Deck 39: The Advanced Practice Nurse in the Community

Question 1

Which statement accurately describes how NP programs began?

A) Started as a physician's assistant program
B) Were an offshoot of midwifery
C) Have not always required a master's degree
D) Began in Europe and didn't reach the United States until 1970

Answer 1

Have not always required a master's degree

Question 2

A population-focused advanced public health nursing activity is implementing a secondary prevention strategy.Which of the following best describes the intervention that is being completed?

A) Flu immunizations at churches
B) Education on need for early detection
C) Screenings for blood pressure and cholesterol
D) Follow-up clinics for diabetics

Answer 2

Screenings for blood pressure and cholesterol

Question 3

An advanced practice nurse is pursuing professional certification.Who will the nurse need to contact to obtain certification?

A) American Nurses Association
B) National League for Nursing
C) State board of nursing
D) Department of Health and Human Services

Answer 3

American Nurses Association

Question 4

An advanced practice nurse uses knowledge and physical,psychosocial,and environmental assessment skills to respond to common health and illness problems.Which of the following best describes this individual?

A) Advanced practice nurse
B) APHN
C) NP
D) Clinical nurse specialist

Question 5

An APHN provides other nurses with information about how to improve client care.Which of the following roles is being performed?

A) Researcher
B) Administrator
C) Educator
D) Consultant

Question 6

An NP is employed in a primary health care setting.Which services are most likely provided in this setting?

A) Primary health services and prison medicine services
B) Public health and primary care services
C) Family practice and geriatrics care
D) Home health and school health services

Question 7

The NP movement began at the University of Colorado with nurses providing _____ care.

A) maternity
B) well-child
C) nursing home
D) diabetes

Question 8

An APHN has been working with multiple agencies to establish a nursing center in the community.What is the purpose of creating a nursing center?

A) To provide opportunities for collaborative relationships
B) To offer specialized care for certain medical conditions
C) To promote the autonomy of NPs
D) To focus on primary prevention for the community

Question 9

An NP has recently been hired by a public health department.Which of the following best describes what the NP will most likely be doing in this role?

A) Disease prevention activities
B) Deciding on a treatment plan
C) Identifying needs of populations at risk
D) Identifying health needs of the community

Question 10

In which role are the most differences seen between the APHN and the NP?

A) Administrator
B) Clinician
C) Consultant
D) Educator

Question 11

An APHN has recently been hired by a public health department.Which of the following best describes what the PHN will most likely be doing in this role?

A) Diagnosing health problems
B) Managing chronic disease
C) Limiting disability
D) Conducting community assessments

Question 12

A registered nurse (RN)would like to become an NP.Which level of education is required?

A) Bachelor of science in nursing degree
B) Master's or higher degree in nursing and NP education
C) Bachelor of science in nursing degree and completion of a formal NP program
D) Master's degree with a specialty in public health nursing

Question 13

An advanced practice nurse has obtained certification.Which of the following provides the rationale for receiving certification?

A) To assure competence at an advanced level
B) To verify minimal competency levels of practice
C) To create a network for nurses to collaborate
D) To make it difficult to become a nurse

Question 14

An NP recently began employment in an emergency department.What would the primary role of the NP be in this setting?

A) Triage clients
B) Manage nonemergent client problems
C) Assess medically uninsured clients
D) Provide health education about preventive health care

Question 15

An APHN is completing the process for certification renewal in the specialty.What time period has passed making renewal necessary?

A) 1 year
B) 3 years
C) 5 years
D) 7 years

Question 16

A nurse is performing a population-focused intervention.Which of the following activities is the nurse most likely completing?

A) Setting up a health fair with nursing students at a local university
B) Teaching a new mother how to breastfeed
C) Completing a physical examination on a preschool child
D) Contacting local officials about the rise in crime in one area of the city

Question 17

A student is pursuing a graduate nursing education with preparation as a generalist,functioning at the micro-systems level,and assuming accountability for health care outcomes for a specific group of clients.Which educational preparation is this student receiving?

A) Clinical nurse leader
B) APHN
C) NP
D) Doctor of Nursing Practice (DNP)

Question 18

An APHN is offering classes on breast self-exam.Which of the following levels of prevention is being implemented?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Question 19

An APHN is working as an administrator.Which of the following would the nurse most likely be doing?

A) Engaging in consultation and problem solving with individuals, families, and the community
B) Providing direct authority and supervision over the staff and client care
C) Working with doctorate-prepared nurses on research projects
D) Educating the public on current health care practices

Question 20

Which statement about advanced public health nurses (APHNs)and nurse practitioners (NPs)is correct?

A) They often work in similar settings.
B) They have identical educational preparation.
C) Their practices have become more similar during the past decade.
D) The clinical nurse specialist role always involves prescriptive practice.

Question 21

Which is most likely to be a major stressor for an APHN?

A) Autonomy of practice
B) Professional isolation
C) Flexible work hours
D) Collaboration

Question 22

Which functions are shared by APHNs and NPs? (Select all that apply.)

A) Leadership
B) Research
C) Comprehensive assessment
D) Systems focus
E) Community assessment

Question 23

An NP recently obtained licensure and certification as an advanced RN.Where would the nurse find information about prescriptive privileges?

A) Reimbursement policies
B) Certification requirements
C) Educational preparation
D) Nurse practice acts

Question 24

Which factors cause stress for advanced practice nurses? (Select all that apply.)

A) Legal issues
B) Professional isolation
C) Conflicting expectations
D) Role confusion
E) Advanced education

Question 25

An APHN wants to establish an independent practice.Which is the best method to achieve this goal?

A) Act as a legal expert
B) Learn complex assessment skills
C) Market a service package
D) Serve as a liaison for community programs

Question 26

An NP is investigating regulations for third-party reimbursement.Which information will the NP most likely discover?

A) NPs are reimbursed when directly supervised by a physician.
B) NPs only receive reimbursement when working in rural areas.
C) NPs are reimbursed at 85% of the physician rate.
D) NPs are unable to be reimbursed by Medicare and Medicaid.