ANCC PMHNP EXAM CHPT 4
The nurse practitioner is educated to lead interdisciplinary treatment teams correct ans: The nurse
practitioner is educated to lead interdisciplinary treatment teams
* Acts as full partner in health care
* Designs, implements, evaluates, and advocates to redesign the U.S. healthcare system
* Translates research into practice
Team leadership model correct ans: Team leadership model
Decision 1: Should the leader monitor the team or take action?
* Seek out information to understand the team
* Analyze information
* Interpret the information and decide how to act
Decision 2: Should the leader intervene to meet the task or relational need?
* Performance functions
* Task functions
Decision 3: Should the leader intervene internally or externally?
Assess for conflicts between group members—action to maintain group performance
* Assess for unclear goals
* Assess for proper support (Northouse, 2007, pp. 209-234)
Reflective Practice correct ans: Reflective Practice
* Reflection uses a model or framework to systematically "make sense of experience" (Sherwood &
Horton-Deutsch, 2012, p. 4).
* Process to tell a story about self and others to gain insight into practice
* Enhances critical thinking to problem-solve and enhance clinical reasoning and decision-making
* Link theory to practice
Conflict Resolution, Negotiation, Mediation, and Professional
Civility correct ans: Conflict Resolution, Negotiation, Mediation, and Professional
Civility
* Conflict: occurs when a person believes his or her needs, interests, or values are incompatible with
others'
* Conflict resolution: directed by a neutral third party who facilitates a "win-win" situation
* Negotiation: discussion among two or more people with the goal of reaching an agreement
, * Mediation: voluntary and confidential process in which a third party facilitates discussion to reach an
agreement
* Arbitration: process in which a third party reviews evidence from both sides and makes a decision to
settle the case
* Professional civility: behavior that shows respect toward another person
Critical Thinking correct ans: Critical Thinking
* Defined as the acquisition of knowledge with an attitude of deliberate inquiry
* Making clinical decisions based on evidence-based practice
** Decreases the difficulty of choosing from conflicting or multiple
recommendations when diagnosing and treating clients
* Develops self-awareness though a metacognitive process to gain new insights about self, and in
relation to others
Research utilization correct ans: Research utilization: Process of synthesizing, disseminating, and using
research-generated knowledge to make a change in practices; a subset of the broader evidence based
practice
Evidence-based practice: correct ans: Evidence-based practice: The integration of best research
evidence with clinical expertise and client values and needs. PMHNPs need to know the effectiveness of
evidence-based interventions and select the intervention to meet the client need (Perese, 2012, p. 29).
Research utilization and evidence-based practice are two models for reducing the gap between research
findings and application to practice correct ans: Research utilization and evidence-based practice are
two models for reducing the gap between research findings and application to practice
Research utilization process
* Critique research
* Synthesize the findings
* Apply the findings
* Measure the outcomes
PICO correct ans: Develop a clinical question using the PICO method
P = patient, population of patients, problem
I = intervention
C = comparison (another treatment or therapy, placebo)
O = outcome
Systematically search for relevant research evidence correct ans: Systematically search for relevant
research evidence
* Critique the research evidence
Quanitative hierarchy (Fineout-Overholt, Melnyk, & Schultz, 2005)
1. Randomized controlled trials (RCT), meta-analysis, or systematic review
The nurse practitioner is educated to lead interdisciplinary treatment teams correct ans: The nurse
practitioner is educated to lead interdisciplinary treatment teams
* Acts as full partner in health care
* Designs, implements, evaluates, and advocates to redesign the U.S. healthcare system
* Translates research into practice
Team leadership model correct ans: Team leadership model
Decision 1: Should the leader monitor the team or take action?
* Seek out information to understand the team
* Analyze information
* Interpret the information and decide how to act
Decision 2: Should the leader intervene to meet the task or relational need?
* Performance functions
* Task functions
Decision 3: Should the leader intervene internally or externally?
Assess for conflicts between group members—action to maintain group performance
* Assess for unclear goals
* Assess for proper support (Northouse, 2007, pp. 209-234)
Reflective Practice correct ans: Reflective Practice
* Reflection uses a model or framework to systematically "make sense of experience" (Sherwood &
Horton-Deutsch, 2012, p. 4).
* Process to tell a story about self and others to gain insight into practice
* Enhances critical thinking to problem-solve and enhance clinical reasoning and decision-making
* Link theory to practice
Conflict Resolution, Negotiation, Mediation, and Professional
Civility correct ans: Conflict Resolution, Negotiation, Mediation, and Professional
Civility
* Conflict: occurs when a person believes his or her needs, interests, or values are incompatible with
others'
* Conflict resolution: directed by a neutral third party who facilitates a "win-win" situation
* Negotiation: discussion among two or more people with the goal of reaching an agreement
, * Mediation: voluntary and confidential process in which a third party facilitates discussion to reach an
agreement
* Arbitration: process in which a third party reviews evidence from both sides and makes a decision to
settle the case
* Professional civility: behavior that shows respect toward another person
Critical Thinking correct ans: Critical Thinking
* Defined as the acquisition of knowledge with an attitude of deliberate inquiry
* Making clinical decisions based on evidence-based practice
** Decreases the difficulty of choosing from conflicting or multiple
recommendations when diagnosing and treating clients
* Develops self-awareness though a metacognitive process to gain new insights about self, and in
relation to others
Research utilization correct ans: Research utilization: Process of synthesizing, disseminating, and using
research-generated knowledge to make a change in practices; a subset of the broader evidence based
practice
Evidence-based practice: correct ans: Evidence-based practice: The integration of best research
evidence with clinical expertise and client values and needs. PMHNPs need to know the effectiveness of
evidence-based interventions and select the intervention to meet the client need (Perese, 2012, p. 29).
Research utilization and evidence-based practice are two models for reducing the gap between research
findings and application to practice correct ans: Research utilization and evidence-based practice are
two models for reducing the gap between research findings and application to practice
Research utilization process
* Critique research
* Synthesize the findings
* Apply the findings
* Measure the outcomes
PICO correct ans: Develop a clinical question using the PICO method
P = patient, population of patients, problem
I = intervention
C = comparison (another treatment or therapy, placebo)
O = outcome
Systematically search for relevant research evidence correct ans: Systematically search for relevant
research evidence
* Critique the research evidence
Quanitative hierarchy (Fineout-Overholt, Melnyk, & Schultz, 2005)
1. Randomized controlled trials (RCT), meta-analysis, or systematic review
