MSN560 WEEK 3 QUIZ GET HELP WITH USU ONLINE CLASSES

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Quiz

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Question 1 (1 point)

 

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Which of the following has been a barrier to advanced practice nurses (APNs)?

Question 1 options:

Inclusion of APNs on provider panels
Full Medicare reimbursement for services
Denial of claims from third-party payers
Decreased employment of APNs

Question 2 (1 point)

 

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A nurse manager is working with a group of advanced practice nurses (APNs) in a busy surgical center. Which interpretation of the role of the APN is the most accurate?

Question 2 options:

APNs are important for the client to see, in addition to the physician.
Fewer APNs are needed now that the physician shortage is resolving.
APNs are somewhat cost effective.
APNs are responsible for decreased hospital admission rates.

Question 3 (1 point)

 

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An advanced practice nurse (APN) is caring for an elderly client with mildly elevated blood pressure. Focusing on health promotion and prevention, which initial intervention should the nurse suggest?

Question 3 options:

Cardiac stress test
Low sodium diet
Amlodipine 5mg daily
Increased fluid intake

Question 4 (1 point)

 

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The advanced practice nurse (APN) recognizes that certain aspects of practice will ultimately push the profession forward. Which action should the APN focus on providing?

Question 4 options:

High-quality care
Fast, efficient care
Moderate cost care
Diversity in care

Question 5 (1 point)

 

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Which phase of Tanner’s clinical judgment model involves the integration of evidence-based practice, clinical knowledge, and knowledge of the patient?

Question 5 options:

Noticing
Reflecting
Responding
Interpreting

Question 6 (1 point)

 

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Which knowledge enables the advanced practice registered nurse (APRN) to recognize phenomena associated with specific health problems?

Question 6 options:

Practical
Scientific
Theoretical
Research-based

Question 7 (1 point)

 

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An advanced practice registered nurse (APRN) is developing a treatment plan for a 57-year-old patient who reports shortness of breath and palpitations. Which resource was the first major attempt to provide up-to-date, evidence-based information that the APRN can consult?

Question 7 options:

MEDLINE
BMJ Clinical Evidence
Evidence-Based Medicine Toolkit
Online Journal of Knowledge Synthesis for Nursing

Question 8 (1 point)

 

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An advanced practice registered nurse (APRN) wants to conduct clinical research on the care of patients with chronic illnesses. Which of the following will support the APRN’s goal? Select all that apply.

Question 8 options:

Access to patients
Formal framework
Multidisciplinary team
Adherence to care protocols
Evidence-based nursing care

Question 9 (1 point)

 

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Which of the following occurs during the second research competency phase?

Question 9 options:

Defining outcome measures
Implementing research outcomes
Generating new nursing knowledge
Teaching methods to critique research

Question 10 (1 point)

 

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An advanced practice registered nurse (APRN) can develop a culture of clinical research by training selected clinicians. True/False?

Question 10 options:

True
False

 

