P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NSG 6660 Final Troy
University Revised
2026/2027 | Updated
Graduate Nursing
Questions & Answers |
Comprehensive Exam
Review (Rationales)
Verified Answers Exam Ready With Rationales 36 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive final exam review for NSG 6660 at Troy University contains 36
questions with verified correct answers and detailed rationales. It covers advanced practice
nursing leadership and policy. This resource is suitable for in-depth study, comprehensive
course review, and preparation for certification exams.
TOPICS
Foundations of Advanced Practice Nursing Q1–Q11
Role Development and Conflict Q12–Q15
Professionalism and Ethics Q16–Q23
Healthcare Policy and Reimbursement Q24–Q32
Page 1
,Certification and Quality Q33–Q36
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 36
What is the purpose of conceptual models?
RESPONSE
- To articulate professional role identity and function
- In practice, to conceptualize delivery of holistic, comprehensive, collaborative care
- To differentiate among levels of nursing practice
- In research, to guide research and theory development
-In education, to plan curricula
RATIONALE
Conceptual models provide frameworks for defining nursing's professional identity, guiding
holistic care delivery, and differentiating practice levels. They serve as essential blueprints in
education for curriculum planning and in research for theory development, ensuring a structured
and advanced approach to the discipline.
Q2 QUESTION 2 OF 36
What is central competency for advanced practice nursing?
RESPONSE
Direct clinical practice: first core competency, informs all of the other
- defines advanced practice nursing
- provides the foundation necessary for APNs to execute the other competencies, such as
consultation, guidance and coaching, and leadership, within organizations
- although clinical expertise is a central ingredient of an APN's practice, the direct care practice
of APNs is distinguished by six characteristics: 1 use of a holistic perspective, 2 formation of
therapeutic partnerships with patients, 3 expert clinical performance, 4 use of reflective
practice, 5 use of evidence as a guide to practice, 6 use of diverse approaches to health and
illness management - these characteristics distinguish the practice of the expert by experience
from that of the APN
- differs significantly by specialty
Clinical expertise alone should not be equated with APN
Page 2
, Q3 QUESTION 3 OF 36
The first specialty area of nursing in the United States was?
RESPONSE
Nurse Anesthesia
RATIONALE
The historical development of nursing recognized specialized practice areas early on. Nurse
anesthesia emerged as the first formal specialty, differentiating itself through advanced clinical
skills and a specific scope of practice within the evolving healthcare landscape. This foundational
development paved the way for subsequent nursing specializations.
Q4 QUESTION 4 OF 36
The goals of professional APN organizations are to: establish clear characteristics of
advanced practice, provide for safe patient care,
RESPONSE
To interpret components of clear and competent levels of behavior
RATIONALE
Professional organizations define the scope and standards of practice to ensure competence. This
involves outlining observable behaviors and actions that demonstrate proficient advanced
practice nursing care, thereby safeguarding patient well-being.
Q5 QUESTION 5 OF 36
The first recognized clinical specialty in nursing was?
RESPONSE
Psychiatric nursing
Page 3