KAPLAN MN566 2017 December Full Course Latest
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 1 Discussion
What is an NP?
Discuss the differences between a Primary Care Nurse Practitioner and an Acute Care Nurse Practitioner and their scope of practice. Why is this important to know as you move from being a nurse into your new role as an NP? Please include sources and references to support your discussion.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 2 Discussion
The Interview:
The medical interview serves several functions. It is used to collect information to assist in diagnosis of the present illness, to understand the patient’s values, to assess and communicate prognosis, to establish a therapeutic relationship and to reach agreement with the patient about further diagnostic procedures and therapeutic options. The interview also offers an opportunity to influence patient behaviors.
Discuss the following:
Please answer the following questions and include your rationale and evidence-based research to support your written work.
What does it means to document accurately and appropriately?
What are the documenting guidelines? When is it appropriate to use abbreviations?
What is the difference between subjective and objective data?
What does it mean to demonstrate clinical reasoning skills?
How can you use clinical reasoning to plan the organization of a comprehensive exam?
How will you document variations of normal and abnormal assessment findings?
What factors influence appropriate tools and tests necessary for a comprehensive assessment?
Reflect on personal strengths, limitations, beliefs, prejudices, and values.
How will these impact your ability to collect a comprehensive health history?
How can you develop strong communication skills.
What interviewing techniques will you use to interview the patient to elicit subjective health information about their health history?
What relevant follow-up questions will you use to evaluate patient condition?
How will you demonstrate empathy for patient perspectives, feelings, and sociocultural background?
What opportunities will you take to educate the patient?
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 3 Discussion
Diagnostic Reasoning and Rationale for acute illness
Pick one problem from the list provided below. Discuss and include your rationales using.
What questions need to be asked and what body part needs to be examined?
What diagnostic tests need to be obtained and why?
How would you handle abnormal finding?
What will be your list of differentials?
Problems commonly seen in the Primary Care setting:
runny nose
cough
diarrhea
pharyngitis
dysuria
rash
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 4 Discussion
Applying “Evidence-Based Practice”
Population groups with differences determined by culture, religion or ethnicity also show differences in terms of illness behavior and beliefs.
Discuss a patient population that are at risk and apply evidence-based practice guidelines in management of their illnesses across the age continuum.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 5 Discussion
Case and Discussion: Headache
A 35-year-old woman comes to your office to discuss her “bad headaches,” which started after having her first child 2 years ago. The headaches sometimes awaken her from sleep and at times can be disabling and occasionally require her to take Tylenol and rest in a dark room. Sometimes she vomits during an attack. Over the past 6 months, her headaches have become more severe and frequent, prompting her visit today.
What additional questions would you ask to learn more about her headaches?
How do you classify headaches?
How can you determine if this is an old headache or a new headache/s? Is this a chronic or episodic condition?
Can you make a definite diagnosis through an open-ended history followed by focused questions?
How can you use the patient history to distinguish between benign headaches and serious ones that require urgent attention?
What diagnostic tests do you want to include to help you with your diagnosis?
Create a differential diagnosis flow sheet for this patient for this patient and include the diagnostics related to the differentials.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 6 Discussion
Case and Discussion
A 60-year-old man comes to your office because of a persistent cough that has been bothering him for the past 3 months. His cough is dry and is more frequent during the evenings. He also notes frequent nasal congestion, especially when he is exposed to dust and cold weather. He reports no hemoptysis, weight loss, wheezing, fever, or changes in his appetite. What additional questions would you ask to learn more about his cough?
How would you classify his cough based on the duration to help with the diagnosis?
What diagnostic tests do you want to include to help you with your diagnosis?
Create a differential diagnosis flow sheet for this patient for this patient and include the diagnostics as well as the pharmacological management and rationale related to the differentials. Support your discussion with evidence-based research.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 7 Discussion
Case and Discussion
A 21-year-old women comes to your office with a 2 day history of right ear pain. She reports that the ear pain began shortly after taking scuba diving lessons. She describes the pain as "a pressure" and also notes "crackling" in the right ear and periodically feeling dizzy.
What other associated symptoms should you ask about?
How does the time course help to distinguish among different causes of ear pain?
How does the age of the patient help with narrowing the diagnostic possibilities?
What diagnostic tests do you want to include to help you with your diagnosis?
Create a differential diagnosis flowsheet for this patient and include the diagnostics as well as the pharmacological management and rationale related to the differentials
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 8 Discussion
Preventative Care
What questions will you want to ask your patients at every visit in order to get the information needed to provide individualized preventive services?
