Advanced practice nursing is the patient-focused application of an
expanded range of competencies to improve health outcomes for
patients and populations within a specialized clinical area of the
larger discipline of nursing" - ANSWER-Hamric's definition of
advanced practice nursing
What is the central competency of any advanced practice nursing
regardless of role? - ANSWER-direct clinical practice
___________________________ and ___________________________
have distinct definitions and cannot be seen as interchangeable. -
ANSWER-Advanced practice nursing/advanced nursing practice
The term ____________________________ is characterized by the
integration an application of a broad range of theoretical and
evidence-based knowledge that occurs as part of graduate nursing
education - ANSWER-Advanced nursing practice
Who started the first nurse practitioner program in 1965 at the
University of Colorado? - ANSWER-Henry Silver and Loretta Ford
What has influenced the history of advanced practice nursing? -
,ANSWER-Societal forces including wars, the economic climate, and
health care policy
The APN movement consists of? - ANSWER-Society
War
Economicclimate
Healthcare Policy
What is the oldest recognized role of the APN? - ANSWER-CRNA
What are the 4 recognized roles of the APN? - ANSWER-NP
CRNA
CNS
CNM
List the core competencies of practice. - ANSWER-Direct care,
guidance & coaching, consultation, evidence-based practice,
leadership, collaboration, and ethical-decision making
The consensus model for the APN regulation addresses what 4
areas? - ANSWER-Specialty areas
Roles and titles
Population Foci
Preparation for APN roles
Which group of nurse specialist was the first to receive direct
reimbursement for services rendered? - ANSWER-CRNA
,scope of practice - ANSWER-- Describes practice limits and sets
parameters within which nurses in various APRN specialties may
practice- Differs from state to state; based on state statues
promulgated by various state nurse practice acts and rules and
regulations for APRN practice
Scope of practice - ANSWER-Must practice and be certified in the
specific specialty Graduate education
ANA definition of scope of practice - ANSWER-"The description of the
who, what, where, when, why, and how of nursing practice"
Nursing scope of practice acts are most closely tied to the
______________________ of practice - ANSWER-state
The Novice to Expert Theory is described by - ANSWER-The Dreyfus
Model
Calkin's Model of Advanced Nursing Practice - ANSWER-developed
the model to help nurse administrators differentiate advanced
practice nursing from other levels of clinical practice in personnel
policies, and proposed that this could be accomplished by matching
patient responses to health problems with the skill and knowledge
levels of nursing personnel; three curves were overlaid on a normal
distribution chart. Calkin depicted the skills and knowledge of
novices, experts by experience, and APNs in relation to knowledge
, required to care for patients whose responses to health care
problems (i.e., health care needs) ranged from simple and common to
complex and complicated
unclear expectations, diffuse responsibilities, uncertainties about
sub-roles Role ambiguity - ANSWER-role ambiguity
incompatibility between skills and abilities, personal values, self
concept, and obligations - ANSWER-role incongruity
when role expectations are perceived to be mutually exclusive or
contradictory - ANSWER-role conflict
Perceived economic threat of competition, lack of experience working
together, and historical hierarchy - ANSWER-interprofessional role
conflicts
a dynamic process of change over time as new roles are acquired -
ANSWER-role transition
a situation of increased role; performance demand - ANSWER-role
stress
master or doctoral prepared registered nurses who practice as full
time or adjunct faculty in college/universities, hospital based
educational residency programs, and/or health care facilities.
Responsibilities for both classroom and practical setting include
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