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The Doctor of Nursing Practice Fifth Edition Chism TESTBANK PDF

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, TESTBANK FOR The Doctor of Nursing Practice Fifth Edition Chism

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,The Doctor of Nursing Practice, 5e
Lisa Astalos Chism
Test Bank
Chapter 1

Multiple Choice



1. The DNP degree focuses on all of the following, EXCEPT _____________.
A) advanced nursing practice
B) research in nursing practice
C) information technology
D) evidence-based practice

Ans: B
Complexity: Moderate
Ahead: Doctor of Nursing Practice Degree, Defined
Subject: Chapter 1
Title: Overview of the Doctor of Nursing Practice Degree
Reference: p 4
Feedback: While those engaged in the DNP curriculum do engage in scholarship, the program is
not a research-focused program.



2. The terminal research degree for nurses includes all of the following, EXCEPT _________.
A) PhD
B) DNS
C) DSN
D) DrNP

Ans: D
Complexity: Moderate
Ahead: Evolution of Doctoral Education in Nursing
Subject: Chapter 1
Title: Overview of the Doctor of Nursing Practice Degree
Reference: p 10
Feedback: The DrNP program is not accredited by the Commission on College Nursing
Education (CCNE).



3. How does the IOM report (published in 2000) substantiate the need for a DNP program?
A) The costs and safety risks to patients
B) The physicians’ need for additional nurses
C) The decreasing number of physicians
D) The increasing number of clinics



Copyright © 2023 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,The Doctor of Nursing Practice, 5e
Lisa Astalos Chism
Test Bank
Chapter 1

Ans: A
Complexity: Difficult
Ahead: The Institute of Medicine’s Report and Nursing Response
Subject: Chapter 1
Title: Overview of the Doctor of Nursing Practice Degree
Reference: p 10
Feedback: The IOM report identified a large number of preventable hospital deaths, many caused
by preventable adverse effects.



4. Essential I, Scientific Underpinnings for Practice, includes all of the following EXCEPT
_________.
A) principles or laws that govern all life
B) processes of positive health changes
C) accountability for safety of patients
D) wholeness of the health of humans

Ans: C
Complexity: Difficult
Ahead: AACN Essentials of Doctoral Education for Advanced Practice Nurses
Subject: Chapter 1
Title: Overview of the Doctor of Nursing Practice Degree
Reference: p 14
Feedback: While all of these are important in the DNP program, accountability for safety of
patients is not part of Essential I.



5. How do the eight essentials identified by the AACN for the DNP ensure that graduates are
well-qualified?
A) They form the standards around which all DNP curricula must be formed.
B) They ensure that all DNP curricula are the same in all universities.
C) They ensure that all nursing faculty hold the same credentials.
D) They form the curricula for each course taught in each DNP program.

Ans: A
Complexity: Moderate
Ahead: What Is a DNP Degree Made Of?
Subject: Chapter 1
Title: Overview of the Doctor of Nursing Practice Degree
Reference: p 13
Feedback: The eight essentials outline the foundational competencies that nursing programs must
meet, but the curricula do not all have to be the same.


Copyright © 2023 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,The Doctor of Nursing Practice, 5e
Lisa Astalos Chism
Test Bank
Chapter 1




6. Essential VIII, Advanced Nursing Practice, includes all of the following EXCEPT _________.
A) mentor others in the nursing professions
B) utilize best practices to improve outcomes
C) analyze epidemiological data to improve outcomes
D) educate patients in complex situations

Ans: C
Complexity: Moderate
Ahead: AACN Essentials of Doctoral Education for Advanced Nursing Practice
Subject: Chapter 1
Title: Overview of the Doctor of Nursing Practice Degree
Reference: p 17
Feedback: While all of these are important in the DNP program, analyze epidemiological data to
improve outcomes is not part of Essential VIII.



7. Competencies related to CNS-prepared graduates ensure that graduates are prepared to do the
following EXCEPT _________.
A) translate evidence into practice
B) utilize a broad range of theories
C) improve systems of care
D) apply ethically sound solutions

Ans: D
Complexity: Moderate
Ahead: NACNS Core Practice Doctorate Clinical Nurse Specialist Competencies
Subject: Chapter 1
Title: Overview of the Doctor of Nursing Practice Degree
Reference: p 20
Feedback: While these are all important to nursing, applying ethically sound solutions is not
explicitly demonstrated in the CNS track.



