NSG 6006 Predictor Exam

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) 90. According to Madeline Leininger, culture cafe/accommodation/negotiation refers to actions or decisions that help a particular culture: a. Retain and preserve values. b. Adapt to or negotiate with others for satisfying healthcare outcomes. c. Change or modify behaviors affecting their lifestyles. d. Work with each other to set up goals for improved health outcomes. . 92. The APN wants to evaluate the effectiveness of a protocol change that has lessened the waiting time for patients with acute symptoms of an exacerbation of COPD to be seen in a primary care practice. He is interested in whether the change reflects an improvement in prevention of hospitalization for COPD as well as the patient's quality of life. What does he need to consider if he wants to utilize the Health-related quality of life (HRQOL) theory to guide his evaluation? a. There are multiple frameworks and models to choose from. b. Only biological and physiological variables and symptoms are included. c. An individual's perceptions are not addressed in the theory. d. Quality of life and HRQOL are interchangeable concepts 93. Which learning theory would be most applicable as a guide for the development of an educational program for families of patients in palliative care? a. Behaviorist Learning Theory b. Cognitive Learning Theory c. Psychodynamic Learning Theory d. Humanistic Learning Theory 94. To analyze and evaluate a theory/model for potential use in guiding practice, the APN should consider what internal factors? (select all that apply) a. Clarity b. Consistency c. Logical development d. Adequacy e. Level of theory development 97. Fawcett's Conceptual-Theoretical-Empirical Structure (CTE) involve what linkage? (WORDED DIFF) a. Parsimony b. Testability c. Adequacy. d. Legitimacy