NURS6201
Advanced Practice
Nursing Role
Development
Q & A w/ Rationales
2024
,A:
1. An advanced practice nurse (APN) is working in a
primary care clinic and is responsible for managing the
care of patients with chronic conditions such as diabetes,
hypertension and asthma. The APN collaborates with other
health care professionals and refers patients to specialists
when needed. Which of the following best describes the
APN's role in this setting?
a) Consultant
b) Educator
c) Leader*
d) Researcher
Rationale: The APN's role in this setting is primarily that of
a leader, as they have the authority and autonomy to make
clinical decisions, coordinate care and evaluate outcomes.
A consultant is someone who provides expert advice or
guidance to others, an educator is someone who teaches or
trains others, and a researcher is someone who conducts
systematic inquiry to generate new knowledge or improve
practice.
2. An APN is conducting a research project on the
effectiveness of a new intervention for improving
medication adherence among older adults with heart
failure. The APN has obtained informed consent from the
participants and has followed the ethical principles of
beneficence, nonmaleficence, respect for autonomy and
, justice. However, during the data collection phase, the
APN discovers that some of the participants have
experienced adverse effects from the intervention and have
discontinued their participation. What should the APN do
next?
a) Report the adverse effects to the institutional review
board (IRB) and the funding agency.*
b) Modify the intervention protocol to reduce the risk of
adverse effects.
c) Continue the data collection as planned and ignore the
adverse effects.
d) Terminate the research project and withdraw all
participants.
Rationale: The APN should report the adverse effects to the
IRB and the funding agency, as they are responsible for
ensuring the safety and welfare of the participants and the
integrity of the research. Modifying the intervention
protocol without IRB approval would violate the ethical
principle of respect for autonomy, continuing the data
collection without addressing the adverse effects would
violate the ethical principle of nonmaleficence, and
terminating the research project without informing the
participants would violate the ethical principle of justice.
3. An APN is leading a quality improvement (QI) initiative
in a hospital unit to reduce hospital-acquired infections
(HAIs). The APN has formed a multidisciplinary team that
includes nurses, physicians, pharmacists, infection control
specialists and administrators. The team has identified a
problem statement, a SMART goal, a process map, a
Advanced Practice
Nursing Role
Development
Q & A w/ Rationales
2024
,A:
1. An advanced practice nurse (APN) is working in a
primary care clinic and is responsible for managing the
care of patients with chronic conditions such as diabetes,
hypertension and asthma. The APN collaborates with other
health care professionals and refers patients to specialists
when needed. Which of the following best describes the
APN's role in this setting?
a) Consultant
b) Educator
c) Leader*
d) Researcher
Rationale: The APN's role in this setting is primarily that of
a leader, as they have the authority and autonomy to make
clinical decisions, coordinate care and evaluate outcomes.
A consultant is someone who provides expert advice or
guidance to others, an educator is someone who teaches or
trains others, and a researcher is someone who conducts
systematic inquiry to generate new knowledge or improve
practice.
2. An APN is conducting a research project on the
effectiveness of a new intervention for improving
medication adherence among older adults with heart
failure. The APN has obtained informed consent from the
participants and has followed the ethical principles of
beneficence, nonmaleficence, respect for autonomy and
, justice. However, during the data collection phase, the
APN discovers that some of the participants have
experienced adverse effects from the intervention and have
discontinued their participation. What should the APN do
next?
a) Report the adverse effects to the institutional review
board (IRB) and the funding agency.*
b) Modify the intervention protocol to reduce the risk of
adverse effects.
c) Continue the data collection as planned and ignore the
adverse effects.
d) Terminate the research project and withdraw all
participants.
Rationale: The APN should report the adverse effects to the
IRB and the funding agency, as they are responsible for
ensuring the safety and welfare of the participants and the
integrity of the research. Modifying the intervention
protocol without IRB approval would violate the ethical
principle of respect for autonomy, continuing the data
collection without addressing the adverse effects would
violate the ethical principle of nonmaleficence, and
terminating the research project without informing the
participants would violate the ethical principle of justice.
3. An APN is leading a quality improvement (QI) initiative
in a hospital unit to reduce hospital-acquired infections
(HAIs). The APN has formed a multidisciplinary team that
includes nurses, physicians, pharmacists, infection control
specialists and administrators. The team has identified a
problem statement, a SMART goal, a process map, a
