NSG 6006/NSG6006 PreDictor EXAM 2020|2021

1.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 O P population I intervention C concepts O operational definitions T time O P precision instrument , I intervention , C control , O Operational definitions , T time O P Population , I internal validity , c comparisons , o outcome , T time O P Population , I Intervention , C Comparison O Outcome T time 2. 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 improve the health and health care of all Americans through targeted portfolio focused programs • To conduct health services research and engage in policy efforts focusing on health care financing and service delivery. • To protect against high out-of-pocket costs by prohibiting insurers from denying coverage based on pre-existing conditions. • To support the goal of improving the well being of humanity through smart globalization . 3 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? • Does the theory /model fit with the purpose / topic of interest ? • Are the relationships of the major concepts delineated ? • Have several different theories/models been examined? • Are the assumptions , rationale and suppositions accepted by the APN? 4. Which three roles represent the accepted advanced practice nursing roles? • Certified Nurse Midwives (CNM) • Clinical Nurse Specialist (CNS) • Critical care registered nurses (CCRNs) • Certified Registered Nurse Anesthetists (CRNAs) 5.What are the three major categories of Nola Pender’s Health promotion model? • Behavior-specific cognitions and affect • Characteristics and experiences • Individual health measures • Behavioral outcomes 6.Which theorist/s identifies caritive factors as a value system, faith-hope and sensitivity to self and others? This describes which of the following theories? • Dorothea Orem • Paterson and Zderad • Jean Watson theory of human caring • Margaret Newman 7. What set of components is essential in a scientific theory ? • Interrelated concepts, definitions, and propositions. • Interrelated statements which assume all the relationship to be true • Statements that are based on the authors opinions and experience only • Propositions and constructs that are not necessarily tied together 8. The term advanced nursing practice (APN)includes nurses who are : • Certified APRNs with a minimum of a master’s degree • Graduates of programs in nursing education or a health-related field • Nurses certified in nursing informatics, nurse administration , policy or public health • Registered nurses with specialized post baccalaureate training 9. To meet Medicare’s coverage requirements, the nurse practitioners’services must be • Provided subject to statesrestrictions and supervision requirements • Provided under direct supervision • Provided in rural health clinic or federally qualified health center • Billed through a physician directed clinic , health agency or hospital 10. A 20-year-old female comes to the primary care clinic with clinical findings consistent with acute bronchitis. She is sexually active with a male partner, although she states prior to this relationship she did have two sexual partners. Her menses occurs every 28 days and is regular. An example of a primary prevention activity for this patient is: • Screening for a sexually transmitted disease • Prescribing therapies to decrease a cough • Obtaining a Papanicolaou (PAP) test • Counseling about safer sexual practices 11.Which agency’s initiative establishes national health promotion and prevention efforts and establishes benchmarks for monitoring the progress of health among Americans over a 10-year timeframe? • Agency for health care research and quality • National institutes of Heath • Centers for Disease Control and Prevention (CDC) • Institute of Medicine 12. Development of the first pediatric nurse practitioner program at the University of Colorado in 1965 is credited to which two individuals? • Harry Fox, MD • Henry Silver, MD • Luella Jackson, RN • Loretta Ford , RN • Carla Brown, ARNP 13. Raynaud phenomenon is classified as a type III hypersensitivity reaction and is due to: • Immune complexes that are deposited in capillary beds, blocking circulation • Mast cells that are bound to specific endothelial receptors, causing them to degranulate and creating a localized inflammatory reaction that occludes capillary circulation • Cytotoxic T cells that attack and destroy the capillaries so that they are unable to perfuse local tissue • Antibodies that detect the capillaries as foreign protein and destroy them using lysosomal enzymes and toxic oxygen species. 14. The nurse practitioner is caring for a 21-year-old female who presents with a pruritic, erythematous rash matching pattern of her sandal straps. The nurse practitioner advises the patient to avoid scratching the area due to the risk of developing a secondary infection. The NP understands that the most likely etiology of secondary skins infections is caused by which organism. • Streptococcus pneumoniae • Proteus • Candida albicans • Staphylococcus aureus 15. How can the APN best influence development and passage of a specific health policy agenda?..........................................continued