EXAM @ TROY UNIVERSITY
QUESTIONS & ANSWERS(RATED A+)
1. What is the purpose of conceptual models? - ANSWER- To articulate professional
role identity and function;
to differentiate among levels of nursing practice
- In practice, to conceptualize delivery of holistic, comprehensive, collaborative care.
- In research, to guide research and theory development.
- In education - to plan curricula.
3. What types of actions by the advanced practice nurse (APN) shows public policy
advocacy? - ANSWERPublic policy focused ‒ Changes in the health‐care delivery
system.
Build common ground around scope of practice and other issues in policy and
practice;
Expand efforts and opportunities for interprofessional collaboration and leadership
development for nurses; Promote involvement of nurses in redesign of care delivery
and payment systems.
2. What are the two different types of role conflicts? - ANSWERIntraprofessional
Role Conflict
- Holistic nursing orientation vs. disease-specific medical orientation -Communication
difficulties
-Confusion about role delineation
Interprofessional Role Conflict
-Between physicians and APNs because of perceived threat of competition, lack of
experience working together, historical hierarchy
4. The Goldmark Report in 1923 resulted in what recommendation? - ANSWERThis
report identified that hospital-based training programs were inadequate - putting
needs of the institution before the needs of the students. Concluded that nursing
education should occur in the university setting and that the learning needs of
nursing students should have precedence over the hospital's need for workers.
Rockefeller foundation supported formation of the committee for the study of nursing
education
Increase educational standards in nursing schools
Move educational programs to universities
Focus student time on education vs. staffing hospitals
Require nurse educators to have advanced education
, 7. What is central competency for advanced practice nursing? - ANSWERDirect
clinical practice: first core competency, informs all of the other
- defines advanced practice nursing
- provides the foundation necessary for APNs to execute the other competencies,
such as consultation, guidance and coaching, and leadership, within organizations
- although clinical expertise is a central ingredient of an APN's practice, the direct
care practice of APNs is distinguished by six characteristics: 1 use of a holistic
perspective, 2 formation of therapeutic partnerships with patients, 3 expert clinical
performance, 4 use of reflective practice, 5 use of evidence as a guide to practice, 6
use of diverse approaches to health and illness management - these characteristics
distinguish the practice of the expert by experience from that of the APN
- differs significantly by specialty
Clinical expertise alone should not be equated with APN
8. Negotiation, compromise, and collaboration can minimize or resolve what? -
ANSWERconflict
9. The first specialty area of nursing in the United States was? - ANSWERNurse
Anesthesia
10. The goals of professional APN organizations are to: establish clear
characteristics of advanced practice, provide for safe patient care, - ANSWERTo
interpret components of clear and competent levels of behavior
11. What are the types of quality outcomes related to the APN role? -
ANSWERTraditional
Structural
Process
The four classic concepts of marketing are? - ANSWERProduct: The entity that is
offered to the market
Price: The amount of money that the individual will be asked to pay for the product
Place: Accessibility and the various tasks necessary to make the product more
available to the market
Promotion: Encompasses those activities that communicate the value of the product
to the market.
21. The steps in Lewin's Freezing Model include? - ANSWERAlso called change
theory, this 3-step model is designed to help leaders make a change in their
organization with minimal disruption to operations and with the intention of helping
the change remain permanent.
12. The first recognized clinical specialty in nursing was? - ANSWERPsychiatric
nursing
13. The goal of the CNS is to be an _______________. - ANSWERTo be a clinical
expert who provides direct patient care to patients with complex health problems