Submit Quiz10 of 10 questions saved

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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:
Population
Intervention
Comparison
Outcome
Time
The Affordable Care Act has directed the US Department JF Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of mariners with multiple chronic conditions. 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 preexisting 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 Midwife
Clinical Nurse Specialist
Certified Registered Nurse Anesthetist
What are the three major categories of Nola Pender’s Health Promotion Model?
Behavior-specific cognition and affect
Characteristics and experiences
Behavioral outcomes
Which theorist identifies carative factors as a value system, faith-hope and sensitivity to self and others?
Jean Watson Theory of Human Caring
Which set of components is essential in a specific theory?
Interrelated concepts, definitions, and propositions
The term advanced nursing practice includes nurses who are:
Certified APRNs with a minimum of a masters degree
To meet Medicare’s coverage requirements, the Nurse Practitioner’s services 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 her 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 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?
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 old female who presents with a pruritic, erythematous rash matching pattern of her sandal straps. The NP advises the patient to avoid scratching the area due to 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
How can the APN best influence development and passage of a specific health policy agenda?
Determine the best fit between legislative agenda, supporting organizations, and health policy issue.
Which is the gold standard research design for generating evidence?
Randomized Control Trial
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:
Kidney, eyes, brain
Which organization allows the use of the BC credential?
American Nurses Credentialing Center (ACNN)
Which agency houses the US Protective and Safety Task Force?
Agency for Health, Research, and Quality
Which 2 organizations administer nurse practitioner certification programs?
American Association of Nurse Practitioners
American Nurses Credentialing Center
Transformational leadership is best defined as:
A style that is relational, driven by a common goal, and satisfies the leader and the follower
A metaparadigm must include which of the following 3 characteristics?
Encompass all phenomena of interest
Be perspective – neutral
Be global in scope
Which statement best reflects King’s theory?
If Nurses with special knowledge and skills communicate appropriate information to clients, mutual goal-setting and goal attainment will occur.
Which agency will the APN reference when seeking the current evidence based guidelines directing standards of care?
Agency for Health Research and Quality
A 43 year old woman has a 12 hour history of sudden knswnrt RUQ abdominal pain with radiation to the shoulder, fever, and chills. She had similar, milder episodes in the past. Examination reveals marked tenderness to the RUQ with palpation. Her most likely dx is:
Acute cholecystitis
What theory is used to describe the cause of endometriosis?
Endometrial tissue passes through the Fallopian tubes and into the peritoneal cavity and remains responsive to hormones
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?
Explanatory
The leadership core competency of advanced practice nursing includes which 3 characteristics?
Mentoring, innovation, activism
What initiative specifically focuses on the aging American, under the Affordable Care Act?
Multiple Chronic Conditons
Which of the following philosophies of work view would characterize human beings as holistic; parts are viewed only in the context of the whole?
Reciprocal interaction
A difficult aspect of determining occupational exposure to disease is the:
Long latency period between exposure and disease reporting
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?
Organizational/environmental
Utilizing Johnson’s Behavioral systems model, 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?
Dependency subsystem
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?
Coach
A 60 year old female with a history of emphysema present to the primary care office with complaints of cough and SOB at rest. During the physical exam, the NP recognizes clubbing, barrel chest, and prolonged expiration. The NP understands that the patient is exhibiting sx resulting from which type of pulmonary disease process?
Obstructive
Which of the following statements accurately defines Hamric’s conceptual definition of advanced practice nursing?
The patient-focused application of an expanded range of competencies to improve health outcomes for patients and populations within a specialized clinical area of the larger discipline of nursing
When caring for a client who presents with pain and swelling to location of the metacarpophalangeal and proximal interphangeal joints, which diagnostic test is most specific to diagnosis of rheumatoid arthritis?
Elevated rheumatoid factor level
The Consensus Model for Advanced Practice Registered Nurse Regulations addresses which four areas?
Specially areas
Roles and titles to be used
Population foci
Preparation for emerging APRN roles
Which statement best supports primary prevention of burns for geriatric clients?
Avoid smoking in bed
Which of the following 3 complications are associated with chronic hep b?
Continued infectivity
Uncompensated cirrhosis
Hepatocellular carcinoma
The central competency, direct clinical practice, is characterized by which 3 of the following?
Expert clinical performance
Formation of a therapeutic partnership with patients
Holistic approach
Which payment system seeks Medicare reimbursement under the MACRA legislation for providing high quality patient specific care and improved outcomes?
Merit Incentive Based Payment
What four components of advanced practice nursing are specified by the National Council for State Boards of Nursing Consensus Model for APRN regulation?
Licensure, accreditation, education, certification
Which learning theory would be Mose applicable as a guide for the development of a program to help families of patients in palliative care?
Humanistic Learning Theory
