Examsrevision

1. An APRN wishes to become familiar with all of the reporting measures or metrics required by his or her specific practice. Which of the following would be the best resource for this information? a. National Institutes of Health b. The Joint Commission c. National Quality Forum d. Medicaid Adult Health Care Quality Measures Program ANS: C The National Quality Forum (NQF) Community Tool to Align Measurement provides a resource and hyperlinks to quality measures and the information ...

MULTIPLE CHOICE 1. The RN delegates changing a sterile dressing over a central line to a licensed practical/vocational nurse (LPN/LVN). The LPN/LVN contaminated the site during the dressing change, and an infection developed in the patient. Which of the following statements is true? a. The LPN/LVN is guilty of malpractice. b. The RN is ultimately responsible for acts he or she delegates. c. The hospital cannot be held responsible for the acts of its employees. d. A malpractice suit c...

1. A 40-year-old female has smoked two packs of cigarettes per day for the past 25 years. She has no current health issues. When questioned by the APRN if she is interested in quitting she immediately states, “I like smoking, and I’m still healthy. I don’t want to quit.” Which stage of change best classifies this patient’s willingness to stop smoking? a. Contemplation b. Precontemplation c. Preparative d. Action e. Maintenance ANS: B The patient is in the precontemplati...

Multiple Choice 1. Multiple studies have compared APRN care to physician care in the United States and Canada. What have these results mostly shown? a. The care provided is equivalent across all categories b. The care provided is mostly equivalent, with patient satisfaction from APRN care superior to physician care in some studies. c. Physician care is superior to APRN care d. APRN care is superior to physician care ANS: B APRN care as compared to physician care has shown that ...

MULTIPLE CHOICE 1. A nurse returns to practice after 15 years in retirement. Her life savings became depleted due to several poor investments and an Internet scam. It has been several years since the nurse worked on a patient care unit. During orientation the nurse asked the instructor, Are patient charts still kept at the front desk? The best response by the instructor would be that the hospital has integrated informatics into patient care and they now use: a. CIS. b. EHR. c. FAX. d....

MULTIPLE CHOICE 1. An independent group of items, people, or procedures with a common purpose is called a(n): a. process. b. goal. c. system. d. organization. ANS: C Systems are independent groups of people, processes, or items with a common purpose or goal. Organizations are made up of various systems such as different departments (i.e., radiology, laboratory, and cardiology) or processes (i.e., QI or risk management departments). PTS: 1 DIF: Knowledge REF: IMPROVEMENT OF TH...

1. Which of the following can be used by an APRN as a strategy to answer behavior-based and hypothetical questions? a. STATE Model® b. SHARE Model® c. CARE Model® d. DARE Model® ANS: B The SHARE Model® provides a strategy for answering behavior-based and hypothetical questions by (1) describing a specific situation, (2) identifying hindrances or challenges, (3) explaining the action taken, (4) discussing the results or outcomes, and (5) evaluating or summarizing what ...

Chapter 16. The Advanced Practice Nurse and Research Chapter 17. The Advanced Practice Nurse: Holism and Complementary and Integrative Health Approaches Chapter 18. Basic Skills for Teaching and the Advanced Practice Nurse Chapter 19. Culture as a Variable in Practice Chapter 20. Conflict Resolution in Advanced Practice Nursing

MULTIPLE CHOICE 1. A patient states, I have knowledge about my diet and how to do my insulin injections, so I can get on with my life. In which stage of illness is this patient? a. Disbelief and denial b. Irritability and anger c. Attempting to gain control d. Acceptance and participation ANS: D Feedback A. The person in the first stage believes that the symptoms do not really represent illness and will go away. B. At the second stage the person is angry at the body for no...

Multiple Choice 1. Rather than focusing on a problem, which leadership model seeks to find positives through conversations and relationship building? a. Roving leadership b. Appreciative inquiry c. Systems leadership d. Situational leadership ANS: B Appreciative inquiry seeks to find positives through appreciative conversations and relationship building. 2. A well-trusted and liked clinician at an institution speaks to groups of APRNs about his or her experiences as a means...

Chapter 11. Resource Management Chapter 12. Mediated Roles: Working with and Through Other People Chapter 13. Evidence-Based Practice Chapter 14. Advocacy and the Advanced Practice Nurse Chapter 15. Case Management and Advanced Practice Nursing

1. The two biggest problems in health care today are related to: a. centralized patient data and flow of information. b. patient safety and soaring health care costs. c. physician/patient conflicts and consumer groups. d. clinical expertise and conflict management skills. ANS: B The two biggest problems in health care today are related to patient safety and soaring costs. PTS: 1 DIF: Comprehension REF: INNOVATION 2. A conflict management technique where both sides work togeth...

MULTIPLE CHOICE 1. An APRN is working in an outpatient care clinic for diabetics. He or she is responsible for starting newly diagnosed diabetic patients on long-acting basal insulin to control their fasting morning blood glucose levels. The APRN starts a 55-year-old obese patient 35 units of long- acting insulin nightly. The APRN chooses this dose solely based on the weight of the patient and does not review the patient’s current medication list. The APRN has previously used this method su...

MULTIPLE CHOICE 1. A registered nurse is concerned about the patients perceptions and feelings about the quality of life that they experience after a diagnosis of liver cancer. Which is the most appropriate type of research study the nurse should use to gather information about this situation? a. Quantitative study b. Randomized trial c. Qualitative study d. Case controlled study ANS: C Qualitative research offers analysis of interviews, observations, and/or surveys to measure p...

MULTIPLE CHOICE 1. The single most important reason for the decline in the number of hospitalbased diploma programs was a. shift in hospital occupancy from acute care to home care. b. increase in hospital-based medical residency programs competing for educational dollars. c. beginning of associate degree programs that were shorter in length. d. diploma educations position outside the mainstream of higher education. ANS: D Feedback A. The increase in complexity of health care ...

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...

6. Advanced Practice Nurses and Prescriptive Authority 7. Credentialing and Clinical Privileges for the Advanced Practice Registered Nurse 8. The Kaleidoscope of Collaborative Practice 9. Participation of the Advanced Practice Nurse in Health Plans and Quality Initiatives 10. Public Policy and the Advanced Practice Registered Nurse

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...