Essay




Copyright © 2023 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,The Doctor of Nursing Practice, 5e
Lisa Astalos Chism
Test Bank
Chapter 1

8. Critique the evolution of doctoral education in nursing. Explain how the DNP has changed the
landscape of nursing education. Ensure that you list the sequence, specific activities, and seven
areas that nursing graduates of the DNP are to gain expertise in.

Ans: Responses should be one to two paragraphs in length.

Answer should include:
* Sequence: PhDs and EDDs were primarily awarded through 1960s; DNS degree created in
1960 with focus on theory but over time became closer to PhD curriculum; ND created in 1979
with emphasis on pre-service nursing education; DNP created due to AACN task force work in
2001
* AACN task force created in 2002 wherein they conducted six activities.
* AACN published Position Statement on the Practice Doctorate in Nursing in 2004 wherein
they describe the seven areas that advanced nursing graduates needed to develop proficiency
embodied within the DNP:
 Evaluating evidence-based practices for care
 Delivering care
 Developing healthcare policy
 Leading and managing clinical care and healthcare systems
 Developing interdisciplinary standards
 Solving healthcare dilemmas
 Reducing disparities in healthcare
Complexity: Moderate
Ahead: Evolution of Doctoral Education in Nursing
Subject: Chapter 1
Title: Overview of the Doctor of Nursing Practice Degree
Reference: p 7-9



9. Appraise the drivers of the DNP program and nursing education’s response to the drivers.
Should any of the organizations involved have evaluated other factors? How have these factors
changed since the drivers were first introduced? Be sure to critique the IOM Report and the aims
they propose for healthcare, the competencies along with other drivers, and the response by
nursing.

Ans: Responses should be one to two paragraphs in length.

Answer should include:
* IOM Report details.
* Six aims that the IOM Report suggests to improve healthcare.
* List the competencies identified by the Health Professions Education Committee.
* Identify other drivers for a DNP program not noted previously (from Marion et al., 2005).
* Nursing’s response to these drivers.


Copyright © 2023 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,The Doctor of Nursing Practice, 5e
Lisa Astalos Chism
Test Bank
Chapter 1

Complexity: Difficult
Ahead: The Institute of Medicine’s Report and Nursing’s Response
Subject: Chapter 1
Title: Overview of the Doctor of Nursing Practice Degree
Reference: p 10-13



10. Appraise at least three ways the DNP graduate can assume leadership roles with regard to
public policy. Do you see yourself becoming involved in any of these areas as a student or
graduate? Do you think that healthcare delivery can be affected by the DNP’s involvement in
healthcare policy and advocacy? How is the nursing profession uniquely situated to engage in
social justice and equality? Be sure to critique the aims proposed in Essential V: Healthcare
Policy for Advocacy in Healthcare.

Ans: Responses should be one to two paragraphs in length.

Answer should include:
* Becoming involved in healthcare policy and advocacy has the potential to affect the delivery of
healthcare across all settings.
* Nursing’s interest in social justice and equality requires that DNP graduates become involved
in and develop expertise in healthcare policy and advocacy.
*At least three from: AACN Essentials of Doctoral Education for Advanced Nursing Practice,
Essential V, wherein it is described that the DNP graduate is prepared to do the following:
 Analyze health policies and proposals from the point of view of consumers, nurses and
other healthcare professionals.
 Provide leadership in the development and implementation of healthcare policy at the
institutional, local, state, federal, and international levels.
 Participate actively on committees, boards, or task forces at the institutional, local, state,
federal, and international levels.
 Participate in the education of other healthcare professionals, patients, or other
stakeholders regarding healthcare policy issues.
 Act as an advocate for the nursing profession through activities related to healthcare
policy.
 Influence healthcare financing, regulation, and delivery through the development of
leadership in healthcare policy.
 Act as an advocate for ethical, equitable, and social justice policies across all healthcare
settings.
Complexity: Moderate
Ahead: AACN Essentials of Doctoral Education for Advanced Nursing Practice
Subject: Chapter 1
Title: Overview of the Doctor of Nursing Practice Degree
Reference: p 16



Copyright © 2023 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,Multiple Choice



1. Why are leadership and collaboration integral components of a DNP’s career?
A) Curriculum standards require that these be part of a DNP’s career.
B) All advanced nursing roles involve leadership and collaboration.
C) Every DNP is required to pass an exam on leadership and collaboration.
D) Essential I establishes these as part of a DNP’s career.

