Number of Questions: The number of questions on the CNS exam varies depending on the specific certification and the organization administering the exam. The exact number of questions can range from around 100 to 200.
Time Limit: The time limit for the CNS exam also varies based on the organization and the specific certification. Typically, candidates are given a designated amount of time, such as 3 to 4 hours, to complete the exam.
Course Outline:
The course outline for a Clinical Nurse Specialist (CNS) certification may vary depending on the specialty area or organization offering the certification. However, the general focus of CNS certification revolves around advanced nursing practice in a specific clinical specialty. The course outline may include the following key areas:
1. Advanced Clinical Practice:
- Advanced assessment and diagnostic skills
- Evidence-based practice and research utilization
- Advanced pharmacology and therapeutics
- Complex care management and coordination
2. Specialty Knowledge and Skills:
- In-depth knowledge of the specific clinical specialty (e.g., adult health, pediatrics, psychiatric-mental health, geriatrics)
- Specialty-specific assessment, diagnosis, and treatment protocols
- Clinical procedures and interventions relevant to the specialty
- Collaborative care and interdisciplinary teamwork
3. Leadership and Advocacy:
- Role of the CNS as a leader and change agent
- Quality improvement and patient safety initiatives
- Policy and advocacy in healthcare
- Ethical considerations in advanced nursing practice
4. Education and Consultation:
- Teaching and mentoring strategies for patients, families, and healthcare professionals
- Patient and family education
- Consultation and collaboration with other healthcare providers
- Program development and evaluation
Exam Objectives:
The CNS exam aims to assess the following objectives:
1. Evaluate the candidate's knowledge and understanding of advanced clinical practice in the specific clinical specialty.
2. Assess the candidate's ability to apply evidence-based practice and research in clinical decision-making and care delivery.
3. Determine the candidate's proficiency in specialty-specific assessment, diagnosis, treatment, and management.
4. Evaluate the candidate's leadership skills and ability to advocate for patients and the nursing profession.
5. Assess the candidate's ability to provide education, consultation, and mentorship to patients, families, and healthcare professionals.
Exam Syllabus:
The specific exam syllabus for the CNS certification will depend on the organization offering the certification and the chosen clinical specialty. The syllabus typically covers the following areas:
1. Advanced Clinical Practice
- Advanced assessment and diagnostic skills
- Evidence-based practice and research utilization
- Pharmacology and therapeutics
- Complex care management
2. Specialty Knowledge and Skills
- Specialty-specific knowledge and protocols
- Clinical procedures and interventions
- Collaboration and interdisciplinary teamwork
3. Leadership and Advocacy
- Role of the CNS as a leader and change agent
- Quality improvement and patient safety
- Policy and advocacy in healthcare
- Ethical considerations
4. Education and Consultation
- Teaching and mentoring strategies
- Patient and family education
- Consultation and collaboration
- Program development and evaluation
Candidates preparing for the CNS certification exam should review the course materials, guidelines, and resources provided by the certifying organization. It is essential to study the relevant clinical specialty, including the latest research, guidelines, and best practices, to ensure readiness for the exam.
Clinical Nurse Specialist Medical Specialist health
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Details:AOCNS Practice Test Question: 16
Which of the following cancers is the leading killer worldwide?
A. Stomach
B. Lung
C. Colon
D. Liver Answer: B Question: 17
Cancer incidence is:
A. The same as prevalence
B. The number or percent of people alive in the population who have had a diagnosis of cancer
C. The number of new cancers of a specific site/type in the population during 1 year
D. None of the above Answer: C Question: 18
Which of the following cancer types has decreased the most in incidence during the previous
decade?
A. Prostate
B. Lung
C. Female breast
D. Melanoma Answer: A Question: 19
Which of the following races has the highest mortality due to cancer?
A. African American
B. Hispanic
C. Caucasian
D. Asians Answer: A Question: 20
Female breast cancer:
A. Accounts for 30% of all cancer-related deaths among women
B. Will develop in one out of eight or nine women during her lifetime
C. The five-year survival rate is about 50%
D. All of the above Answer: B
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https://killexams.com/exam_list/MedicalWhat Harvard Health Publishing And 3 Other Doctors Think: How Can They Prevent Atrial Flutter?No result found, try new keyword!Answered by Dr. Howard E. Lewine M.D. Chief Medical Editor, Harvard Health Publishing · 40 years of experience · USA Atrial flutter is a type of abnormal heart rhythm. You can help prevent atrial ...Thu, 04 Jan 2024 23:02:00 -0600en-ustext/htmlhttps://www.msn.com/Gov. Mike DeWine to speak soon about transgender medical care after House Bill 68 vetoYour browser is not supported | cincinnati.com
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Thu, 04 Jan 2024 23:54:00 -0600en-UStext/htmlhttps://www.cincinnati.com/story/news/politics/2024/01/05/mike-dewine-talks-transgender-health-care-after-house-bill-68-veto/72118289007/What Harvard Health Publishing And 3 Other Doctors Think: What Are The Different Ways To Treat Depression?No result found, try new keyword!Answered by Dr. Nancy Anoruo M.D. Faculty - Harvard Medical School · 5 years of experience · USA The most helpful treatment is a combination of psychotherapy and medication. Selective serotonin ...Thu, 04 Jan 2024 18:35:00 -0600en-ustext/htmlhttps://www.msn.com/South Africa Budget Constraints Stop Doctors From Getting JobsNo result found, try new keyword!South Africa, which struggles with a shortage of medical personnel at state-owned hospitals, hasn’t hired more than 800 qualified doctors in public-health posts because of a shortage of funds, a ...Thu, 04 Jan 2024 21:47:00 -0600entext/htmlhttps://www.bloomberg.com/tosv2.html?vid=&uuid=a0345b0e-abe2-11ee-9032-6fee3f692206&url=L25ld3MvYXJ0aWNsZXMvMjAyNC0wMS0wNS9zb3V0aC1hZnJpY2EtYnVkZ2V0LWNvbnN0cmFpbnRzLXN0b3AtZG9jdG9ycy1mcm9tLWdldHRpbmctam9icw==Mental health, burnout concerns not addressed in new PG medical education regulations, say doctors
Image used for representation purpose only.
The recently notified Post-Graduate Medical Education Regulations, 2023 have drawn criticism from doctors, who say that key concerns — such as the working hours, mental health and burnout issues among resident doctors, as well as the irregularity of stipends — have not been addressed. Doctors were also unhappy that the guidelines are silent on the integration of Artificial Intelligence in the curriculum.
The regulations cover the admission, counselling, and course work for post graduate medical education in India. They stipulate that the students will be provided “reasonable time for rest” in a day, and will be permitted a minimum 20 days of casual leaves per year and five days of academic leave per year.
Doctors with disabilities
None of the recommendations provided by a group called Doctors with Disabilities: Agents of Change were taken into consideration, said Satendra Singh, a disability rights activist and medical doctor at the University College of Medical Sciences and Guru Tegh Bahadur Hospital. “On January 1, 2024, the [National Medical Commission] NMC Gazette was published, including the last two pages outlining guidelines for candidates with disabilities in postgraduate admission. The gazette offers inclusivity by providing 5% reservation to doctors with disabilities in PG admission, which was already in existence,” he said.
Saying that the recommendations submitted by their group were overlooked, he noted that the current version of the regulations violated a Supreme Court order. “For instance, a girl with a speech disability was granted admission in the Undergraduate medical programme in Haryana this year, but this gazette would render her ineligible for PG admission. Additionally, perplexing new terms like ‘moderate’ dyslexia have been introduced, which are not in accordance with the Act. The gazette also asserts that individuals with mental illness and autism cannot be granted admission due to a purported lack of methods to establish diagnosis, a claim contradicted by existing rules,” he said.
Groundbreaking reforms
In a statement, the Commission said that the regulations brought in groundbreaking reforms in post-graduate medical education aimed at fostering quality, ethical practice, and inclusivity within the medical fraternity. These reforms encompass various critical aspects of post-graduate medical training and aim to enhance the standards of education and practice nationwide.
“The regulation prohibits the migration of students from one medical institution to another. Additionally, seat reservations in medical colleges for various categories will align with the prevailing laws in States/Union Territories,” the notification states.
Yogender Malik, a member of the Ethics and Medical Registration Board and Head of the Media Division at NMC, said: “The comprehensive reforms outlined in the Post-Graduate Medical Education Regulations, 2023, mark a pivotal moment in ensuring the highest standards of medical education in their country. These regulations underscore their commitment to nurturing a proficient and ethical healthcare workforce. They aim to enhance the educational landscape, emphasising inclusivity and competence among future medical professionals.”
Thu, 04 Jan 2024 23:56:00 -0600entext/htmlhttps://www.thehindu.com/news/national/mental-health-burnout-concerns-not-addressed-in-new-pg-medical-education-regulations-say-doctors/article67709832.eceDoctors: healthcare system could be improved through voting
It’s no coincidence that Michigan ranks well in both healthcare and rates of voter turnout, according to the American College of Physicians.
The nation’s largest organization of internal medicine certified says the two issues are directly connected, and is encouraging healthcare professionals to talk to patients about voting, which the group says would advance health equity nationwide.
Dr. Omar Atiq is the president, of the American College of Physicians and says even posting voter registration information in patient waiting rooms is a good place to start.
“We are looking at talking to patients about the importance of their voice in making sure that the national resources are allocated to where they have optimal health for everyone.”
The ACP is encouraging all health-care professionals and medical students to engage patients in nonpartisan, healthcare-related conversations about voting as a way to increase health equity.
Atiq says despite being one of the richest and most technically advanced nations in the world, the U.S. ranks lowest in life expectancy, for both men and women, among comparable countries. He says physicians have a responsibility to help their patients when they need it, and talking about voting on issues that Excellerate health care is part of that help.
Thu, 04 Jan 2024 23:56:00 -0600en-UStext/htmlhttps://www.wsjm.com/2024/01/05/doctors-healthcare-system-could-be-improved-through-voting/UK sees longest doctors strike in National Health Service historyNo result found, try new keyword!U.K. doctors began a six-day strike over pay, marking the longest in the history of the National Health Service. The walkout led to the cancellation of thousands of treatments.Wed, 03 Jan 2024 04:51:00 -0600en-ustext/htmlhttps://www.msn.com/Best Health Insurance Companies Of 2024
Most pre-retirement Americans get health insurance through an employer. If you’re under age 26, you could get health insurance through an employer, a spouse’s plan or a parent’s health plan.
From an Employer
Group health insurance through an employer is how most pre-retirement age Americans get health insurance. Employers often offer health insurance as part of their benefits.
Group coverage is usually more affordable than buying health insurance in other ways since employers typically pay more than half of costs.
Affordable Care Act Health Insurance Marketplace
The ACA health insurance marketplace at Healthcare.gov offers health insurance to people who don’t qualify for an employer-sponsored health plan. Some states have chosen to operate their own exchanges at different websites, but you can find the right exchange for your state through Healthcare.gov.
The federal marketplace and state exchanges allow you to compare plans available in your area. You can enter your income and family information. The marketplace website uses your income to provide you cost estimates for each plan that considers subsidies and premium tax credits that reduce ACA plan costs.
Directly from a Health Insurance Company
You can buy an individual health insurance plan directly from an insurer without going through the federal marketplace website. These plans could be the same as those offered on the ACA exchange. If you go this route, you won’t benefit from subsidies found with ACA plans.
Health insurance companies could also sell plans not offered on the ACA exchange and that don’t comply with federal rules. You might be able to find a cheaper plan directly through an insurer, but it might not be as comprehensive as the plans you will find on the federal health insurance marketplace.
Medicare
Medicare is a federal health insurance program for senior citizens, some people with disabilities and those with end-stage renal disease.
Medicare has multiple parts including Original Medicare (Parts A and B), Medicare Advantage (Part C) and Medicare Part D.
Part A covers hospitalizations, skilled nursing facilities and hospice care.
Part B covers doctor services, outpatient care, preventive services and medical supplies.
Members with Parts A and B can also buy a Part D plan, which provides prescription drug benefits.
Medigap plans will cover some of the gaps in Medicare.
Another alternative is Medicare Advantage, which is offered by private health insurance companies. Medicare Advantage members get the benefits found in Parts A and B and usually prescription drug benefits, too. Medicare Advantage plans often offer expanded benefits like dental care, vision care and assistance paying for meals and transportation.
Medicaid
Medicaid is a federal/state low-income health insurance program for people who are eligible. Eligibility varies by state. Medicaid bases costs on a person’s income, but those eligible pay little to nothing for comprehensive health insurance coverage.
The Children’s Health Insurance Plan (CHIP) is a similar federal/state program for pregnant women and children. Some states combine Medicaid with CHIP, while others keep them as separate programs.
Short-Term Health Insurance
Short-term health insurance offers limited coverage at low costs in most states. Some states don’t allow short-term health insurance and critics say these plans don’t provide enough coverage.
Short-term health insurance plans are meant as a stop-gap to bridge other health insurance plans. For instance, a short-term plan may be a low-cost solution if you’re between jobs.
Most states let insurance companies offer short-term health plans for a year and members have the chance to renew a policy twice. But some states limit short-term health insurance plans to shorter periods.
One drawback to short-term health insurance is that it doesn’t offer the same level of coverage as standard health insurance. You may have trouble finding a short-term plan that covers maternity care, prescription drugs and mental health.
Catastrophic Health Insurance
Catastrophic health insurance is available only to people under age 30 or those going through severe financial problems, such as homelessness.
Catastrophic health plans, offered through the ACA marketplace, have low premiums and high out-of-pocket costs when you need care. Unlike short-term health plans, which have limited benefits, catastrophic health insurance has the same level of care found in an ACA plan.
Wed, 03 Jan 2024 00:38:00 -0600Les Mastersonen-UStext/htmlhttps://www.forbes.com/advisor/health-insurance/best-health-insurance-companies/Record-breaking doctors' strike piles pressure on England's health serviceNo result found, try new keyword!Junior doctors in England started a six-day walkout over pay on Wednesday, the longest strike in the 75-year history of the state-run National Health Service (NHS), which will hit patient care during ...Wed, 03 Jan 2024 00:21:00 -0600en-ustext/htmlhttps://www.msn.com/A Doctors’ Strike Sets Back England’s Crisis-Ridden National Health Service
For Queen’s Hospital, a beleaguered big-city hospital east of London, the past year has been a slow, but steady, campaign to cut back waiting times in its crowded emergency room. Then, on Wednesday, junior doctors walked off the job in England, triggering a cascade of canceled appointments and surgeries — a fresh obstacle for Queen’s, and for Britain’s crisis-ridden National Health Service.
The strike, which is scheduled to last six days, would be the longest labor action yet by the doctors, who have been clashing with the government over wages and work conditions since December 2022. It comes at an especially perilous moment for the health service, when the flu, Covid-19 and other illnesses are filling up emergency rooms, outpatient clinics and medical facilities.
At Queen’s Hospital, which is so overwhelmed that it sometimes parks incoming patients in hallways, senior doctors and nurses have managed to keep the emergency room running. But they have done so by canceling 1,044 surgeries and more than 14,000 other appointments and medical procedures elsewhere in the hospital.
“We cancel a lot of the stuff you don’t see behind the scenes,” said Matthew Trainer, the chief executive of the N.H.S. trust that runs Queen’s and another nearby hospital, the King George. “What it means is that the fantastic progress we’ve made on planned care has been slowed by the strikes.”
Mr. Trainer said he was sympathetic to the plight of the junior doctors — qualified physicians who are still in clinical training. They are seeking a 35 percent wage increase, which they say is needed to counteract a more than 25 percent cut in real wages since 2008. They complain about long hours and relentless pressure.
But the repeated strikes — the junior doctors have walked out 10 times since last March — are taking a toll on hospitals, where senior executives estimate that the cost of all the missed appointments and idle operating rooms is now greater than the higher pay demanded by the doctors.
“This strike is particularly long and particularly difficult,” Mr. Trainer said, adding, “this should not have become a monthly occurrence in the N.H.S.”
The government settled pay disputes with nurses and ambulance workers last March, but its standoff with the union that represents the young doctors has been particularly intractable. The doctors complained last year that their starting wages were as low as 14.09 pounds, or about $17.80, per hour, equivalent to what a barista earns at Pret A Manger, the sandwich chain that has a store in the lobby of Queen’s.
Their pay has increased a bit since then, but the junior doctors, who account for roughly half the physicians in the N.H.S., still earn an average of 41,300 pounds, or $52,230, in their first year of practice, according to the Nuffield Trust, a health research organization. That has lagged Britain’s inflation rate, which only recently cooled to 3.9 percent, having peaked last year at more than 11 percent.
The labor unrest has complicated the efforts of the N.H.S. to recover from arguably the deepest crisis of its 75-year history. The waiting list for procedures has reached 7.7 million people, up from 4.6 million before the coronavirus pandemic. Prime Minister Rishi Sunak pledged last year to cut waiting times, making it one of five bedrock goals of his Conservative government. Instead, the list has lengthened by 300,000 people.
The problems of the N.H.S. have become symptomatic of a broader breakdown of public services in Britain. Analysts say that may pose a bigger threat to Mr. Sunak and the Tories in an election year than even fears of mass immigration, notably how to prevent asylum seekers from crossing the English Channel in small boats.
“Sunak can bang on and on about stopping the boats as much he likes,” said Timothy Bale, a professor of politics at Queen Mary, University of London. “But if the N.H.S. continues to fall apart, it probably won’t make a blind bit of difference electorally. As far as voters are concerned, the increasingly dire state of their treasured health service is easily the No. 1 issue after the cost of living.”
Analysts estimate that previous strikes by senior and junior doctors added about 210,000 people to the N.H.S. waiting list because of missed appointments. The latest walkout could swell the number of canceled appointments and operations to more than a million, they said. These range from elective knee replacements to urgent cancer surgeries.
“We’re continuing to see a massive cumulative impact on N.H.S. services,” Chris Streather, the regional medical director for the N.H.S. in London, said in a statement. “This time of year is always very busy for the N.H.S., and six days is the longest time that doctors have gone on strike.”
The statistics at Queen’s and the King George illustrate the uneven nature of progress. Last January, 32 percent of seriously ill patients were treated within four hours of being admitted at both hospitals, one of the worst rates in the country. By November, that had risen to 50 percent, making it one of the most improved trusts.
Among the innovations is a new same-day emergency care unit for people with less serious issues, which allows the hospital to discharge them without having to get beds. Mr. Trainer said Queen’s planned to move a renal treatment unit to another hospital, opening up more room in the emergency room.
But the overall waiting list has remained stubbornly long. More than 1,200 people are waiting longer than a year for planned medical procedures, a number that has fluctuated over the last year but only dipped briefly below 1,000 in May. Without the strikes, Mr. Trainer said, Queen’s and the King George would be on track to eliminate those waiting more than a year by the end of March.
“In the areas where they thought we’d make progress, they made progress,” Mr. Trainer said. “But I still get letters daily from people who have spent far too long waiting for treatment. They still have people waiting in corridors.”
Wed, 03 Jan 2024 05:31:00 -0600entext/htmlhttps://www.nytimes.com/2024/01/03/world/europe/national-health-service-doctors-strike.html
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