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NSG 6660 Final Troy University
Questions with Verified Solutions
- What is the purpose of conceptual models? ✔✔- To articulate professional role identity and function
- In practice, to conceptualize delivery of holistic, comprehensive, collaborative care
- To differentiate among levels of nursing practice
- In research, to guide research and theory development
- 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
- What are the steps of the process of Evidence-based practice? ✔✔- Formulation of a measurable clinical question.
- Search the literature for relevant studies.
- Extraction and critical appraisal of data from pertinent studies (evidence).
- Implement useful finding in clinical decision making. (clinical decision making based on results of this process)
- The Goldmark Report in 1923 resulted in what recommendation? ✔✔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
- The use of rigorous quality and performance models and measurements allows the APN to be well positioned to ✔✔Transition into advanced practice care and to justify the role of the APN
Begin the development of a professionally and personally relevant framework to measure quality, evaluate performance, and identify meaningful indicators to justify the role and fulfill the expectations of the role.
- The current health care climate suggests that health care quality models and approaches should include the assessment of care in relation to what consumers want from the system, must be evidence-based and must use ✔✔Standardized measurement approaches
- 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
- What are the types of quality outcomes related to the APN role? ✔✔Traditional
Structural
Process
- The first recognized clinical specialty in nursing was? ✔✔Psychiatric nursing
- 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
- Jointly funded state and federal insurance program
- Direct reimbursement to family, peds NPs and CNMs
- Requirements: Low income, pregnant, disabled, blind, aged, resources, US citizenship or lawfully admitted immigrant
- The first nurse practitioner was? ✔✔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.
- Moving ends with the desired outcome
Refreezing the new level
-Goal is stabilization of the change
-Need to legitimate the change
-Change fully accepted
-Need regular evaluation of change
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
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
- 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? ✔✔Nurse Anesthetists - Doctor of Nurse Anesthesia DNAP
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
- Collaboration
- Ethical decision making
- What does autonomy mean? ✔✔Individual uniqueness of each patient. Uniqueness is the structure of his individual nature, the liaison of his character structures
