TEST BANK
Advanced Practice Nursing: Essentials For Role Development
By Lucille A. Joel 5thEdition
TEST BANK
, ADVANCED PRACTICE NURSING ESSENTIALS
FOR ROLE DEVELOPMENT 5TH EDITION JOEL
TEST BANK LATEST 2026.Qualified,VSU
Table Of Contents
I. The Evolution Of Advanced Practice
1. Advanced Practice Nursing: Doing What Has To Be Done (Lynne M. Dunphy)
2. Emerging Roles Of The Advanced Practice Nurse (Patricia A. Tabloski)
3. Role Development: A Theoretical Perspective (Lucille A. Joel)
4. Educational Preparation Of Advanced Practice Nurses: Looking To The Future (Phyllis Shanley
Hansell)
5. Global Perspectives On Advanced Practice Nursing (Madrean Schober)
II. The Practice Environment
6. Advanced Practice Nurses And Prescriptive Authority (Jan Towers)
7. Credentialing And Clinical Privileges For The Advanced Practice Registered Nurse (Ann H. Cary
And Mary C. Smolenski)
8. The Kaleidoscope Of Collaborative Practice (Alice F. Kuehn And Patricia Murphy)
9. Participation Of The Advanced Practice Nurse In Health Plans And Quality Initiatives (Rita Munley
Gallagher)
10. Public Policy And The Advanced Practice Nurse (Marie-Eileen Onieal)
11. Resource Management (Cindy Aiena, Eileen Flaherty, And Antigone Grasso)
12. Mediated Roles: Working With And Through Other People (Thomas D. Smith, Maria L. Vezina,
Mary E. Samost, And Kelly Reilly)
III. Competency In Advanced Practice
13. Evidence-Based Practice (Christine A. Tanner, Deborah C. Messecar And Basia Delawska-Elliott)
14. Advocacy And The Advanced Practice Nurse (Andrea Brassard)
15. Case Management And Advanced Practice Nursing (Denise Fessler And Mary Ann Christopher)
16. The Advanced Practice Nurse And Research (Beth Quatrara And Dale Shaw)
17. Holism And Complementary And Integrative Health Approaches For The Advanced Practice
Nurse (Carole Ann Drick)
18. Basic Skills For Teaching And The Advanced Practice Nurse (Christina Leonard, Valerie Sabol,
And Marilyn H. Oermann)
19. Culture As A Variable In Practice (Mary Masterson Germain)
20. Conflict Resolution In Advanced Practice Nursing (David M. Price)
21. Leadership For Apns: If Not Now, When? (Edna Cadmus)
22. Information Technology And The Advanced Practice Nurse (Robert Scoloveno)
,23. Writing For Publication (Shirley A. Smoyak)
IV. Ethical, Legal, And Business Acumen
24. Measuring Advanced Practice Nurse Performance: Outcome Indicators, Models Of Evaluation,
And The Issue Of Value (Shirley Girouard, Patricia Difusco, And Joseph Jennas)
25. Advanced Practice Registered Nurses: Accomplishments, Trends, And Future Directions (Allyssa
L. Harris, Jane M. Flanagan, And Dorothy A. Jones)
26. Starting A Practice And Practice Management (Judith Barberio)
27. The Advanced Practice Nurse As Employee Or Independent Contractor: Legal And Contractual
Considerations (Kathleen M. Gialanella)
28. The Law, The Courts, And The Advanced Practice Nurse (David M. Keepnews)
29. It Can Happen To You: Malpractice And The Advanced Practice Nurse (Carolyn T. Torre)
30. Ethics And The Advanced Practice Nurse (Carrie Scotto)
,Chapter 1: Advanced Practice Nursing: Doing What Has To Be Done-Radicals,
Renegades, And Rebels
1. The Nurse Manager Of A Pediatric Clinic Could Confirm That The New Nurse
Recognized The Purposeof The HEADSS Adolescent Risk Profile When The New
NurseResponds That It Is Used To Assess For Needs Related To
a. Anticipatory Guidance.
b. Low-Risk Adolescents.
c. Physical Development.
d. Sexual Development.
