NSG 6660 Study Guide for Final Exam @ Troy University Questions & Answers

NSG 6660 Study Guide for Final Exam @ Troy University Questions & Answers 1. What is the purpose of conceptual models? - To articulate professional role identity and function; to differentiate among levels of nursing practice - In practice, to conceptualize delivery of holistic, comprehensive, collaborative care. - In research, to guide research and theory development. - In education - to plan curricula. 2. What are the two different types of role conflicts? Intraprofessional Role Conflict - Holistic nursing orientation vs. disease-specific medical orientation -Communication difficulties -Confusion about role delineation Interprofessional Role Conflict -Between physicians and APNs because of perceived threat of competition, lack of experience working together, historical hierarchy 3. What types of actions by the advanced practice nurse (APN) shows public policy advocacy? Public policy focused ‒ Changes in the health‐care delivery system. Build common ground around scope of practice and other issues in policy and practice; Expand efforts and opportunities for interprofessional collaboration and leadership development for nurses; Promote involvement of nurses in redesign of care delivery and payment systems. 4. The Goldmark Report in 1923 resulted in what recommendation? This report identified that hospital-based training programs were inadequate - putting needs of the institution before the needs of the students. Concluded that nursing education should occur in the university setting and that the learning needs of nursing students should have precedence over the hospital's need for workers. Rockefeller foundation supported formation of the committee for the study of nursing education Increase educational standards in nursing schools Move educational programs to universities Focus student time on education vs. staffing hospitals Require nurse educators to have advanced education 7. What is central competency for advanced practice nursing? Direct clinical practice: first core competency, informs all of the other - defines advanced practice nursing - provides the foundation necessary for APNs to execute the other competencies, such as consultation, guidance and coaching, and leadership, within organizations - although clinical expertise is a central ingredient of an APN's practice, the direct care practice of APNs is distinguished by six characteristics: 1 use of a holistic perspective, 2 formation of therapeutic partnerships with patients, 3 expert clinical performance, 4 use of reflective practice, 5 use of evidence as a guide to practice, 6 use of diverse approaches to health and illness management - these characteristics distinguish the practice of the expert by experience from that of the APN - differs significantly by specialty Clinical expertise alone should not be equated with APN 8. Negotiation, compromise, and collaboration can minimize or resolve what? conflict 9. The first specialty area of nursing in the United States was? Nurse Anesthesia 10. The goals of professional APN organizations are to: establish clear characteristics of advanced practice, provide for safe patient care, To interpret components of clear and competent levels of behavior 11. What are the types of quality outcomes related to the APN role? Traditional Structural Process 12. The first recognized clinical specialty in nursing was? Psychiatric nursing 13. The goal of the CNS is to be an _______________. To be a clinical expert who provides direct patient care to patients with complex health problems Who does the Medicaid program generally serve? Provides health insurance benefits and other assistance for eligible low income individuals and families - Requirements: Low income, pregnant, disabled, blind, aged, resources, US citizenship or lawfully admitted immigrant 14. The first nurse practitioner was? Thelma Ingles, Pediatric NP Established the first pediatric nurse practitioner program at the University of Colorado Loretta Ford, RN & Henry Silver, MD in 1965 Started the first CNS educational program and defined the patient/nurse relationship. Hildegard Peplau in 1954 What does veracity mean? "Duty to tell the truth and not deceive others" is key legal principle that states that a health professional should be honest and give full disclosure to the patient, abstain from misrepresentation or deceit, and report known lapses of the standards of care to the proper agencies. What does nonmaleficense mean? principle of bioethics that asserts an obligation not to inflict harm intentionally. It is useful in dealing with difficult issues surrounding the terminally or seriously ill and injured. Some philosophers combine nonmaleficence and BENEFICENCE, considering them a single principle. What does beneficence mean? The natural inclination of a person to act to achieve that which is beneficial and to avoid that which is harmful. This implies rational self-interest as the basis of the nurse-patient interaction. And obligation to act to benefit others and to maximize possible benefits The four classic concepts of marketing are? Product: The entity that is offered to the market Price: The amount of money that the individual will be asked to pay for the product Place: Accessibility and the various tasks necessary to make the product more available to the market Promotion: Encompasses those activities that communicate the value of the product to the market. 21. The steps in Lewin's Freezing Model include? Also called change theory, this 3-step model is designed to help leaders make a change in their organization with minimal disruption to operations and with the intention of helping the change remain permanent. 1. Unfreeze - helping people to unlearn bad habits and prepare to accept change 2. Change - implementation of change may see chaos ensue but this is necessary for enhanced effectiveness 3. Freeze (or refreeze) - making the change permanent by allowing people time to thrive in the new organization prior to implementing anymore changes. How often are APNs required to be recertified? - National certification lasts 5 to 8yrs and requires that the candidate be retested unless the established didactic and clinical parameters are met - Must feel CE requirement Certification validates the minimum level of ? Primary vehicle used by state boards of nursing to ensure a basic measure of competence mandatory requirement for APRNs to obtain and maintain credentialing in most states 24. To meet Medicare's coverage requirements, the nurse practitioner's services must be? Medically necessary, covered and have just cause correct codes While many schools of nursing moved their APRN education to the doctoral level, which group has mandated preparation at the doctoral level for entry into practice? CRNA-Nurse Anesthetists What are the 5 primary roles of the APN are? Researcher, expert clinician, educator, leader & consultant Which organization(s) is/are responsible for APN certification? -Commission on collegiate nursing education CCNE -National League for nursing accreditation center NLNAC -Regional and state university boards and commissions -Groups like ACNM or the AANA Know about written collaborative agreements between an APN and a licensed medical practitioner. Written collaborative agreements is a form of contract with physician preceptors to practice Proactive document that allows issues to be discussed up front Outlines expectations and responsibilities of the parties involved, defines terms of agreement APN employed by a physician or organization will have this document as part of the employment agreement in which an APN and physician or organization collaboratively determine the APN's institutional and service related scope of practice and clinical privileges 29. Can you be sued if you have less than 10 percent of liability? Yes