NSG6006 week 5 final exam 2018

1. Once
a practice problem has been identified the next step would be to use the PICOT
format to ask a question about the problem. PICOT stands for:

2. The
Affordable Care Act has directed the US Department of Health and Human Services
and multiple agencies to develop and disseminate initiatives on meeting the
care needs of patients with Multiple Chronic Conditions (MCC). What is the
primary purpose for the national direction?

3. After
thoroughly researching the topic of interest, what is the next step an APN
should ask in selecting a theory/model for use in practice or research?

4. Which
three roles represent the accepted advanced practice nursing roles?

5. What
are the three major categories of Nola Pender’s Health promotion model?

6. Which
theorist/s identifies carative factors as a value system, faith-hope and
sensitivity to self and others? This describes which of the following theories?

7. Which
set of components is essential in a scientific theory?

8. The
term advanced nursing practice (APN) includes nurses who are:

9. To
meet Medicare’s coverage requirements, the Nurse Practitioner’s services must
be:

10. A
20-year-old female comes to the primary care clinic with clinical findings
consistent with acute bronchitis. She is sexually active with a male partner,
although she states prior to this relationship she did have two sexual
partners. Her menses occurs every 28 days and is regular. An example of a
primary prevention activity for this patient is:

11. Which
agency’s initiative establishes national health promotion and prevention
efforts and establishes benchmarks for monitoring the progress of health among
Americans over a 10-year timeframe?

12. Development
of the first pediatric nurse practitioner program at the University of Colorado
in 1965 is credited to which two individuals?

13. Raynaud
phenomenon is classified as a type III hypersensitivity reaction and is due to:

14. The
nurse practitioner is caring for a 21-year-old female who presents with a pruritic,
erythematous rash matching pattern of her sandal straps. The nurse practitioner
advises the patient to avoid scratching the area due to the risk of developing
a secondary infection. The NP understands that the most likely etiology of
secondary skins infections is caused by which organism?

15. How
can the APN best influence development and passage of a specific health policy
agenda?

16. Which
is the gold standard research design for generating evidence?

17. The
APN is examining a client with new onset HTN. The NP recognizes that HTN may
result in significant complications associated with which of the following three
organs:

18. Which
organization allows the use of the “BC” credential?

19. Which
agency houses the US Protective and Safety Task Force (USPSTF)?

20. Which
2 organizations administer nurse practitioner certification programs?

21. Transformational
leadership is best defined as:

22. A
metaparadigm must include which of the following 3 characteristics?

23. Which
statement best reflects King’s theory?

24. Which
agency will the APN reference when seeking the current evidence based
guidelines directing standards of care?

25. A
43-year old woman has a 12-hour history of sudden onset of right upper quadrant
abdominal pain with radiation to the shoulder, fever, and chills. She has had
similar, milder episodes in the past. Examination reveals marked tenderness to
right upper quadrant abdominal palpation. Her most likely diagnosis is:

26. What
theory is used to describe the cause of endometriosis?

27. Chronic
pain, physical disability, social support, age and gender are related to
perceived daily stress, which is related to depression. This is an example of
which type of theory?

28. The
leadership core competency of advanced practice nursing includes which three
characteristics?

29. What
initiative specifically focuses on the aging American, under the Affordable
Care Act?

30. Which
of the following philosophies of work view would characterize human beings as
holistic; parts are viewed only in the context of the whole?

31. A
difficult aspect of determining occupational exposure to disease is the:

32. A
novice nurse practitioner is experiencing feeling of inferiority toward more
experienced clinicians in the practice. She has identified that time
constraints for visits and expectations to increase productivity limits her
ability to address these non-adherent issues during client visits. Which
barrier to ethical practice is influencing practice?

33. Utilizing
Johnson’s Behavioral systems model (JBSM), the APN discovers that a patient is
not sure who he can depend on because his wife is emotionally distant. This
data would be characteristic of which subsystem of the JBSM.

34. A
purposeful, complex, dynamic, collaborative, and holistic interpersonal process
aimed at supporting and facilitating patients and families through
health-related experiences and transitions to achieve health-related goals
(mutually determined when possible)” defines which APN role?

35. A
60 year old female with a history of emphysema presents to the primary care office
with complaints of cough and shortness of breath at rest. During the physical
exam, the nurse practitioner recognizes clubbing, barrel chest, and prolonged
expiration. The nurse practitioner understands that the patient is exhibiting
symptoms resulting from which type of pulmonary disease process?

