NUR6959 Quiz / NURSING 6959 Quiz
·         Question 1
 
The organizational framework for the core competencies in which the Clinical Nurse Specialist uses to guide them in practice includes:
·         Question 2
 
The meta paradigm of nursing includes:
·         Question 3
 
Which recent model represents a major step toward a uniform definition of all advanced practice nurses, for the purpose of regulation.
·         Question 4
 
Population foci that are included in the Consensus Model for education and licensure are:
·         Question 5
 
In the clinical reasoning model discussed by Lyon what distinguishes an advanced practice nurse from an expert clinical nurse is:
·         Question 6
 
Other frameworks/models that contribute to the three Spheres of Influence are:
·         Question 7
 
Associated outcomes within the patient sphere of the CNS framework may include:
·         Question 8
 
The four areas that the Consensus Model define for APRN practice are:
·         Question 9
 
Outcomes associated within the nursing sphere for CNS practice are
·         Question 10
 
APRN direct care is inclusive of
·         Question 11
 
Outcomes associated with the System/Organizational sphere are:
·         Question 12
 
The Wound CNS receives a consult from the primary care provider for a patient who has a stage II pressure ulcer. The CNS reviews the chart and provider’s note which states, “Consultation with recommendations”. The CNS proceeds to assess the patient and provide recommendations. This would be classified as a:
·         Question 13
 
Who established the first master’s level program in the United States which was considered the first known CNS education at the graduate level and created the Interpersonal Relations Theory?
·         Question 14
 
In the current competencies (not the new proposed competencies), which CNS competency includes:  Direct interaction with patients. families and populations, promoting health and improving quality of life. It is characterized by a holistic approach in providing health, illness and disease.
·         Question 15
 
Characteristics of direct care include:
·         Question 16
 
In order to have a therapeutic partnership with patients it must be
·         Question 17
 
Steps in the consultation process include:
·         Question 18
 
Clinical judgment includes
·         Question 19
 
Dr. Maggie Smith, DNP, AG-CNS was contacted by the medial team for a 62 year old patient who had been admitted for surgery.  The patient has been unable to get any pain relief from the opioid prescribed post surgery. After the patient receives the medicine, her pain level drops from an 8 to a 7 on the numeric rating scale. The patient has not slept and the family is upset.  You as the Pain CNS are called to assist.  On assessment of the patient’s chart you notice that she has a history of fibromyalgia, HTN, peripheral arterial disease, diabetes and mild claudication.  You assess the patient and find that she has chronic pain and is on a long-acting opioid at home. When checking her medication record you notice this has not been reordered. You discuss with the primary care team and the nurse the recommendation to restart this medication. What competency is the the CNS practicing within?
·         Question 20
 
Principles of consultation inculde:
·         Question 21
 
The administrator of the medicine division has noticed an increase in length of stay for chronic kidney disease patients. To investigate, he consults the Med-Surg CNS.  What type of consulting is this?
·         Question 22
 
Mentoring is distinguished by:
·         Question 23
 
Sharon Francis, DNP, NN-CNS is the Neonatal Clinical Nurse Specialist at a large tertiary care facility. She rounds with the interdisciplinary team each day. In the past two months she has noted an increase in the rate of infections.  She decided to assess the nurses technique in changing fluids and dressings. She noted that during dressing changes that sterility was broken on several occasions by various nurses. She decides that it is time to re-educate on the procedure and use simulation to practice with the nurses. Sharon is falling into which competency of the CNS?
·         Question 24
 
Coaching occurs during transitional situations. Some of those transitional situations include:
·         Question 25
 
Motivational Interviewing (MI) helps patients to change thoughts and behaviors to improve their health. Principles included in MI are:
·         Question 26
 
The competency in which the CNS works jointly with other professionals to optimize clinical outcomes is:
·         Question 27
 
Components of collaboration include:
·         Question 28
 
The type of collaboration that eliminates boundaries through negotiation and interaction with respect for a common response is:
·         Question 29
 
Hamric’s competencies of advance practice nursing includes:
·         Question 30
 
Components of the Synergy Model include:
·         Question 31
 
Nursing competencies included in the Synergy Model include:
·         Question 32
 
The central competency to CNS practice that informs all other competencies is:
·         Question 33
 
Indirect care activities defined under the direct care competency may include:
·         Question 34
 
One of the characteristics of the direct care competency is expert clinical performance.  Strategies that will assist in this characteristic of expert clinical performance are:
·         Question 35
 
Good communication is extremely important during patient interaction. Keys to good communication are:
·         Question 36
 
Chrissy Jones MSN, RN, AGCNS is a Surgical CNS at XYZ Hospital.  The hospital is a tertiary care facility that admits from ten counties in the surrounding area. The break down of the hospital mixture by age is 51% > 65 years of age, 30% young to middle adulthood (18-65 years) and 19% younger than 18 years. She has received a report on readmission rates within 30 days for her four surgical floors. She sees that readmission within the older group of > 65 years is a problem. She decides to do an assessment over the next month of those readmitted within 30 days. After her assessment, one main area of concern is written discharge instructions. For the older patient she knows that the information needs to be streamlined, larger font and reading level appropriate. She decides to form a group to assist with revision of discharge information. Redesign of the health information falls within which CNS competency?
·         Question 37
 
The four core competencies of Interprofessional Collaborative Practice are:
·         Question 38
 
There is a difference in consultation, comanagement and referral. The main difference is:
·         Question 39
 
Restraining forces of effective collaboration and interprofessional practice include:
·         Question 40
 
Essential Characteristics of collaboration include:
·         Question 41
 
Patient benefits of collaboration include improved quality of care, increased patient satisfaction, lower mortality rate and empowerment of patients/families.
·         Question 42
 
Silos in health science education cause barriers when trying to successfully collaborate with other disciplines.
·         Question 43
 
In order to establish interprofessional collaboration, we do not have to respect the cultural diversity of the team
·         Question 44
 
The CNS role was originally created for the following reasons: to provide direct care to patients with complex diseases, to improve patient care by developing clinical skills and judgment and to retain nurses who are experts in clinical practice.
·         Question 45
 
The direct care competency includes determining when evidence-based guidelines, policies and procedures need to be tailored to the individual.
·         Question 46
 
Rate of illness or injury is: Rate = Numerator/Denominator x Constant
·         Question 47
 
The incidence rate describes the occurrence of new disease cases in a community over a period of time relative to size of risk population.
·         Question 48
 
Consultation and collaboration in practice are the same.
·         Question 49
 
Coaching does not include helping the patient/family navigate the health care system
·         Question 50
 
The competencies we discussed in the first three modules are direct care, consultation, coaching, collaboration.