NSG 6660 FINAL TROY UNIVERSITY REVISED QUESTIONS & ANSWERS(RATED A+)

1. What is the purpose of conceptual models? - ANSWER- To articulate professional role identity and function - In practice, to conceptualize delivery of holistic, comprehensive, collaborative care - To differentiate among levels of nursing practice - In research, to guide research and theory development -In education, to plan curricula 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 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. 4. The Goldmark Report in 1923 resulted in what recommendation? - ANSWERRockefeller 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 This 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. Who does the Medicaid program generally serve? - ANSWERProvides health insurance benefits and other assistance for eligible low income individuals and families - Jointly funded state and federal insurance program - Direct reimbursement to family, peds NPs and CNMs - Requirements: Low income, pregnant, disabled, blind, aged, resources, US citizenship or lawfully admitted immigrant 14. The first nurse practitioner was? - ANSWERThelma Ingles; Pediatric NP Established the first pediatric nurse practitioner program at the University of Colorado - ANSWERLoretta Ford, RN & Henry Silver, MD in 1965 Started the first CNS educational program and defined the patient/nurse relationship. - ANSWERHildegard Peplau in 1954 5. APRNs that are examining quality indicators to generate revenue know that ____________ has been linked to reimbursement to quality indicators. - ANSWEROutcomes Data 6. The current health care climate suggests that health care quality models and approaches should include the assessment of care in relation to what consumers want from the system, must be evidence-based and must use - ANSWERStandardized measurement approaches 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 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