How does the age and gender of the patient impact your approach to delivering preventive services and providing health education?
How does the patient's developmental milestones impact their ability to make healthy changes and take charge of their health?
What are some risk factors associated with health promotion?
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 9 Discussion
Helping and Healing Relationships
Consider the various steps of the nursing process in order to address the following critical thinking questions.
As a health care provider, discuss ways in which you will establish a helping hand and healing relationship with your patient and their families.
How will you develop professional partnerships with health care team members in your clinical practice?
What personal behaviors, biases, and attitudes would you have to change to develop these professional relationships?
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 10 Discussion
Circle of Caring
What are the unique qualities of the Circle of Caring Model and how is it different from holistic nursing theories and biomedical nursing? Support your discussions with examples and reference with evidence-based research.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 1 Assignment
Protecting Your Scope of Practice
Protecting the scope of practice for nurses, particularly advanced practice registered nurses, is a major initiative at the American Nurses Association (ANA) 2016. The ANA is working together with our Constituent Member (State) Associations to help remove geographic and practice setting limitations for Advanced Practice tered Nurses (APRNs). The ANA is working state by state to ensure that state laws affecting APRN’s are both fair and consistent across the country, and that your scope of practice is not unfairly limited.
Discuss how this initiative and how it will impact your future as an APRN and your clinical practice in the state in which you live. Include sources to support your assignment.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
Utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and use APA 6th Edition format as outlined in the APA Progression Ladder.
How to Submit:
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 3 Assignment
Poor Patient Outcome
Relying solely on the classic features of a disease may be misleading. That's because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.
Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient's symptoms and signs — is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.
This case portrays a poor patient outcome after a misdiagnosis.
Case scenario
A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.
On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.
The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.
Written Assignment:
Developing a list of possible conditions that might produce a patient's symptoms and signs is an important part of clinical reasoning.
As an NP in primary care what would you have done differently?
Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?
If a serious diagnosis comes to mind based on a patient's symptoms:
Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral?
Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario?
Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?
What other diagnosis could it be? How might the treatment to date have altered the patient outcome?
What other diagnostic and laboratory or imaging was needed in order to make a complete differential list? What support tools would you consider using in helping to create a differential diagnosis list?
Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
Utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format as outlined in the APA Progression Ladder.
How to Submit:
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 4 Assignment
Translating Evidence into Clinical Practice
Choose one evidence-based practice that you see yourself using as a provider in your clinical practice and discuss how it meets the listed benefits.
Why should we, as healthcare providers, use evidence-based practice?
Evidence-based practice benefits:
Leads to highest quality care and patient outcomes
Reduces health care costs
Reduces geographic variations in the delivery of care
Increases healthcare provider empowerment and role satisfaction
Reduces healthcare provider turnover rate
Increases reimbursement from 3rd party payers
Reduces complications and payment denials
Meets the expectation of an informed public
Include 3 evidence-based articles to support your work that are less than 3 years old.
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style; and
use APA 6th Edition format as outlined in the APA Progression Ladder.
How to Submit:
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 5 Assignment
i-Human Case
The i-Human scenario below is designed to help you move through a simulated clinical patient scenario. Your work will be scored by i-Human rubric below and transferred to a grade in the gradebook by faculty. This Assignment is worth 100 points.
Grading criteria for Assignment are:
History = 30
Physical Exam = 30
Differential Diagnosis = 15
Rank Differential Diagnosis = 10
Test Selection = 15
The follow up review i-Human seminar will be held in Unit 6 and is mandatory either by live attendance or review of recording and alternative assignment. This is worth 20 points.
For this graded activity, you will need to login to your i-Human account. Instructions for logging-in are as follows:
Go to https://ih2.i-human.com/.
Log in with your credentials (username and password).
Select “Assignments” from the menu options on the top left of the screen.
Press the green play button next to the case 1- Babbitt- Migraine- 48 y/o-
for University graded case study.
The graded case study will open; click Start to begin.
Complete all elements of the case study (history, physical exam, assessment, etc.)
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 6 Assignment
Tuberculosis
M. tuberculosis can be transmitted in virtually any setting. Clinicians should be aware that transmission has been documented in healthcare settings where healthcare workers and patients come in contact with persons with infection.
