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 C
Explanation
Choice A reason: Lack of social engagement is common in autism spectrum disorder and is not specific to Rett syndrome.
Choice B reason: Lack of imaginative play is also a feature of autism but is not uniquely associated with Rett syndrome.
Choice C reason: Deceleration of head growth (microcephaly) around 6 months of age is a hallmark of Rett syndrome, distinguishing it from autism, and, combined with motor regression and stereotypic hand movements, strongly supports this diagnosis.
Choice D reason: Lack of eye contact can occur in both autism spectrum disorder and Rett syndrome, so it is not a differentiating factor.
Correct Answer is B
Explanation
Choice A reason: Attention deficit hyperactivity disorder (ADHD) is characterized by persistent patterns of inattention, hyperactivity, and impulsivity that are present across multiple settings and have existed since childhood. This patient’s symptoms are acute and situational, triggered by a recent stressor (grandfather’s illness), which makes ADHD less likely as the primary diagnosis.
Choice B reason: Adjustment disorder with mixed anxiety and mood is a stress-response syndrome that arises within three months of an identifiable stressor. The patient’s concentration problems, sadness, decreased energy, restlessness, and sleep difficulties are all temporally linked to the stressor of caring for a sick grandparent. This diagnosis fits the acute onset of emotional and behavioral changes in response to a significant life event.
Choice C reason: Separation anxiety disorder involves excessive fear or anxiety concerning separation from attachment figures. While the patient has concern for his grandfather, his anxiety is not rooted in separation from a primary attachment figure but rather in worry about the grandfather’s illness and responsibilities at home.
Choice D reason: Generalized anxiety disorder is characterized by excessive, uncontrollable worry about multiple areas of life for at least six months. The patient’s anxiety is specific to a recent stressor rather than pervasive across multiple domains, making GAD less likely.
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