Chapter 39: The Advanced Practice Nurse in the Community( With Complete Solution Guide

1. Which statement about advanced public health nurses (APHNs) and nurse practitioners (NPs) is correct? A. They often work in similar settings. B. They have identical educational preparation. C. Their practices have become more similar during the past decade. D. The clinical nurse specialist role always involves prescriptive practice. A. They often work in similar settings. APHNs and NPs often work in similar settings. APHNs and NPs have differing educational preparation depending on the specialty focus. The practices have continued to differ during the past decade. The clinical nurse specialist role typically does not involve prescriptive practice 2. The NP movement began at the University of Colorado with nurses providing _____ care. A. Maternity B. Well-child C. Nursing home D. Diabetes B. Well-child It was determined that educating community-oriented nurses could decrease morbidity among medically deprived children. Nursing practice for pediatric NPs included the identification, assessment, and management of common acute and chronic health problems, with appropriate referral of more complex problems to physicians. 3. An advanced practice nurse uses knowledge and physical, psychosocial, and environmental assessment skills to respond to common health and illness problems. Which of the following best describes this individual? A. Advanced practice nurse B. APHN C. NP D. Clinical nurse specialist C. NP An NP applies nursing knowledge with physical, psychosocial, and environmental assessment skills. An advanced practice nurse is a licensed professional nurse prepared at the master's level or doctoral level to take leadership roles in applying the nursing process and public health sciences to achieve specific health outcomes for the community. An APHN has a minimum of a master's degree and has specialized courses related to public health. Clinical nurse specialists influence care outcomes by providing expert consultation for nursing staffs and by implementing improvements in health care delivery systems. 4. An NP is employed in a primary health care setting. Which services are most likely provided in this setting? A. Primary health services and prison medicine services B. Public health and primary care services C. Family practice and geriatrics care D. Home health and school health services B. Public health and primary care services Primary health care includes public health and primary care services by definition. 5. Which statement accurately describes how NP programs began? A. Started as a physician's assistant program B. Were an offshoot of midwifery C. Have not always required a master's degree D. Began in Europe and didn't reach the United States until 1970 C. Have not always required a master's degree The early NP degree programs were often continuing education programs and certificate programs that did not require a master's degree or even a baccalaureate degree. NP programs began with a focus on well children. The NP movement began in 1965 at the University of Colorado. 6. A student is pursuing a graduate nursing education with preparation as a generalist, functioning at the micro-systems level, and assuming accountability for health care outcomes for a specific group of clients. Which educational preparation is this student receiving? A. Clinical nurse leader B. APHN C. NP D. Doctor of Nursing Practice (DNP) A. Clinical nurse leader A clinical nurse leader is defined as a nurse who is a master's prepared generalist who functions at the micro-system level and assumes accountability for health care outcomes for a specific group of clients within a unit or area. An NP applies nursing knowledge with physical, psychosocial, and environmental assessment skills. An APHN has a minimum of a master's degree and has specialized courses related to public health. A DNP is the preferred educational preparation for specialty advanced practice nurses. 7. A registered nurse (RN) would like to become an NP. Which level of education is required? A. Bachelor of science in nursing degree B. Master's or higher degree in nursing and NP education C. Bachelor of science in nursing degree and completion of a formal NP program D. Master's degree with a specialty in public health nursing B. Master's or higher degree in nursing and NP education As of 1992, the American Nursing Credentialing Center (ANCC) required a master's degree or higher for NP certification. The practice doctorate is encouraged for NP certification, but is not required. 8. An APHN is completing the process for certification renewal in the specialty. What time period has passed making renewal necessary? A. 1 year B. 3 years C. 5 years D. 7 years C. 5 years Certification for APHNs and NPs is for 5 years. 9. An advanced practice nurse is pursuing professional certification. Who will the nurse need to contact to obtain certification? A. American Nurses Association B. National League for Nursing C. State board of nursing D. Department of Health and Human Services A. American Nurses Association Examinations are administered through the ANCC, which is part of the American Nurses Association. The National League for Nursing and state board of nursing do not provide professional certification for advanced practice nurses. 10. An advanced practice nurse has obtained certification. Which of the following provides the rationale for receiving certification? A. To assure competence at an advanced level B. To verify minimal competency levels of practice C. To create a network for nurses to collaborate D. To make it difficult to become a nurse A. To assure competence at an advanced level The purpose of certification is to assure the public that nurses who claim to be competent at an advanced level have had their credentials verified through examination. Licensure verifies minimal competency levels of practice, not certification. Certification does not regulate the ability to become a nurse; that occurs with licensure. Certification does not create a network of nurses for the purpose of collaboration. 11. In which role are the most differences seen between the APHN and the NP? A. Administrator B. Clinician C. Consultant D. Educator B. Clinician Many differences are seen between the APHN and the NP in the clinician role. APHNs are focused on the needs of the overall community, whereas NPs are focused on the care of individuals. APHNs and NPs both provide education within a nursing framework and as a professional nurse educator. Both may have administrative roles within the agency setting. Both may serve as consultants to help with problem solving for an individual, family, or community to improve health care delivery.