• Describe the factors that determine the infectiousness of a tuberculosis (TB) patient;
• Explain the main goals of a TB infection control program;
• Discuss the three levels of an effective TB infection control program;
• Explain the purpose and the characteristics of a TB airborne infection isolation room; and
• Describe the circumstances when respirators and surgical masks should be used.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
Utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and use APA 6th Edition format as outlined in the APA Progression Ladder.
How to Submit:
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 8 Assignment
Health Maintenance and Screening Plans
Clinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s health. Yet, despite the fact that these services are covered by Medicare, Medicaid, and many private insurance plans under the Affordable Care Act, millions of children, adolescents, and adults go without clinical preventive services that could protect them from developing a number of serious diseases or help them treat certain health conditions before they worsen.
Discuss preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a lifespan. Please include examples, evidence-based information and references to support your work.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
Utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format as outlined in the APA Progression Ladder.
How to Submit:
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 9 Assignment
Interprofessional Practice and Collaboration:
The future of health care delivery will require multidisciplinary teams of health care professionals that collaborate to provide patient-centered care. The key to high performance in multidisciplinary teams is an understanding of the distinctive roles, skills, and values and ethics of all team members. What will be your role as an NP and how do you see yourself collaborating with other health care professionals? Why is this important to know and understand? Who benefits? Who are the stakeholders. Support your work with examples and evidence-based research.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
Utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format as outlined in the APA Progression Ladder.
How to Submit:
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 1 Journal
Journal: Learning Style
Purpose:
The purpose of this Journal exercise is to identify your learning style and discuss how you will time manage and confront the barriers to learning that you will experience as an NP student.
Where have you been and where do you want to go?
Career Map and Learning to Learn Exercise.
Please answer these 10 questions.
Question 1: Where have I been?
List the work areas in which you have experience.
Question 2: How did I get there?
List the path that brought you to this point in your career.
Question 3: What do I most like to do?
List the parts of your job or other professional activities you like the most.
Question 4: What do I like to do least?
Question 5: Which roles would my favorite activities use?
Think about the different roles of professional nurses. Which ones use your favorite activities?
Teacher
Practitioner
Communicator
Researcher
Leader
Question 6: Which roles require you to do your least favorite activities? Think about the different roles of nurses. Which ones use your least favorite activities?
Question 7: What education or other preparation would my favorite activities require?
Question 8: Would I really like doing those favorite activities full time?
Question 9: What is your learning style and what worked for you in the past to be successful? How did you enjoy learning in the past? How did you best communicate what you learned?
Through a written test, a term paper, an interview, performance, demonstration/presentation, etc. Why do you think that is? How would I rate my success on a scale of 1–10?
What change could have improved this score?
Question 10: Where do you see yourself in 5 years?
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
Utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and use APA 6th Edition format as outlined in the APA Progression Ladder.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 2 Journal
Barriers to Collecting a Health History
What are the barriers you face to collecting a comprehensive health history so that you can give culturally-competent care?
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
Utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and use APA 6th Edition format as outlined in the APA Progression Ladder.
View the Journal Grading Rubric on the Grading Rubrics page under the Course Resources.
Submitting Your Journal
Please submit your Journal to the Unit 2 Journal Dropbox.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 3 Journal
Writing about one's personal experience encourages self-reflection and improves self-awareness. In this activity students are invited to reflect, in writing, on their experiences related to managing clinical risks for patients. Students to write about an event they observed or were involved in during their nursing profession that they feel might have placed a patient at risk. Alternatively, students may want to write about an event that occurred to them as recipients of healthcare, or as an observer to their friends' or family members' experiences. The event may be one that they feel related to any of anticipation, recognition, or management of a patient safety risk. Safe patient care and reducing medical-legal risk requires nurse practitioners to be aware of potential risks and how to avoid them.
The narrative should include:
a description of the event
an explanation of how this event placed a patient at risk
the student's reflections on the event including:
if and how the event was recognized
why and how the event occurred, for example, was the event due to
action or inaction by an individual healthcare provider
system failure(s)
a combination of systems failure(s) and individual provider performance issues
what changes or improvements they would make, if any
how they felt at the time
how they currently feel about the even
Were you personally involved in the event? Discuss.
What, if any, workplace factors contributed to the event? (e.g., Was it during a handover? Did it involve a medication?)
How aware was the healthcare provider(s) of what was going on around them? (situational awareness)
How did the health care provider(s) recognize the safety problem, and how did they respond?
How did this event affect you?