Ans: B
Complexity: Easy
Ahead: Leadership, Collaboration, and the DNP Graduate
Subject: Chapter 2
Title: Leadership, Collaboration, and the DNP Graduate
Reference: p 35
Feedback: Literature on nursing roles has documented that advanced practitioners also engage in
leadership and collaboration.



2. What is the relationship between patient care and sound leadership?
A) Positive leadership results in reduction of adverse effects.
B) Sound leadership creates loyal supervisees.
C) Effective leadership results in laughter, which is healing.
D) Sound leadership results in more collaboration.

Ans: A
Complexity: Moderate
Ahead: Leadership, Collaboration, and the DNP Graduate
Subject: Chapter 2
Title: Leadership, Collaboration, and the DNP Graduate
Reference: p 35
Feedback: The literature has shown a positive relationship between positive leadership behaviors
and increased patient satisfaction and reduction in adverse effects.



3. The emphasis for Essential II, which focuses on leadership skills, includes all of the following
EXCEPT _____________?
A) effectively managing patient safety concerns
B) utilizing evidence-based practices
C) increasing physician and nurse contact
D) reducing health disparities

Ans: C

,Complexity: Moderate
Ahead: Curriculum Standards for Leadership and Collaboration
Subject: Chapter 2
Title: Leadership, Collaboration, and the DNP Graduate
Reference: p 36
Feedback: Essential II is about organizational systems and leadership for quality improvement;
thus the focus is on patient care.



4. Transformational and servant leadership have commonalities including all of the following
EXCEPT _________.
A) emotional intelligence
B) trustworthiness
C) accountability
D) vision

Ans: C
Complexity: Difficult
Ahead: Servant Leadership and Transformational Leadership
Subject: Chapter 2
Title: Leadership, Collaboration, and the DNP Graduate
Reference: p 43-45
Feedback: While there are overlaps in the two types of leadership, accountability has not been
specifically identified as one.



5. Collaboration is an important component of management and leadership because of all of the
following EXCEPT ________?
A) it helps everyone solve problems
B) it helps those involved create goals
C) it helps ensure better outcomes
D) it helps make coaching more fun

Ans: D
Complexity: Easy
Ahead: Collaboration: DNP Graduates Working With Others
Subject: Chapter 2
Title: Leadership, Collaboration, and the DNP Graduate
Reference: p 46-48
Feedback: Although collaboration might make coaching more fun, it is not specifically identified
as an important component of management and leadership.

, Essay



6. There are a great many aspects to effective leadership. Evaluate the qualities that you need to
develop to become an effective leader as a DNP. How will you determine your effectiveness as a
leader? Describe at least three objective methods to evaluate your effectiveness as a leader.

Ans: Responses should be one to two paragraphs in length.

Answer should include:
* Many qualities of an effective leader were described in the Chism text. You could choose the
top four or five and focus on them.
* Evaluation of effectiveness could be done in many ways, but these need to be objective
measurements.
Complexity: Moderate
Ahead: What’s a DNP-Prepared Leader Made Of? The Recipe for Success
Subject: Chapter 2
Title: Leadership, Collaboration, and the DNP Graduate
Reference: p 37-46



7. Chism discusses a study that evaluated the employment of DNP-prepared nurses. If you were
a Nurse Administrator, would you employ DNP-prepared nurses? What skills would you expect
them to bring to patient care and the healthcare system?

Ans: Responses should be one to two paragraphs in length.

Tips: In a 2018 study, nurse leaders concluded that emphasis should be placed on curricula
including leadership and translation of evidence into practice. How might a DNP graduate be
able to demonstrate skills learned from these areas of study?

Answer should include:
* DNP-prepared nurses have an integral role in leadership in healthcare. They should be able to
work collaboratively with leadership. They should continue to educate their employers and
nursing leadership regarding the value they bring to healthcare outcomes and organization.
Complexity: Difficult
Ahead: Nursing Leadership’s Understanding of the DNP Degree
Subject: Chapter 2
Title: Leadership, Collaboration, and the DNP Graduate
Reference: 53-54

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