Clinical Reasoning and Theoretical
Integration in Advanced Nursing Practice
Once a practice problem has been identified the next step would be to use the PICOT format to ask a
question about the problem what does PICOT stand for - ✔✔
P=population
I=intervention
C=comparisons
O=outcome
T=time
The affordable Care Act has directed the US Department of Health and Human Services and multiple
agencies to develop and disseminate initiative on meeting the care needs of patient with multiple
chronic conditions (MCC). What is the primary purpose for the national direction - ✔✔To protect against
high out-of-pocket costs by prohibiting insurers from denying coverage based on pre-existing conditions
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 - ✔✔have several different theories/models been
examined?
Which three roles represent the accepted advanced practice nursing roles? - ✔✔
Certified Nurse Midwives (CNM)
Clinical Nurse Specialist (CNS)
Certified Registered Nurse Anesthetists (CRNAs)
what are the three major categories of Nola Pender's Health Promotion model - ✔✔
Behavior-specific cognitions and affect
Characteristics and experiences
Behavioral outcomes
, 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? - ✔✔Jean Watson theory of human caring
which set of components is essential in a scientific theory - ✔✔interrelated concepts, definitions, and
propositions
the term advanced nursing practice (APN) includes nurses who are: - ✔✔certified APRNs with a
minimum of a master's degree
to meet Medicare's coverage requirements, the Nurse Practitioner's service must be: - ✔✔Provided
subject to state restrictions and supervision requirements
A 20-year-old female comes to the primary care clinic with clinical findings consistent with acute
bronchitis. She is sexually active with a male partner, although she states prior to this relationship she
did have two sexual partners. her menses occurs every 28 days and is regular. An example of a primary
prevention activity for this patient is - ✔✔Counseling about safer sexual practices
Which agency's initiative establishes national health promotion and prevention efforts and establishes
benchmarks for monitoring the progress of health among Americans over a 10-year timeframe -
✔✔Centers for Disease Control and Prevention (CDC)
Development of the first pediatric nurse practitioner program at the University of Colorado in 1965 is
credited to which two individuals - ✔✔Henry Silver, MD
Loretta Ford, MD
Raynaud phenomenon is classified as a type III hypersensitivity reaction and is due to: - ✔✔Immune
complexes that are deposited in capillary beds, blocking circulation
the nurse practitioner is caring for a 21-year-olf female who presents with a pruritic, erythematous rash
matching pattern of her sandal straps. The nurse practitioner advised the patient to avoid scratching the
are due to the risk of developing a secondary infection. The NP understands that the most likely etiology
of secondary skin infections is caused by which organism - ✔✔staphylococcus aureus
Integration in Advanced Nursing Practice
Once a practice problem has been identified the next step would be to use the PICOT format to ask a
question about the problem what does PICOT stand for - ✔✔
P=population
I=intervention
C=comparisons
O=outcome
T=time
The affordable Care Act has directed the US Department of Health and Human Services and multiple
agencies to develop and disseminate initiative on meeting the care needs of patient with multiple
chronic conditions (MCC). What is the primary purpose for the national direction - ✔✔To protect against
high out-of-pocket costs by prohibiting insurers from denying coverage based on pre-existing conditions
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 - ✔✔have several different theories/models been
examined?
Which three roles represent the accepted advanced practice nursing roles? - ✔✔
Certified Nurse Midwives (CNM)
Clinical Nurse Specialist (CNS)
Certified Registered Nurse Anesthetists (CRNAs)
what are the three major categories of Nola Pender's Health Promotion model - ✔✔
Behavior-specific cognitions and affect
Characteristics and experiences
Behavioral outcomes
, 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? - ✔✔Jean Watson theory of human caring
which set of components is essential in a scientific theory - ✔✔interrelated concepts, definitions, and
propositions
the term advanced nursing practice (APN) includes nurses who are: - ✔✔certified APRNs with a
minimum of a master's degree
to meet Medicare's coverage requirements, the Nurse Practitioner's service must be: - ✔✔Provided
subject to state restrictions and supervision requirements
A 20-year-old female comes to the primary care clinic with clinical findings consistent with acute
bronchitis. She is sexually active with a male partner, although she states prior to this relationship she
did have two sexual partners. her menses occurs every 28 days and is regular. An example of a primary
prevention activity for this patient is - ✔✔Counseling about safer sexual practices
Which agency's initiative establishes national health promotion and prevention efforts and establishes
benchmarks for monitoring the progress of health among Americans over a 10-year timeframe -
✔✔Centers for Disease Control and Prevention (CDC)
Development of the first pediatric nurse practitioner program at the University of Colorado in 1965 is
credited to which two individuals - ✔✔Henry Silver, MD
Loretta Ford, MD
Raynaud phenomenon is classified as a type III hypersensitivity reaction and is due to: - ✔✔Immune
complexes that are deposited in capillary beds, blocking circulation
the nurse practitioner is caring for a 21-year-olf female who presents with a pruritic, erythematous rash
matching pattern of her sandal straps. The nurse practitioner advised the patient to avoid scratching the
are due to the risk of developing a secondary infection. The NP understands that the most likely etiology
of secondary skin infections is caused by which organism - ✔✔staphylococcus aureus