36. Which
of the following statements accurately defines Hamric’s conceptual definition
of advanced practice nursing?

37. When
caring for a client who presents with pain and swelling to location of the
metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. Which
diagnostic test is most specific to diagnosis of rheumatoid arthritis?

38. The
Consensus Model for Advanced Practice tered Nurse Regulations addresses
which four areas?

39. Which
statement best supports primary prevention of burns for geriatric clients?

40. Which
of the following three complications are associated with chronic hepatitis B?

41. The
central competency, direct clinical practice, is characterized by which three
of the following?

42. Which
payment system seeks Medicare reimbursement under the MACRA legislation for
providing high quality patient-specific care and improved outcomes?

43. What
four components of advanced practice nursing (APN) are specified by the
National Council for State Boards of Nursing Consensus Model for APRN
regulation?

44. Which
learning theory would be most applicable as a guide for the development of a
program to help families of patients in palliative care?

45.
What terms indicate appropriate progression associated with the history and
evolution of advance practice nursing?

46.
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?

47.
Pre-invasive epithelial tumors of glandular or squamous cell origin describes
which of the following?

48.
Which two options are barriers to the conceptualization of Advanced Practice
Nursing?

Interprofessional
education and practice

49.
The Dreyfus Model of Skill Acquisition includes which four stages of APN
performance?

50.
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:

51.
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?

52.
The clinical manifestations of dyskinetic cerebral palsy include:

53.
Which core competency incorporates assuming complex collaborative roles with
stakeholders and communities?

54.
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:

55.
For nursing to considered a discipline, which statement is true?

56.
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?

57.
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?

58.
In septic shock, which mediators are anti-inflammatory?

59.
The link between major depression and cortisol secretion is that individuals
with depression:

60.
Which three primary criteria for advanced practice nursing are identified in
Hamric’s Integrative Model of Advanced Practice Nursing?

61.
Which advance practice nursing was developed to facilitate delivery of high
quality, patient-centered primary care?

62.
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?

63.
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?

64.
A 24 year old female presents to the primary care office with complaints of
dysuria. Urinalysis lab results indicated positive nitrites. The nurse
practitioner plans to initiate antibiotic coverage for the most likely
causative organism which is:

65.
Place the following four steps of APN core competency of evidence based
practice in order.

66.
A 12 year old male is diagnosed with Klinefelter syndrome. His karyotype would
reveal which of the following?

67.
Concerning the MMR vaccine, which of the following is a correct statement?

68.
You are seeing a 40 year old patient who has started varenicline (Chantix) 3
weeks ago as a tool for smoking cessation. What is the most important question
to ask during the visit?

69.
A primary care nurse practitioner (NP) is seeking additional support from
ancillary health services for a diabetic client who is noncompliant with
nutrition, exercise, and medication. Which barrier to ethical practice is
influencing the NP’s practice?

70.
Which hospital ownership classification best describes an organization whose
excess income is distributed to its shareholders?

71.
How has the Quality Chasm Report been used to direct US health care?

72.
A 12 year old female is newly diagnosed with type 1 DM. When the parents ask
what causes this, what is the nurse practitioner’s best response?

73.
Which patient below is at most risk for invasive pneumococcal infection?

74.
A Latino patient in your clinic has been perpetually late for his appointment.
Which action by the nurse practitioner would be most appropriate?

75.
What specific developments have primarily occurred because of the Affordable
Care Act (ACA)?

76.
Hamric’s Integrative Model of Advanced Practice Nursing identify the central
competency of advance practice nursing that directs the other six core competencies.

77.
A public health nurse is teaching the community about health promotion. When
explaining immunity, the APN discusses that innate immunity is:

78.
According to Madeline Leininger, cultural care/accommodation/negotiation refers
to actions/decisions that help a particular culture:

79.
The nurse practitioner is conducting annual physical exam on a 62 year old
male. Which of the following risk factors will prompt the nurse practitioner to
screen the patient for development of benign prostatic hypertrophy (BPH)?

80.
The family nurse practitioner examines a patient who has sustained a
non-work-related injury that interferes with his ability to perform his job.
The patient does not qualify for medical disability and has a reasonable chance
of engaging in a suitable occupation with proper therapy. What type of services
or benefits should the nurse practitioner recommend?

Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.