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ADVANCE PRACTICE NURSING CHAPTERS 1-6 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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ADVANCE PRACTICE NURSING CHAPTERS 1-6 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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ADVANCE PRACTICE NURSINGCHAPTERS 1-6 QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
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
vii. inter-professional collaboration for improving patient and population health outcomes
vIII. clinical prevention and population health for improving health.
IX. Master's level nursing practice
NP Core Competencies-Scientific Foundation - ANSWER 1. critically analyzes data and evidence for
improving advanced nursing practice.
2. Integrates knowledge from the humanities and sciences within the context of nursing science.
3. translates research and other forms of knowledge to mproe practice process and outcomes.
4. deVelops new practice approaches based on the integration of research, theory, and practice
knowledge.
NP Core Competencies-Leadership - ANSWER 1. Assumes complex and advanced leadership roles to
imitated ad guide change.
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