Which of the following is considered a facilitating factor for growth of the nurse practitioner role?
Emergence of the PMHNP role
Overlapping scope of practice with other NP roles
Reimbursement struggles with Medicare and private insurance companies
Growing competition in job market for NPs in general
The Correct Answer is A
Choice A reason: The emergence of the PMHNP role represents an expansion of advanced practice nursing and recognition of specialized skills, facilitating growth by increasing access to mental health services and establishing new professional opportunities.
Choice B reason: Overlapping scopes of practice may create confusion and role ambiguity rather than facilitate growth, as it can lead to conflict between different NP specialties.
Choice C reason: Reimbursement challenges create financial barriers that constrain the growth of NP roles rather than facilitate it, as limited reimbursement reduces sustainability and independence of practice.
Choice D reason: Growing competition in the job market generally creates pressure rather than facilitation; it may challenge new NPs to secure positions, acting as a constraining factor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While anxiety may contribute to disturbed sleep, occasional death-related dreams in young children are common and developmentally normal. Immediate evaluation for anxiety is not indicated unless other symptoms are present.
Choice B reason: Preschool and early school-age children often incorporate recent events and familiar figures into their dreams, including themes of death. This response normalizes the behavior and reassures the parent that it is age-appropriate.
Choice C reason: Early signs of schizophrenia are not typically identified through isolated death-related dreams, especially in a 5-year-old, making this an inappropriate conclusion.
Choice D reason: Asking about family mental health history is generally unrelated to interpreting a normal dream experience and may unnecessarily alarm the parent.
Correct Answer is B
Explanation
Choice A reason: This sequence does not reflect the structured stages of appreciative inquiry, which emphasize discovery and envisioning possibilities before design and implementation.
Choice B reason: The 4-D model includes Discover (identify strengths), Dream (envision what could be), Design (plan actions to achieve the dream), and Destiny/Deliver (implement and sustain positive change), making this the correct sequence.
Choice C reason: This sequence omits the discovery phase and replaces destiny with define, which is inconsistent with the established model.
Choice D reason: Mixing deliver and destiny without following the proper sequence of discovery, dreaming, designing, and delivering misrepresents the model.
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