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Summarize the basic nature of resilience including behaviors demonstrated by resilient
individuals. - Correct Answers 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 - Correct Answers Spirituality
Which organization outlined core competencies for nurse practitioners in all tracks and
specialties?
American Association of Nurse Practitioners (AANP)
National Organization for Nurse Practitioner Faculties (NONPF)
American Association of Colleges of Nursing (AACN)
National Council of State Boards of Nursing (NCSBN) - Correct Answers NONPF
Differentiate between the focus of the doctor of nursing practice (DNP) and the doctor of
philosophy (PhD) in nursing. - Correct Answers DNP's educational focus is on clinical
practice and the PhD is more specific for research
In which specialty are most nurse practitioners educated?
Peds
Primary care
,Family
Adult gerontology - Correct Answers primary care
Which factor represents a potential barrier to Nurse Practitioner's practice in a primary
care setting?
Cost effectiveness
Professional growth
Aging baby boomers
Collaboration agreements - Correct Answers Collaboration agreements
Distinguish among the advanced practice registered nursing (APRN) roles recognized
by the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification &
Education. - Correct Answers Under the APRN model of regulation, the 4 roles
recognized are
Certified registered nurse anesthetist
Certified nurse midwife
Clinical nurse specialist
Certified nurse practitioner
APRNs 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
Which topic is specifically addressed in outcomes designated by the AACN essentials
for Master's education in nursing?
physical assessment
pathophysiology
population health
pharmacology - Correct Answers population health
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 - Correct Answers Advanced nursing
practice
Describe the components of the DNP Scholarly Project as designated by the American
Association of Colleges of Nursing (AACN) - Correct Answers 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 - Correct Answers
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. - Correct Answers 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. - Correct Answers 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 - Correct Answers 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 - Correct Answers Family stress theory
When collecting data related to family structure, which information is needed for
assessment 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 - Correct Answers Identification of immediate family
members
Describe family capacity including strategies that support family capacity-building. -
Correct Answers Family capacity is the extent to which a family's needs, goals,
strengths, capabilities, and aspirations can meet the family's ability to function to its
fullest potential. Similar to resilience, family capacity may be reflective of the family's
ability to adapt and change. Family capacity-building involves increasing the family
members' competence in implementing strategies to enhance their development and
build their problem-solving skills while increasing their confidence that they are able to
do so.
Which factor represents a limitation associated with use of a genogram for family health
assessment?
a. Data collection requires extensive interviewing
b. Family members tend to be disengaged from the process.
c. All information must be obtained in one sitting.
d. Cultural assessment data is not included. - Correct Answers Cultural assessment
data is not included.
Compare and contrast the genogram and the family pedigree. - Correct Answers A
genogram is an assessment tool or clinical method of taking, storing, and processing
family information for the benefit of the patient and the family. Information collected for
use in agenogram is displayed as a graphic representation of family members and their
relations over three generations. The information collected for the genogram may
include genetic, medical, social, behavioral, and cultural aspects of the family. Similar to
a genogram, a family pedigree is a graphic representation of a person's medical and
biological history and is often referred to as the "family tree." Like the genogram, the
pedigree is a family history assessment tool developed in an interview with a patient
and is displayed as a graphic representation. A pedigree can be a powerful tool for use
in health risk identification, diagnosis, and intervention. However, the pedigree provides
little insight into family dynamics or the complex context of the patient and family in the
community. While the genogram focuses on family relationships and communication
patterns, the pedigree is a collection of the family health history and an assessment of
disease risk factors.
Summarize the three general components of a comprehensive prioritized problem list. -
Correct Answers Contents of the problem list may vary based on healthcare
organizational requirements and healthcare provider preferences. In general, main