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Advance Practice Nursing Chapters 1-6 Questions With Correct Answers..pdf, Exams of Nursing

University of West London (UWL)Nursing

Advance Practice Nursing Chapters 1-6 Questions With Correct Answers..pdf

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2024/2025

Available from 07/08/2025

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Advance Practice Nursing Chapters 1-6
Questions With Correct Answers.
Advanced practice registered nurse (APRN) - ANSWER- masters prepared nurse who
provides direct clinical care
types of APRN - ANSWER- NP, CNM, CRNA, CNS
APRN roles that require additional licensure - ANSWER- NP, CNM, CRNA
Advance practice nursing (APN) - ANSWER- any form of nursing intervention that
influences health care outcomes for individuals or populations, including direct care of
individual patients, management care for individuals and populations, administration of
nursing and health care organizations, and the development and implementation of
health policy.
Consensus Model for APRN REgulation - ANSWER- *done by APRN consensus work
group and National Council of State Boards of Nursing APRN advisory Committee
*address the irregularities in regulation of APRN across states
APN examples - ANSWER- * CNL, CNS, Nurse Educators (direct pt care)
* Nurse Administrators, Public Health Nurses, Policy Makers (no direct pt care)
Clinical Nurse Specialist - ANSWER- *conducts a comprehensive health assessment
*leads and participates in the process of selecting, integrating, managing, and
evaluation technology
*leads and facilitates coordinated care and transitions in collaboration w pt and team
*provides education and coaching to pt with complex needs
*consults with healthcare teams to integrate needs, preferences, strengths of a
population into the healthcare plan to optimize outcomes and pt experience
*analyzes the ethical impact of scientific advances, cost, clinical effectiveness on pt
family values, preferences
Clinical Nurse Leader - ANSWER- *conducts a holistic assessment and comprehensive
physical exam of individuals across the lifespan
*uses it, analytic and evaluation methods
*facilitates collaborate approaches in the design, coordination and evaluation of patient-
centered care
*demonstrates coaching skills to support new idt members in exploring opportunities for
improving care processes and outcomes
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Advance Practice Nursing Chapters 1- 6

Questions With Correct Answers.

Advanced practice registered nurse (APRN) - ANSWER- masters prepared nurse who provides direct clinical care types of APRN - ANSWER- NP, CNM, CRNA, CNS APRN roles that require additional licensure - ANSWER- NP, CNM, CRNA Advance practice nursing (APN) - ANSWER- any form of nursing intervention that influences health care outcomes for individuals or populations, including direct care of individual patients, management care for individuals and populations, administration of nursing and health care organizations, and the development and implementation of health policy. Consensus Model for APRN REgulation - ANSWER- *done by APRN consensus work group and National Council of State Boards of Nursing APRN advisory Committee *address the irregularities in regulation of APRN across states APN examples - ANSWER- * CNL, CNS, Nurse Educators (direct pt care)

  • Nurse Administrators, Public Health Nurses, Policy Makers (no direct pt care) Clinical Nurse Specialist - ANSWER- *conducts a comprehensive health assessment *leads and participates in the process of selecting, integrating, managing, and evaluation technology *leads and facilitates coordinated care and transitions in collaboration w pt and team *provides education and coaching to pt with complex needs *consults with healthcare teams to integrate needs, preferences, strengths of a population into the healthcare plan to optimize outcomes and pt experience *analyzes the ethical impact of scientific advances, cost, clinical effectiveness on pt family values, preferences Clinical Nurse Leader - ANSWER- *conducts a holistic assessment and comprehensive physical exam of individuals across the lifespan *uses it, analytic and evaluation methods *facilitates collaborate approaches in the design, coordination and evaluation of patient- centered care *demonstrates coaching skills to support new idt members in exploring opportunities for improving care processes and outcomes

