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Once a practice problem has been identified the next step would be to use the
PICOT format to ask aquestion 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
N
definitions , T timeO P Population , I internal validity , c
comparisons , o outcome , T time
O P Population , I Intervention , C Comparison O Outcome T time
U
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
R
is the primary purpose for the nationaldirection?
• To improve the health and health care of all Americans through targeted
portfolio focusedprograms
C
• To conduct health services research and engage in policy efforts focusing
on health carefinancing and service delivery.
• To protect against high out-of-pocket costs by prohibiting insurers
E
from denyingcoverage based on pre-existing conditions.
• To support the goal of improving the well being of humanity
through smartglobalization .
G
• After thoroughly researching the topic of interest, what is the next step
an APN should askin 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?
Which three roles represent the accepted advanced practice nursing roles?
• Certified Nurse Midwives (CNM)
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, • Clinical Nurse Specialist (CNS)
• Critical care registered nurses (CCRNs)
• Certified Registered Nurse Anesthetists (CRNAs)
What are the three major categories of Nola Pender’s Health promotion model?
• Behavior-specific cognitions and affect
N
• Characteristics and experiences
• Individual health measures
R U
E C
G
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, • Behavioral outcomes
Which theorist/s identifies caritive factors as a value system, faith-hope and
sensitivity to selfand others? This describes which of the following theories?
• Dorothea Orem
• Paterson and Zderad
N
• Jean Watson theory of human caring
• Margaret Newman
What set of components is essential in a scientific theory ?
•
•
•
•
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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
The term advanced nursing practice (APN)includes nurses who are :
C
• Certified APRNs with a minimum of a master’s degree
• Graduates of programs in nursing education or a health-related field
E
• Nurses certified in nursing informatics, nurse administration , policy or public
health
• Registered nurses with specialized post baccalaureate training
G
A 43-year old woman has a 12-hour history of sudden onset of right upper
quadrant abdominal pain with radiation to the shoulder, fever, and chills. She has
had similar, milder episodes in the past. Examination reveals marked tenderness
to right upper quadrant abdominalpalpation. Her most likely diagnosis is:
• Hepatoma
• Acute cholecystitis
• Acute hepatitis
• Appendicitis
To meet Medicare’s coverage requirements , the nurse practitioners’ services must be
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, • Provided subject to states restrictions 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
A 20-year-old female comes to the primary care clinic with clinical findings
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consistent withacute 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:
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• Obtaining a Papanicolaou (PAP) test
• Counseling about safer sexual practices
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• Screening for a sexually transmitted disease
• Prescribing therapies to decrease a cough
Which agency’s initiative establishes national health promotion and
C
prevention efforts andestablishes benchmarks for monitoring the progress of health
among Americans over a 10-year timeframe?
• Agency for health care research and quality
E G
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