Nursing: Essentials For Role Development
5th Edition, (2025 Update) By Lucille A. Joel;
All Chapters 1-30| 4 Units| Verified With
Detailed Answers| Rated A+
Unit 1: Foundations of Advanced Practice Nursing (Chapters 1–8)
1. Which of the following best describes the role of an APRN in a healthcare system?
A. Performing clerical tasks
B. Providing independent patient diagnosis and management
C. Only supervising nursing assistants
D. Only bedside care
Answer: B
Rationale: APRNs have advanced education enabling them to assess, diagnose, and manage
patient care independently, including prescribing medications in many states.
2. True or False: APRNs must always work under a physician’s supervision.
Answer: False
Rationale: Scope of practice depends on state regulations; some states allow full independent
practice.
3. Scenario: A newly graduated APRN is transitioning to clinical practice. Which strategy is most
effective?
A. Avoid evidence-based resources
B. Seek mentorship and continuing education
C. Limit patient interactions
D. Ignore interprofessional collaboration
Answer: B
Rationale: Mentorship and ongoing education support role development and effective
transition.
4. Which is the most reliable source for evidence-based decision-making?
A. Social media
,B. Peer-reviewed journals
C. Personal anecdotes
D. Pharmaceutical brochures
Answer: B
Rationale: Evidence-based practice relies on critically appraised research from peer-reviewed
journals.
5. Scenario: An APRN encounters a patient with multiple comorbidities. The first step should be:
A. Prescribe medications immediately
B. Conduct a comprehensive assessment
C. Refer without assessment
D. Apply textbook treatment without evaluation
Answer: B
Rationale: Comprehensive assessment ensures safe and personalized care.
6. True or False: APRNs are responsible for advocating for patients’ health rights.
Answer: True
Rationale: Advocacy is a core component of advanced practice nursing.
7. Which leadership style encourages team participation and shared decision-making?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Democratic leadership fosters collaboration and enhances clinical team
performance.
8. Scenario: A patient refuses treatment due to personal beliefs. The APRN should:
A. Force treatment
B. Respect the patient’s decision while providing education
C. Ignore the refusal
D. Document minimally and proceed
Answer: B
Rationale: Ethical practice requires respecting autonomy while ensuring the patient is
informed.
9. Which competency is most critical for APRNs in interprofessional collaboration?
A. Technical skills only
B. Communication and negotiation
C. Working alone
D. Supervisory authority
, Answer: B
Rationale: Effective communication and negotiation are vital for collaborative care.
10. True or False: APRNs can prescribe medications without considering patient-specific
factors.
Answer: False
Rationale: Safe prescribing requires consideration of comorbidities, allergies, and
pharmacokinetics.
11. Scenario: An APRN identifies a potential error in a colleague’s order. The best action is:
A. Ignore it
B. Address it through proper channels
C. Correct it without documentation
D. Wait for someone else to act
Answer: B
Rationale: Patient safety requires professional intervention and documentation.
12. Which concept emphasizes the integration of research evidence, clinical expertise, and
patient preferences?
A. Clinical autonomy
B. Evidence-based practice
C. Organizational hierarchy
D. Policy compliance
Answer: B
Rationale: Evidence-based practice combines research, expertise, and patient values for
optimal outcomes.
13. True or False: APRNs are accountable for the outcomes of their delegated tasks.
Answer: True
Rationale: Delegation does not remove accountability for patient care outcomes.
14. Which strategy best supports ongoing professional role development?
A. Avoiding professional organizations
B. Engaging in continuing education and networking
C. Limiting practice scope
D. Isolating from colleagues
Answer: B
Rationale: Networking and lifelong learning enhance professional growth.
15. Scenario: A patient has limited health literacy. The APRN should:
A. Use complex medical terminology
B. Simplify information and verify understanding