Contents
Chapter 01: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades,
and Rebels .................................................................................................................................. 3
Chapter 2: Emerging Roles of the Advanced Practice Nurse .................................................... 8
Chapter 3: Role Development: A Theoretical Perspective ...................................................... 23
Chapter 4: Educational Preparation of Advanced Practice Nurses: Looking to the Future ..... 30
Chapter 5: Global Perspectives on Advanced Nursing Practice .............................................. 44
Chapter 6. Advanced Practice Nurses and Prescriptive Authority .......................................... 52
Chapter 7. Credentialing and Clinical Privileges for the Advanced Practice Registered Nurse
.................................................................................................................................................. 58
Chapter 8. The Kaleidoscope of Collaborative Practice .......................................................... 65
Chapter 9. Participation of the Advanced Practice Nurse in Health Plans and Quality
Initiatives.................................................................................................................................. 72
Chapter 10. Public Policy and the Advanced Practice Registered Nurse ................................ 82
Page 1 of 279
,Chapter 11. Resource Management ......................................................................................... 87
Chapter 12. Mediated Roles: Working with and Through Other People ................................. 94
Chapter 13. Evidence-Based Practice ...................................................................................... 99
Chapter 14. Advocacy and the Advanced Practice Nurse ..................................................... 106
Chapter 15. Case Management and Advanced Practice Nursing .......................................... 111
Chapter 16. The Advanced Practice Nurse and Research ...................................................... 124
Chapter 17. The Advanced Practice Nurse: Holism and Complementary and Integrative
Health Approaches ................................................................................................................. 134
Chapter 18. Basic Skills for Teaching and the Advanced Practice Nurse ............................. 144
Chapter 19. Culture as a Variable in Practice ........................................................................ 150
Chapter 20. Conflict Resolution in Advanced Practice Nursing ........................................... 160
Chapter 21. Leadership for APNs: If Not Now, When? ........................................................ 169
Chapter 22. Information Technology and the Advanced Practice Nurse .............................. 175
Chapter 23. Writing for Publication....................................................................................... 191
Chapter 23: An Integrative Review of APRN Outcomes and Performance Improvement ... 200
Chapter 24. Measuring Advanced Practice Nurse Performance: Outcome Indicators, Models
of Evaluation and the Issue of Value ..................................................................................... 204
Chapter 25. Advanced Practice Registered Nurses: Accomplishments, Trends, and Future
Development .......................................................................................................................... 221
Chapter 26. Starting a Practice and Practice Management .................................................... 226
Chapter 27. The Advanced Practice Nurse as Employee or Independent Contractor: Legal and
Contractual Considerations .................................................................................................... 236
Chapter 28. The Law, The Courts, and the Advanced Practice Registered Nurse ................ 244
Chapter 29. Malpractice and the Advanced Practice Nurse .................................................. 259
Chapter 30. Ethics and the Advanced Practice Nurse............................................................ 266
Page 2 of 279
, Chapter 01: Advanced Practice Nursing:
Doing What Has to Be Done-Radicals,
Renegades, and Rebels
MULTIPLE CHOICE
1. The school nurse talking with a high school class about the difference between growth
and development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
Growth is a quantitative change in which an increase in cell number and size results in
an increase in overall size or weight of the body or any of its parts. The processes by
which early cells specialize are referred to asdifferentiation. Psychosocial and
cognitive changes are referred to as development. Qualitative changes associated with
aging are referred to as maturation.
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
2. The most appropriate response of the nurse when a mother asks what the Denver II does
is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
Page 3 of 279
, d. provides a framework for health teaching.
ANS: C
The Denver II is the most commonly used measure of developmental status used by
health care professionals; it is a screening tool. Screening tools do not provide a
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
examination. Developmental delay, which is suggested by screening, is a symptom,
not a diagnosis. The need for any therapy would be identified with a comprehensive
evaluation, not a screening tool. Some providers use the Denver II as a framework for
teaching about expected development, but this is not the primary purpose of the tool.
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
3. To plan early intervention and care for an infant with Down syndrome, the nurse
considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar
of adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive
developmental delay.
REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
Page 4 of 279
Chapter 01: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades,
and Rebels .................................................................................................................................. 3
Chapter 2: Emerging Roles of the Advanced Practice Nurse .................................................... 8
Chapter 3: Role Development: A Theoretical Perspective ...................................................... 23
Chapter 4: Educational Preparation of Advanced Practice Nurses: Looking to the Future ..... 30
Chapter 5: Global Perspectives on Advanced Nursing Practice .............................................. 44
Chapter 6. Advanced Practice Nurses and Prescriptive Authority .......................................... 52
Chapter 7. Credentialing and Clinical Privileges for the Advanced Practice Registered Nurse
.................................................................................................................................................. 58
Chapter 8. The Kaleidoscope of Collaborative Practice .......................................................... 65
Chapter 9. Participation of the Advanced Practice Nurse in Health Plans and Quality
Initiatives.................................................................................................................................. 72
Chapter 10. Public Policy and the Advanced Practice Registered Nurse ................................ 82
Page 1 of 279
,Chapter 11. Resource Management ......................................................................................... 87
Chapter 12. Mediated Roles: Working with and Through Other People ................................. 94
Chapter 13. Evidence-Based Practice ...................................................................................... 99
Chapter 14. Advocacy and the Advanced Practice Nurse ..................................................... 106
Chapter 15. Case Management and Advanced Practice Nursing .......................................... 111
Chapter 16. The Advanced Practice Nurse and Research ...................................................... 124
Chapter 17. The Advanced Practice Nurse: Holism and Complementary and Integrative
Health Approaches ................................................................................................................. 134
Chapter 18. Basic Skills for Teaching and the Advanced Practice Nurse ............................. 144
Chapter 19. Culture as a Variable in Practice ........................................................................ 150
Chapter 20. Conflict Resolution in Advanced Practice Nursing ........................................... 160
Chapter 21. Leadership for APNs: If Not Now, When? ........................................................ 169
Chapter 22. Information Technology and the Advanced Practice Nurse .............................. 175
Chapter 23. Writing for Publication....................................................................................... 191
Chapter 23: An Integrative Review of APRN Outcomes and Performance Improvement ... 200
Chapter 24. Measuring Advanced Practice Nurse Performance: Outcome Indicators, Models
of Evaluation and the Issue of Value ..................................................................................... 204
Chapter 25. Advanced Practice Registered Nurses: Accomplishments, Trends, and Future
Development .......................................................................................................................... 221
Chapter 26. Starting a Practice and Practice Management .................................................... 226
Chapter 27. The Advanced Practice Nurse as Employee or Independent Contractor: Legal and
Contractual Considerations .................................................................................................... 236
Chapter 28. The Law, The Courts, and the Advanced Practice Registered Nurse ................ 244
Chapter 29. Malpractice and the Advanced Practice Nurse .................................................. 259
Chapter 30. Ethics and the Advanced Practice Nurse............................................................ 266
Page 2 of 279
, Chapter 01: Advanced Practice Nursing:
Doing What Has to Be Done-Radicals,
Renegades, and Rebels
MULTIPLE CHOICE
1. The school nurse talking with a high school class about the difference between growth
and development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
Growth is a quantitative change in which an increase in cell number and size results in
an increase in overall size or weight of the body or any of its parts. The processes by
which early cells specialize are referred to asdifferentiation. Psychosocial and
cognitive changes are referred to as development. Qualitative changes associated with
aging are referred to as maturation.
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
2. The most appropriate response of the nurse when a mother asks what the Denver II does
is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
Page 3 of 279
, d. provides a framework for health teaching.
ANS: C
The Denver II is the most commonly used measure of developmental status used by
health care professionals; it is a screening tool. Screening tools do not provide a
diagnosis. Diagnosis requires a thorough neurodevelopment history and physical
examination. Developmental delay, which is suggested by screening, is a symptom,
not a diagnosis. The need for any therapy would be identified with a comprehensive
evaluation, not a screening tool. Some providers use the Denver II as a framework for
teaching about expected development, but this is not the primary purpose of the tool.
REF: 4 OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
3. To plan early intervention and care for an infant with Down syndrome, the nurse
considers knowledge of other physical development exemplars such as
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly.
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar
of adaptive developmental delay. Failure to thrive is an exemplar of social/emotional
developmental delay. Fetal alcohol syndrome is an exemplar of cognitive
developmental delay.
REF: 9 OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
Page 4 of 279
