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NSG6006 Pre-specialty Evaluation Exam

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NSG 6006 Pre-specialty Evaluation Exam: South University 1. Once a practice problem has been identified the next step would be to use the PICOT format to ask a question about the problem. PICOT stands for: 2. The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for the national direction? 3. 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? 4. Which three roles represent the accepted advanced practice nursing roles? 5. What are the three major categories of Nola Pender’s Health promotion model? 6. 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? 7. Which set of components is essential in a scientific theory? 8. The term advanced nursing practice (APN) includes nurses who are: 9. To meet Medicare’s coverage requirements, the Nurse Practitioner’s services must be: 10. 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: 11. 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? 12. Development of the first pediatric nurse practitioner program at the University of Colorado in 1965 is credited to which two individuals? 13. Raynaud phenomenon is classified as a type III hypersensitivity reaction and is due to: 14. The nurse practitioner is caring for a 21-year-old female who presents with a pruritic, erythematous rash matching pattern of her sandal straps. The nurse practitioner advises the patient to avoid scratching the area due to the risk of developing a secondary infection. The NP understands that the most likely etiology of secondary skins infections is caused by which organism? 15. How can the APN best influence development and passage of a specific health policy agenda? 16. Which is the gold standard research design for generating evidence? 17. The APN is examining a client with new onset HTN. The NP recognizes that HTN may result in significant complications associated with which of the following three organs: 18. Which organization allows the use of the “BC” credential? 19. Which agency houses the US Protective and Safety Task Force (USPSTF)? 20. Which 2 organizations administer nurse practitioner certification programs? 21. Transformational leadership is best defined as: 22. A metaparadigm must include which of the following 3 characteristics? 23. Which statement best reflects King’s theory? 24. Which agency will the APN reference when seeking the current evidence based guidelines directing standards of care? 25. A 43-year old woman has a 12-hour history of sudden onset of right upper quadrant abdominal pain with radiation to the shoulder, fever, and chills. She has had similar, milder episodes in the past. Examination reveals marked tenderness to right upper quadrant abdominal palpation. Her most likely diagnosis is: 26. What theory is used to describe the cause of endometriosis? 27. Chronic pain, physical disability, social support, age and gender are related to perceived daily stress, which is related to depression. This is an example of which type of theory? 28. The leadership core competency of advanced practice nursing includes which three characteristics? 29. What initiative specifically focuses on the aging American, under the Affordable Care Act? 30. Which of the following philosophies of work view would characterize human beings as holistic; parts are viewed only in the context of the whole? 31. A difficult aspect of determining occupational exposure to disease is the: 32. A novice nurse practitioner is experiencing feeling of inferiority toward more experienced clinicians in the practice. She has identified that time constraints for visits and expectations to increase productivity limits her ability to address these non-adherent issues during client visits. Which barrier to ethical practice is influencing practice? 33. Utilizing Johnson’s Behavioral systems model (JBSM), the APN discovers that a patient is not sure who he can depend on because his wife is emotionally distant. This data would be characteristic of which subsystem of the JBSM. 34. A purposeful, complex, dynamic, collaborative, and holistic interpersonal process aimed at supporting and facilitating patients and families through health-related experiences and transitions to achieve health-related goals (mutually determined when possible)” defines which APN role? 35. A 60 year old female with a history of emphysema presents to the primary care office with complaints of cough and shortness of breath at rest. During the physical exam, the nurse practitioner recognizes clubbing, barrel chest, and prolonged expiration. The nurse practitioner understands that the patient is exhibiting symptoms resulting from which type of pulmonary disease process? 36. Which of the following statements accurately defines Hamric’s conceptual definition of advanced practice nursing? 37. When caring for a client who presents with pain and swelling to location of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. Which diagnostic test is most specific to diagnosis of rheumatoid arthritis? 38. The Consensus Model for Advanced Practice Registered Nurse Regulations addresses which four areas? 39. Which statement best supports primary prevention of burns for geriatric clients? 40. Which of the following three complications are associated withchronic hepatitis B? 41. The central competency, direct clinical practice, is characterized by which three of the following? 42. Which payment system seeks Medicare reimbursement under the MACRA legislation for providing high quality patient-specific care and improved outcomes? 43. What four components of advanced practice nursing (APN) are specified by the National Council for State Boards of Nursing Consensus Model for APRN regulation? 44. Which learning theory would be most applicable as a guide for the development of a program to help families of patients in palliative care?

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