Final Exam NU 664 Set 1– Questions With
Complete Solutions
ARRN Correct Answer - Clear expectations for licensures
accreditation certification and education for all APRNs
Standards/scope of practice Correct Answer - Licensed and
independent practitioners, assess, diagnosis and treat and manage
acute episodic and chronic illnesses.
Statutory Law Correct Answer - States have a duty to protect
those who receive nursing care
Role of NONPF Correct Answer - the National Organization of
Nurse Practitioner Faculties. This is the only organization
specifically dedicated to promoting and supporting high quality
nurse practitioner education. The NONPF provides ongoing support
to NP educators through establishing competencies, methods of
evaluation, and strategic partnerships.
The NONPF primarily concentrates Correct Answer - on the
development of standards necessary to foster optimum graduate
educational programs. This network continually collects data and
utilizes expert knowledge of its membership to seminally publish
updated curricular frameworks
Clinical interview terms, techniques, and goals Correct Answer -
CC, HPI, PMH, Assessment, diagnosis, structured and unstructured.
MMSE, active listening.
Case formulation Correct Answer - Theoretically based
explanation or conceptualization of the information obtained from a
,clinical assessment which offers a hypothesis and provides a
framework of treatment.
Grief process and treatment Correct Answer - Kubler Ross:
denial, anger, bargaining, depression, and acceptance.
Instrumental: problem solving
Intuitive emotional
Risk assessment (suicide, self-harm, homicide, etc.) - protective and
risks factors Correct Answer - Highest risk group- white,
middle-aged males
Next highest- aged 85 and older
Screening tool- Ask Suicide-Screening Questions (ASQ) Correct
Answer - made of 4 questions to ask youth in medical settings
Common screening tools Correct Answer - PHQ-9 for
depression
Columbia-Suicide Severity Rating Scale (C-SSRS)
SAFE-T (Suicide Assessment Five-Step Evaluation and Triage)
Highest risk for self-injury Correct Answer - socioeconomic
disadvantage, depression, substance abuse, and anxiety
Self-injury increases Correct Answer - risk of later suicide
Primary prevention Correct Answer - concerned with the
prevention of the onset of disease; goal is to reduce the incidence of
disease; e.g. vaccinations
Secondary prevention Correct Answer - concerned with trying
to detect a disease early and prevent it from getting worse; e.g.
regular exams and screening tests
, Tertiary prevention Correct Answer - concerned with reducing
the impact of an ongoing illness or injury that has lasting effects; e.g.
cardiac or stroke rehab programs, support groups
Levels of prevention Correct Answer - primary, secondary,
tertiary - this is important for public patient
education/screening/epidemiological measures, and promoting
health.
Neuroanatomy Correct Answer - neurotransmitters, brain
plasticity, epigenetics, major areas of the brain such as the
amygdala, prefrontal cortex, hypothalamus
Dopamine Correct Answer - responsible for drive, motivation,
and reward, inhibition of prolactin, controls motor (imbalance
causes Parkinson's, extapyramidal symptoms)
Serotonin Correct Answer - satisfaction, sociality, lowers
anxiety and impulsivity, decreases sex drive, 90% serotonin in GI
tract
-Too much- bleeding, GI motility, nausea
- Zofran blocks serotonin
Norepinephrine Correct Answer - concentration, attention,
vigilance, energy, tachycardia, HTN, glucose to essential organs
-Fear increases NE to brain, epinephrine to blood
-Fight or flight
Glutamate Correct Answer - being "on", excitatory (think gluta-
MATE mating)
GABA Correct Answer - being "off", inhibitory, relaxation,
euphoria, decreases muscle activity, slows breathing, decreases
anxiety and seizures (think gabapentin)
Complete Solutions
ARRN Correct Answer - Clear expectations for licensures
accreditation certification and education for all APRNs
Standards/scope of practice Correct Answer - Licensed and
independent practitioners, assess, diagnosis and treat and manage
acute episodic and chronic illnesses.
Statutory Law Correct Answer - States have a duty to protect
those who receive nursing care
Role of NONPF Correct Answer - the National Organization of
Nurse Practitioner Faculties. This is the only organization
specifically dedicated to promoting and supporting high quality
nurse practitioner education. The NONPF provides ongoing support
to NP educators through establishing competencies, methods of
evaluation, and strategic partnerships.
The NONPF primarily concentrates Correct Answer - on the
development of standards necessary to foster optimum graduate
educational programs. This network continually collects data and
utilizes expert knowledge of its membership to seminally publish
updated curricular frameworks
Clinical interview terms, techniques, and goals Correct Answer -
CC, HPI, PMH, Assessment, diagnosis, structured and unstructured.
MMSE, active listening.
Case formulation Correct Answer - Theoretically based
explanation or conceptualization of the information obtained from a
,clinical assessment which offers a hypothesis and provides a
framework of treatment.
Grief process and treatment Correct Answer - Kubler Ross:
denial, anger, bargaining, depression, and acceptance.
Instrumental: problem solving
Intuitive emotional
Risk assessment (suicide, self-harm, homicide, etc.) - protective and
risks factors Correct Answer - Highest risk group- white,
middle-aged males
Next highest- aged 85 and older
Screening tool- Ask Suicide-Screening Questions (ASQ) Correct
Answer - made of 4 questions to ask youth in medical settings
Common screening tools Correct Answer - PHQ-9 for
depression
Columbia-Suicide Severity Rating Scale (C-SSRS)
SAFE-T (Suicide Assessment Five-Step Evaluation and Triage)
Highest risk for self-injury Correct Answer - socioeconomic
disadvantage, depression, substance abuse, and anxiety
Self-injury increases Correct Answer - risk of later suicide
Primary prevention Correct Answer - concerned with the
prevention of the onset of disease; goal is to reduce the incidence of
disease; e.g. vaccinations
Secondary prevention Correct Answer - concerned with trying
to detect a disease early and prevent it from getting worse; e.g.
regular exams and screening tests
, Tertiary prevention Correct Answer - concerned with reducing
the impact of an ongoing illness or injury that has lasting effects; e.g.
cardiac or stroke rehab programs, support groups
Levels of prevention Correct Answer - primary, secondary,
tertiary - this is important for public patient
education/screening/epidemiological measures, and promoting
health.
Neuroanatomy Correct Answer - neurotransmitters, brain
plasticity, epigenetics, major areas of the brain such as the
amygdala, prefrontal cortex, hypothalamus
Dopamine Correct Answer - responsible for drive, motivation,
and reward, inhibition of prolactin, controls motor (imbalance
causes Parkinson's, extapyramidal symptoms)
Serotonin Correct Answer - satisfaction, sociality, lowers
anxiety and impulsivity, decreases sex drive, 90% serotonin in GI
tract
-Too much- bleeding, GI motility, nausea
- Zofran blocks serotonin
Norepinephrine Correct Answer - concentration, attention,
vigilance, energy, tachycardia, HTN, glucose to essential organs
-Fear increases NE to brain, epinephrine to blood
-Fight or flight
Glutamate Correct Answer - being "on", excitatory (think gluta-
MATE mating)
GABA Correct Answer - being "off", inhibitory, relaxation,
euphoria, decreases muscle activity, slows breathing, decreases
anxiety and seizures (think gabapentin)
