Deck 39: The Advanced Practice Nurse in the Community

Question 1

An advanced practice nurse who uses knowledge and physical,psychosocial,and environmental assessment skills to respond to common health and illness problems is referred to as a(n):

A) Advanced practice nurse
B) Advanced public health nurse
C) Nurse practitioner
D) Clinical nurse specialist

Answer 1

Nurse practitioner

Question 2

A registered nurse would like to become a nurse practitioner.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

Answer 2

Master's or higher degree in nursing and NP education

Question 3

In which role are the most differences seen between the advanced public health nurse and the nurse practitioner?

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

Answer 3

Clinician

Question 4

Which activity is more likely to be performed by a nurse practitioner than by an advanced public health nurse?

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 5

As an administrator,the advanced public health nurse:

A) Engages in consultation and problem solving with individuals, families, and the community
B) Is often responsible for and has direct authority and supervision over the staff and client care
C) Works with doctorally prepared nurses on research projects
D) Educates the public on current health care practices

Question 6

When an advanced public health nurse provides other nurses with information on improving client care,which role is being performed?

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

Question 7

Which statement accurately describes how nurse practitioner (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

Question 8

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

A) Clinical nurse leader
B) Advanced public health nurse
C) Nurse practitioner
D) Doctor of Nursing Practice

Question 9

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

A) Maternity
B) Well-child
C) Nursing home
D) Diabetes

Question 10

A nurse practitioner (NP)recently began employment in an emergency department.What would the primary role of the NP be in this setting?

A) To triage clients
B) To manage non-emergent client problems
C) To assess medically uninsured clients
D) To provide health education about preventive health care

Question 11

Classes on breast self-exam are an example of which of the following levels of prevention with regard to population-focused advanced public health nursing activities?

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

Question 12

An advanced public health nurse is more likely than a nurse practitioner to be involved with:

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

Question 13

Which is an example of a population-focused intervention?

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

Question 14

Why is it necessary for nurses to obtain 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 15

A nurse practitioner 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 16

An advanced public health nurse 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 nurse practitioners
D) To focus on primary prevention for the community

Question 17

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

Question 18

An example of secondary prevention of a population-focused advanced public health nursing activity is:

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

Question 19

An advanced public health nurse 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 20

Which statement about advanced public health nurses and nurse practitioners 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

An advanced public health nurse 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 22

A nurse practitioner recently obtained licensure and certification as an advanced practice registered nurse.Where would the nurse find information about prescriptive privileges?

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

Question 23

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

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

Question 24

A nurse practitioner is investigating regulations for third-party reimbursement.Which information will the nurse practitioner most likely discover?

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

Question 25

Which is most likely to be a major stressor for an advanced public health nurse?

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

Question 26

Which functions are shared by advanced public health nurses and nurse practitioners? Select all that apply.

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