TEST BANK FOR: ADVANCED PRACTICE NURSING: ESSENTIAL KNOWLEDGE FOR
THE PROFESSION, 3RD EDITION By Susan M. DeNisco, Anne M. Barker
Complete Guide All Chapters
,Chapter1; The Nurse Practitioner: Historical Perspective on the Art and Science of Nurse
Practitionering
1. Which of the following is the primary mission of the National Organization of Nurse
Practitioner Faculties (NONPF)?
a. Provide leadership in promoting quality NP education
b. NP Faculty training program assistance
c. Provide financial assistance to NP students
d. Lobbying legislature on behalf of NPs
ANS: A
The NONPF’s primary mission is to provide leadership in promoting quality NP education. The
organization has published domains and core competencies for primary care and these serve as a
framework for NP education and practice.
2. A model of competencies that are encompassed around three spheres of influence known as
patient, nurses and nursing practice, and organization and influence is known as?
a. NACNS Model of clinical nurse specialist competencies
b. Fenton’s and Brykczynski’s Expert Practice
c. Calkin’s model of Advanced Nursing Practice
d. Shuler’s Model of NP Practice
ANS: A
The NACNS’s initial 2008 statement was revised in 2004. The statement outlined competencies
that aligned to each of the three spheres of influence: patient, nurses and nursing practice, and
organization and influence.
3. Building upon Benner’s seven domains of expert nursing practice, which conceptual model
adds an additional domain “The consulting role of the nurse”?
a. Calkin’s model of Advanced Nursing Practice
b. Fenton’s and Brykczynski’s Expert Practice
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Shuler’s Model of NP Practice
e. NACNS Clinical Nurse Specialists Model
ANS: B
Fenton’s and Brykczynski’s Expert Practice Domains of the CNS and NP expanded on Benner’s
seven domains adding consultation provided by CNS’s to other nurses and management of health
and illness in ambulatory care settings.
4. Which model of conceptual practice was the first to explicitly distinguish the experience level
of advanced practitioners?
a. Calkin’s model of Advanced Nursing Practice
b. Shuler’s Model of NP Practice
c. NACNS Clinical Nurse Specialists Model
d. Strong Memorial Hospital’s Model of Advanced Nursing Practice
, e. Fenton’s and Brykczynski’s Expert Practice
ANS: A
Calkins model of Advanced Nursing Practice was the first to explicitly distinguish experience
levels of advanced practitioners for nurse administrators to differentiate advanced practice nursing
from other levels of clinical practice.
5. The circular and continuous threads of direct comprehensive patient care, support of systems,
education, research, and publication and professional leadership make up the five domains of
which advanced nursing conceptual model?
a. Strong Memorial Hospital’s Model of Advanced Nursing Practice
b. Calkin’s model of Advanced Nursing Practice
c. NACNS Clinical Nurse Specialists Model
d. Fenton’s and Brykczynski’s Expert Practice
e. Shuler’s Model of NP Practice
ANS: A
Direct and indirect activities across five domains including: direct comprehensive patient care,
support of systems, education, research, and publication and professional leadership make up the
Strong Memorial Hospital’s Model of Advanced Practice Nursing.
6. Texas Children’s Hospital Transformational Advanced Professional Practice (TAPP) APRN
Model added what unifying conceptual strand?
a. Ethics
b. Culture
c. Informatics
d. Education
ANS: A
The TAPP model added two additional domains: quality and safety, and credentialing and
regulatory practice, to the Strong model. It additionally added professional ethics as a unifying
conceptual strand.
7. Poghosyan, Boyd, and Clarke (2016) proposed a comprehensive conceptual model including
three factors: scope of practice regulations, institutional policies, and practice environments.
What was their primary purpose?
a. To discourage role ambiguity among CNS providers
b. To enhance patient education provided by the APRN
c. To maximize NP Contributions to primary care
d. To provide educational practice guidelines to enhance NP education
ANS: C
The 2016 model provided a comprehensive review of literature and described potential factors that
affect NP care and patient outcomes. This included scope of practice regulations that often cause
, barriers for NP provided primary care.
8. Which model of practice intended to impact the NP domain at four levels: theoretical, clinical,
educational, and research in 1993?
a. Hamric’s model
b. Calkin’s model of Advanced Nursing Practice
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Shuler’s Model of NP Practice
ANS: D
Shuler’s Model of NP Practice is a holistic and wellness oriented model that was designed to
impact the NP domain at four levels: theoretical, clinical, educational, and research. It is designed
to elaborate the NP’s expanded knowledge and skills into medicine including a template for
conducting a visit.
9. Which model for APRN practice addresses all four APRN roles: CNS, CRNA, CNM, and NP?
a. Calkin’s model of Advanced Nursing Practice
b. Hamric’s model
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Donabedian Model
ANS: B
Many models highlight core competencies among specific APRN roles, while others emphasize
competencies for hiring managers. At the time of this writing, only the Hamric’s model
encompasses all four APRN roles.
10. Which of the following is one of the eight published essentials included in the Essentials of
Doctoral Education for Advanced Nursing Practice developed by the AACN in 2006?
a. Algorithms for advanced patient care
b. Informatics and health care technologies
c. Scientific underpinnings of practice
d. Liberal education for general nursing practice
ANS: C
The AACN publishes their national consensus to provide the core elements for nursing curriculum
creation. Currently published are Baccalaureate Essentials, Master’s Essentials, DNP Essentials,
and Clinical Resources Essentials. Although they are similar in their core approach to education,
listed first in DNP essentials is the scientific underpinnings of practice.
