Test Bank Primary Care The Art and
Science of Advanced Practice Nursing
An Interprofessional Approach 6th
Edition Dunphy Exam Questions
Answers Study Resource
, Chapter 1: Nursing Today
1. A nurse is reviewing the history of nursing. Which individual is credited with establishing
the first nursing school based on a formal educational curriculum?
A. Clara Barton
B. Florence Nightingale
C. Dorothea Dix
D. Lillian Wald
, Rationale: Florence Nightingale established the Nightingale Training School for Nurses
at St. Thomas' Hospital in 1860, creating the foundation for modern professional nursing
education.
2. A nurse is preparing to advocate for a patient who refuses a prescribed procedure.
Which action best demonstrates the role of the nurse as an advocate?
A. Persuading the patient to consent
B. Documenting the refusal and taking no further action
C. Ensuring the patient understands the risks and supporting the patient's decision
D. Reporting the patient to the provider as noncompliant
Rationale: Advocacy means protecting patients' rights and ensuring they have the
information needed to make informed choices, even when those choices differ from
provider recommendations.
3. Which organization is responsible for establishing the scope and standards of nursing
practice in the United States?
A. The Joint Commission
B. American Nurses Association (ANA)
C. National League for Nursing
D. Centers for Disease Control and Prevention
Rationale: The ANA publishes Nursing: Scope and Standards of Practice, which defines
professional nursing expectations.
Chapter 2: The Health Care Delivery System
4. A patient is admitted to a hospital for same-day surgery and discharged within hours.
This is an example of which type of care?
A. Ambulatory care
B. Tertiary care
C. Respite care
D. Palliative care
Rationale: Ambulatory care includes outpatient services such as same-day surgery,
where the patient does not require an overnight stay.
, 5. Which level of care focuses on disease prevention and health promotion?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Rationale: Primary care emphasizes health promotion, disease prevention, and basic
treatment.
6. A nurse case manager is coordinating care for a patient with multiple chronic conditions.
The primary goal of case management is to:
A. Reduce the number of providers involved
B. Coordinate services to improve outcomes and control costs
C. Transfer decision-making to the insurance company
D. Limit the patient's access to specialists
Rationale: Case management coordinates care across settings and providers to
promote quality outcomes and efficient resource use.
Chapter 3: Community-Based Nursing Practice
7. A community health nurse is planning a program to reduce obesity rates. Which action
reflects primary prevention?
A. Screening for diabetes
B. Teaching nutrition classes at a community center
C. Referring patients to weight-loss clinics
D. Providing insulin to diagnosed patients
Rationale: Primary prevention aims to prevent disease before it occurs through
education and lifestyle interventions.
8. Which factor is most important for a nurse to assess when planning community-based
care?
A. The nurse's personal preferences
B. The community's cultural beliefs, values, and available resources
C. The hospital's budget
D. The number of physicians in the area only
Science of Advanced Practice Nursing
An Interprofessional Approach 6th
Edition Dunphy Exam Questions
Answers Study Resource
, Chapter 1: Nursing Today
1. A nurse is reviewing the history of nursing. Which individual is credited with establishing
the first nursing school based on a formal educational curriculum?
A. Clara Barton
B. Florence Nightingale
C. Dorothea Dix
D. Lillian Wald
, Rationale: Florence Nightingale established the Nightingale Training School for Nurses
at St. Thomas' Hospital in 1860, creating the foundation for modern professional nursing
education.
2. A nurse is preparing to advocate for a patient who refuses a prescribed procedure.
Which action best demonstrates the role of the nurse as an advocate?
A. Persuading the patient to consent
B. Documenting the refusal and taking no further action
C. Ensuring the patient understands the risks and supporting the patient's decision
D. Reporting the patient to the provider as noncompliant
Rationale: Advocacy means protecting patients' rights and ensuring they have the
information needed to make informed choices, even when those choices differ from
provider recommendations.
3. Which organization is responsible for establishing the scope and standards of nursing
practice in the United States?
A. The Joint Commission
B. American Nurses Association (ANA)
C. National League for Nursing
D. Centers for Disease Control and Prevention
Rationale: The ANA publishes Nursing: Scope and Standards of Practice, which defines
professional nursing expectations.
Chapter 2: The Health Care Delivery System
4. A patient is admitted to a hospital for same-day surgery and discharged within hours.
This is an example of which type of care?
A. Ambulatory care
B. Tertiary care
C. Respite care
D. Palliative care
Rationale: Ambulatory care includes outpatient services such as same-day surgery,
where the patient does not require an overnight stay.
, 5. Which level of care focuses on disease prevention and health promotion?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Rationale: Primary care emphasizes health promotion, disease prevention, and basic
treatment.
6. A nurse case manager is coordinating care for a patient with multiple chronic conditions.
The primary goal of case management is to:
A. Reduce the number of providers involved
B. Coordinate services to improve outcomes and control costs
C. Transfer decision-making to the insurance company
D. Limit the patient's access to specialists
Rationale: Case management coordinates care across settings and providers to
promote quality outcomes and efficient resource use.
Chapter 3: Community-Based Nursing Practice
7. A community health nurse is planning a program to reduce obesity rates. Which action
reflects primary prevention?
A. Screening for diabetes
B. Teaching nutrition classes at a community center
C. Referring patients to weight-loss clinics
D. Providing insulin to diagnosed patients
Rationale: Primary prevention aims to prevent disease before it occurs through
education and lifestyle interventions.
8. Which factor is most important for a nurse to assess when planning community-based
care?
A. The nurse's personal preferences
B. The community's cultural beliefs, values, and available resources
C. The hospital's budget
D. The number of physicians in the area only
