Advanced Practice Nursing: Essential Knowledge for the
Profession
Susan M. DeNisco
5th Edition
,Table of Contents
Chapter 01 Introduction to the Role of Advanced Practice Nursing 1
Chapter 02 Historical Perspectives: The Art and Science of Nurse Practitionering and
Advanced Practice Nursing 4
Chapter 03 Overview of the Doctor of Nursing Practice Degree 7
Chapter 04 Emerging Roles for the DNP 11
Chapter 05 Influencing and Leading Change in the Complex Healthcare Environment: The
Role of the Advanced Practice Nurse 16
Chapter 06 Interprofessional Collaboration for Improving Patient and Population Health 19
Chapter 07 An Overview of U.S. Healthcare Delivery 24
Chapter 08 Government Response: Regulation 28
Chapter 09 Healthcare Policy for Advocacy in Health Care 31
Chapter 10 Healthcare Business Essentials: A Primer for Advanced Practice Nurses 37
Chapter 11 Financing Health Care 42
Chapter 12 Influencing Outcomes: Improving the Quality of Care Delivery 45
Chapter 13 The Role of Quality: Providing Patient Value While Achieving Quality, Safety,
and Cost-Effectiveness 50
Chapter 14 Utilize Informatics 54
Chapter 15 The Electronic Health Record and Clinical Informatics 58
Chapter 16 The Influence of Patient Health Data on Health Policy 62
Chapter 17 Telehealth: Increasing Access to Health Care 65
Chapter 18 The Evolution of Nursing Science 67
Chapter 19 Health Services and Systems Research 71
Chapter 20 Evidence-Based Practice and Dissemination Strategies 77
Chapter 21 Clinical Scholarship and Evidence-Based Practice 79
Chapter 22 Writing for Professional Publication 84
Chapter 23 Beliefs, Values, and Health 88
Chapter 24 Cultural Sensitivity and Global Health 92
Chapter 25 Health Services for Special Populations 94
Chapter 26 Advanced Practice Nursing: The Nurse-Patient Relationship and General
Ethical Concerns 98
Chapter 27 The Future of Health Disparities and Diversity: Recommendations Toward
Solutions 103
Chapter 28 Ethical Leadership by Advanced Practice Nurses 106
Chapter 29 Strategic Career Planning: Professional and Personal Development 111
Chapter 30 Developing Leadership Skills for the Advanced Practice Nurse Through
Mentorship 116
Chapter 31 Managing Personal Resources: Time and Stress Management 119
Chapter 32 Entering the Job Market and Promoting Your Future Success 122
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Test Bank - Advanced Practice Nursing: Essential Knowledge for the Profession, 5th Edition (DeNisco, 2024)
Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Information Field: Feedback
Information Field: Taxonomy
Information Field: Objective
Highest Answer Letter: D
Multiple Keywords in Same Paragraph: No
Chapter: Chapter 01 Introduction to the Role of Advanced Practice Nursing
Multiple Choice
1. Which role is not considered an advanced practice registered nurse (APRN)?
A) Certified registered nurse anesthetist
B) Nurse practitioner
C) Certified nurse–midwife
D) Nurse educator
Ans: D
Complexity: Easy
Ahead: Introduction
Subject: Chapter 1
Title: Introduction to the Role of Advanced Practice Nursing
2. An individual educated as a is able to educate the future nursing workforce to
influence patient outcomes by focusing on evidence-based practice, quality improvement, leadership,
policy advocacy, informatics, and healthcare systems.
A) nurse practitioner
B) doctor of nursing practice
C) certified nurse–midwife
D) clinical nurse leader
Ans: B
Complexity: Easy
Ahead: Supply and Demand for Nurses
Subject: Chapter 1
Title: Introduction to the Role of Advanced Practice Nursing
3. A graduate-level nursing curriculum focuses on providing a strong background of which course(s)?
A) Pathophysiology
B) Health assessment
C) Pharmacology
D) All of these are correct.