*engages in partnerships at multiple levels of the health systems to ensure effective coordination, delivery, and evaluation of clinical prevention and health promotion interventions and services across care environments *uses evidence to design and direct system improvements that address trends in safety and quality *advocates for policies that leverage social changed, promote wellness, improve care outcomes, and reduce cost Nurse Educator - ANSWER- requires specialized preparation must be competent clinician expertise in the 3 ps-phatho, pharm, phys assessment Nurse Practioner - ANSWER- *started in 1960s due to shortage of pcp's for the pediatric population *1990s masters level education *2004 AACN recognized DNP for entry-level *prescriptive authority in all 50 states and DC Nurse-Midwife - ANSWER- *first school in 1925 by Mary Breckenridge (founded Frontier Nursing Serice) *FAmily health services as well as childbirth/women's health *prescriptive auth in 50 states, DC, American Samoa, Guam and Puerto Rico Nurse Anesthetist - ANSWER- A nurse who completes a course of study in an anesthesia school; carries out preoperative visits and assessments; administers and monitors anesthesia during surgery; and evaluates postoperative status of patients Nurse Administrator - ANSWER- Nurse who supervises the organization of nursing care to ensure overall safety and quality No masters degree needed for basic certification Master's or higher for Advanced Cert. History of NP - ANSWER- *Lilian Wald's nurses provided primary care for common illness and emergencies that didn't require a referral *1965-NP formally developed by Loretta Ford and Henry Siler *1970s-federal funding helped establish NP programs *NP programs doubled 1992- 1997 *more than 330 NP programs now Master's Essentials - ANSWER- I. background for practice from sciences and humanities II.organizational and systems leadership III.Quality improvement and safety Iv.translating and integrating scholarship into practice v.Informatics and healthcare technologies VI. health policy and adocacy

  1. demonstrates information literacy skills in complex decision making.
  2. contributes to the design of clinical information systems that promote safe, high quality and cost effective care.
  3. uses tech systems that capture data on variables for the evaluation of nursing care. NP Core Competencies-Policy - ANSWER- 1. demonstrates and understanding of the interdependence of policy and practice.
  4. advocates for ethical policies that promote access, equity, quality and cost.
  5. analyzes ethical, legal and societal factors influencing policy development.
  6. contributes to the development of health policy
  7. analyzes the implications of health policy across disciplines
  8. evaluates the impact of globalization on healthcare policy deVelopment.
  9. advocates for policies for safe and healthy practice environments. NP Core Competencies-Health Delivery System - ANSWER- 1. applies knowledge of organizational practices and complex systems to improve health care deliery.
  10. effects healthcare change using broad-baseds skills, includng negotiating, consensus buliding, and partnering.
  11. minimzes risk to patients and providers at the individual and systems leel.
  12. facilitates the deelopment of healthcare systems that address the needs of culturally dierse populations, proiders, and other stakeholders.
  13. evaluates the impact of healthcare delivery on patients, providers, other stakeholders, and the enironment.
  14. analyzes the organizational structure, functions, and resources to improe the delivery of care.
  15. collaobrates in planning for transitions across the contiuum of care. NP Core Competencies-Ethics - ANSWER- 1. Integrates ethical principles in decision making.
  16. evaluates the ethical consequences of decisions.
  17. applies ethically sound solutions to complex issues related to individuals, populations and systems of care NP Core Competencies-Independent Practice - ANSWER- 1. Functions as a licensed independent practitioner
  18. demonstrates the highest level of accountability y for professional practice.
  19. practices independently, managing previously dx and undx patients.
  20. provides patient-centered care recognizing cultural diversity and the pt or designee as a full partner in decision making.
  21. educations professional and lay caregivers to pride culturally and spiritually sensitive appropriate care.
  22. collaborates with both professional and other caregivers to achieve optimal care outcomes.
  23. coordinates transitional care services in and across care settings.
  24. participates in the development, use, and education of professional standards and evidence-based care

Doctor of Nursing Program - ANSWER- *until 1999 there was EdD, PhD or DNS/DNSc (research-focused) *2004 AACN approved DNP (clinical practice focused) *AACN endorses as goal for all APRN *terminal degree DNP Essentials - ANSWER- I. Scientific underpinnings for practice II. organizational and systems leadership for QI and systems thinking III. clinical scholarship and analytical methods for eidence-based practice

