Joel Essentials In Role Development – Q’s And A’s, Exams of Health sciences

Joel Essentials In Role Development – Q’s And A’s

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Joel Essentials In Role Development – Q’s
And A’s
3. Which type of grant proposal does the advanced practice
nurse (APN) submit when completing a doctor of philosophy
(PhD) residency?
1. Practice
2. Business
3. Research
4. Leadership Ans - 3. research
1.Which change represents the primary impetus for the end of
the era of the female lay healer?
1. Perception of health promotion as an obligation
2. Development of a clinical nurse specialist position statement
3. Foundation of the American Association of Nurse-Midwives
4. Emergence of a medical establishment Ans - 4. The
emergence of a male medical establishment represents the
primary impetus for the end of the era of the female lay healer.
Whereas lay healers viewed their role as being a function of
their community obligations, the emerging medical
establishment viewed healing as a commodity. The era of the
female lay healer began and ended in the 19th century. The
American Association of Nurse-Midwives (AANM) was founded
in 1928. The American Nurses Association (ANA) position
statement on educational requirements for the clinical nurse
specialist (CNS) was developed in 1965; the ANA's position
statement on the role of the CNS was issued in 1976.
The beginning of modern nursing is traditionally considered to
have begun with which event?
1. Establishment of the first school of nursing
2. Incorporation of midwifery by the lay healer
3. Establishment of the Frontier Nursing Service (FNS)
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Joel Essentials In Role Development – Q’s