ANSWER: A
The HEADSS Adolescent Risk Profile Is A Psychosocial Assessment Screening
ToolWhich Assesseshome, Education, Activities, Drugs, Sex, And Suicide For
The Purpose Of Identifying High-Risk Adolescents And The Need For
Anticipatory Guidance. It Is Used To Identify High-Risk, Not Low-Risk,
Adolescents. Physical Development Is Assessed With Anthropometric Data.
Sexual Development Is Assessed Using PhysicalExamination.
,REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion And Maintenance
2. The Nurse Preparing A Teaching Plan For A Preschooler Knows That,
AccordingTo Piaget, Theexpected Stage Of Development For A Preschooler
Is
a. Concrete Operational.
b. Formal Operational.
c. Preoperational.
d. Sensorimotor.
ANSWER: C
The Expected Stage Of Development For A Preschooler (3 To 4 Years Old) Is
Preoperational. Concreteoperational Describes The Thinking Of A School-Age
Child (7To 11 Years Old). Formal Operational
Describes The Thinking Of An Individual After About 11 Years Of Age. Sensorimotor
Describes Theearliest Pattern Of Thinking From Birth To 2 Years Old.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion And Maintenance
3. The School Nurse Talking With A High School Class About The
DifferenceBetween Growth Anddevelopment 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.
ANSWER: D
Growth Is A Quantitative Change In Which An Increase In Cell Number And Size
ResultsIn An Increasein Overall Size Or Weight Of The Body Or Any Of Its Parts.
The ProcessesBy 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
4. The Most Appropriate Response Of The Nurse When A Mother Asks What The
Denver IIDoes Is That It
a. Can Diagnose Developmental Disabilities.
b. Identifies A Need For Physical Therapy.
c. Is A Developmental Screening Tool.
d. Provides A Framework For Health Teaching.
ANSWER: C
The Denver II Is The Most Commonly Used Measure Of Developmental Status
Used ByHealth Care Professionals; It Is A Screening Tool. Screening Tools Do Not
Provide A Diagnosis. Diagnosis Requires Athorough 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 ComprehensiveEvaluation, 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
5. To Plan Early Intervention And Care For An Infant With Down
Syndrome, TheNurse Considersknowledge Of Other Physical Development
Exemplars Such As
a. Cerebral Palsy.
b. Failure To Thrive.
c. Fetal Alcohol Syndrome.
d. Hydrocephaly.
ANSWER: D
Hydrocephaly Is Also A Physical Development Exemplar. Cerebral Palsy Is An
Exemplar Of Adaptivedevelopmental 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
6. To Plan Early Intervention And Care For A Child With A Developmental
Delay, The Nurse Wouldconsider Knowledge Of The Concepts Most
Significantly Impacted ByDevelopment, Including
a. Culture.
b. Environment.
c. Functional Status.
,d. Nutrition.
ANSWER: C
Function Is One Of The Concepts Most Significantly Impacted By Development.
OthersInclude Sensory-Perceptual, Cognition, Mobility, Reproduction, And Sexuality.
Knowledge Of These Concepts Can Help The Nurse Anticipate Areas That Need To
Be Addressed. Culture Is A Concept That Is Consideredto Significantly Affect
Development;The Difference Is The Concepts That Affect Development Are
Thosethat Represent Major Influencing Factors (Causes), Hence Determination Of
Development And Would Bethe Focus Of Preventive Interventions. Environment Is
Considered To Significantly Affect Development. Nutrition Is Considered To
Significantly Affect Development.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion And Maintenance
7. A Mother Complains To The Nurse At The Pediatric Clinic That Her 4-Year-
Old Child Always Talks Toher Toys And Makes Up Stories. The Mother Wants
Her Child To Have A Psychologic Evaluation. Thenurses Best Initial Response Is
To
a. Refer The Child To A Psychologist.
b. Explain That Playing Make Believe With Dolls And People Is Normal At This Age.
c. Complete A Developmental Screening.
d. Separate The Child From The Mother To Get More Information.