Ans: D
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Test Bank - Advanced Practice Nursing: Essential Knowledge for the Profession, 5th Edition (DeNisco, 2024)
Complexity: Easy
Ahead: Other Advanced Practice Nursing Roles and the Nursing Curriculum
Subject: Chapter 1
Title: Introduction to the Role of Advanced Practice Nursing
4. Which organization outlines necessary curriculum and expected competencies for baccalaureate,
master’s, and doctoral nursing practice programs?
A) American Association of Colleges of Nursing (AACN)
B) National League of Nursing (NLN)
C) American Organization of Nurse Executives (AONE)
D) National Association of Clinical Nurse Specialists (NACNS)
Ans: A
Complexity: Easy
Ahead: Other Advanced Practice Nursing Roles and the Nursing Curriculum
Subject: Chapter 1
Title: Introduction to the Role of Advanced Practice Nursing
True/False
1. True or False? The Certified Nurse Manager and Leader (CNML) must hold a master’s degree or
higher in nursing.
Ans: False
Complexity: Easy
Ahead: Supply and Demand for Nurses
Subject: Chapter 1
Title: Introduction to the Role of Advanced Practice Nursing
2. True or False? The largest group of advanced practice nurses are clinical nurse specialists (CNSs).
Ans: False
Complexity: Easy
Ahead: Supply and Demand for Nurses
Subject: Chapter 1
Title: Introduction to the Role of Advanced Practice Nursing
3. True or False? A certified registered nurse anesthetist (CRNA) is only licensed to work as an
independent practitioner.
Ans: True
Complexity: Easy
Ahead: Supply and Demand for Nurses
Subject: Chapter 1
Title: Introduction to the Role of Advanced Practice Nursing
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Test Bank - Advanced Practice Nursing: Essential Knowledge for the Profession, 5th Edition (DeNisco, 2024)
Essay
1. Which factors have an impact on future supply and demand for nurses?
Ans: Multiple factors influence future supply and demand for nurses, including population growth, an
aging population, economic conditions, expanded health insurance coverage, changes in healthcare
reimbursement, geographic location, and health workforce availability.
Complexity: Moderate
Ahead: Supply and Demand for Nurses
Subject: Chapter 1
Title: Introduction to the Role of Advanced Practice Nursing
2. What are contributing factors to today’s nursing shortage?
Ans: Contributing factors include the COVID-19 pandemic, an aging workforce and population, and
changes in state and federal policies.
Complexity: Moderate
Ahead: Supply and Demand for Nurses
Subject: Chapter 1
Title: Introduction to the Role of Advanced Practice Nursing
3. Some nurse administrators are ill-prepared for the role in which they are working. Describe potential
causes of lack of preparation.
Ans: Some facilities promote nurses to an administrative role because they are good bedside nurses;
however, not all nurses who work at the bedside are meant to be administrators. Furthermore, hospitals
are not requiring advanced training or providing adequate training for nurse administrators, causing them
to be poorly prepared for this role.
Complexity: Difficult
Ahead: Supply and Demand for Nurses
Subject: Chapter 1
Title: Introduction to the Role of Advanced Practice Nursing
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Test Bank - Advanced Practice Nursing: Essential Knowledge for the Profession, 5th Edition (DeNisco, 2024)
Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Information Field: Feedback
Information Field: Taxonomy
Information Field: Objective
Highest Answer Letter: D
Multiple Keywords in Same Paragraph: No
Chapter: Chapter 02 Historical Perspectives: The Art and Science of Nurse Practitionering and
Advanced Practice Nursing
Multiple Choice
1. In which specialty are most nurse practitioners educated?
A) Pediatrics
B) Primary care
C) Family
D) Adult gerontology
Ans: B
Complexity: Easy
Ahead: Role of the Nurse Practitioner: Historical Perspective
Subject: Chapter 2
Title: Historical Perspectives: The Art and Science of Nurse Practitionering and Advanced Practice
Nursing
2. Which topic is designated a major domain of professional nursing practice by the American
Association of Colleges of Nursing (AACN) in The Essentials: Core Competencies for Professional
Nursing Education?
