Question 1

Which of the following accounts for the shift in nurse practitioners' (NPs') and certified nurse-midwives' (CNMs') practice settings?&#10;A) Population-driven needs&#10;B) Expansion in scope of practice&#10;C) Fragmentation in health care&#10;D) Physician residency education

Accepted Answer

Physician residency education&#10;

Question 2

Certified registered nurse anesthetists (CRNAs) have more autonomy in providing anesthesia care in which of the following settings?&#10;A) Rural hospitals&#10;B) Critical care units&#10;C) Skilled care facilities&#10;D) Outpatient surgery centers

Accepted Answer

CRNAs often have more autonomy in rural hospitals due to the shortage of anesthesiologists, allowing them to practice independently or with minimal supervision.

Question 3

Which of the following works directly with patients and is an expert in an area such as wound care, pain management, or diabetes care?&#10;A) Clinical nurse specialist (CNS)&#10;B) Certified nurse-midwife (CNM)&#10;C) Family nurse practitioner (FNP)&#10;D) Certified registered nurse anesthetist (CRNA)

Accepted Answer

Clinical nurse specialists (CNS) are advanced practice registered nurses who focus on a specific area of nursing practice, such as wound care, pain management, or diabetes care, and work directly with patients to improve outcomes and provide specialized care.

Question 4

Which of the following provides primary care to the poor or elderly in urban, rural, and underserved areas?&#10;A) Clinical nurse specialist (CNS)&#10;B) Certified nurse-midwife (CNM)&#10;C) Family nurse practitioner (FNP)&#10;D) Certified registered nurse anesthetist (CRNA)

Accepted Answer

Family nurse practitioners (FNPs) are trained to provide a wide range of care to diverse populations, including primary care services to the poor, elderly, and those in urban, rural, and underserved areas. They focus on health promotion, disease prevention, and management of common health problems, allowing them to serve as primary care providers.

Question 5

Which of the following facilitated direct Medicare reimbursement for nurse practitioners (NPs)?&#10;A) The Federal Register&#10;B) Balanced Budget Act of 1997&#10;C) American Nurses Association&#10;D) American Academy of Family Physicians

Accepted Answer

The Balanced Budget Act of 1997 facilitated direct Medicare reimbursement for nurse practitioners (NPs), recognizing their role in providing healthcare services and allowing them to bill Medicare directly for their services.

Question 6

Which of the following is thought to have had the greatest influence on advanced practice registered nurses' (APRNs') salaries?&#10;A) Gender&#10;B) Education&#10;C) Specialty area&#10;D) Practice setting

Accepted Answer

The answer of Which of the following is thought to...

Question 7

An advanced practice registered nurse (APRN) is developing a report describing patient conditions that have responded positively to nurse practitioner (NP) care. Which nurse-sensitive indicators delineated by the Agency for Healthcare Research and Quality (AHRQ) as responsive to nursing care should the APRN include? Select all that apply.

A) Pain
B) Pressure ulcers
C) Congestive heart failure
D) Ventilator-associated pneumonia
E) Catheter-associated urinary tract infections

Accepted Answer

Nurse-sensitive indicators are those outcomes that are directly impacted by nursing care. Pressure ulcers, ventilator-associated pneumonia, and catheter-associated urinary tract infections are conditions that can be significantly influenced by the quality of nursing care, including prevention measures, monitoring, and management practices. Pain and congestive heart failure, while managed by nurses, are not specifically listed as nurse-sensitive indicators by the AHRQ.

Question 8

An advanced practice registered nurse (APRN) is developing a report describing patient conditions that have responded positively to nurse practitioner (NP) care. Which nurse-sensitive indicators delineated by the Agency for Healthcare Research and Quality (AHRQ) as responsive to nursing care should the APRN include? Select all that apply.

A) Pain
B) Pressure ulcers
C) Congestive heart failure
D) Ventilator-associated pneumonia
E) Catheter-associated urinary tract infections

Accepted Answer

The Centers for Medicare and Medicaid Services (CMS) has linked reimbursement to quality indicators through various programs aimed at improving healthcare quality and patient outcomes. This includes initiatives like the Hospital Value-Based Purchasing Program, which adjusts hospitals' payments based on the quality of care they provide.

Question 9

Which of the following influenced blended nursing education programs to distinguish advanced practice registered nurse (APRN) roles?&#10;A) Consensus Model (LACE)&#10;B) Institute of Medicine (IOM)&#10;C) American Nurses Credentialing Center (ANCC)&#10;D) American Association of Colleges of Nursing (AACN)

Accepted Answer

The Consensus Model for APRN Regulation, also known as LACE (Licensure, Accreditation, Certification, and Education), was developed to standardize the roles and education of APRNs, influencing nursing education programs to clearly distinguish these roles.

Question 10

Which of the following has the most significant impact on an advanced practice registered nurse's (APRN's) professional identity?&#10;A) Practice settings&#10;B) Disciplinary focus&#10;C) Physician shortages&#10;D) Doctoral preparation

Accepted Answer

The disciplinary focus shapes an APRN's professional identity by defining their area of expertise and guiding their practice, values, and role within the healthcare system.

Deck 25: Advanced Practice Registered Nurses: Accomplishments, Trends, and Future Directions