ANSWER: B
,By The End Of The Fourth Year, It Is Expected That A Child Will Engage In
Fantasy, So This Is Normal At This Age. A Referral To A Psychologist Would Be
Premature Based OnlyOn The Complaint Of The Mother. Completing A
Developmental Screening Would Be Very Appropriate But Not The Initial
Response. The Nurse Would Certainly Want To Get More Information, But
Separating The Child From Themother Is Not Necessary At This Time.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion And Maintenance
8. A 17-Year-Old Girl Is Hospitalized For Appendicitis, And Her Mother Asks
The Nurse Why She Is Soneedy And Acting Like A Child. The Best Response Of
The Nurse Is That InThe Hospital, Adolescents
a. Have Separation Anxiety.
b. Rebel Against Rules.
c. Regress Because Of Stress.
d. Want To Know Everything.
ANSWER: C
Regression To An Earlier Stage Of Development Is A Common Response To
Stress. Separation Anxiety Ismost Common In Infants And Toddlers. Rebellion
Against Hospital Rules Is Usually Not An Issue If The Adolescent Understands
The Rules And Would Not Create Childlike Behaviors. An Adolescent May
Wantto Know Everything With Their Logical Thinking And Deductive
Reasoning, But That Would Not ExplainwhyThey Would Act Like A Child.
,Chapter 2. Emerging Roles Of The Advanced Practice Nurse
Test Bank
Multiple
Choice
1. An APRN Is About To Examine A Patient In The Emergency Department. A
Colleague States To The APRN “This Patient Is Probably Just Seeking Pain
Medication.” Regardless Of His Or Her Colleague’s Comment He Or She Enter
The Examination Room And Treat The Patient As If He Or She Is Trustworthy
And Has Good Motives. Which Of The Ten Essential Elements Of Dignity Is
The APRN Utilizing?
a. Inclusion
b. Benefit Of The Doubt
c. Acceptance Of Identity
d. Recognition
ANSWER: B
Treating Others As If They Are Trustworthy, Starting With The Premise That They
Have Good Motives And Are Acting With Integrity Are All Key Points Of Benefit
Of The Doubt. Benefit Of The Doubt Is One Of The Ten Essential Elements Of
Dignity.
2. An APRN Approaches His Or Her Patients As Neither Inferior Nor Superior
And Gives Others The Freedom To Express Their Authentic Selves Without
Being Judged. Which Of The Ten Essential Elements Of Dignity Is The APRN
Utilizing?
Advanced Practice Nursing: Essentials For Role Development
By Lucille A. Joel 5thEdition
TEST BANK
, ADVANCED PRACTICE NURSING ESSENTIALS
FOR ROLE DEVELOPMENT 5TH EDITION JOEL
TEST BANK LATEST 2026.Qualified,VSU
Table Of Contents
I. The Evolution Of Advanced Practice
1. Advanced Practice Nursing: Doing What Has To Be Done (Lynne M. Dunphy)
2. Emerging Roles Of The Advanced Practice Nurse (Patricia A. Tabloski)
3. Role Development: A Theoretical Perspective (Lucille A. Joel)
4. Educational Preparation Of Advanced Practice Nurses: Looking To The Future (Phyllis Shanley
Hansell)
5. Global Perspectives On Advanced Practice Nursing (Madrean Schober)
II. The Practice Environment
6. Advanced Practice Nurses And Prescriptive Authority (Jan Towers)
7. Credentialing And Clinical Privileges For The Advanced Practice Registered Nurse (Ann H. Cary
And Mary C. Smolenski)
8. The Kaleidoscope Of Collaborative Practice (Alice F. Kuehn And Patricia Murphy)
9. Participation Of The Advanced Practice Nurse In Health Plans And Quality Initiatives (Rita Munley
Gallagher)
10. Public Policy And The Advanced Practice Nurse (Marie-Eileen Onieal)
11. Resource Management (Cindy Aiena, Eileen Flaherty, And Antigone Grasso)
12. Mediated Roles: Working With And Through Other People (Thomas D. Smith, Maria L. Vezina,
Mary E. Samost, And Kelly Reilly)
III. Competency In Advanced Practice
13. Evidence-Based Practice (Christine A. Tanner, Deborah C. Messecar And Basia Delawska-Elliott)
14. Advocacy And The Advanced Practice Nurse (Andrea Brassard)
15. Case Management And Advanced Practice Nursing (Denise Fessler And Mary Ann Christopher)
16. The Advanced Practice Nurse And Research (Beth Quatrara And Dale Shaw)
17. Holism And Complementary And Integrative Health Approaches For The Advanced Practice