A) Clinical judgment
B) Pathophysiology
C) Population health
D) Pharmacology
Ans: C
Complexity: Moderate
Ahead: Educational Foundation for the Advanced Practice Nurse—The Essentials: Core Competencies
for Professional Nursing Education
Subject: Chapter 2
Title: Historical Perspectives: The Art and Science of Nurse Practitionering and Advanced Practice
Nursing
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Test Bank - Advanced Practice Nursing: Essential Knowledge for the Profession, 5th Edition (DeNisco, 2024)
3. Which organization outlined core competencies for nurse practitioners in all tracks and specialties?
A) American Association of Nurse Practitioners (AANP)
B) National Organization for Nurse Practitioner Faculties (NONPF)
C) American Association of Colleges of Nursing (AACN)
D) National Council of State Boards of Nursing (NCSBN)
Ans: B
Complexity: Easy
Ahead: Educational Foundation for the Advanced Practice Nurse—The Essentials: Core Competencies
for Professional Nursing Education
Subject: Chapter 2
Title: Historical Perspectives: The Art and Science of Nurse Practitionering and Advanced Practice
Nursing
4. Which doctorate in nursing focuses on research?
A) DNS
B) DNP
C) PhD
D) MD
Ans: C
Complexity: Easy
Ahead: Doctor of Nursing Practice
Subject: Chapter 2
Title: Historical Perspectives: The Art and Science of Nurse Practitionering and Advanced Practice
Nursing
5. Which author formulated the 10 Carative Processes nursing philosophy?
A) King
B) Peplau
C) Swanson
D) Watson
Ans: D
Complexity: Easy
Ahead: Nurse Practitioners’ Approach to Patient Care
Subject: Chapter 2
Title: Historical Perspectives: The Art and Science of Nurse Practitionering and Advanced Practice
Nursing
6. The ability to relate to a patient’s thoughts and feelings and develop an understanding of what the
patient is experiencing is known as:
A) empathy.
B) active listening.
C) coaching.
D) negotiating.
Ans: A
Complexity: Moderate
Ahead: Nurse Practitioners’ Unique Role
Subject: Chapter 2
Title: Historical Perspectives: The Art and Science of Nurse Practitionering and Advanced Practice
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Test Bank - Advanced Practice Nursing: Essential Knowledge for the Profession, 5th Edition (DeNisco, 2024)
Nursing
Essay
1. The term advanced practice registered nursing (APRN) encompasses which roles?
Ans: The term APRN has been used to indicate master’s- or doctorally prepared nurses who provide
direct clinical care. APRN roles include nurse practitioner (NP), certified nurse-midwife (CNM), certified
registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS).
Complexity: Moderate
Ahead: Nurse Practitioner Education and Title Clarification
Subject: Chapter 2
Title: Historical Perspectives: The Art and Science of Nurse Practitionering and Advanced Practice
Nursing
2. Describe the components of the DNP Scholarly Project as designated by the American
Association of Colleges of Nursing (AACN).
Ans: As per the AACN whitepaper, The Doctor of Nurse Practice: Current Issues and Clarifying
Recommendations (2015), the DNP Scholarly Project must meet the following criteria: (a) focus on a
change that impacts healthcare outcomes either through direct or indirect care; (b) have a systems
(micro-, meso-, or macro-level) or population/aggregate focus; (c) demonstrate implementation in the
appropriate arena or area of practice; (d) include a plan for sustainability (e.g., financial, systems, or
political realities, not only theoretical abstractions); (e) include an evaluation of processes and/or
outcomes (formative or summative); (f) be designed so that processes and/or outcomes will be evaluated
to guide practice and policy; and (g) provide a foundation for future practice scholarship.
Complexity: Difficult
Ahead: Doctor of Nursing Practice
Subject: Chapter 2
Title: Historical Perspectives: The Art and Science of Nurse Practitionering and Advanced Practice
Nursing
3. Explain the relevance of nursing philosophies, theories, and models to the nurse practitioner’s
(NP’s) delivery of patient care.
