levels of nursing practice
- In practice, to conceptualize delivery of holistic, comprehensive, collaborative care.
- In research, to guide research and theory development.
- In education - to plan curricula. - answer ✔✔-1. What is the purpose of conceptual models?
Intraprofessional Role Conflict
- Holistic nursing orientation vs. disease-specific medical orientation -Communication difficulties
-Confusion about role delineation
Interprofessional Role Conflict
-Between physicians and APNs because of perceived threat of competition, lack of experience working
together, historical hierarchy - answer ✔✔-2. What are the two different types of role conflicts?
Public policy focused ‒ Changes in the health‐care delivery system.
Build common ground around scope of practice and other issues in policy and practice;
Expand efforts and opportunities for interprofessional collaboration and leadership development for
nurses; Promote involvement of nurses in redesign of care delivery and payment systems. - answer ✔✔-
3. What types of actions by the advanced practice nurse (APN) shows public policy advocacy?
This report identified that hospital-based training programs were inadequate - putting needs of the
institution before the needs of the students. Concluded that nursing education should occur in the
university setting and that the learning needs of nursing students should have precedence over the
hospital's need for workers.
Rockefeller foundation supported formation of the committee for the study of nursing education
, Increase educational standards in nursing schools
Move educational programs to universities
Focus student time on education vs. staffing hospitals
Require nurse educators to have advanced education - answer ✔✔-4. The Goldmark Report in 1923
resulted in what recommendation?
Direct clinical practice: first core competency, informs all of the other
- defines advanced practice nursing
- provides the foundation necessary for APNs to execute the other competencies, such as consultation,
guidance and coaching, and leadership, within organizations
- although clinical expertise is a central ingredient of an APN's practice, the direct care practice of APNs
is distinguished by six characteristics: 1 use of a holistic perspective, 2 formation of therapeutic
partnerships with patients, 3 expert clinical performance, 4 use of reflective practice, 5 use of evidence
as a guide to practice, 6 use of diverse approaches to health and illness management - these
characteristics distinguish the practice of the expert by experience from that of the APN
- differs significantly by specialty
Clinical expertise alone should not be equated with APN - answer ✔✔-7. What is central competency for
advanced practice nursing?
conflict - answer ✔✔-8. Negotiation, compromise, and collaboration can minimize or resolve what?
Nurse Anesthesia - answer ✔✔-9. The first specialty area of nursing in the United States was?
To interpret components of clear and competent levels of behavior - answer ✔✔-10. The goals of
professional APN organizations are to: establish clear characteristics of advanced practice, provide for
safe patient care,
Traditional
Structural
ADVANCED ASSESSMENT @ TROY
UNIVERSITY
- To articulate professional role identity and function;
to differentiate among levels of nursing practice
- In practice, to conceptualize delivery of holistic, comprehensive, collaborative care.
- In research, to guide research and theory development.
- In education - to plan curricula. - answer ✔✔-1. What is the purpose of conceptual models?
Intraprofessional Role Conflict
- Holistic nursing orientation vs. disease-specific medical orientation -Communication difficulties
-Confusion about role delineation
Interprofessional Role Conflict
-Between physicians and APNs because of perceived threat of competition, lack of experience working
together, historical hierarchy - answer ✔✔-2. What are the two different types of role conflicts?
Public policy focused ‒ Changes in the health‐care delivery system.
Build common ground around scope of practice and other issues in policy and practice;
Expand efforts and opportunities for interprofessional collaboration and leadership development for
nurses; Promote involvement of nurses in redesign of care delivery and payment systems. - answer ✔✔-
3. What types of actions by the advanced practice nurse (APN) shows public policy advocacy?
This report identified that hospital-based training programs were inadequate - putting needs of the
institution before the needs of the students. Concluded that nursing education should occur in the
university setting and that the learning needs of nursing students should have precedence over the
hospital's need for workers.
Rockefeller foundation supported formation of the committee for the study of nursing education
, Increase educational standards in nursing schools
Move educational programs to universities
Focus student time on education vs. staffing hospitals
Require nurse educators to have advanced education - answer ✔✔-4. The Goldmark Report in 1923
resulted in what recommendation?
Direct clinical practice: first core competency, informs all of the other
- defines advanced practice nursing
- provides the foundation necessary for APNs to execute the other competencies, such as consultation,
guidance and coaching, and leadership, within organizations
- although clinical expertise is a central ingredient of an APN's practice, the direct care practice of APNs
is distinguished by six characteristics: 1 use of a holistic perspective, 2 formation of therapeutic
partnerships with patients, 3 expert clinical performance, 4 use of reflective practice, 5 use of evidence
as a guide to practice, 6 use of diverse approaches to health and illness management - these
characteristics distinguish the practice of the expert by experience from that of the APN
- differs significantly by specialty
Clinical expertise alone should not be equated with APN - answer ✔✔-7. What is central competency for
advanced practice nursing?
conflict - answer ✔✔-8. Negotiation, compromise, and collaboration can minimize or resolve what?
Nurse Anesthesia - answer ✔✔-9. The first specialty area of nursing in the United States was?
To interpret components of clear and competent levels of behavior - answer ✔✔-10. The goals of
professional APN organizations are to: establish clear characteristics of advanced practice, provide for
safe patient care,
Traditional
Structural
