Download NSG 6660 Final Troy University Revised: Questions and Answers on Advanced Practice Nursing and more Exams Nursing in PDF only on Docsity!
NSG 6660 Final Troy University Revised
Questions with Certified 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
- In education, to plan curricula
- 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 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.
- 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
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.
- APRNs that are examining quality indicators to generate revenue know that ____________ has been linked to reimbursement to quality indicators. ✔✔Outcomes Data
- 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? ✔✔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.
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, have just cause, and correct codes.
-reasonable and necessary
-legally authorized in the state in which they will be performed
-not otherwise precluded due to a statutory exclusion
-performed in collaboration with a physician
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 American College of Nurse-Midwives ACNM or the American Association of Nurse Anesthetists 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
- Consultation
- EBP
- Leadership
- Collaboration
- Ethical decision making
- What does autonomy mean? ✔✔Individual freedom to make rational and unconstrained decisions
Intraprofessional Role Conflict ✔✔Communication difficulties at organizational level, in educational programs, in literature, and in direct clinical practice • Nurse-NP conflict can be minimized by (1) orienting staff nurses to APRN role and providing guidelines regarding responsibility issues and (2) allowing new APRNs to establish rapport with nurses by learning about new setting from them
Interprofessional Role Conflict ✔✔Between physicians and APRN because of perceived threat of competition, lack of experience working together, historical hierarchy
