May 30, | nursing, med, NURS, Paper
National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay
National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay
NONPF Competencies
Student’s Name
Course Title
Institution
Instructor’s Name
Date
Introduction
The national organization of nurse practitioner faculty competencies creates, defines, and approves proficiencies in nursing practice. The organization dedicates exclusively to providing leadership and promoting quality education for the nurse practitioner at the national level. The source of these core competencies is expertise in clinical practice and education. There are nine competence are quality, health delivery systems, leadership, ethics, scientific foundation, practice inquiry, policy, and technology and information literacy, and independent practice (Schumacher & Risco, 2017). This article is a description of the nine programs and their contribution towards competence. It includes the description of a proposal on how to engage social change and the legislative activities that involve nurse practitioners in Texas. National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay.
Scientific Foundation Competencies
Scientific foundation competence is the comprehensive medical science knowledge that a nurse practitioner learns in school. It involves physiology, pathophysiology, and pharmacology among others (Schumacher & Risco, 2017). These scientific competencies enable the NP to think critically during skills application and management. This background enables the nurses to use the research findings in their practice to improve patient outcomes. It provides a good ground for creating evidence-based techniques through their core theory, practice experience, and research findings.
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Leadership Competencies
Leadership competence is a skill learned to ensure the nurses understand their standard of practice. It also prepares the nursing students for leadership in the healthcare teams. The focus of this competence is advocacy, professional accountability, and scholarship National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay. Leadership competencies are good communication skills, critical thinking abilities, incorporating innovations to improve practice, and advocating for efficient and affordable quality care.
Quality Competencies
Quality care improves the health situation of a patient and creates satisfaction. Provision of quality care corresponds with professional knowledge and standards. A nurse practitioner assesses the relevant information and evaluates the research finding to improve care. NP learns how to apply the best research findings in their practice. They understand how to give feedback to promote a culture of excellence. They understand relationship complexities in safety, healthcare access, and cost.
Practice Inquiry Competence
Practice inquiry is the art of learning or discovering new techniques during their practice. NPS uses its experience to improve patient outcomes. They use these abilities to transmit knowledge from their clinical outcome to others. They translate the new knowledge they acquired through their clinical experience into practice National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay.
Technology and Information Literacy Competencies
Information literacy is the ability to understand communication networks to access, manage, evaluate, and pass information (Abunadi, 2018). Communication is a critical aspect of nursing practice that improves the outcome of a patient. Competencies in this sector help the nurses use the necessary technology to manage information. It helps the caregivers understand the treatment, and motivate patients to make the appropriate changes.
Policy Competencies
Policy in health is the strategy in the health sector that influences resource allocation. Policies promote an ethical approach in the provision of quality care. They also enable the NP to understand the connection between clinical practice and policy (Woolhandler, et al, 2021). National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay NP understands the legal and social context of policies.
Health Delivery System Competencies
Health delivery systems involve planning, developing, and implementation of healthcare programs. This competence enables nurses to minimize patient and provider risks, work with others to improve the continuum of care and develop culturally competent care.
Ethics Competencies
Ethics are the principles that provide the standards of nursing practice. Ethical competencies enable nurses to make decisions and analyze the impact of all decisions (Yıldız, 2019). They also understand the complexities of the healthcare system.
Independent Practice Competencies
Independent practice is the ability of a nurse to work as a licensed independent practitioner. It enables the NP to operate professionally under accountability and acquire knowledge of screening and diagnosis. National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay.
How to Plan and Engage in Social Change in the Community as a nurse practitioner
Nurses have the capabilities of making positive impact through their consistency in provision of quality healthcare services. Through their experience, I will address the community needs and common diseases affecting them and advocate for their solutions to improve the outcome. I will also engage in social change by advocating for quality cost effective healthcare services through advocacy and identifying the community resources that that can improve the community health outcomes.
Legislative or Advocacy Activity In Texas
Scheduled II prescriptive authority in Texas restricts nurse practitioners from treating patients with cancers, chronic diseases, and mental health issues (Tran, 2020). This promotes delays in care and increases the cost for hospitals.
