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NSG 6660 Final Exam Questions With
Accurate Answers
- What is the purpose of conceptual models? - ANSWER - 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? - ANSWER 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? - ANSWER 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? - ANSWER 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. - ANSWER 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 - ANSWER Standardized measurement approaches
- What is central competency for advanced practice nursing? - ANSWER 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
- Negotiation, compromise, and collaboration can minimize or resolve what? - ANSWER conflict
- The first specialty area of nursing in the United States was? - ANSWER Nurse Anesthesia
- The goals of professional APN organizations are to: establish clear characteristics of advanced practice, provide for safe patient care, - ANSWER To interpret components of clear and competent levels of behavior
- What are the types of quality outcomes related to the APN role? - ANSWER Traditional
Structural
Process
- The first recognized clinical specialty in nursing was? - ANSWER Psychiatric nursing
Promotion: Encompasses those activities that communicate the value of the product to the market
- The steps in Lewin's Freezing Model include? - ANSWER 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.
- Unfreeze - helping people to unlearn bad habits and prepare to accept change
- Change - implementation of change may see chaos ensue but this is necessary for enhanced effectiveness
- 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? - ANSWER - 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? - ANSWER 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? - ANSWER 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? - ANSWER Nurse Anesthetists - Doctor of Nurse Anesthesia DNAP
What are the 5 primary roles of the APN are? - ANSWER Researcher, expert clinician, educator, leader & consultant
Which organization(s) is/are responsible for APN certification? - ANSWER -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. - ANSWER 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
- Can you be sued if you have less than 10 percent of liability? - ANSWER Yes
What is ethnocentrism? - ANSWER Belief in the relative superiority of one's own cultural group is a common phenomenon. Often operating at an unconscious level, can exert a powerful influence on our patient interactions and care provided for a patient. The belief that one's own culture or way of life is better than that of others
- The foundation of reimbursement is? - ANSWER Proper documentation of medical necessity