11. Which model of conceptualization identifies that health care needs are not met in a system
dominated by medical language as a basis for reimbursement?
a. Donabedian Model
b. Dunphy and Winland-Brown’s Circle of Caring model
c. Shuler’s Model of NP Practice
THE PROFESSION, 3RD EDITION By Susan M. DeNisco, Anne M. Barker
Complete Guide All Chapters
,Chapter1; The Nurse Practitioner: Historical Perspective on the Art and Science of Nurse
Practitionering
1. Which of the following is the primary mission of the National Organization of Nurse
Practitioner Faculties (NONPF)?
a. Provide leadership in promoting quality NP education
b. NP Faculty training program assistance
c. Provide financial assistance to NP students
d. Lobbying legislature on behalf of NPs
ANS: A
The NONPF’s primary mission is to provide leadership in promoting quality NP education. The
organization has published domains and core competencies for primary care and these serve as a
framework for NP education and practice.
2. A model of competencies that are encompassed around three spheres of influence known as
patient, nurses and nursing practice, and organization and influence is known as?
a. NACNS Model of clinical nurse specialist competencies
b. Fenton’s and Brykczynski’s Expert Practice
c. Calkin’s model of Advanced Nursing Practice
d. Shuler’s Model of NP Practice
ANS: A
The NACNS’s initial 2008 statement was revised in 2004. The statement outlined competencies
that aligned to each of the three spheres of influence: patient, nurses and nursing practice, and
organization and influence.
3. Building upon Benner’s seven domains of expert nursing practice, which conceptual model
adds an additional domain “The consulting role of the nurse”?
a. Calkin’s model of Advanced Nursing Practice
b. Fenton’s and Brykczynski’s Expert Practice
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Shuler’s Model of NP Practice
e. NACNS Clinical Nurse Specialists Model
ANS: B
Fenton’s and Brykczynski’s Expert Practice Domains of the CNS and NP expanded on Benner’s
seven domains adding consultation provided by CNS’s to other nurses and management of health
and illness in ambulatory care settings.
4. Which model of conceptual practice was the first to explicitly distinguish the experience level
of advanced practitioners?
a. Calkin’s model of Advanced Nursing Practice
b. Shuler’s Model of NP Practice
c. NACNS Clinical Nurse Specialists Model
d. Strong Memorial Hospital’s Model of Advanced Nursing Practice
, e. Fenton’s and Brykczynski’s Expert Practice
ANS: A
Calkins model of Advanced Nursing Practice was the first to explicitly distinguish experience
levels of advanced practitioners for nurse administrators to differentiate advanced practice nursing
from other levels of clinical practice.
5. The circular and continuous threads of direct comprehensive patient care, support of systems,
education, research, and publication and professional leadership make up the five domains of
which advanced nursing conceptual model?
a. Strong Memorial Hospital’s Model of Advanced Nursing Practice
b. Calkin’s model of Advanced Nursing Practice
c. NACNS Clinical Nurse Specialists Model
d. Fenton’s and Brykczynski’s Expert Practice
e. Shuler’s Model of NP Practice
ANS: A
Direct and indirect activities across five domains including: direct comprehensive patient care,
support of systems, education, research, and publication and professional leadership make up the
Strong Memorial Hospital’s Model of Advanced Practice Nursing.
6. Texas Children’s Hospital Transformational Advanced Professional Practice (TAPP) APRN
Model added what unifying conceptual strand?
a. Ethics
b. Culture
c. Informatics
d. Education
ANS: A
The TAPP model added two additional domains: quality and safety, and credentialing and
regulatory practice, to the Strong model. It additionally added professional ethics as a unifying
conceptual strand.
7. Poghosyan, Boyd, and Clarke (2016) proposed a comprehensive conceptual model including
three factors: scope of practice regulations, institutional policies, and practice environments.
What was their primary purpose?
a. To discourage role ambiguity among CNS providers
b. To enhance patient education provided by the APRN
c. To maximize NP Contributions to primary care
d. To provide educational practice guidelines to enhance NP education
ANS: C
The 2016 model provided a comprehensive review of literature and described potential factors that
affect NP care and patient outcomes. This included scope of practice regulations that often cause
, barriers for NP provided primary care.
8. Which model of practice intended to impact the NP domain at four levels: theoretical, clinical,
educational, and research in 1993?
a. Hamric’s model
b. Calkin’s model of Advanced Nursing Practice
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Shuler’s Model of NP Practice
ANS: D
Shuler’s Model of NP Practice is a holistic and wellness oriented model that was designed to
impact the NP domain at four levels: theoretical, clinical, educational, and research. It is designed
to elaborate the NP’s expanded knowledge and skills into medicine including a template for
conducting a visit.
9. Which model for APRN practice addresses all four APRN roles: CNS, CRNA, CNM, and NP?
a. Calkin’s model of Advanced Nursing Practice
b. Hamric’s model
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Donabedian Model
ANS: B
Many models highlight core competencies among specific APRN roles, while others emphasize
competencies for hiring managers. At the time of this writing, only the Hamric’s model
encompasses all four APRN roles.
10. Which of the following is one of the eight published essentials included in the Essentials of
Doctoral Education for Advanced Nursing Practice developed by the AACN in 2006?
a. Algorithms for advanced patient care
b. Informatics and health care technologies
c. Scientific underpinnings of practice
d. Liberal education for general nursing practice
ANS: C
The AACN publishes their national consensus to provide the core elements for nursing curriculum
creation. Currently published are Baccalaureate Essentials, Master’s Essentials, DNP Essentials,
and Clinical Resources Essentials. Although they are similar in their core approach to education,
listed first in DNP essentials is the scientific underpinnings of practice.
11. Which model of conceptualization identifies that health care needs are not met in a system
dominated by medical language as a basis for reimbursement?
a. Donabedian Model
b. Dunphy and Winland-Brown’s Circle of Caring model
c. Shuler’s Model of NP Practice
