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Discuss the 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. In addition, the DNP/NP may
clinically practice in nearly 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 perform
and apply research. For the DNP/NP, opportunities also
include obtaining joint appointments with educational
institutions and healthcare facilities, as well as serving as
a leader in disease management.
Explain the relevance of nursing philosophies and theories
to the nurse practitioner's delivery of patient care. -
Answer-Nursing philosophies and theories serve as the
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foundation for delivery of patient care by the nurse
practitioner (NP). Concepts described in nursing
philosophies and theories form the basis for excellence in
nursing practice and serve to illustrate the NP's distinctive
qualities. 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 larger world in which the family lives and
interacts, and serves as a social framework that has
unintentional influences on values, attitudes, and
behaviors through time. The macrosystem may impact the
family's overall development and well-being across the
family lifespan. Components of the macrosystem include
social expectations, legal and moral perspectives, and
cultural traditions that affect the ways individuals treat and
are treated by others.
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Which step does the nurse practitioner include when
applying the structural approach to family unit
assessment?
a. Consider normal family changes and experiences over
the family members' lifetime
b. Assess both individual family members and families as
a whole unit
c. Emphasize dimensions of time and change in the
family's membership structure
d. Recognize the cluster of expectations or norms for any
family member's status position - Answer-Recognize the
cluster of expectations or norms for any family member's
status position
The nurse practitioner considers the combined effects of
both normative events and unexpected events on the
family unit's health. Which family theory is most congruent
with the nurse practitioner's assessment approach?
a. Family stress theory
b. Individual life span theory
c. Family development theory
d. Life course theory - Answer-Family stress theory
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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. Primary desired outcomes
associated with resilience include moderating the negative
effects of stress and promoting adaptation. While
resilience is sometimes conceptualized as the ability to
withstand a crisis that is brief in nature, in most cases,
resilience is associated with how an individual or family
manages a pervasive social condition such as poverty, a
devastating illness, or a critical injury. Behaviors that are
reflective of resilience include preserving
hope;constructing a meaningful account of life events or
situations; reaching out to others for help as needed; and
identifying or developing resources and strengths to
manage stressors flexibly and gain a positive outcome.
In which specialty are most nurse practitioners educated?
Peds
Primary care
Family
Adult gerontology - Answer-primary care