Nurse (Carole Ann Drick)
18. Basic Skills For Teaching And The Advanced Practice Nurse (Christina Leonard, Valerie Sabol,
And Marilyn H. Oermann)
19. Culture As A Variable In Practice (Mary Masterson Germain)
20. Conflict Resolution In Advanced Practice Nursing (David M. Price)
21. Leadership For Apns: If Not Now, When? (Edna Cadmus)
22. Information Technology And The Advanced Practice Nurse (Robert Scoloveno)
,23. Writing For Publication (Shirley A. Smoyak)
IV. Ethical, Legal, And Business Acumen
24. Measuring Advanced Practice Nurse Performance: Outcome Indicators, Models Of Evaluation,
And The Issue Of Value (Shirley Girouard, Patricia Difusco, And Joseph Jennas)
25. Advanced Practice Registered Nurses: Accomplishments, Trends, And Future Directions (Allyssa
L. Harris, Jane M. Flanagan, And Dorothy A. Jones)
26. Starting A Practice And Practice Management (Judith Barberio)
27. The Advanced Practice Nurse As Employee Or Independent Contractor: Legal And Contractual
Considerations (Kathleen M. Gialanella)
28. The Law, The Courts, And The Advanced Practice Nurse (David M. Keepnews)
29. It Can Happen To You: Malpractice And The Advanced Practice Nurse (Carolyn T. Torre)
30. Ethics And The Advanced Practice Nurse (Carrie Scotto)
,Chapter 1: Advanced Practice Nursing: Doing What Has To Be Done-Radicals,
Renegades, And Rebels
1. The Nurse Manager Of A Pediatric Clinic Could Confirm That The New Nurse
Recognized The Purposeof The HEADSS Adolescent Risk Profile When The New
NurseResponds That It Is Used To Assess For Needs Related To
a. Anticipatory Guidance.
b. Low-Risk Adolescents.
c. Physical Development.
d. Sexual Development.
ANSWER: A
The HEADSS Adolescent Risk Profile Is A Psychosocial Assessment Screening
ToolWhich Assesseshome, Education, Activities, Drugs, Sex, And Suicide For
The Purpose Of Identifying High-Risk Adolescents And The Need For
Anticipatory Guidance. It Is Used To Identify High-Risk, Not Low-Risk,
Adolescents. Physical Development Is Assessed With Anthropometric Data.
Sexual Development Is Assessed Using PhysicalExamination.
,REF: 6 OBJ: NCLEX Client Needs Category: Health Promotion And Maintenance
2. The Nurse Preparing A Teaching Plan For A Preschooler Knows That,
AccordingTo Piaget, Theexpected Stage Of Development For A Preschooler
Is
a. Concrete Operational.
b. Formal Operational.
c. Preoperational.
d. Sensorimotor.
ANSWER: C
The Expected Stage Of Development For A Preschooler (3 To 4 Years Old) Is
Preoperational. Concreteoperational Describes The Thinking Of A School-Age
Child (7To 11 Years Old). Formal Operational
Describes The Thinking Of An Individual After About 11 Years Of Age. Sensorimotor
Describes Theearliest Pattern Of Thinking From Birth To 2 Years Old.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion And Maintenance
3. The School Nurse Talking With A High School Class About The
DifferenceBetween Growth Anddevelopment 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.
ANSWER: D
Growth Is A Quantitative Change In Which An Increase In Cell Number And Size
ResultsIn An Increasein Overall Size Or Weight Of The Body Or Any Of Its Parts.
The ProcessesBy 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
4. The Most Appropriate Response Of The Nurse When A Mother Asks What The
Denver IIDoes Is That It
a. Can Diagnose Developmental Disabilities.
b. Identifies A Need For Physical Therapy.
c. Is A Developmental Screening Tool.
d. Provides A Framework For Health Teaching.
ANSWER: C
The Denver II Is The Most Commonly Used Measure Of Developmental Status
Used ByHealth Care Professionals; It Is A Screening Tool. Screening Tools Do Not
Provide A Diagnosis. Diagnosis Requires Athorough 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 ComprehensiveEvaluation, 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
5. To Plan Early Intervention And Care For An Infant With Down
Syndrome, TheNurse Considersknowledge Of Other Physical Development
Exemplars Such As
a. Cerebral Palsy.
b. Failure To Thrive.
c. Fetal Alcohol Syndrome.
d. Hydrocephaly.