  1. Information systems/tech and pt care tech for the improvement and transformation of health care
  2. Health care policy for advocacy in health care
  3. Inter-professional collaboration for improving pt and population outcomes
  4. clinical prevention and population health for improing the nations health
  5. Advance nursing practice Nursing Theories for NP - ANSWER- Jean Watson-10 Caritas Processes Hildegard Peplau-Focus on relationship between pt and nurse Virginia Henderson-14 components of Need Theory National Cancer Institutes 5 As - ANSWER- Assess Adise Agree Assist Arrange Authentic Listening - ANSWER- being present, interested, spending time, showing respect NP unique Role components - ANSWER- Authentic listening, Empathy, Negotiating, Going above and beyond Driers for DNP in nursing - ANSWER- *parity with other professionals that hae doctorates *need for longer programs that reflect the hours needed for a masters and accommodate additional info needed to prepare nurses for demands of health care- most masters haVe same credit hours as doctorate *help nursing faculty shortages *practice doctorate to prepare nurses for the changing demands of society and health care (increased complexity, shouldn't be just on the masters level) Nurse Educator Roles - ANSWER- Faculty Development Programs Nursing Education Practicum Graduate Teaching Assistant New Nurse Educator Mentoring

Retail clinics Legal and business consulting Journalism Education IT development Pharmaceuticals Organizational Mgmt and admin Types of Integrative Healing Modalities - ANSWER- 1. Whole Medical Systems-

  1. Manipulative-
  2. Mind-body medicine-
  3. Biologically Based-
  4. Energy Medicine- Whole Medical Systems - ANSWER- homeopathy, osteopathic medicine Manipulative - ANSWER- Acupressure, Acupuncture, Alexander technique, AMMA Therapy, Applied kinesiology, aromatherapy, breema bodywork, chiropractic, cranial osteopathy, craniosacral, dance, feldenkrais method, jin shin jyutsu, lymphatic therapy, massage, movement therapy, neuromuscular therapy, physical therapy, shiatsu, trigger point therapy Mind-body medicine - ANSWER- art therapy, color therapy, counseling/psychotherapy, eye movement desensitization and reprocessing (emdr), guided imagery, hypnotherapy, interactive imagery, meditation, music therapy, neurolinguistic programming, stress mgmt, tai chi, yoga Biologically Based - ANSWER- biofeedback, herbal therapy, hydrotherapy, nutritional counseling Energy Medicine - ANSWER- Chi Kung healing touch, Energy work, Healing touch, magnetic therapy, reiki, therapeutic touch Meaningful Use Incentive Program - ANSWER- Developed by CMS, provides incentive payments for adopting/implementing/updating/demonstrating meaningful use of EHR tech Project Management - ANSWER- *part of nursing informatics role *most projects include needs assessment and the full system development life cycle (sdlc) *Pert and Gantt charts-display project status and overall anticipated duration Hybrid health records - ANSWER- some parts of health record electronic and other parts on paper or in other electronic system

Complexity Science - ANSWER- knowledge and understanding that transcend linear systems to include a multifaceted world view The 8 steps to the Change Process - ANSWER- 1. making sense/unfreezing

