NURS 7105 APRN Questions and Answers Exam 1 Correct Solutions Rated A+

NURS 7105 APRN Questions and Answers Exam 1 Correct Solutions Rated A+ The 4 types of APRNs *ANS* NP, CRNA, CNS, & CNM Advanced Nursing Practice *ANS* Form of doctorally-prepared nurses that do not provide direct patient care; administration, policy, informatics, etc APRN Criteria *ANS* 1) Graduate Education (masters OR doctorate 2) National Certification 3) Patient Focused Practice 7 Core Competencies of APRN *ANS* 1) Direct Clinical Practice 2)Guidance/Coaching 3)Consultation 4)Evidence-Based Practice 5) Leadership 6) Collaboration 7) Ethical Decision Making Direct Clinical Practice *ANS* Central competency of APRN distinguished by use of a holistic perspective, therapeutic relationship with patient, expert clinical performance, reflective practice, evidence based practice, and use of diverse approaches to health and illness management Scope of Practice *ANS* The legal authority granted to the APRN which varies amongst roles and from state to state DNP *ANS* Highest level of nursing education; aka terminal degree AACN *ANS* Organization responsible for publishing the 8 essentials of DNP curriculum (Essentials of Doctoral Education of Advanced Nursing Practice) APRN Consensus Model *ANS* Proposed regulatory model for advanced practice nursing that defines APRN licensure, accreditation, certification, and education (LACE) NCSBN *ANS* Independent, not-for-profit organization through which boards of nursing act and counsel together on matters of common interest and concern affecting public health, safety, and welfare Temporary Permit *ANS* Not an option for new graduates; you are either a APRN student or a licensed APRN Prescriptive Authority *ANS* Legal authority granted to advanced practice nurses to prescribe medication Collaborative Practice Agreement *ANS* Formal agreement addressing the parameters between an APRN and a collaborating physician; approved by LSBN Controlled Substances *ANS* Additional privilege of an APRN not included with prescriptive authority; requires LCDS number + DEA Number Restrictions on Controlled Substances *ANS* APRNs may not prescribe controlled substances in connection with/treatment of: a) chronic pain b) obesity c) oneself, a spouse, child or any other family member Alice Magaw *ANS* Mother of anesthesia Civil War *ANS* Earliest references to nurses giving anesthesia dates back to the ____ Granny Midwives *ANS* Untrained African American woman who provided majority of obstetric care in the south up to the 1940s Frontier Nursing Service *ANS* A rural nursing-run service founded in 1925 by Mary Breckinridge in Kentucky; influenced the development of nurse midwifery in the United States. Henry Street Settlement *ANS* 1st public health nursing practice staffed by both nurses and social workers; founded by Lillian Wald Role Acquisition *ANS* The process of transition that takes place during the APRN's educational program Role Implementation *ANS* The process of transition that occurs in the work setting following program completion Dreyfus and Dreyfus Skill Acquisition Model *ANS* Model that explains that skill acquisition evolves over time in cycles of progression and regression and requires repeated experiences practicing at a skilled level of expertise Role Stress *ANS* A social structural condition in which the role obligations are ambiguous, conflicting, incongruous, excessive, or unpredicatable Role Strain *ANS* Feeling of frustration, tension, anxiety in response to role stress. Role Ambiguity *ANS* Lack of clarity about expectations, blurring of responsibilities, uncertainty about role implementation Clinical Nurse Specialist *ANS* APRN who is an expert clinician in a specialized area of practice CRNA *ANS* Oldest organized APRN profession 8 *ANS* CRNAs have required recertification every __ years 2025 *ANS* CRNAs must GRADUATE with a doctorate by the year ____ LSBN Mission *ANS* To safeguard the life and health of citizens of Louisiana by assuring persons practicing as registered nurses and advanced practice registered nurses are competent and safe 11 *ANS* Number of LSBN Board Members 4 *ANS* Length of LSBN term LSBN *ANS* Our state regulatory agency that regulates licensure with the legal authority to subpoena Veterans Affairs *ANS* Only system in Louisiana where APRNs have full practice authority (excludes CRNAs) Division of Regulatory Affairs *ANS* Division of LSBN responsible for investigations, hearings, and the recovery nurse program Recovery Nurse Program *ANS* Program designed to identify and assist impaired nurses/students to seek treatment to remain productive members of the