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A comprehensive overview of the essential knowledge, skills, and competencies required for becoming a nurse practitioner (np). It delves into the core principles of np practice, including advanced pharmacology, pathophysiology, and physical assessment. The document also explores the key competencies that define the np role, such as leadership, quality improvement, technology and information literacy, practice inquiry, policy, healthcare delivery, ethics, and independent practice. It highlights the importance of the msn essentials and core competencies, guided by the american association of colleges of nursing (aacn) and the national organization for nurse practitioner faculties (nompf).
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Services they provide include:
Teaching and coaching Professional role Negotiating health care delivery systems Monitoring quality of care Providing culturally sensitive care - Solution Nurse practitioner core competencies this individual, along with Dr. Silver developed formalized NP education - Solution Loretta Ford this is the NP that created our formalized program - Solution Loretta Ford one who:
C. ACE inhibitors D. Thiazide diuretics - Solution C Which of the following medications represent the best choice antihypertensive agent for the indicated patient? A. Beta blocker For a 38-year-old diabetic patient B. ACE inhibitor for patient on a potassium sparing diuretic C. Beta blocker for a patient with a history of migraines D. Diuretic in a patient with a history of gout - Solution C Which of the following valve is most commonly involved in chronic rheumatic heart disease? A. Aortic B. Mitral C. Pulmonic D. Tricuspid - Solution B A patient has diastolic murmur best heard at the 5th intercostal space. This is most consistent with which of the following conditions A. Mitral valve prolapse B. Mitral regurgitation C. Mitral stenosis D. Aortic regurgitation - Solution C Which symptomatic triad is most commonly associated with infectious mononucleosis? A. Fever lymphadenopathy pharyngitis B. Fever fatigue pharyngitis C. Fever headache nuchal rigidity D. Headache lymphadenopathy muffled voice - Solution A Which location should always be avoided in patients with mononucleosis? A. Clindamycin B. Ibuprofen C. Amoxicillin D. Viscous lidocaine - Solution C A 75-year-old patient presents with new onset hearing loss. Exam reveals bilateral cerumen impaction. This type of hearing loss is what? A. Sensorineural
B. Conductive C. Cholesteatoma D. Prebyscusis - Solution B A 25-year-old patient presented with sneezing rhinorrhea nasal congestion and facial pain. Which of the following is not associated with allergic rhinitis? A. Sneezing B. Rhinorrhea C. Nasal congestion D. Facial pain - Solution D Patient is diagnosed with acute rhinosinusitis. Symptoms of nasal congestion, head ache and tenderness behind the eyes began three days prior to office visit. Given the clinical presentation and most likely etiology, how should the patient to managed? A. Amoxicillin with clavulanate B. Decongestant and analgesic C. Azithromycin and decongestant D. Levofloxacin - Solution B The patient presents with hordeolum of the right eye. The APRN suspects which is the following organism? A. Staphylococcus B. E. coli C. Candidiasis albicans D. Herpes simples virus - Solution A The APRN conducts a visual screening for a 30 month old and uses which of the following protocol? A. Allen chart B. Snellen letter chart C. Snellen E chart D. Isihara Plate test - Solution A Current treatment guidelines acute group a streptococcal pharyngitis in adults with no known allergies: A. Penicillin B. Leavofloxacin C. Sulfamethoxazole/trimethoprim
D. sterognostic functioning - Solution A A patient who sustained a myocardial infarction comes to the clinic for a refill of Atorvastatin. The family nurse practitioner explains that the medication prescribed for: A. cancer prevention B. primary prevention C. secondary prevention D. tertiary prevention - Solution D That APRN performs a patch test three times per year on patient with controlled allergy symptoms. This practice can constitute as Medicare fraud true or false A. True B. False - Solution B this is claiming for something that you did not do - Solution Medicare fraud this is overdoing something such as overdoing such as unnecessary patch tests - Solution Medicare abuse A soft first heart sound with a holosystolic apical murmur that radiates to the left axilla suggests which of the following? A. Aortic stenosis B. Mitral regurgitation C. Mitral stenosis D. Mitral valve prolapse - Solution B Routine immunization guidelines recommend administering the hepatitis B vaccine at birth and repeating doses at: A. one and six months B. One month and two months C. Four months and two years D. Six months and 12 months - Solution A this is important for the following reasons:
-There are letter grades for the Recommendations: -I -> insufficient evidence- Only low certainty grade* -A -> substantial magnitude of net benefit and certainty of net benefit -B -> substantial magnitude of net benefit with moderate certainty OR vice versa -C -> small magnitude with either high or moderate certainty- *DIFFICULT FOR CLINICIAN TO USE FOR PTS. -D -> No benefit or even harm w/ high-moderate certainty - Solution U.S. Preventative Services Task Force -Advancing the time of diagnosis should be undertaken with confidence that will prevent enough future suffering and prolong life to an extent that outweighs the harms to those is doesn't benefit (because earlier dx can lead to overdiagnosis and unnecessary harm) -Preventative service provided which by nature most will NOT benefit from the service and have potential to cause harm. - Solution U.S. Preventative Services Task Force
the ability to understand and share the feelings of another - Solution Empathy NPs take which approach to patient centered care?- NPs incorporate vital elements of nursing and philosophical theories, communication skills, diagnostic skills, coaching, educating, and developing reciprocal relationship with patients.
this individual developed the first NP program in 1964