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NSG 6020 Final Exam 3 with Answers

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Question 1. Question : 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: Student Answer: P --population, I-- intervention, C-- Concepts, O--operational definitions, T –Time (Incorrect! Population, intervention, comparison, outcome and time) P—precision instrument, I—intervention, C—control, O—operational definitions, T—Time (Incorrect! Population, intervention, comparison, outcome and time) P—population, I – internal validity, C –Comparisons, O –outcome, T – time (Incorrect! Population, intervention, comparison, outcome and time) P—population, I – intervention, C – comparisons, O – outcome, T – time (Correct! Population, intervention, comparison, outcome and time) Points Received: 1.25 of 1.25 Comments: Question 2. Question : 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 this national direction? Student Answer: To improve the health and health care of all Americans through targeted portfolio focused programs.(Incorrect! Answer C describes the purpose of the Affordable Care Act. Answer A is the purposes of the Robert Wood Johnson foundation. Answer B is the purpose of Schneider Institute for Health Policy. Answer D describes the purpose of the Rockefeller Foundation.) To conduct health services research and engage in policy efforts focusing on healthcare financing and service delivery. (Incorrect! Answer C describes the purpose of the Affordable Care Act. Answer A is the purposes of the Robert Wood Johnson foundation. Answer B is the purpose of Schneider Institute for Health Policy. Answer D describes the purpose of the Rockefeller Foundation.) To protect against high out-of-pocket costs by prohibiting insurers from denying coverage based on pre-existing conditions. (Correct! Answer C describes the purpose of the Affordable Care Act. Answer A is the purposes of the Robert Wood Johnson foundation. Answer B is the purpose of Schneider Institute for Health Policy. Answer D describes the purpose of the Rockefeller Foundation.) To support the goal of improving the well-being of humanity through smart globalization. (Incorrect! Answer C describes the purpose of the Affordable Care Act. Answer A is the purposes of the Robert Wood Johnson foundation. Answer B is the purpose of Schneider Institute for Health Policy. Answer D describes the purpose of the Rockefeller Foundation.)

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NSG 6020 Final Exam 3 with Answers
Question 1. Question : 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:

Student Answer:
P --population, I-- intervention, C-- Concepts, O--operational definitions, T –
Time (Incorrect! Population, intervention, comparison, outcome and time)

P—precision instrument, I—intervention, C—control, O—operational
definitions, T—Time (Incorrect! Population, intervention, comparison, outcome and
time)

P—population, I – internal validity, C –Comparisons, O –outcome, T –
time (Incorrect! Population, intervention, comparison, outcome and time)

P—population, I – intervention, C – comparisons, O – outcome, T –
time (Correct! Population, intervention, comparison, outcome and time)

Points Received: 1.25 of 1.25
Comments:


Question 2. Question : 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 this national direction?

Student Answer:
To improve the health and health care of all Americans through targeted
portfolio focused programs.(Incorrect! Answer C describes the purpose of the
Affordable Care Act. Answer A is the purposes of the Robert Wood Johnson
foundation. Answer B is the purpose of Schneider Institute for Health Policy.
Answer D describes the purpose of the Rockefeller Foundation.)

To conduct health services research and engage in policy efforts focusing on
healthcare financing and service delivery. (Incorrect! Answer C describes the
purpose of the Affordable Care Act. Answer A is the purposes of the Robert Wood
Johnson foundation. Answer B is the purpose of Schneider Institute for Health
Policy. Answer D describes the purpose of the Rockefeller Foundation.)

To protect against high out-of-pocket costs by prohibiting insurers from
denying coverage based on pre-existing conditions. (Correct! Answer C describes
the purpose of the Affordable Care Act. Answer A is the purposes of the Robert
Wood Johnson foundation. Answer B is the purpose of Schneider Institute for
Health Policy. Answer D describes the purpose of the Rockefeller Foundation.)

To support the goal of improving the well-being of humanity through smart
globalization. (Incorrect! Answer C describes the purpose of the Affordable Care
Act. Answer A is the purposes of the Robert Wood Johnson foundation. Answer B
is the purpose of Schneider Institute for Health Policy. Answer D describes the
purpose of the Rockefeller Foundation.)

Points Received: 0 of 1.25

,NSG 6020 Final Exam 3 with Answers
Comments:


Question 3. Question : 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?

Student Answer:
Does the theory/model fit with the purpose/ topic of interest? (Incorrect!
Consider several theories and models and then begin to the analysis with the fit,
relationships and assumptions, rationale and suppositions.)

Are the relationships of the major concepts delineated? (Incorrect! Consider
several theories and models and then begin to the analysis with the fit,
relationships and assumptions, rationale and suppositions.)