References
Abunadi, I. (2018). A technology-dependent information literacy model within the confines of a limited resources environment. Information Technology and Libraries, 37(4), 119-135. National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay
Schumacher, G., & Risco, K. (2017). Competency-based nurse practitioner education: An overview for the preceptor. The Journal for Nurse Practitioners, 13(9), 596-602.
Tran, A. Q. (2020). Full practice authority for nurse practitioners: is it right for Texas? (Doctoral dissertation).
Woolhandler, S., Himmelstein, D. U., Ahmed, S., Bailey, Z., Bassett, M. T., Bird, M., … & Venkataramani, A. (2021). Public policy and health in the Trump era. The Lancet, 397(10275), 705-753 National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay.
Yıldız, E. (2019). Ethics in nursing: A systematic review of the framework of evidence perspective. Nursing ethics, 26(4), 1128-1148.
Assignment: National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay
The National Organization of Nurse Practitioner Faculties (NONPF) has determined core competencies that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF has represented them within nine broad areas of core competence. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This synthesis course has had the overarching objective of preparing you to be able to synthesize knowledge gained throughout the program and be prepared to apply each of the nine core competencies within your selected areas of practice and your representative communities. National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay
The nine broad areas of competency are:
Scientific Foundations
Leadership
Quality
Practice Inquiry
Technology and Information Literacy
Policy
Health Delivery System
Ethics
Independent Practice
To Prepare:
Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay.
The Assignment
For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet it (for a total of at least nine paragraphs). Then, propose and explain how you plan to engage in social change in your community as a nurse practitioner. Be specific and provide examples.
By Day 7
Submit your National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay Assignment.
May 30, | nursing, med, NURS, Paper
NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles
NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles
Question 1
Which of the following factors is not known to affect patient compliance with his or her treatment regimen?
Response Feedback:
The controlling factors of compliance include the nature of the relationship you have developed, your recognition of the patient s autonomy, your success in communicating the basics of the patient s condition, and the clarity of your instructions. Always ask the patient to repeat the instructions to you to make sure they are understood. Equally important factors are the patient s ability to understand the problem and the value the patient places on resolving the problem.
Question 2
One of the most important aspects to consider in the orthopedic screening examination is:
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Response Feedback:
The most important aspect to consider when conducting an orthopedic examination is to look for symmetry of muscle, stature, and joint movement.
Question 3
The sequence of the physical examination should be individualized to:
Response Feedback:
There is no one right way to put together the parts of the physical examination. The sequence should be individualized to minimize the number of times the patient has to change positions to conserve the patient s energy.
Question 4
As you greet the patient, which examination technique is first implemented?
Response Feedback:
Begin to inspect the patient as you greet them, as you look for signs of distress or disease. Inspect their appearance, gait, orientation, and difficulty in hearing or speech.
Question 5
Which of the following is most likely to enhance examiner reliability? NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles
Response Feedback:
The examiner may not always be correct, but questioning yourself and seeking confirmation from others when necessary will serve to assure your reliability. A person should never be prejudged because this can interfere with your examination and findings. Showing that you are uncomfortable with your skills can make the patient feel uncomfortable and see you as unreliable. The use of unselective technology should not substitute for a well-honed history and physical.
Question 6
Premature infant respiratory distress is often manifested by:
Response Feedback:
Respiratory distress of premature infants is indicated by a sustained increased rate, grunting, retraction of intercostal and subcostal spaces and suprasternal notch, seesaw sinking of the chest with rising abdomen in contrast to the normal synchronous motions, and flaring nose. The other choices are not expected findings in premature infants.
Question 7
A common method of estimating gestational age of a newborn is to assess:
Response Feedback:
To determine gestational age, look at the soles of the feet. Before 36 weeks gestation, only one or two transverse creases are present; by 40 weeks gestation, many creases are present on the soles of the feet. Other clues to gestational age include breast nodule less than 3 cm, cartilage in the helix of the ear, descending of the scrotum and amount of rugae, and extremities in flexed positions.
Question 8
Proprioception should be assessed while the patient is:
Response Feedback:
Proprioception examination involves the Romberg test, heel-to-toe walking, standing on one foot and then on the other with eyes closed, hopping in place, and deep knee bends. The standing position is required to conduct these examinations.
