NSG 6006 Pre-specialty Evaluation Exam, Latest 2019/2020 Updated Verified Answers, South University

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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: P—population, I—intervention, C—comparisons, O... —outcome, T—time. 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? To protect against high out-of-pocket costs by prohibiting insurers from denying coverage based on pre- existing conditions. 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? Have several different theories/models been examined? 4. Which three roles represent the accepted advanced practice nursing roles? Certified Nurse Midwives (CNM) Clinical Nurse Specialist (CNS) Certified Registered Nurse Anesthetists (CRNAs) 5. What are the three major categories of Nola Pender’s Health promotion model? Behavior-specific cognitions and affect Characteristics and experiences Behavioral outcomes 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? Jean Watson theory of human caring 7. Which set of components is essential in a scientific theory? Interrelated concepts, definitions, and propositions 8. The term advanced nursing practice (APN) includes nurses who are: Certified APRNs with a minimum of a master’s degree 9. To meet Medicare’s coverage requirements, the Nurse Practitioner’s services must be: Provided subject to state restrictions and supervision requirements 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: Counseling about safer sexual practices 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? Centers for Disease Control and Prevention (CDC) 12. Development of the first pediatric nurse practitioner program at the University of Colorado in 1965 is credited to which two individuals? Henry Silver, MD Loretta Ford, MD 13. Raynaud phenomenon is classified as a type III hypersensitivity reaction and is due to: Immune complexes that are deposited in capillary beds, blocking circulation 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? Staphylococcus aureus 15. How can the APN best influence development and passage of a specific health policy agenda? Determine the best fit between legislative agenda, supporting organizations, and health policy issue. 16. Which is the gold standard research design for generating evidence? Randomized Control Trial 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: Kidneys, Eyes, Brain 18. Which organization allows the use of the “BC” credential? American Nurses Credentialing Center (ANCC) 19. Which agency houses the US Protective and Safety Task Force (USPSTF)? Agency for Health, Research and Quality 20. Which 2 organizations administer nurse practitioner certification programs? American Association of Nurse Practitioners (AANP) American Nurses Credentialing Center (ANCC) 21. Transformational leadership is best defined as: A style that is relational, driven by a common goal, and satisfies the leader and the follower 22. A metaparadigm must include which of the following 3 characteristics? Encompass all phenomena of interest Be perspective—neutral Be global in scope 23. Which statement best reflects King’s theory? If nurses with special knowledge and skills communicate appropriate information to clients, mutual goal- setting and goal attainment will occur 24. Which agency will the APN reference when seeking the current evidence based guidelines directing standards of care? Agency for Health Research and Quality 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: Acute cholecystitis 26. What theory is used to describe the cause of endometriosis? Endometrial tissue passes through the fallopian tubes and into the peritoneal cavity and remains responsive to hormones. 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? Explanatory 28. The leadership core competency of advanced practice nursing includes which three characteristics? Mentoring, Innovation, Activism 29. What initiative specifically focuses on the aging American, under the Affordable Care Act? Multiple Chronic Conditions (AS WE AGE WE GAIN MORE AILMENT ISSUES) 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? Reciprocal Interaction 31. A difficult aspect of determining occupational exposure to disease is the: Long latency period between exposure and disease reporting 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? Organizational/Environmental 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. Dependency subsystem [Show More]

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