What did you take away that you will use in the future?
I would do something differently next time because
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style; and
use APA 6th Edition format as outlined in the APA Progression Ladder.
View the Journal Grading Rubric on the Grading Rubrics page under the Course Resources.
Submitting Your Journal
Please submit your Journal to the Unit 3 Journal Dropbox.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 4 Journal
Clinical Guidelines
Discuss the differences between these three tools; clinical guidelines, practice standards, and algorithms and how you see yourself using them in your clinical practice. What is one thing in your practice that you have always done, but you do not really know why you are doing it or why it works? Please reference your work.
Where to Post Response:
You will post this response to the online Journal. However, please write your response in Word or another text tool and save your work. When you are ready to post, copy your response text and paste it into the online Journal. This approach will ensure that you have a backup of your work.
To access the Journal, click the Journal tab located in the upper right area of the screen.
Assignment Requirements:
As this assignment is a Journal entry and not a formal paper, it may at times be difficult to follow the organization, style, and formatting of the APA 6th Edition Manual. Despite this, your Journal assignment should:
clearly establish and maintain the viewpoint and purpose of the assignment;
follow the conventions of Standard American English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th edition format as outlined in the APA Progression Ladder.
View the Journal Grading Rubric on the Grading Rubrics page under the Course Resources.
Submitting Your Journal
Please submit your Journal to the Unit 4 Journal Dropbox.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 6 Journal
Discuss the health education and health promotion information and strategy’s you will use when working with patients who have asthma. What is an Asthma Action Plan?
Where to Post Response:
You will post this response to the online Journal. However, please write your response in Word or another text tool and save your work. When you are ready to post, copy your response text and paste it into the online Journal. This approach will ensure that you have a backup of your work.
To access the Journal, click the Journal tab located in the upper right area of the screen.
Assignment Requirements:
As this assignment is a Journal entry and not a formal paper, it may at times be difficult to follow the organization, style, and formatting of the APA 6th Edition Manual. Despite this, your Journal assignment should:
clearly establish and maintain the viewpoint and purpose of the assignment;
follow the conventions of Standard American English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th edition format as outlined in the APA Progression Ladder.
View the Journal Grading Rubric on the Grading Rubrics page under the Course Resources
Submitting Your Journal
Please submit your Journal to the Unit 6 Journal Dropbox.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 7 Journal
Antibiotic Therapy
Discuss the use of antibiotic therapy when treating ear and throat pain in both children and adults. What is considered standard of care? Include professional guidelines and recommendations.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
Utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format as outlined in the APA Progression Ladder.
View the Journal Grading Rubric on the Grading Rubrics page under the Course Resources.
Submitting Your Journal
Please submit your Journal to the Unit 7 Journal Dropbox.
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 5 Midterm
Question 1
Different kinds of thinking and learning also include the Affective Domain. This model described by Krathwohl (1964), is :
Question options:
Complex to include conceptual knowledge
A metacognitive model
Based on an organized hierarchy
Based on an individual's commitment to living and valuing
Question 2
Which is the most important question to ask in nursing research?
Question options:
What findings constitute evidence?
How will the findings be used?
Is this a randomized controlled trial?
What theory is being utilized?
Question 3
Formulating your differential diagnosis is a process that includes:
Question options:
Diagnostic tests
"shot-gun" finding
A physical
History of the present illness
Your personal experiences
Critical Thinking
Question 4
Which of the following would be considered the research design for Level II evidence?
Question options:
Single descriptive or qualitative study
Well-designed case control or cohort studies
Single, well-designed, randomized clinical trial
Systematic review of randomized clinical trial studies
Question 5
Identify the choice that best completes the statement or answers the question.
Which of the following are parts of evidence-based practice?
Question options:
Clinician
Patient
Evidence
All of the above
Question 6
Choose all the following that are essential in developing clinical practice guidelines:
Question options:
Identification of A topic
Enlist and expert panal
Review of literature 'D. Rate evidence
Draft a proposal
External review of draft
Revised draft based on recommendations
Question 7
The Circle of Caring Model is a new and more contemporary approach to medicine. Choose the characteristics that best describe this model of care in the primary care setting.
Question options:
AIl includes both traditional nursing as well as traditional medical practice
It is a transformative model
It considers both assessment and patient outcomes
It is a patient centered model
All of the Above
Question 8
Treatment options in cluster headaches include the use of
Question options:
Nonsteroidal antiinflammatory drugs(NSAIDS)
oxygen
Triptans
All of the Above
Question 9
It is always important to consider the pathological process that could be causing the patients problems. Choose all that should be considered when creating your differential list using a mnemonic..
