NSG 6020 FINAL EXAM VERSION 2 – QUESTION AND ANSWERS A+ GRADED
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NSG 6020
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NSG 6020
NSG 6020 FINAL EXAM VERSION 2 – QUESTION AND ANSWERS A+ GRADED/NSG 6020 FINAL EXAM VERSION 2 – QUESTION AND ANSWERS A+ GRADED/NSG 6020 FINAL EXAM VERSION 2 – QUESTION AND ANSWERS A+ GRADED
nsg 6020 final exam version 2 – question and answers a graded
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NSG 6020 FINAL EXAM VERSION 2 A+ GRADED
1. 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
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
34. A purposeful, complex, dynamic, collaborative, and holistic interpersonal process aimed at supporting
and facilitating patients and families through health-related experiences and transitions to achieve
health-related goals (mutually determined when possible)” defines which APN role?
Coach
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