  1. leading/serving on inter professional change team
  2. developing a team vision and charge
  3. ID and analyze forces of change
  4. developing a work plan for change implementation
  5. implementing change
  6. evaluating outcomes and refining as needed
  7. incorporating changes into the culture/refreezing Transformational Leadership in nursing - ANSWER- *associated with better pt outcomes, fewer medical errors and greater staff satisfaction. Pillars of Leadership - ANSWER- 1. Professionalism
  8. Inspirational Motivation
  9. Interpersonal relationships
  10. business competency Pygmalion effect - ANSWER- the principle that we fulfill the expectations of others Patient Protection and Affordable Care Act of 2010 - ANSWER- explicitly identified interdisciplinary teams, include nurses, NPs, MDs, Pharmacists, social workers and al other allied health professionals to pride coordinated, integrated and evidence based care to patients and family, particularly those with complex healthcare needs. issues that contribute to poor quality of care and undesireable outcomes - ANSWER- *complexity of the knowledge, skills, interventions and treatments required to deliver care *increase in chronic conditions *inefficient, disorganized delivery systems *challenges to greater implementation of IT Triple Aim - ANSWER- - Improve the health of the population
  • Enhance the patient experience of care
  • Reduce or control the per capita cost of care Interprofressional collaboration - ANSWER- describes the interactions among individuals professionals who may represent a particular disciple or branch of knowledge but who additionally bring their unique educational backgrounds, experiences, values, roles, and identities to the process Interdisciplinary - ANSWER- knowledge ascribed to a particular discipline collaborative interprofessional practices best when - ANSWER- 1. problem is complex
  • storming
  • norming
  • performing
  • adjourning forming - ANSWER- the first stage of team development, in which team members meet each other, form initial impressions, and begin to establish team norms storming - ANSWER- the second stage of development, characterized by conflict and disagreement, in which team members disagree over what the team should do and how it should do it norming - ANSWER- the third stage of team development, in which team members begin to settle into their roles, group cohesion grows, and positive team norms develop performing - ANSWER- The fourth stage of team development, during which members are comfortable working within their roles, and the team makes progress toward goals adjourning - ANSWER- Completion stage of team development. Team evaluates it's performance and progress by reviewing whether outcomes were met three dimensions of trust - ANSWER- ability, benevolence, integrity caring talk - ANSWER- personal conversations and story telling talking stick - ANSWER- only the person holding the stick can speak. stick is passed to next member and they must restate what has been said, without disagreeing Johari Window - ANSWER- a model of mutual understanding that encourages disclosure and feedback to increase our own open area and reduce the blind, hidden, and unknown areas episodic treatment groups (etg) - ANSWER- - intorduced in 1993
  • used to measure patient outcomes and provider performance
  • industry standard for episodic patient classification DIAMOND program - ANSWER- Depression Improvement Across Minnesota, Offering a New Direction
  • center is a case manager (rn) with 150-200 patients with depression in an outpatient setting.
  • works with a psych to review pts weekly
  • is cost effective and improves outcomes components of work culture that promote collaboration - ANSWER- - provide psychological safety
  • flattened power differential
  • administrative support and resultant resources allocated for collaboration
  • psychical space design that promotes collaboration upward voice - ANSWER- communication directed to someone higher in the organizational hierarchy with perceived power or authority to take action on the problem or suggestion (eg, leaders who walk around and initiate conversation, suggestion boxes, open door policies) nonpunitive incident reporting - ANSWER- system to improve safety standards, ensures issues are brought to the forefront so improvements can be made Leadership Theories - ANSWER- transformatoinal complexity/new leadership vs management transformational leadership - ANSWER- concept of empowering all team members (including the leader) to work together to achiee a goal complexity/new leadership - ANSWER- new paradigm of thinking about leadership that unites science and management to solve problems
  • adaptive, creative, rely on one another for growth and sustainability Leadership vs. Management - ANSWER- Leadership: inspiring, influencing, guiding others in a common effort Management: Planning, organizing, controlling, and allocating resources in a common effort inneffective communication - ANSWER- major obstacle in interproffesional collaboration, is directly related to quality of patient care and contributes to adverse health outcomes measures to improve communication - ANSWER- - maintain eye contact
  • speak concisely, avoid jargon
  • use questions wisely, clarify
  • avoid qualifiers or tags ("sort of""kind of")
  • be aware of gestures, facial expressions, postures. send positive non-verbal signals
  • avoid defensiveness
  • avoid responding emotionally, never raise voice, yell or cry 5 realms of emotional intelligence - ANSWER- - self awareness
  • self regulation
  • motivation
  • empathy
  • social skills