And A’s

  1. Which type of grant proposal does the advanced practice nurse (APN) submit when completing a doctor of philosophy (PhD) residency?
  2. Practice
  3. Business
  4. Research
  5. Leadership ✔ Ans - 3. research 1.Which change represents the primary impetus for the end of the era of the female lay healer?
  6. Perception of health promotion as an obligation
  7. Development of a clinical nurse specialist position statement
  8. Foundation of the American Association of Nurse-Midwives
  9. Emergence of a medical establishment ✔ Ans - 4. The emergence of a male medical establishment represents the primary impetus for the end of the era of the female lay healer. Whereas lay healers viewed their role as being a function of their community obligations, the emerging medical establishment viewed healing as a commodity. The era of the female lay healer began and ended in the 19th century. The American Association of Nurse-Midwives (AANM) was founded in 1928. The American Nurses Association (ANA) position statement on educational requirements for the clinical nurse specialist (CNS) was developed in 1965; the ANA's position statement on the role of the CNS was issued in 1976. The beginning of modern nursing is traditionally considered to have begun with which event?
  10. Establishment of the first school of nursing
  11. Incorporation of midwifery by the lay healer
  12. Establishment of the Frontier Nursing Service (FNS)
  1. Creation of the American Association of Nurse-Midwives (AANM) ✔ Ans - 1. Traditionally, modern nursing is considered to have begun in 1873, when the first three U.S. training schools for nurses opened. The role of the lay healer as a midwife is documented to have occurred in the 19th century, before the establishment of schools of nursing. The Frontier Nursing Service (FNS), which provided nurse- midwifery services, was established in 1925. In 1928, the Kentucky State Association of Midwives, which was an outgrowth of the FNS, became the American Association of Nurse-Midwives (AANM).
  2. In 1910, which factors most significantly influenced the midwifery profession? Select all that apply.
  3. Strict licensing requirements
  4. Negative public perception
  5. Dedicated funding for training
  6. Poor maternal-child outcomes
  7. Mandatory professional supervision ✔ Ans - 2. & 4 In 1910, the midwifery profession was significantly influenced by poor maternal-child outcomes and a public perception as unprofessional.
  8. Which advanced practice nursing role is unique in that the practitioners view their role as comprising a combination of two distinct disciplines?
    1. Nurse practitioner
  9. Certified registered nurse anesthetist
  10. Clinical nurse specialist
    1. Certified nurse-midwife ✔ Ans - 4. The role of the certified nurse-midwife (CNM) is unique in that the CNM views the practice role as combining two disciplines: nursing and midwifery. In the 19th century, which factors led to the administration of anesthesia by nurses? Select all that apply.
  1. Legal authority
  2. Reimbursement
  3. Consumer recognition
  4. Prescriptive privilege
    1. Autonomy ✔ Ans - 1, 2& 4 The 2008 adoption of the Consensus Model for Advanced Practice Registered Nurse (APRN) Regulation by the National Council of State Boards of Nursing prompted gains related to several aspects of the role and function of the nurse practitioner (NP), including legal authority, reimbursement mechanisms in the United States, and prescriptive privilege.
  5. The doctor of nursing practice (DNP) degree was developed to support the achievement of which goal related to advanced practice nursing education?
  6. Eliminating master's degree programs
  7. Promoting excellence in clinical practice
  8. Replacing doctor of philosophy programs
  9. Emphasizing nursing research ✔ Ans - 2 Promoting excellence in clinical practice
  10. Among national nursing leaders, which argument serves as a basis for opposition to the requirement that advanced practice nurses (APNs) earn a doctor of nursing practice (DNP) degree?
  11. Greater professionalization is needed among advanced practice nurses.
  12. The number of graduate nursing programs should be limited.
  13. Advanced practice nursing certification should not require a doctoral degree.
  14. The need for care providers should be prioritized. ✔ Ans -
  15. The need for care providers should be prioritized.
  16. According to the Consensus Model for APRN Regulation, advanced practice nursing should abide by which recommendation?
  1. Emphasizing state-based regulation of advanced practice nursing standards
  2. Ensuring regulation of advanced practice registered nurses (APRNs) as a unified, collective group
  3. Preparing clinical nurse specialists (CNSs) to function primarily in acute care
  4. Changing the population focus of adult nurse practitioners to adult gerontology ✔ Ans - 4. Per the Consensus Model, the population focus of adult nurse practitioners (NPs) has shifted to adult gerontology. As opposed to emphasizing state- based regulation of advanced practice nursing, broad goals of the Consensus Model include developing more consistent standards for advanced practice nurses (APNs) that promote eligibility for interstate licensure reciprocity. Instead of ensuring regulation of advanced practice registered nurses (APRNs) as a collective group, the Consensus Model recommends regulation of APRNs in one of four accepted roles. The Consensus Model describes the practice of clinical nurse specialists (CNSs) as including both acute and primary care settings.
  5. For nurse practitioners (NPs), which issue represents a current barrier to autonomy.
  6. Restrictions on reimbursement for services
  7. Absence of state-based prescriptive authority
  8. Limited ability to serve in acute care settings
  9. Lack of authority to manage medical problems ✔ Ans - 1. Restrictions on reimbursement for services
  10. Which changes have contributed to the evolution of the present-day nurse practitioner (NP)'s role? Select all that apply.
  11. Focus on delivering care to low-income patients 2.Development of retail patient care clinics
  12. Increased access to Medicaid recipients
  13. Inclusion of patients from suburban areas
  1. Literature review in nursing science
  2. Participation in quality improvement
  3. Presentation at practice conferences
  4. Development of capstone with mentors ✔ Ans - 1. Literature review in nursing science
  5. According to the Consensus Model for APRN Regulation, advanced practice nursing should abide by which recommendation?
  6. Emphasizing state-based regulation of advanced practice nursing standards
  7. Ensuring regulation of advanced practice registered nurses (APRNs) as a unified, collective group
  8. Preparing clinical nurse specialists (CNSs) to function primarily in acute care
  9. Changing the population focus of adult nurse practitioners to adult gerontology ✔ Ans - The following are: The government is responsible for public health activities• A population-based focus is assumed• Public health addresses relationships between the state and the population• Population-based services are delivered grounded in science• Public health officers have the power to coerce individuals and businesses into actions that protect the health of the population ✔ Ans - Characteristics of Public Health Law the legal powers and duties of the state that assure conditions of health for the people and limit the use of state powers to constrain autonomy, privacy, liberty, proprietary, or other legal protected rights" ✔ Ans - Public Health Law Definition Foundation U.S. Constitution Treaties and federal statutes Federal regulations

State constitutions State statutes State regulations Local authority Common Law ✔ Ans - Heirarchy

