full test bank –
advanced practice nursing: essentials for role
development, 5th edition
all chapters covered 1-30
,table of contents
chapter 1 . advanced practice nursing: doing what has to be done-radicals, renegades, and rebels .......... 4
chapter 2. emerging roles of the advanced practice nurse ........................................................................... 8
chapter 3. role development: a theoretical perspective ............................................................................. 22
chapter 4. educational preparation of advanced practice nurses: looking to the future ........................... 28
chapter 5. global perspectives on advanced nursing practice .................................................................... 41
chapter 6. advanced practice nurses and prescriptive authority ................................................................ 48
chapter 7. credentialing and clinical privileges for the advanced practice registered nurse ...................... 54
chapter 8. the kaleidoscope of collaborative practice ................................................................................ 60
chapter 9. participation of the advanced practice nurse in health plans and quality initiatives ................ 67
chapter 10. public policy and the advanced practice registered nurse....................................................... 77
chapter 11. resource management ............................................................................................................. 81
chapter 12. mediated roles: working with and through other people ........................................................ 86
chapter 13. evidence-based practice .......................................................................................................... 91
chapter 14. advocacy and the advanced practice nurse ............................................................................. 98
chapter 15. case management and advanced practice nursing ............................................................... 102
chapter 16. the advanced practice nurse and research ............................................................................ 115
chapter 17. the advanced practice nurse: holism and complementary and integrative health approaches
.................................................................................................................................................................. 122
chapter 18. basic skills for teaching and the advanced practice nurse..................................................... 130
chapter 19. culture as a variable in practice ............................................................................................. 136
chapter 20. conflict resolution in advanced practice nursing ................................................................... 145
chapter 21. leadership for apns: if not now, when? ................................................................................. 152
chapter 22. information technology and the advanced practice nurse .................................................... 158
chapter 23. writing for publication ........................................................................................................... 172
chapter 24. measuring advanced practice nurse performance: outcome indicators, models of evaluation
and the issue of value ............................................................................................................................... 181
chapter 25. advanced practice registered nurses: accomplishments, trends, and future development .. 195
chapter 23: an integrative review of aprn outcomes and performance improvement ............................ 200
chapter 26. starting a practice and practice management ...................................................................... 203
chapter 27. the advanced practice nurse as employee or independent contractor: legal and contractual
considerations ........................................................................................................................................... 212
chapter 28. the law, the courts, and the advanced practice registered nurse ......................................... 220
chapter 29. malpractice and the advanced practice nurse ....................................................................... 233
,chapter 30. ethics and the advanced practice nurse ................................................................................ 238
,chapter 1 . advanced practice nursing: doing what has to be done-
radicals, renegades, and rebels
multiple choice
1. the nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose
of the headss adolescent risk profile when the new nurse responds 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 tool which assesses home,
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 physical
examination.
ref: 6 obj: nclex client needs category: health promotion and maintenance
2. the nurse preparing a teaching plan for a preschooler knows that, according to piaget, the
expected 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. concrete
operational describes the thinking of a school-age child (7 to 11 years old). formal operational
describes the thinking of an individual after about 11 years of age. sensorimotor describes the earliest
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 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.
ANSWER>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 as differentiation. 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 ii does 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 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
5. 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.
ANSWER>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
6. to plan early intervention and care for a child with a developmental delay, the nurse would
consider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
,ANSWER>c
function is one of the concepts most significantly impacted by development. others include 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 considered to significantly
affect development; the difference is the concepts that affect development are those that represent
major influencing factors (causes), hence determination of development and would be the 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 to
her toys and makes up stories. the mother wants her child to have a psychologic evaluation. the nurses
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 only on 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 the mother 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 so
needy and acting like a child. the best response of the nurse is that in the 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 is most
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 want to know
everything with their logical thinking and deductive reasoning, but that would not explain why they
would act like a child.
chapter 2. emerging roles of the advanced practice nurse
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.