ANSWER: D
Hydrocephaly Is Also A Physical Development Exemplar. Cerebral Palsy Is An
Exemplar Of Adaptivedevelopmental 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
6. To Plan Early Intervention And Care For A Child With A Developmental
Delay, The Nurse Wouldconsider Knowledge Of The Concepts Most
Significantly Impacted ByDevelopment, Including
a. Culture.
b. Environment.
c. Functional Status.
,d. Nutrition.
ANSWER: C
Function Is One Of The Concepts Most Significantly Impacted By Development.
OthersInclude Sensory-Perceptual, Cognition, Mobility, Reproduction, And Sexuality.
Knowledge Of These Concepts Can Help The Nurse Anticipate Areas That Need To
Be Addressed. Culture Is A Concept That Is Consideredto Significantly Affect
Development;The Difference Is The Concepts That Affect Development Are
Thosethat Represent Major Influencing Factors (Causes), Hence Determination Of
Development And Would Bethe Focus Of Preventive Interventions. Environment Is
Considered To Significantly Affect Development. Nutrition Is Considered To
Significantly Affect Development.
REF: 1 OBJ: NCLEX Client Needs Category: Health Promotion And Maintenance
7. A Mother Complains To The Nurse At The Pediatric Clinic That Her 4-Year-
Old Child Always Talks Toher Toys And Makes Up Stories. The Mother Wants
Her Child To Have A Psychologic Evaluation. Thenurses Best Initial Response Is
To
a. Refer The Child To A Psychologist.
b. Explain That Playing Make Believe With Dolls And People Is Normal At This Age.
c. Complete A Developmental Screening.
d. Separate The Child From The Mother To Get More Information.
ANSWER: B
,By The End Of The Fourth Year, It Is Expected That A Child Will Engage In
Fantasy, So This Is Normal At This Age. A Referral To A Psychologist Would Be
Premature Based OnlyOn The Complaint Of The Mother. Completing A
Developmental Screening Would Be Very Appropriate But Not The Initial
Response. The Nurse Would Certainly Want To Get More Information, But
Separating The Child From Themother Is Not Necessary At This Time.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion And Maintenance
8. A 17-Year-Old Girl Is Hospitalized For Appendicitis, And Her Mother Asks
The Nurse Why She Is Soneedy And Acting Like A Child. The Best Response Of
The Nurse Is That InThe Hospital, Adolescents
a. Have Separation Anxiety.
b. Rebel Against Rules.
c. Regress Because Of Stress.
d. Want To Know Everything.
ANSWER: C
Regression To An Earlier Stage Of Development Is A Common Response To
Stress. Separation Anxiety Ismost Common In Infants And Toddlers. Rebellion
Against Hospital Rules Is Usually Not An Issue If The Adolescent Understands
The Rules And Would Not Create Childlike Behaviors. An Adolescent May
Wantto Know Everything With Their Logical Thinking And Deductive
Reasoning, But That Would Not ExplainwhyThey Would Act Like A Child.
,Chapter 2. Emerging Roles Of The Advanced Practice Nurse
Test Bank
Multiple
Choice
1. An APRN Is About To Examine A Patient In The Emergency Department. A
Colleague States To The APRN “This Patient Is Probably Just Seeking Pain
Medication.” Regardless Of His Or Her Colleague’s Comment He Or She Enter
The Examination Room And Treat The Patient As If He Or She Is Trustworthy
And Has Good Motives. Which Of The Ten Essential Elements Of Dignity Is
The APRN Utilizing?
a. Inclusion
b. Benefit Of The Doubt
c. Acceptance Of Identity
d. Recognition
ANSWER: B
Treating Others As If They Are Trustworthy, Starting With The Premise That They
Have Good Motives And Are Acting With Integrity Are All Key Points Of Benefit
Of The Doubt. Benefit Of The Doubt Is One Of The Ten Essential Elements Of
Dignity.
2. An APRN Approaches His Or Her Patients As Neither Inferior Nor Superior
And Gives Others The Freedom To Express Their Authentic Selves Without
Being Judged. Which Of The Ten Essential Elements Of Dignity Is The APRN
Utilizing?
