SOLUTIONS GRADED A+
✔✔The central competency, direct clinical practice, is characterized by which three of
the following? - ✔✔Expert clinical performance
Formation of a therapeutic partnership with patients
Holistic approach
✔✔Which payment system seeks Medicare reimbursement under the MACRA
legislation for providing high quality patient-specific care and improved outcomes? -
✔✔Merit Incentive Based Payment
✔✔What four components of advanced practice nursing (APN) are specified by the
National Council for State Boards of Nursing Consensus Model for APRN regulation? -
✔✔Licensure, Accreditation, Education, Certification
✔✔Which learning theory would be most applicable as a guide for the development of a
program to help families of patients in palliative care? - ✔✔Humanistic Learning Theory
✔✔What terms indicate appropriate progression associated with the history and
evolution of advance practice nursing? - ✔✔Specialist, Expanded Role, Advanced
Practice
✔✔An experienced NP, has two separate but equally important ethical obligations that
he is unfortunately unable to carry out. This is an example of which barrier to ethical
practice? - ✔✔Moral Dilemma
✔✔Which two options are barriers to the conceptualization of Advanced Practice
Nursing? - ✔✔Interprofessional education and practice
Need to differentiate between advanced practice nursing and medicine
✔✔The nurse practitioner is caring for a client who has undergone a recent gastrectomy
who complains of fatigue, palpitations, shortness of breath, and numbness and tingling
to their fingers on both hands. The nurse suspects pernicious anemia related to: -
✔✔Deficiency of intrinsic factor production
✔✔The analysis of a theory or conceptual model includes examining the origins. Which
would not be considered an aspect of origin of the theory/model? - ✔✔The unique focus
✔✔A critical environmental element that affects the authority of advanced practice
nurses to practice to their fullest/maximum scope, according to Hamric's model, is: -
✔✔Health Policy
, ✔✔For nursing to be considered a discipline, which statement is true? - ✔✔Context has
considerable influence on the development of the knowledge base.
✔✔The APN wants to develop a community educational program for hypertension and
stroke prevention. She recognizes that the individual's lifestyle and pattern of behavior
need to be addressed for the program to be successful. Which theory would be most
appropriate to guide the program development? - ✔✔Health as Expanding
consciousness
✔✔When considering a theory for use in guiding practice, the APN should examine the
Conceptual-Theoretical-Empirical (C-T-E) linkages by for which criteria? -
✔✔Specification adequacy
✔✔Hamric's Integrative Model of Advanced Practice - ✔✔• Direct Clinical Practice
• Guidance and coaching
• Consultation
• Evidence-based practice
• Leadership
• Collaboration
• Ethical decision making
✔✔Which three primary criteria for advanced practice nursing are identified in Hamric's
Integrative Model of Advanced Practice Nursing? - ✔✔Guidance, Graduate education,
Patient-focused practice, Certification
✔✔In septic shock, which mediators are anti-inflammatory? - ✔✔Interleukin (IL-4, IL-10,
IL13)
4-10-13
✔✔The link between major depression and cortisol secretion is that individuals with
depression: - ✔✔Show that persistently elevated plasma cortisol levels can result in
inflammation that is believed to trigger depression.
✔✔An adult-gerontology nurse practitioner is employed in a rural practice that is
initiating a school-based primary healthcare program. All nurse practitioners in the
practice are required to initiate preparations to facilitate conducting patient visits in the
new setting. Which role concepts best describes what the adult-gerontology nurse
practitioner is experiencing? - ✔✔Role incongruity
✔✔A MSN student is noting challenges related to attending school while attempting to
balance other work, family, and social responsibilities. Which of the following role
concepts illustrates the MSN student's experience? - ✔✔Role Stress