Distinguish between the APRN roles identified within the Consensus Model for APRN
Regulation: Licensure, Accreditation, Certification & Education. ANSWER Within this
APRN model of regulation, the 4 roles identified are Certified registered nurse
anesthetist Certified nurse midwife Clinical nurse specialist Certified nurse practitioner
APRN'S are certified in one of the 4 roles and at least one of the six population foci:
family/individual across the lifespan, adult-gerontology, pediatrics, neonatal, women's
health, and/or psych
For a specific topic, which of the following is specifically addressed in outcomes
designated by the AACN essentials for Master's education in nursing?
physical assessment
pathophysiology
,population health
pharmacology - ANSWER population health
Which of the following organizations outlined core competencies for nurse practitioners
in all tracks and specialties?
American Association of Nurse Practitioners (AANP)
National Organization of Nurse Practitioner Faculties (NONPF)
American Association of Colleges of Nursing (AACN)
National Council of State Boards of Nursing (NCSBN) - ANSWER NONPF
Identify the Distinction between the DNP and PhD in Nursing - ANSWER DNP's
educational focus is on clinical practice and the PhD is more specific for research.
Which of the following AACN essentials is unique to the Doctor of Nursing Practice
program? a. Background for practice from sciences and humanities b. Organizational
and systems leadership c. Advanced nursing practice d. Healthcare policy for advocacy
in health care - ANSWER c
Describe the elements of the DNP Scholarly Project as specified by the American
Association of Colleges of Nursing (AACN) - ANSWER According to the AACN, the DNP
Scholarly Project shall address the following: (a) focused on a change that affects health
care outcomes through either direct or indirect care; (b) system (micro-, meso-, or
macro-level) or population/aggregate; (c) implementation in the appropriate arena or
area of practice; (d) plan for sustainability (financial, systems or political realities and
not just theoretical abstractions); (e) evaluation of processes and/or outcomes
(formative or summative); (f) designed so processes and/or outcomes will be evaluated
to inform practice and policy and; (g) serves as a foundation for future practice
scholarship.
Discuss scope of practice and expanded opportunities made available to the nurse
practitioner who earns a doctor of nursing practice (DNP) degree. ANSWER For the
nurse practitioner who earns a DNP, the scope of practice does not change. However,
by way of knowledge and skills gained in a DNP program, the nurse practitioner (NP)
may have a greater impact on health outcomes for patients and populations.
Furthermore, the DNP/NP may clinically practice in almost any setting, including in a
,community health center leadership role, in larger acute care facilities, as a solo
practitioner, and in nurse-managed health centers. The DNP/NP also may conduct and
apply research. For the DNP/NP, opportunities also include the option to obtain joint
appointments with educational institutions and healthcare facilities, as well as serving
as a leader in disease management.
Relate the relevance of nursing philosophies and theories to the nurse practitioner's
delivery of patient care. - ANSWER Nursing philosophies and theories provide the
framework for delivering patient care as a nurse practitioner (NP). Principles outlined in
nursing philosophies and theories provide the framework for excellence in nursing
practice and help to demonstrate the distinctive characteristics of the NP. Nursing
philosophies and theories conceptualize unique qualities; including the NP's ability to
build trust, instill confidence, and create a positive patient-NP relationship.
Discuss the relationship between a microsystem and a macrosystem in the context of a
family unit. - ANSWER The family microsystem comprises the nuclear family and
extended family members, as well as the roles and expectations for each family
member. The macrosystem represents the broader world of which the family is a part
and in which they interact, and acts as a social context that inadvertently shapes values,
attitudes, and behaviors over time. The macrosystem may influence the family's overall
development and well-being throughout the family life cycle. Elements of the
macrosystem include social norms, legal and moral views, and cultural heritage that
influence the way people treat and are treated by others.
Which of the following steps does the nurse practitioner incorporate when using the
structural approach for assessing family unit?
a. Normal family transition and events throughout the lifespan of the family members
b. Individual family members and families as a single unit
c. Dimensions of time and change in the structure of membership
d. Identify the cluster of expectations or norms for the status position of any family
member - ANSWER Identify the cluster of expectations or norms for the status position
of any family member
The nurse practitioner takes into account the interactive impact of both normative and
unexpected events on the health of the family unit as a whole. Which of the following
family theories most congrues with the nurse practitioner's assessment strategy?
, a. Family stress theory
b. Individual life span theory
c. Family development theory
d. Life course theory - ANSWER Family stress theory
Summarize the basic nature of resilience including behaviors demonstrated by resilient
individuals. - ANSWER Resilience is defined as the ability of an individual or family to
function well and attain life goals despite overbearing stressors or challenges that might
easily impair the person or family unit. Principal desired outcomes identified with
resilience include dampening the effects of stressors and facilitating adaptation.
Though at times resilience is framed as resistance to a crisis that is short-term, for the
most part, resilience is linked to how well a person or family copes with a chronic social
circumstance such as poverty, a crippling disease, or a severe injury. The behaviors
that are reflective of resilience are maintaining hope; developing a meaningful
interpretation of life events or situations; reaching out to others as needed for support;
and finding or developing resources and strengths in order to flexibly manage stressors,
with the potential result being a positive outcome.
Individual, family, and social factors promoting resilience include what characteristic?
a. External locus of control
b. Dependency
c. Spirituality
d. Upward social comparison - ANSWER Spirituality
When gathering data pertinent to family structure, which of the following is necessary
for evaluation of the family constellation?
a. Identification of immediate family members
b. Current level of financial support
c. Strategies used for stress management
d. Eligibility for financial assistance - ANSWER Identification of immediate family
members
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