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Differentiate between the focus of the doctor of nursing practice (DNP) and
the doctor of philosophy (PhD) in nursing.
DNP's educational focus is on clinical practice and the PhD is more specific for
research
Which American Association of Colleges of Nursing (AACN) essential is
unique to the doctor of nursing practice (DNP) program?
a. Background for practice from sciences and humanities
b. Advanced nursing practice
c. Healthcare policy for advocacy in health care
d. Organizational and systems leadership
Advanced nursing practice
,Describe the components of the DNP Scholarly Project as designated by the
American Association of Colleges of Nursing (AACN)
As per the AACN, the DNP Scholarly Project must meet the following criteria:
(a) focus on a change that impacts healthcare outcomes either through direct
or indirect care; (b) have a systems (micro-, meso-, or macro-level) or
population/aggregate focus; (c) demonstrate implementation in the
appropriate arena or area of practice; (d) include a plan for sustainability (e.g.
financial, systems or political realities, not only theoretical abstractions); (e)
include an evaluation of processes and/or outcomes (formative or
summative); (f) be designed so that processes and/or outcomes will be
evaluated to guide practice and policy; and (g) provide a foundation for
future practice scholarship.
Discuss the scope of practice and expanded opportunities made available to the
nurse practitioner who earns a doctor of nursing practice (DNP) degree
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.
Nursing philosophies and theories serve as the 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.
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.
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
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
Family stress theory
Summarize the basic nature of resilience including behaviors demonstrated by
resilient individuals.
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.
Individual, family, and social factors that promote resilience include which
characteristic?
a. External locus of control
b. Dependency
c. Spirituality
d. Upward social comparison
Spirituality