Have several different theories/models been examined? (Correct! Consider
several theories and models and then begin to the analysis with the fit,
relationships and assumptions, rationale and suppositions.)

Are the assumptions, rationale and suppositions accepted by the
APN? (Incorrect! Consider several theories and models and then begin to the
analysis with the fit, relationships and assumptions, rationale and suppositions.)

Points Received: 0 of 1.25
Comments:


Question 4. Question : Which three roles represent the accepted advanced practice nursing roles?

Student Answer:
Certified Nurse Midwives (CNMs) (Correct! The four accepted advanced
practice roles are CNM, CNS, CRNA, NP.)

Clinical Nurse Specialists (CNSs) (Correct! The four accepted advanced
practice roles are CNM, CNS, CRNA, NP.)

Critical Care Registered Nurses (CCRNs) (Incorrect! The four accepted
advanced practice roles are CNM, CNS, CRNA, NP.)

Certified Registered Nurse Anesthetists (CRNAs) (Correct! The four accepted
advanced practice roles are CNM, CNS, CRNA, NP.)

Points Received: 1.25 of 1.25
Comments:


Question 5. Question : What are the three major categories of Nola Pender’s Health promotion model?

Student Answer:
Behavior-specific cognitions and affect (Correct!)

,NSG 6020 Final Exam 3 with Answers
Characteristics and experiences (Correct!)

Individual health measures (Incorrect!)

Behavioral outcomes (Correct!)

Points Received: 1.25 of 1.25
Comments:


Question 6. Question : 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?

Student Answer:
Dorothea Orem (Incorrect! Jean Watson theory of human caring.)

Paterson and Zderad (Incorrect! Jean Watson theory of human caring.)

Jean Watson (Correct! Jean Watson theory of human caring.)

Margaret Newman (Incorrect! Jean Watson theory of human caring.)

Points Received: 1.25 of 1.25
Comments:


Question 7. Question : What set of components is essential in a scientific theory?

Student Answer:
Interrelated concepts, definitions, and propositions. (Correct! In a scientific
theory, some of the relationships are assumed to be true, not all, the statements
are based on experience, research and observation. The propositions and
constructs are tied together to explain and predict events or situations.)

Interrelated statements which assume all the relationships to be
true. (Incorrect! In a scientific theory, some of the relationships are assumed to be
true, not all, the statements are based on experience, research and observation.
The propositions and constructs are tied together to explain and predict events or
situations.)

Statements that are based on the author’s opinions and experience
only. (Incorrect! In a scientific theory, some of the relationships are assumed to be
true, not all, the statements are based on experience, research and observation.
The propositions and constructs are tied together to explain and predict events or
situations.)

Propositions and constructs that are not necessarily tied together. (Incorrect!
In a scientific theory, some of the relationships are assumed to be true, not all, the
statements are based on experience, research and observation. The propositions
and constructs are tied together to explain and predict events or situations.)

, NSG 6020 Final Exam 3 with Answers
Points Received: 1.25 of 1.25
Comments:


Question 8. Question : The term advanced nursing practice (APN) includes nurses who are:

Student Answer:
Certified APRNs with a minimum of a master’s degree (Correct! According to
the consensus model, APNs must obtain graduate education in one of the
advanced practice specialties, certification, and licensure.)

Graduates of programs in nursing education or a health related
field (Incorrect! According to the consensus model, APNs must obtain graduate
education in one of the advanced practice specialties, certification, and licensure.)

Nurses certified in nursing informatics, nurse administration, policy or public
health (Incorrect! According to the consensus model, APNs must obtain graduate
education in one of the advanced practice specialties, certification, and licensure.)

Registered nurses with specialized post-baccalaureate training (Incorrect!
According to the consensus model, APNs must obtain graduate education in one
of the advanced practice specialties, certification, and licensure.)

Points Received: 1.25 of 1.25
Comments:


Question 9. Question : To meet Medicare’s coverage requirements, the Nurse Practitioner’s services must
be:

Student Answer:
Provided subject to state restrictions and supervision requirements (Correct!
Although Medicare is a federal program, it is governed by state regulations. Nurse
practitioner can be independent providers, can be in any clinic setting, and can bill
independently.)

Provided under direct supervision (Incorrect! Although Medicare is a federal
program, it is governed by state regulations. Nurse practitioner can be independent
providers, can be in any clinic setting, and can bill independently.)

Provided in a rural health clinic or federally qualified health center (Incorrect!
Although Medicare is a federal program, it is governed by state regulations. Nurse
practitioner can be independent providers, can be in any clinic setting, and can bill
independently.)

Billed through a physician-directed clinic, heath agency or hospital (Incorrect!
Although Medicare is a federal program, it is governed by state regulations. Nurse
practitioner can be independent providers, can be in any clinic setting, and can bill
independently.)

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