Advanced Practice Nursing Essentials

MULTIPLE CHOICE 1. A client tells the nurse that he believes watching old comedy movies has helped him achieve a quick recovery from orthopedic surgery. The nurse realizes this client has been using which of the following forms of complementary alternative medicine? 1. Meditation 2. Prayer 3. Humor 4. Music ANS: 3 Humor is a frequently used complementary alternative medicine therapy and one of the therapies most often used to promote wellness. Humor increases the ability to cope...

1. Which of the following is the overall goal of evidence-based practice? a. Produce generalizable new knowledge b. Combine the wisdom of experts in a given area of care c. Enhance quality of care by evaluating the effect of a specific action d. Application of best evidence to clinical decision making ANS: D The overall goal of evidence-based practice is to applythe current best evidence to clinical decision making for an individual patient, facility, or large group. 2. Which o...

1. Which role was first developed in Australia in 1986 and was formed from the United States’ model of the CNS role? a. Advanced Nurse Practitioner b. Clinical Nurse Advanced Specialist c. Clinical Nurse Practitioner d. Nurse Consultant ANS: D The Nurse Consultant role exists in Australia, the United Kingdom, and Hong Kong. It was first introduced in Australia in 1986 and was modeled after the CNS role in the United States. 2. A nurse in Australia obtains clinical experience ...

1. An APRN has recently graduated from his or her program of choice, obtained national certification, and is applying for licensure in his or her home state. Which of the following is true regarding prescriptive authority? a. Requires additional CE requirements to maintain b. Provided in all states with APRN licensure c. Requires separate licensure d. Varies among individual states and regulating agencies ANS: D Prescriptive authority remains as a regulatory hurdle for APRNs. Requi...

1. The legal authority granted to a professional to provide and be reimbursed for health care services refers to: a. Certification b. Scope of practice c. Practicing Role d. Education ANS: B Many things including state and federal laws define scope of practice. The APN NCSBN defines scope of practice as characterized by specialization, expansion of services provided, including diagnosing and prescribing, and autonomy to practice. An individual certification would fall under the umb...

1. After teaching a class about the views of medicine and the DNP, the instructor determines that additional teaching is necessary when the students identify which of the following as a current belief supported by the American Medical Association? a. The physician has the final authority for the patient. b. Doctors of nursing practice can practice independently. c. Medicine has the right to regulate advanced practice nurses. d. Medicine can identify the roles and functions of a DNP. ...

1. Poghosyan, Boyd, and Clarke (2016) proposed a comprehensive conceptual model including three factors: scope of practice regulations, institutional policies, and practice environments. What was their primary purpose? a. To discourage role ambiguity among CNS providers b. To enhance patient education provided by the APRN c. To maximize NP Contributions to primary care d. To provide educational practice guidelines to enhance NP education ANS: C The 2016 model provided a comprehensi...

1. Which of the following is best classified as role strain? a. A difficult disagreement with a physician b. An APN’s feelings of poor self-esteem after failing two examinations c. Maintaining family responsibilities while in school d. Starting a first job as an NP ANS: B Role strain is defined as the subjective feeling of frustration, tension, or anxiety in response to role stress. Examples of role strain typically include subjective feelings of decreased self-esteem when perfor...

1. Which of the following is necessary to create an environment of collaboration? a. Common purpose b. Similar ideologies c. Poor communication d. Ineffective methods e. Poor patient outcomes ANS: A Although all of the responses may lend to collaboration, only the presence of a common purpose or goal will facilitate ease of collaboration, as it is one of the key elements for collaboration. The most common goal in health care is to improve patient outcomes. Poor outcomes do not ne...

1. An elderly male patient is being seen by the APRN. Which of the following techniques for effective communication should be initially avoided? a. Speaking in a louder voice b. Appropriate touch c. Maintain eye contact d. Face the patient ANS: A Remember that assumptions should never be initially made about any patient and always speaking in a louder voice may be considered offensive. An elderly patient does not always have hearing loss or dementia, and strategies to assess the le...

1. Which of the following organizations issue certification for AG-ACNPs? a. American Nurses Credentialing Center and the American Association of Gerontology b. The state where he or she intends to practice c. American Nurses Credentialing Center and the American Association of Critical-Care d. American Association of Critical-Care and the Emergency Nurses Association ANS: C American Nurses Credentialing Center and the American Association of CriticalCare issue certification for th...

1. 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. 2. A national specialty committee is formed for a sp...

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...

MULTIPLE CHOICE 1. Medical care provided by primary care providers (PCMD, PCNP) as part of the patient- centered medical home (PCMH) model encompasses the full spectrum of primary care including standards of accessibility, continuity, comprehensiveness, integrated care, and interprofessional care. This model was first defined for what population group? a. Geriatrics b. Gynecology c. Pediatrics d. Mental health ANS: C The patient-centered medical home (PCMH) model was first devel...

MULTIPLE CHOICE 1. Which of the following are defined as the four elements of core competency development in ethical decision making for APRNs? a. Knowledge development, knowledge application, creating an ethical environment, promoting social justice b. Knowledge development, educating others, creating an ethical environment, promoting social justice c. Knowledge development, knowledge application, effective communication, promoting social justice d. Knowledge development, knowledge ...