Question 9
The examination of the newborn should begin with:
Response Feedback:
The examination of a newborn should begin with inspection noting skin color, flaccidity, tension, gross deformities, or distortions of facies. All of the other examination techniques follow inspection.
Question 10
When assessing the abdomen, one needs to expose the patient:
Response Feedback:
While the patient is in the supine position, the examiner can assess the abdomen. Arrange draping to expose the abdomen from pubis to epigastrium, ensuring to cover the private areas of the patient. All of the other options would not allow for a thorough inspection and examination or they would expose the patient inappropriately.
Question 11
Functional assessment is most important during the examination of a(n):
Response Feedback:
Functional assessment is most important when examining the older adult. Initial observation and interaction can provide a great deal of information about the individual s independent functional capacity. Attention should be given to self-care activities and instrumental activities.
Question 12 NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles
The goals of preparticipation sports evaluation include:
Response Feedback:
The ultimate goal of preparticipation physical evaluation is to ensure safe participation in an appropriate sports activity. A preparticipation evaluation may not predict a brain injury and concussion, but it can help you learn the normal neuropsychologic status of the person involved before injury.
Question 13
Part of the screening orthopedic component of the examination includes evaluating the person while:
Response Feedback:
Duck walking for four steps assesses hip, knee, and ankle range of motion, strength, and balance.
Question 14
You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her?
Response Feedback:
This girl is experiencing symptoms of atlantoaxial joint instability and should therefore have a cervical spine radiograph with neurologic consultation before beginning sports activities.
Question 15
An ophthalmoscopic eye examination involves:
Response Feedback:
Ophthalmoscope eye examination involves testing the red reflex and inspecting the lens, disc, cup margins, vessels, and retinal surface. The other assessments do not involve the use of the ophthalmoscope.
Question 16
Which of the following is true regarding the relationship between the examiner and the patient?
Response Feedback:
The patient is a full partner with the examiner. The examiner should keep the patient informed and should develop a relationship to ensure trust. Cultural issues should be acknowledged, not ignored. Clinical judgment can allow deviations from rigid structures and allow adaptations to a particular circumstance.
Question 17
The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
Response Feedback:
The best way to ease the apprehension of a 3-year-old child before a physical examination is to encourage the child to participate by helping you. Ask the child to hold the end piece of the stethoscope or to blow out your flashlight.
Question 18
Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
Response Feedback:
A partial or total loss of any of the senses can limit a patient s reliability as a historian. Emotional constraints, language barriers, cultural barriers, and an unresponsive or comatose patient can all affect a patient s ability to be a thorough historian. All of the other options would not limit a patient s reliability.
Question 19
The greatest risk for potential health problems occurs in which age group?
Response Feedback:
The newborn is at greater risk for potential health problems than other ages but also has the potential for better health than the other age groups.
Question 20
To inspect the abdominal muscles, ask the:
Response Feedback:
Asking the patient to raise the head will contract the rectus abdominis muscles, which produces muscle prominence, making abdominal wall masses visible. All of the choices would not show the abdominal muscles contracting.
Question 1
A therapeutic technique for dealing with grieving individuals is to:
Response Feedback:
When a patient dies, the grieving family and friends need attention for their emotional needs. It is often difficult to find words, and often the words may be cliché and not seem appropriate for the moment. It is all right to tell them that it is good to cry and to share feelings. It is permissible to talk about what has been lost and what will not be realized for the future. All of the other answers are not therapeutic for a grieving family member or friend.
Question 2
The examination of the newborn should begin with:
Response Feedback:
The examination of a newborn should begin with inspection noting skin color, flaccidity, tension, gross deformities, or distortions of facies. All of the other examination techniques follow inspection.
Question 3
Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
Response Feedback:
A partial or total loss of any of the senses can limit a patient s reliability as a historian. Emotional constraints, language barriers, cultural barriers, and an unresponsive or comatose patient can all affect a patient s ability to be a thorough historian. All of the other options would not limit a patient s reliability.
