NSG 6006 pre-specialty health policy/theory/APN roles Questions and Answers 100% Pass

NSG 6006 pre -specialty health policy/theory/APN roles Questions and Answers 100% Pass Advanced practice nursing is the patient -focused application of an expanded range of competencies to improve health outcomes for patients and populations within a specialized clinical area of the larger discipline of nursing" - Answer - Hamric's definition of advanced practice nursing What is the central competency of any advanced practice nursing regardless of role? - Answer - direct clinical practice ___________________________ and ___________________________ have distinct definitions and cannot be seen as interchangeable. - Answer - Advanced practice nursing/advanced nursing practice The term ____________________________ is characterized by the integration an application of a broad range of theoretical and evidence -based knowledge that occurs as part of graduate nursing education - Answer - Advanced nursing practice Who started the first nurse practitioner program in 1965 at the University of Colorado? - Answer - Henry Silver and Loretta Ford What has influenced the history of advanced practice nursing? - Answer - Societal forces including wars, the economic climate, and health care policy The APN movement consists of? - Answer - Society War Economicclimate Healthcare Policy What is the oldest recognized role of the APN? - Answer - CRNA What are the 4 recognized roles of the APN? - Answer - NP CRNA CNS CNM List the core competencies of practice. - Answer - Direct care, guidance & coaching, consultation, evidence -based practice, leadership, collaboration, and ethical -decision making The consensus model for the APN regulation addresses what 4 areas? - Answer - Specialty areas Roles and titles Population Foci Preparation for APN roles Which group of nurse specialist was the first to receive direct reimbursement for services rendered? - Answer - CRNA scope of practice - Answer - - Describes practice limits and sets parameters within which nurses in various APRN specialties may practice - Differs from state to state; based on state statues promulgated by various state nurse practice acts and rules and reg ulations for APRN practice Scope of practice - Answer - Must practice and be certified in the specific specialty Graduate education ANA definition of scope of practice - Answer - "The description of the who, what, where, when, why, and how of nursing practice" Nursing scope of practice acts are most closely tied to the ______________________ of practice - Answer - state The Novice to Expert Theory is described by - Answer - The Dreyfus Model Calkin's Model of Advanced Nursing Practice - Answer - developed the model to help nurse administrators differentiate advanced practice nursing from other levels of clinical practice in personnel policies, and proposed that this could be accomplished by matching patient responses to health problems with the skill and knowledge levels of nursing personnel; three curves were overlaid on a normal distribution chart. Calkin depicted the skills and knowledge of novices, experts by experience, and APNs in relation to knowledge required to care for patients whose responses to health care problems (i.e., health care needs) ranged from simple and common to complex and complicated unclear expectations, diffuse responsibilities, uncertainties about sub -roles Role ambiguity - Answer - role ambiguity incompatibility between skills and abilities, personal values, self concept, and obligations - Answer - role incongruity when role expectations are perceived to be mutually exclusive or contradictory - Answer - role conflict Perceived economic threat of competition, lack of experience working together, and historical hierarchy - Answer - interprofessional role conflicts