Ans: Nursing philosophies, theories, and models serve as the foundation for delivery of patient care by
the NP. Concepts described in nursing philosophies, theories, and models form the basis for excellence
in nursing practice. Many approaches focus on the need for the healthcare provider to be open to
patients’ needs, to hear what they have to say, to understand what they really believe is wrong or right,
and to let them work with the NP to develop goals. The ability of the NP to be culturally sensitive, and to
be flexible and willing to collaborate and compromise when needed and appropriate, will help to form the
framework for a successful patient–NP relationship, and most important, will assist patients in reaching a
state of optimum health.
Complexity: Difficult
Ahead: Nurse Practitioners’ Approach to Patient Care
Subject: Chapter 2
Title: Historical Perspectives: The Art and Science of Nurse Practitionering and Advanced Practice
Nursing
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Test Bank - Advanced Practice Nursing: Essential Knowledge for the Profession, 5th Edition (DeNisco, 2024)
Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Information Field: Feedback
Information Field: Taxonomy
Information Field: Objective
Highest Answer Letter: D
Multiple Keywords in Same Paragraph: No
Chapter: Chapter 03 Overview of the Doctor of Nursing Practice Degree
Multiple Choice
1. The DNP degree focuses on all of the following, except:
A) advanced nursing practice.
B) research in nursing practice.
C) information technology.
D) evidence-based practice.
Ans: B
Complexity: Easy
Ahead: Doctor of Nursing Practice Degree Defined
Subject: Chapter 3
Title: Overview of the Doctor of Nursing Practice Degree
2. The terminal research degree for nurses includes all of the following, except:
A) PhD.
B) DNS.
C) DSN.
D) DrNP.
Ans: D
Complexity: Easy
Ahead: Evolution of Doctoral Education in Nursing
Subject: Chapter 3
Title: Overview of the Doctor of Nursing Practice Degree
3. How does the IOM report (published in 2000) substantiate the need for a DNP program?
A) The costs and safety risks to patients
B) The physicians’ need for additional nurses
C) The decreasing number of physicians
D) The increasing number of clinics
Ans: A
Complexity: Moderate
Ahead: Why a Practice Doctorate in Nursing Now?
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Test Bank - Advanced Practice Nursing: Essential Knowledge for the Profession, 5th Edition (DeNisco, 2024)
Subject: Chapter 3
Title: Overview of the Doctor of Nursing Practice Degree
4. Essential I, Scientific Underpinnings for Practice, includes all of the following except:
A) principles or laws that govern all life.
B) processes of positive health changes.
C) accountability for safety of patients.
D) wholeness of the health of humans.
Ans: C
Complexity: Moderate
Ahead: What Is a DNP Degree Made Of? The Recipe for Curriculum Standards
Subject: Chapter 3
Title: Overview of the Doctor of Nursing Practice Degree
5. How do the eight essentials identified by the AACN for the DNP ensure that graduates are
well-qualified?
A) They form the standards around which all DNP curricula must be formed.
B) They ensure that all DNP curricula are the same in all universities.
C) They ensure that all nursing faculty hold the same credentials.
D) They form the curricula for each course taught in each DNP program.
Ans: A
Complexity: Easy
Ahead: What Is a DNP Degree Made Of? The Recipe for Curriculum Standards
Subject: Chapter 3
Title: Overview of the Doctor of Nursing Practice Degree
6. Essential VIII, Advanced Nursing Practice, includes all of the following except:
A) mentor others in the nursing professions.
B) utilize best practices to improve outcomes.
C) analyze epidemiological data to improve outcomes.
D) educate patients in complex situations.
Ans: C
Complexity: Moderate
Ahead: What Is a DNP Degree Made Of? The Recipe for Curriculum Standards
Subject: Chapter 3
Title: Overview of the Doctor of Nursing Practice Degree
7. Competencies related to CNS-prepared graduates ensure that graduates are prepared to do
all of the following except:
A) translate evidence into practice.
B) utilize a broad range of theories.
C) improve systems of care.
D) apply ethically sound solutions.
Ans: D
Complexity: Easy
Ahead: What Is a DNP Degree Made Of? The Recipe for Curriculum Standards
Subject: Chapter 3
Title: Overview of the Doctor of Nursing Practice Degree
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