What terms indicate appropriate progression associated with the history and evolution of advanced practice nursing?
Specialist, expanded role, advanced practice
An experienced NP has two separate but equally important ethical obligations that he is unfortunately unable to carry out. This is an example of which barrier to ethical practice?
Moral dilemma
Pre-invasive epithelial tumors of glandular or squamous cell origin describes which of the following?
Cancer in situ
Which two options are barriers to the conceptualization of Advanced Practice Nursing?
Interprofessional education and practice
Need to differentiate between advanced practice nursing and medicine
The Dreyfus Model of Skill Acquisition includes which 4 stages of APN performance?
Expert, Advanced Beginner, competent, proficient
The nurse practitioner is caring for a client who has undergone a recent gastrectomy who complains of fatigue, palpitations, SOB, and numbness and tingling to their fingers in both hands. The nurse suspects pernicious anemia related to:
Deficiency of intrinsic factor production
The analysis of a theory or conceptual model included examining the origins. Which would not be considered an aspect of origin of the theory/Model?
The unique focus
The clinical manifestations of dyskinetic cerebral palsy include:
Jerky uncontrolled and abrupt fine musculoskeletal movements
Which core competency incorporates assuming complex collaborative roles with stakeholders and communities?
Leadership
A critical environmental element that affects the authority of advanced practice nurses to practice to their fullest/maximum scope, according to Hamric’s model is:
Health Policy
For nursing to be considered a discipline, which statement is true?
Context has considerable influence on the development of the knowledge base?
The APN wants to develop a community educational program for HTN and stroke prevention. She recognizes that the individual’s lifestyle and pattern of behavior need to be addressed for the program to be successful. Which theory would be most appropriate to guide the program development?
Health as expanding consciousness
When considering a theory for use in guiding practice, the APN should examine the Conceptual-Theoretical-Empirical linkages by for which criteria?
Specification adequacy
In septic shock, which mediators are anti-inflammatory?
Interleukin (IL-4, IL-10, IL-13)
The link between major depression and cortisol secretion is that individuals with depression:
Show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression
Which 3 primary criteria for advanced practice nursing are identified in Hamric’s Integrative Model of Advanced Practice Nursing?
Guidance, graduate education, patient-focused practice, certification
Which advanced practice nursing was developed to facilitate delivery of high quality, patient-centered primary care?
Certified nurse practitioner (CNP)
An adult gerontology nurse practitioner is employed in a rural practice that is initiating a school-based primary healthcare program. All nurse practitioners in the practice are required to initiate preparations to facilitate conducting patient visits in the new setting. Which role concepts best describes what the adult gerontology NP is experiencing?
Role incongruity
A MSN student is noting challenges related to attending school while attempting to balance other work, family, and social responsibilities. Which of the following role concepts best describes the MSN student’s experience?
Role stress
A 24 year old female presents to the primary care office with c/o dysuria. Urinalysis lab results indicate +nitrites. The NP plans to initiate abt coverage for the most likely causative organism which is:
E. coli
Place the following 4 steps of APN core competency of evidence based practice in order
Critically appraise and extract evidence
Formulate a measurable clinical question
Review literature for relevant studies
Implement useful findings in clinical decision making
A 12 year old male is dx with Klinefelter syndrome. His karotype would reveal which of the following?
XXY
Concerning the MMR vaccine, which of the following is a correct statement?
There is no scientific evidence to support MMR increases autism risk
You are seeing a 40 year old patient who has started Vareniciline (Chantix) 3 weeks ago as a tool for smoking cessation. What is the most important question to ask during the visit?
Have you noticed any change in your mood?
A primary care NP is seeking additional support from ancillary health services for a diabetic client who is noncompliant with nutrition, exercise, and medication. Which barrier to ethical practice is influencing the NP’s practice?
Patient-provider
Which hospital ownership classification best describes an organization whose excess income is distributed to its shareholders?
For profit
How has the Quality Chasm Report been used to direct US health care?
As a framework for safe, effective, efficient, equitable, timely, and patient centered care
A 12 year old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the NP’s best response?
Immune destruction of the pancreas
Which patient below is at most risk for invasive pneumococcal infection?
A 32 year old woman who underwent a splenectomy after a motor vehicle accident
A Latino patient in your clinic has been perpetually late for his appointment. Which action by the NP would be most appropriate
Assess how the patient interprets the appointment time

Which of the following should an advanced practice registered nurse (APRN) consider when deciding to apply the results of a research study to a patient in the APRN’s clinical setting?

Question options:

Validity

Protocols

Demographics

Incidence rate

Which of the following would be most useful to an advanced practice registered nurse (APRN) who wishes to discuss practice implications of treating osteoporosis with other APRNs?

Question options:

BMJ Clinical Evidence

Cochrane Database of Systematic Reviews

Online Journal of Knowledge Synthesis for Nursing

Cumulative Index to Nursing and Allied Health Literature

Which of the following are included in the revised definition of evidence-based practice? Select all that apply.

Question options:

Clinical expertise

Standards of care

Practical knowledge

Outcomes management

Systematic research evidence
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