  1. Which of the following changed the ability of all advanced practice nurses (APNs) to prescribe medications?
  2. Risk of harm to patients
  3. Lack of a physician on site
  4. Nurse practitioner (NP) practice in primary care
  5. Interruption of patient flow ✔ Ans - 3. Nurse practitioner (NP) practice in primary care
  6. Which of the following has been the main source of barriers limiting advanced practice registered nurses' (APRNs') prescriptive authority?
  7. Limitations in state legislation and regulations
  8. Concerns about patient safety and quality of care
  9. Requirement for Drug Enforcement (DEA) number
  10. Organized lobbying by medical organization ✔ Ans - 4. The majority of barriers to practice have roots in organized lobbying by certain parts of the medical community to limit the autonomy of advanced practice registered nurses (APRNs)
  11. Which of the following was found to be the most practical formulary for regulating prescriptive authority?
    1. Open
  12. Exclusionary
  13. Collaborative
  14. Regulator established ✔ Ans - 2. Exclusionary formularies were found to be a more practical approach to regulation of prescriptive authority.
  15. Which of the following describes the historical progression of advanced practice registered nurses' (APRNs') attainment of prescriptive authority? Select all that apply.
  16. Standardization of educational programs
  17. Lack of primary care in underserved areas
  1. Passage through appropriate committees ✔ Ans - 2. Legislation must be introduced that amends or adds to current law.
  2. Once legislation is introduced, it is referred to a committee of jurisdiction (usually a professional licensure committee) for consideration.
    1. Once the legislation is in committee, the chair of that committee generally calls for a hearing to allow proponents and opponents of the legislation to give testimony regarding the introduced legislation.
  3. After passing through all appropriate committees, the legislation, at the discretion of the majority party leadership, is taken to the floor of the voting chamber for a vote. In some states, proposed legislation must also go through the appropriations committee of at least one of the voting chambers to determine cost and evaluate fiscal impact on the state.
  4. After passing through all appropriate committees, the legislation is taken to the floor of the voting chambers. Sometimes this is done simultaneously in both chambers of the state legislature; in others, the legislation passes through one chamber at a time Nurses working in a Magnet facility have low staff turnover rates and report high job satisfaction, making others aspire to have the longevity in employment experienced by those at the Magnet facility. Which of the following reference groups is this an example of?
  5. Evaluative
  6. Normative
  7. Comparison
    1. Audience ✔ Ans - 3. Comparison
  8. Which action should the advanced practice nurse (APN) take to be successful in socialization?
  9. Be better at multitasking.
    1. Develop a rapport with colleagues.
  10. Develop skills in empathic communication.
  1. Practice sympathetic listening ✔ Ans - 3. Develop skills in empathic communication. An advanced practice nurse (APN) consistently identifies each client by the five rights upon every encounter. This behavior is an example of which of the following?
  2. First-order change
    1. Second-order change
  3. Role-making
    1. Subrole internalization ✔ Ans - 2. Second-order change
  4. Which action by the advanced practice nurse (APN) demonstrates role-making?
    1. Practicing autonomy when working in a busy practice
  5. Suggesting a change in treatment to the supervising physician
  6. Changing a client's medication to a lower dosage
  7. Teaching a client how to self-administer insulin ✔ Ans -
  8. Suggesting a change in treatment to the supervising physician
  9. The advanced practice nurse (APN) is mentoring an APN student. The APN recognizes that the student is having a hard time adjusting to the new role. Which action should the mentor take?
  10. Allow the student to work through the process.
  11. Listen sympathetically to the student.
  12. Refer the student to a colleague with similar experiences. 4. Treat each failure as a learning opportunity. ✔ Ans - 4. Treat each failure as a learning opportunity.
  13. The advanced practice nurse (APN) is working with a colleague in a busy surgical center and becomes concerned with the colleague's change in behavior. Which sign indicates that the colleague might be experiencing burnout?
  14. Empathic behavior
  15. Short attention span
  16. Sensitivity
  17. Intolerance ✔ Ans - 4. Intolerance

2• Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all. 3• Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all. 4• Promote healthy development, healthy behaviors, and well- being across all life stages. 5• Engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all." ✔ Ans - Healthy People 2030Overarching Goals• Social deterrents to health

  • Ethical Considerations
  • Culture Care Theory ✔ Ans - .Principle of justice- Fair and equitable access to high-quality health-care services
  • Integration of cultural competence into all care roles .Culturally congruent care to patients from diverse populations
  • Both universal and culture-specific care patterns acknowledged