Question options:
Inflammatory
Neoplastic
toxic or metabolic
infectious
congenital
traumatic
Question 10
The Goals of Diagnostic Reasoning is to:(choose all that apply)
Question options:
Solve a problem
establish a relationship with your patient
screen for disease and illness
promote healthy lifestyles
support research
Question 11
Practice Standards are designed to be flexible and can be tailored to be used in any medical arena.
Question options:
True
False
Question 12
A 37 year old man that was diagnosed with cluster headaches and takes high doses of aspirin.
Indicate the appropriate course of action :
Question options:
head CT
head MRI C.
neither for the following patient.
All of the above
Question 13
Clinicians who use clinical guidelines are responsible for reviewing their usefulness in their practice.
Question options:
True
False
Question 14
Choose all that should be considered when ordering a diagnostic test.
Question options:
patients request for test to be done
cost
sensitivity and specificity of the test
convenience of test
Will the outcome of the test change your plan of care
diagnosis by exclusion
Question 15
Nursing research should be utilized by:
Question options:
Nurses at the bedside
Advanced practice nurses
Nurse researchers
Nurses at all levels of practice
Question 16
Indicators that a headache can be the presenting symptom of a serious illness and may require neuroimaging include all the following except:
Question options:
Headaches that occur periodically in clusters
Increase frequency and severity of headaches
Headaches causing confusion, dizziness and or lack of coordination.
Headaches causing you to wake at night.
Question 17
Diagnostic test should be the deciding factor when making your final diagnosis.
Question options:
True
False
Question 18
Practice guidelines are designed to:
Question options:
Be inflexible
Be utilized in every circumstance
Provide a reference point for decision making
Be created by a professional organization to guide the practice of a profession
Question 19
The Circle of Caring Model has grown out of and is rooted in the assumption that caring is the central concept in nursing and is uniquely known and expressed in nursing.
Question options:
True
False
Question 20
Which of the following would be considered the research design for Level VI evidence?
Question options:
Systematic reviews of descriptive or qualitative studies
Opinion of authorities and expert committees
Well-designed case control or cohort studies
Single descriptive or qualitative study
Question 21
What are the questions you should ask yourself before using clinical guidelines in your practice? All are correct except (mark the ones that apply)
Question options:
How strong are the recommendations
Are the guidelines applicable to my patients
Can I get reimbursed for using these guidelines
Are the guidelines clinically important
Are these guidelines from a reliable source
How old are these guidelines
Question 22
Bloom’s (1956) taxonomies of learning includes all of the following except:
Question options:
the cognitive domain
the communication and leadership domain
the affective domain
psychomotor domain
Question 23
Which of the following would be considered the research design for Level III evidence?
Question options:
Well-designed controlled trials without randomization
Systematic reviews of descriptive or qualitative studies
Systematic review of randomized clinical trial studies
Opinion of authorities and expert committees
Question 24
Understanding other factors that can be causing the patients problems include:. Choose all that should be considered
Question options:
Demographics
Age
Gender
weight
medications
education
Question 25
Generalized patterns of nursing care are represented in The Circle of Caring Model as:(choose all that apply)
Question options:
self care
Patience
listening
courage
Authentic presence
advocacy
knowing
commitment
MN566 Introduction to Primary Care for the Nurse Practitioner
Unit 10 Final Exam
Question 1
Generalized patterns of nursing care are represented in The Circle of Caring Model as:(choose all that apply)
Question options:
self care
Patience
listening
courage
Authentic presence
advocacy
knowing
commitment
Question 2
Bloom’s (1956) taxonomies of learning includes all of the following except:
Question options:
the cognitive domain
the communication and leadership domain
the affective domain
psychomotor domain
Question 3
Gabby, aged 22, has BellÕs palsy on the right side of her face. Her mouth is distorted, and she is concerned about permanent paralysis and pain. What do you tell her?
Question options:
Most patients have complete recovery in 3 to 6 months.
Unfortunately, you'll probably have a small amount of residual damage.
Don't worry, I'll take care of everything.
You may have a few more episodes over the course of your lifetime but no permanent damage.
Question 4 Which of the following is an example of tertiary prevention in a patient with chronic renal failure?