Question 4
In crying infants, it is often difficult to:
Response Feedback:
For the crying infant, lungs can be auscultated between consolable moments. While crying, the examiner can assess the lustiness of cry, tactile fremitus, lung excursion, facial symmetry, and appearance of the mouth and pharynx. Between breaths, heart tone can be auscultated.
Question 5
Which of the following is true regarding the relationship between the examiner and the patient?
Response Feedback:
The patient is a full partner with the examiner. The examiner should keep the patient informed and should develop a relationship to ensure trust. Cultural issues should be acknowledged, not ignored. Clinical judgment can allow deviations from rigid structures and allow adaptations to a particular circumstance. NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles
Question 6
Which of the following are examined with the patient in a reclining 45-degree position?
Response Feedback:
With the patient in a reclining 45-degree position, you can examine jugular venous pulsations and measure jugular venous pressure. All of the other choices can be examined with the patient in a sitting position.
Question 7
The greatest risk for potential health problems occurs in which age group?
Response Feedback:
The newborn is at greater risk for potential health problems than other ages but also has the potential for better health than the other age groups.
Question 8
Examination of the patient in the lithotomy, or knee-chest, position includes:
Response Feedback:
With the patient in the lithotomy position, the examiner can inspect the external and internal female genitalia and perform rectal examination to assess and palpate anal sphincter tone. The other answers require the patient to be in the supine or standing position.
Question 9
Which portion of the physical examination is best done with the patient standing?
Response Feedback:
With the patient in the standing position, the examiner can inspect and palpate the spine as the patient bends over at the waist and test a patient s range of motion.
Question 10
A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:
Response Feedback:
Hockey and diving are considered a contact or collision sport; roller skating and skateboarding are considered to be limited-contact sports. Track is a noncontact sport.
Question 11
One of the most important aspects to consider in the orthopedic screening examination is:
Response Feedback:
The most important aspect to consider when conducting an orthopedic examination is to look for symmetry of muscle, stature, and joint movement.
Question 12
Functional assessment is most important during the examination of a(n):
Response Feedback:
Functional assessment is most important when examining the older adult. Initial observation and interaction can provide a great deal of information about the individual s independent functional capacity. Attention should be given to self-care activities and instrumental activities.
Question 13
The checkout station for pre participation physical evaluation (PPE) is critical because at this point:
Response Feedback:
At the checkout station, data collected during the evaluation are reviewed and necessary follow-up actions are shared with the athlete and/or parents. In addition, the written report is distributed. If the PPE is not itself a comprehensive service that addresses issues unrelated to sports participation, the need for routine primary care remains.
Question 14 NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles
A common method of estimating gestational age of a newborn is to assess:
Response Feedback:
To determine gestational age, look at the soles of the feet. Before 36 weeks gestation, only one or two transverse creases are present; by 40 weeks gestation, many creases are present on the soles of the feet. Other clues to gestational age include breast nodule less than 3 cm, cartilage in the helix of the ear, descending of the scrotum and amount of rugae, and extremities in flexed positions.
Question 15
Palpation of epitrochlear nodes is part of the:
Response Feedback:
Palpation of epitrochlear nodes is part of the examination of the upper extremities. To palpate the epitrochlear nodes, support the elbow in one hand and palpate in the depression above and posterior to the medial condyle of the humerus.
Question 16
Observation of the child playing in the playroom provides information about which two systems?
Response Feedback:
The child playing on the floor offers an opportunity to evaluate both the musculoskeletal and neurologic systems by noting the child s coordination of activities, such as when throwing a ball, drawing, coloring, walking, and jumping.
Question 17
As you greet the patient, which examination technique is first implemented?
Response Feedback:
Begin to inspect the patient as you greet them, as you look for signs of distress or disease. Inspect their appearance, gait, orientation, and difficulty in hearing or speech.
Question 18
Part of the screening orthopedic component of the examination includes evaluating the person while:
Response Feedback:
Duck walking for four steps assesses hip, knee, and ankle range of motion, strength, and balance.
Question 19
The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
Question 20
The sequence of the physical examination should be individualized to:
Response Feedback:
There is no one right way to put together the parts of the physical examination. The sequence should be individualized to minimize the number of times the patient has to change positions to conserve the patient s energy. NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles
