Once a practice problem has been identified the next step would be to use the PICOT format to ask a question about the problem. PICOT stands for: P—population, I—intervention, C—comparisons, O—outcome, T—time. 2. The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for the national direction? To protect against high out-of-pocket costs by prohibiting insurers from denying coverage based on pre-existing conditions. 3. After thoroughly researching the topic of interest, what is the next step an APN should ask in selecting a theory/model for use in practice or research? Have several different theories/models been examined? 4. Which three roles represent the accepted advanced practice nursing roles? Certified Nurse Midwives (CNM) Clinical Nurse Specialist (CNS) Certified Registered Nurse Anesthetists (CRNAs) 5. What are the three major categories of Nola Pender’s Health promotion model? Behavior-specific cognitions and affect Characteristics and experiences Behavioral outcomes 6. Which theorist/s identifies carative factors as a value system, faith-hope and sensitivity to self and others? This describes which of the following theories? Jean Watson theory of human caring 7. Which set of components is essential in a scientific theory? Interrelated concepts, definitions, and propositions 8.