Question options:
Fluid restriction
Hemodialysis 4 days a week
High-protein diet
Maintenance of blood pressure at 120/80
Question 5
When evaluating a patient with a an acute headache all of the following observations would indicate the absence of a more serious underlying condition except:
Question options:
Onset of headache with exertion, coughing or sneezing
History of previous headaches
Supple neck
normal neurological examination result.
Question 6 There are 1,185,000 cases of HIV/AIDS in the United StatesÓ is an example of the morbidity rate.
Question options:
True
False
Question 7
Which of the following would be considered the research design for Level IV evidence?
Question options:
Single descriptive or qualitative study
Opinion of authorities and expert committees
Systematic review of randomized clinical trial studies
Well-designed case Control or Cohort Study Level
Question 8
When administered at the beginning of an attack, oxygen therapy may help this kind of headache?
Question options:
Tension
Migraine
Cluster
Stress
Question 9
Which of the following statements is true concerning the use of bilberry as a complementary therapy for cataracts?
Question options:
The body converts bilberry to vitamin A, which helps to maintain a healthy lens.
Bilberry blocks an enzyme that leads to sorbitol accumulation that contributes to cataract formation in diabetes.
Bilberry boosts oxygen and blood delivery to the eye.
Bilberry is a good choice for patients with diabetes as it does not interact with antidiabetic drugs.
Question 10
The most significant precipitating event leading to otitis media with effusion is:
Question options:
Pharyngitis
Allergies
Viral upper respiratory infection (URI)
Perforation of the eardrum
Question 11
Which information should be included when you are teaching your patient about the use of nicotine gum?
Question options:
The gum must be correctly chewed to a softened state and then placed in the buccal mucosa.
Patients should not eat for 30 minutes prior to or during the use of the gum.
Initially, one piece is chewed every 30 minutes while awake.
Acidic foods and beverages should be encouraged during nicotine therapy.
Question 12
What antiplatelet agent is most widely used for secondary prevention of stroke?
Question options:
Aspirin
Ticlopidine
Clopidogrel
Aspirin and clopidogrel
Question 13
Which of the following would be considered the research design for Level V evidence?
Question options:
Systematic review of randomized clinical trial studies
Well-designed controlled trials without randomization
Systematic reviews of descriptive or qualitative studies
Single descriptive or qualitative study
Question 14
Which obstructive lung disease is classified as reversible?
Question options:
Asthma
Chronic bronchitis
Emphysema
COPD
Question 15
The forced vital capacity is decreased in:
Question options:
Asthma
Chronic bronchitis
Emphysema
Restrictive disease
Question 16
Nathan, a 32-year-old policeman, has a 15-pack-a-year history of smoking and continues to smoke heavily. During every visit, he gets irate when you try to talk to him about quitting. What should you do?
Question options:
Hand him literature about smoking cessation at every visit.
Wait until he is ready to talk to you about quitting.
Document in the record that he is not ready to quit.
Continue to ask him at every visit if he is ready to quit.
Question 17
Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing?
Question options:
CN V
CN VII
CN IX
CN X
Question 18 The bird flu of 2005 to 2006 is considered a sporadic outbreak.
Question options:
True
False
Question 19
Clinical features of insidious onset, slow progression, and a lack of other findings to explain the symptoms are fairly diagnostic of which condition?
Question options:
Guillain-Barr syndrome
Parkinson's disease
Alzheimer's disease
Huntington's disease
Question 20
Formulating your differential diagnosis is a process that includes:
Question options:
Diagnostic tests
"shot-gun" finding
A physical
History of the present illness
Your personal experiences
Critical Thinking
Question 21
You are doing a cerumen extraction and touch the external meatus of your patientÕs ear. He winces and starts coughing. What is the name of this reflex?
Question options:
Baker phenomenon
Arnold reflex
Cough reflex
Tragus reflex
Question 22
A chronic cough lasts longer than:
Question options:
3 weeks
1 month
6 months
1 year
Question 23
About 90% of all headaches are?
Question options:
Tension
Migraine
Cluster
Without pathological cause
Question 24
A score of 20 to 25 on this test indicates early-stage AlzheimerÕs disease:
Question options:
SLUMS
MoCA
FAST
MMSE
Question 25
Intravenous thrombolytic therapy following an ischemic CVA should be given within how many hours of symptom onset?
Question options:
1 hour
3 hours
6 hours
12 hours
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Rating:
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Solution: KAPLAN MN566 2017 December Full Course Latest