ADVANCED PRACTICE NURSING- ESSENTIAL KNOWLEDGE FOR THE PROFESSION 3RD EDITION DENISCO TEST BANK

ADVANCED PRACTICE NURSING- ESSENTIAL KNOWLEDGE FOR THE PROFESSION 3RD EDITION DENISCO TEST BANK A registered nurse is planning to extend his or her education beyond baccalaureate education into an advanced practice role. When choosing between CRNA, CNM, and NP these are delineations of which type? a. Reasoning b. Subspecialty c. Specialty d. Specialization ANS: C The term specialty suggests that the focus of practice is limited to parts of the whole (ANA, 2010b). Deciding on advanced practice nursing among CRNA, CNM, and NP requires knowledge that they are independent specialties. Specialties of NP at the highest level are psychiatric and mental health, pediatrics, and adult-gerontology. Subspecialties further differentiate the focus of practice such as family practice nurse practitioner, adult-gerontology nurse practitioner, and acute care among others. 49. A student is evaluating a program to attend. He or she finds an adult-gerontology nurse practitioner program that will also prepare him or her as a hospitalist. How is the hospitalist training best defined? a. Specialty b. Subspecialty c. Reasoning d. Specialization ANS: B Subspecialization further delineates the focus of practice. In subspecialty practice, knowledge and skill in a delimited clinical area is expanded further. Examples of subspecialties include diabetes care, acute care, pain management, and clinical transplant coordinator. 50. Which of the following most accurately describes the four stages in the evolution ofadvanced practice nursing? a. Interest occurs, specialty begins, specialty organizes, and pressures mount for standardization b. Specialty begins, specialty organizes, laws require standardization, maturity, and growing interprofessionalism c. Specialty begins, specialty organizes, pressures mount for standardization, maturity, and growing interprofessionalism d. Interest occurs, specialty begins, specialty organizes, and specialty matures ANS: C The four stages in the evolution of advanced practice nursing include: stage I: specialty begins, stage II: specialty organizes, stage III: pressures mount for standardization, and stage IV: maturity and growing interprofessionalism. 51. An adult-gerontology nurse practitioner works to enhance education for polypharmacy in elderly patients through the creation of standardized education tools. The NP works with other professionals at his or her facility to research and develop criteria for education and practice. This example is best classified as which stage? a. Specialty organizes b. Specialty standardizes c. Specialty begins d. Specialty matures and grows interprofessionally ANS: C Specialty stages are not concrete, but specialties that are in the beginning of development are in stage I: specialty beginning. Stage II: specialty organization is typically considered when a professional organization of like-minded individuals is officially formed. 52. A clinical transplant coordinator works with many aspects of the patient transplant process. Two national organizations currently provide education and preparation for certification of nurses. Which stage of organization is this specialty? a. Stage IV b. Stage II c. Stage I d. Stage III ANS: B The clinical transplant coordinator is currently a stage II specialty as it organizes and begins plans for standardization of care. 53. A national specialty committee is formed for a specific nursing specialty. This is an example of what stage of evolution of advanced practice nursing? a. Stage II: specialty organizes b. Stage I: specialty begins c. Stage IV: specialty matures d. Stage III: specialty standardizes ANS: A As national organizations form around specific specialties they are considered to be in stage II of the evolution of advanced practice nursing. 54. Two organizations are formed for a specific advanced practice nursing specialty. As interest in the specialty grows, legislation is required to govern aspects of care. To answer this call, the organizations must meet what stage of evolution of advanced practice nursing? a. Stage I: specialty begins b. Stage IV: specialty matures c. Stage III: specialty standardizes d. Stage II: specialty organization ANS: C As pressures mount for standardization, often for curriculum development or legislative pressure, standardization of practice must be obtained. This is often a difficult and lengthy process of stage III of the evolution of advanced practice nursing. 55. Hospitalist practice by advanced p