SOLUTIONS
ARRN - ANSWER-Clear expectations for licensures accreditation certification and
education for all APRNs
Standards/scope of practice - ANSWER-Licensed and independent practitioners,
assess, diagnosis and treat and manage acute episodic and chronic illnesses.
Statutory Law - ANSWER-States have a duty to protect those who receive
nursing care
Role of NONPF - ANSWER-the National Organization of Nurse Practitioner
Faculties. This is the only organization specifically dedicated to promoting and
supporting high quality nurse practitioner education. The NONPF provides
ongoing support to NP educators through establishing competencies, methods
of evaluation, and strategic partnerships.
The NONPF primarily concentrates - ANSWER-on the development of standards
necessary to foster optimum graduate educational programs. This network
continually collects data and utilizes expert knowledge of its membership to
seminally publish updated curricular frameworks
Clinical interview terms, techniques, and goals - ANSWER-CC, HPI, PMH,
Assessment, diagnosis, structured and unstructured. MMSE, active listening.
,Case formulation - ANSWER-Theoretically based explanation or
conceptualization of the information obtained from a clinical assessment which
offers a hypothesis and provides a framework of treatment.
Grief process and treatment - ANSWER-Kubler Ross: denial, anger, bargaining,
depression, and acceptance.
Instrumental: problem solving
Intuitive emotional
Risk assessment (suicide, self-harm, homicide, etc.) - protective and risks factors
- ANSWER-Highest risk group- white, middle-aged males
Next highest- aged 85 and older
Screening tool- Ask Suicide-Screening Questions (ASQ) - ANSWER-made of 4
questions to ask youth in medical settings
Common screening tools - ANSWER-PHQ-9 for depression
Columbia-Suicide Severity Rating Scale (C-SSRS)
SAFE-T (Suicide Assessment Five-Step Evaluation and Triage)
Highest risk for self-injury - ANSWER-socioeconomic disadvantage, depression,
substance abuse, and anxiety
Self-injury increases - ANSWER-risk of later suicide
, Primary prevention - ANSWER-concerned with the prevention of the onset of
disease; goal is to reduce the incidence of disease; e.g. vaccinations
Secondary prevention - ANSWER-concerned with trying to detect a disease early
and prevent it from getting worse; e.g. regular exams and screening tests
Tertiary prevention - ANSWER-concerned with reducing the impact of an
ongoing illness or injury that has lasting effects; e.g. cardiac or stroke rehab
programs, support groups
Levels of prevention - ANSWER-primary, secondary, tertiary - this is important
for public patient education/screening/epidemiological measures, and
promoting health.
Neuroanatomy - ANSWER-neurotransmitters, brain plasticity, epigenetics, major
areas of the brain such as the amygdala, prefrontal cortex, hypothalamus
Dopamine - ANSWER-responsible for drive, motivation, and reward, inhibition of
prolactin, controls motor (imbalance causes Parkinson's, extapyramidal
symptoms)
Serotonin - ANSWER-satisfaction, sociality, lowers anxiety and impulsivity,
decreases sex drive, 90% serotonin in GI tract
-Too much- bleeding, GI motility, nausea
- Zofran blocks serotonin