profession without jeopardizing public safety Alcohol/Substance Abuse *ANS* Majority of disciplinary actions taken by LSBN is related to: Division of Nursing *ANS* Division of LSBN responsible for education and credentialing Nurse Practice Act *ANS* Law that authorizes LSBN to establish administrative rules and regulations to implement in accordance with the Administrative Procedure Act. Statutory *ANS* Nurse Practice Act is an example of a ____ law Chapter 45 *ANS* Covers the rules and regulations pertaining to APRNs (definitions, licensure, continued competence, authorized practice) Collaborative Practice *ANS* The joint management of the health care of a patient by an APRN + one or more consulting physicians National Provider Identifier (NPI) *ANS* A standard identifier for health care providers mandated by HIPAA that helps track outcomes, compile provider workforce data, improve the transparency of care and prevent fraud. 6 Characteristics of Direct Clinical Practice *ANS* 1) Use of Holistic Perspective 2) Formation of Therapeutic Partnerships 3) Expert Clinical Performance 4)Use of Reflective Practice 5)Use of Evidence as a Guide to Practice 6) Use of Diverse Approaches Use of Holistic Perspective *ANS* Characteristic of direct clinical practice that recognizes multiples dimensions of a person (physiologic, social, emotional, cognitive, spiritual) Therapeutic Partnership *ANS* Characteristic of direct clinical practice that involves shared decision making and verbal/nonverbal communication with the patient Expert Clinical Performance *ANS* Characteristic of direct clinical practice that involves the use of exceptional critical thinking skills, clinical judgement, and skillful performance Use of Reflective Practice *ANS* Characteristic of direct clinical practice that involves the APRN using past experiences to find meaning, critically analyze, and synthesize to improve practice Use of Evidence as a Guide to Practice *ANS* Characteristic of direct clinical practice that involves identifying evidence and implementing it into practice Use of Diverse Approaches *ANS* Characteristic of direct clinical practice that involves the use of interpersonal, therapeutic, and complementary therapies (among others) to direct patient care. Smoking, poor diet, physical inactivity, & alcohol abuse *ANS* Greatest risk factors for development of chronic illnesses Guidance *ANS* The provision of help, instruction, or assistance in which the APRN fills the knowledge void of the patient. Anticipatory Guidance *ANS* Helps patients know what to expect, what is normal/abnormal, and when to seek additional care Coaching *ANS* Partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential Nightingale's Environmental Theory *ANS* Theory that identified a strong link between external factors (environment) and a patient's overall health. Transtheoretical Model *ANS* Model of behavior change that identifies six distinct stages people go through in altering behavior patterns; also called the stages of change model Watson's Model of Caring *ANS* Model based on loving kindness that focuses on the process of relation to others and going beyond the ego. Positive Psychology *ANS* Scientific study of optimal human functioning that states that positive emotion, engagement, relationships with others, meaning, and achievement lead to a flourishing life/high degree of well-being Growth Mindset *ANS* Belief that qualities can change/improve through effort Self-Determination Theory *ANS* A theory of motivation that everyone is motivated by intrinsic and extrinsic factors 4 As of Coaching *ANS* Agenda Setting, Awareness Raising, Actions & Goal Setting, & Accountability Consultation *ANS* A process of interaction between two specialists Collaboration *ANS* Dynamic, interpersonal process in which two or more individuals make a commitment to each other to interact authentically and constructively to solve problems to accomplish goals, purposes, or outcomes. Clinical Competence/Accountability *ANS* The most important characteristic of collaboration, as it provides the foundation for trust and respect Communication Skills *ANS* Nurses identified ___ as the most important attribute of an effective leader Emotional Intelligence *ANS* The ability to perceive, understand, manage, and use emotions Resonant *ANS* Leadership style that encourages group members to feel connected to each other and reflect the leader's enthusiasm Pacesetting *ANS* Dissonant leadership style that exhibits extremely high expectations when accomplishing a task is the essential goal Lewin's Process of Change *ANS* Change model involving unfreezing, moving, and refreezing