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Clinical Nurse Specialist (CNS) Review – Qs & As $24.99   Add to cart

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Clinical Nurse Specialist (CNS) Review – Qs & As

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Clinical Nurse Specialist (CNS) Review – Qs & As

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  • December 3, 2023
  • 33
  • 2023/2024
  • Exam (elaborations)
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Clinical Nurse Specialist (CNS) Review – Qs & As
Conceptualization of CNS role ✔️Ans - domains of practice spheres of
influence
1.Patient/client- Evidence based care incorporating best practice

2. Nurses & Nursing practice- staff education to improve care outcomes

3. Organizations/ Systems- safe, cost effective, quality care delivered across
the care continuum

Flo Jo ✔️Ans - Founder of modern nursing

Major concepts: nursing, person, health and environment

believe environment influenced health

first nurse researcher - scientific inquiry and statistics

Primary Prevention ✔️Ans - PREVENTING a disease process

example: exercising, smoking cessation

Secondary Prevention ✔️Ans - SCREENING

Example: mammograms, pap, cholesterol screening

Tertiary Prevention ✔️Ans - TREATING/ Therapy

example: post stroke program, rehab, pt/ot, preventing complications

Nurse Sensitive outcome ✔️Ans - elements of patient care that are directly
affected by nursing practice

example:
Falls
Pt complications

,Patient/client Sphere Activities ✔️Ans - Direct Care:
-Monitoring
-Delivering Care
-Supporting Pt/family

Indirect Care:
-managing all aspects of care
-consulting as expert

Nurse Sphere Activities ✔️Ans - Formal Education
-providing needed education to ALL LEVELS of nursing staff

Informal Education:
-Providing support & information to staff as needed/PRN

Organization/System Sphere Activities ✔️Ans - -Improving care quality by
implanting best practice
-translating evidence into practice
-internal, external & professional committee work

Family Assessment ✔️Ans - Assess all aspects of family dynamics to
identify problems

synthesize data to identify dx

develop plan of care

evaluate outcomes

Maslow Hierarchy of basic needs ✔️Ans - 1.BASIC: Food, shelter

2.SAFETY: security, door locks, lighting, employment resources

3. BELONGING: love, comfort, family, friends

4. TRUST: control over lifestyle, pain, choices

5. SELF-ESTEEM: Status, pride, confidence

,6.SEL-ACTUALIZATION: Satisfying relationships, values, creativity, self-
direction

Erik Erikson: Developmental Stages ✔️Ans - 1.ADOLESCENT: Identify vs
Role confusion
2.YOUNG ADULT: Intimacy vs isolation
3. MIDDLE AGE: Generavity vs stagnation
4.OLDER Adults: Integrity vs Despair

R.J. Havighurst- Developmental Tasks of Aging ✔️Ans - 1. adjusting to loss
2.Adapting to change
3. Accepting life's experiences
4. Undergoing role changes
5. Preparing for death

Community Assessment ✔️Ans - Assessment of physical, psychological,
sociological and environmental aspects of community

design appropriate interventions

evaluate outcomes

Risk Assessment ✔️Ans - Importance of risk assessment in PREVENTION
of illness/complications can't be overstated

assessment tools:
braden scale, fall risk, VTE Risk assessment

Risk Assessment: CNS Role ✔️Ans - -Continual assessment
-Collects data
-Develops individualized differentials
-Evaluates and adjusts plan of care to improve outcome
-Prepares patients prior to stressful procedures to relieve stress/anxiety

Needs Assessment Methodologies ✔️Ans - -Secondary Data use
-Focus groups
-in-depth interviews
-community forums/public meetings
-Surveys

, Steps in Needs Assessments ✔️Ans - 1. Determine Population
2. Review/collect subjective/objective data about target population
3. conducts root-cause analysis

Needs Assessment/ Gap Analysis ✔️Ans - Goal is to improve care by
implemented best practices based on research evidence

Needs Assessment is best way to identify Gaps

Gaps: difference between what currently exists & what the evidence shows

SWOT Analysis
(strengths, weaknesses, opportunities and threats analysis) ✔️Ans -
framework for identifying and analyzing the internal and external factors that
can have an impact on the viability of a project, product, place or person

-Identifies Clinical problems

5 Sub-roles of CNS ✔️Ans - 1.Clinical Expert
2.Educator
3.Consultant
4.Researcher
5.Clinical, Professional & Systems Leader

Disease ✔️Ans - -Structural, physiological, biochemical disorders,
conditions assessed at a tissue or organ level

Results in medical diagnosis

Illness ✔️Ans - Subjective experiences or symptoms expressed by clients

Results in Nursing diagnosis

CBC: RBC's ✔️Ans - Male- 4.7-6.1
Female- 4.2-5.4

Hemoglobin ✔️Ans - Male: 15-18g/dl
Female: 12-16g/dl

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