ANCC PMHNP EXAM CHPT 4

ANCC PMHNP EXAM CHPT 4 All Answers Correct The nurse practitioner is educated to lead interdisciplinary treatment teams 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 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 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 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 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 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: 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 evidencebased 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 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 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 Ans- Systematically search for relevant research evidence * Critique the research evidence Quanitative hierarchy (Fineout-Overholt, Melnyk, & Schultz, 2005