advanced practice nursing: essentials for role
development, 5th edition
all chapters covered 1-30
,table of contents
chapter 1 . advanced practice nursing: doing what has to be done-radicals, renegades, and rebels .......... 4
chapter 2. emerging roles of the advanced practice nurse ........................................................................... 8
chapter 3. role development: a theoretical perspective ............................................................................. 22
chapter 4. educational preparation of advanced practice nurses: looking to the future ........................... 28
chapter 5. global perspectives on advanced nursing practice .................................................................... 41
chapter 6. advanced practice nurses and prescriptive authority ................................................................ 48
chapter 7. credentialing and clinical privileges for the advanced practice registered nurse ...................... 54
chapter 8. the kaleidoscope of collaborative practice ................................................................................ 60
chapter 9. participation of the advanced practice nurse in health plans and quality initiatives ................ 67
chapter 10. public policy and the advanced practice registered nurse....................................................... 77
chapter 11. resource management ............................................................................................................. 81
chapter 12. mediated roles: working with and through other people ........................................................ 86
chapter 13. evidence-based practice .......................................................................................................... 91
chapter 14. advocacy and the advanced practice nurse ............................................................................. 98
chapter 15. case management and advanced practice nursing ............................................................... 102
chapter 16. the advanced practice nurse and research ............................................................................ 115
chapter 17. the advanced practice nurse: holism and complementary and integrative health approaches
.................................................................................................................................................................. 122
chapter 18. basic skills for teaching and the advanced practice nurse..................................................... 130
chapter 19. culture as a variable in practice ............................................................................................. 136
chapter 20. conflict resolution in advanced practice nursing ................................................................... 145
chapter 21. leadership for apns: if not now, when? ................................................................................. 152
chapter 22. information technology and the advanced practice nurse .................................................... 158
chapter 23. writing for publication ........................................................................................................... 172
chapter 24. measuring advanced practice nurse performance: outcome indicators, models of evaluation
and the issue of value ............................................................................................................................... 181
chapter 25. advanced practice registered nurses: accomplishments, trends, and future development .. 195
chapter 23: an integrative review of aprn outcomes and performance improvement ............................ 200
chapter 26. starting a practice and practice management ...................................................................... 203
chapter 27. the advanced practice nurse as employee or independent contractor: legal and contractual
considerations ........................................................................................................................................... 212
chapter 28. the law, the courts, and the advanced practice registered nurse ......................................... 220
chapter 29. malpractice and the advanced practice nurse ....................................................................... 233
,chapter 30. ethics and the advanced practice nurse ................................................................................ 238
,chapter 1 . advanced practice nursing: doing what has to be done-
radicals, renegades, and rebels
multiple choice
1. the nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose
of the headss adolescent risk profile when the new nurse responds 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 tool which assesses home,
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 physical
examination.
ref: 6 obj: nclex client needs category: health promotion and maintenance
2. the nurse preparing a teaching plan for a preschooler knows that, according to piaget, the
expected 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. concrete
operational describes the thinking of a school-age child (7 to 11 years old). formal operational
describes the thinking of an individual after about 11 years of age. sensorimotor describes the earliest
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 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.
ANSWER>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 as differentiation. 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 ii does 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 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
5. 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.
ANSWER>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
6. to plan early intervention and care for a child with a developmental delay, the nurse would
consider knowledge of the concepts most significantly impacted by development, including
a. culture.
b. environment.
c. functional status.
d. nutrition.
,ANSWER>c
function is one of the concepts most significantly impacted by development. others include 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 considered to significantly
affect development; the difference is the concepts that affect development are those that represent
major influencing factors (causes), hence determination of development and would be the 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 to
her toys and makes up stories. the mother wants her child to have a psychologic evaluation. the nurses
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 only on 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 the mother 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 so
needy and acting like a child. the best response of the nurse is that in the 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 is most
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 want to know
everything with their logical thinking and deductive reasoning, but that would not explain why they
would act like a child.
chapter 2. emerging roles of the advanced practice nurse
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.
