Examsrevision

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...

01: Advanced Practice Nursing: Doing What Has to Be Done-Radicals, Renegades, and Rebels 02. Emerging Roles of the Advanced Practice Nurse 03. Role Development: A Theoretical Perspective 04. Educational Preparation of Advanced Practice Nurses: Looking to the Future 05. Global Perspectives on Advanced Nursing Practice

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 ...

Chapter 11: Self-Perception and Self-Concept Chapter 12: Roles and Relationships Chapter 13: Coping and Stress Chapter 14: Values and Beliefs Chapter 15: End-of-Life Care

Chapter 01: Trends and Issues Chapter 02: Theories of Aging Chapter 03: Physiologic Changes Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations Chapter 05: Communicating with Older Adults

Chapter 16: Sexuality and Aging Chapter 17: Care of Aging Skin and Mucous Membranes Chapter 18: Elimination Chapter 19: Activity and Exercise Chapter 20: Sleep and Rest

Chapter 16: Sexuality and Aging Chapter 17: Care of Aging Skin and Mucous Membranes Chapter 18: Elimination Chapter 19: Activity and Exercise Chapter 20: Sleep and Rest

MULTIPLE CHOICE 1. The admitting nurse gives the new long-term care facility resident a score of 20 on the Braden Scale for Predicting Pressure Sore Risk. These scores indicate that the resident has which risk for pressure injury? a. A high probability of developing a pressure injury b. A moderate risk of developing a pressure injury c. A low risk of developing a pressure injury d. At least one pressure injury at the time of admission ANS: C Scores of 20 on the Braden Scale ind...

MULTIPLE CHOICE 1. What statement by a 65-year-old man who had a myocardial infarction 6 months ago would indicate a need for further teaching? a. “I’m enjoying the same sexual activities now as I did before my heart attack.” b. “I’m still pretty cautious, but our sex lives are very satisfactory.” c. “I’ve been told that I’m at risk for another heart attack if we have sex.” d. “My heart medications have caused erectile dysfunction, but we’ve found other method...

MULTIPLE CHOICE 1. Which statement by a patient’s spouse would indicate that the patient is experiencing myoclonus? a. “His loud snoring and jerking awake wakes me up, too.” b. “I am black and blue from his kicking me every night.” c. “He wakes up at 2 AM every morning and walks around the house.” d. “His constant leg movements tear up the covers and keep me awake.” ANS: B Myoclonus is a periodic kicking movement of the lower extremities, which can be severe. ...

MULTIPLE CHOICE 1. An older adult is performing isometric and isotonic exercises. Which action should the nurse suggest in order to prevent an accidental Valsalva maneuver? a. Hold the breath during an exercise cycle. b. Breathe through the mouth. c. Breathe deeply and rhythmically during an exercise cycle. d. Breathe in through the nose and out through the mouth. ANS: B Breathing through the mouth makes it impossible to hold the breath, and bearing down cannot be performed. Th...