Deck 39: The Advanced Practice Nurse in the Community

Question 1

Parish nursing is a concept that began in the 1960s. What is the purpose of parish nursing?

A) A nurse to function as health counselor, educator, and advocate for a group of people who worship together
B) To provide members of a congregation access to registered nurses
C) The primary care provider for a church group
D) A nurse of the same religion who can practice nursing that conforms to religious practices and rules

Answer 1

A nurse to function as health counselor, educator, and advocate for a group of people who worship together

Question 2

Nursing centers or clinics are a type of joint practice developed by advanced practice nurses. These centers provide:

A) Opportunities for collaborative relationships for CNS, NPs, baccalaureate-prepared nurses, and community members
B) Specialized care for certain medical conditions
C) A place for NPs to practice without worrying about autonomy
D) A center for primary prevention

Answer 2

Opportunities for collaborative relationships for CNS, NPs, baccalaureate-prepared nurses, and community members

Question 3

The NP is more likely than the CNS to be involved with:

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

Answer 3

Deciding on a treatment plan

Question 4

In the 1960s, a shortage of physicians occurred and there was a tendency for physicians to specialize. As this trend continued, a serious gap in primary health care services developed. Primary health care includes:

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

Question 5

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

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

Question 6

Professional certification exams for advanced practice nurses are offered by the:

A) American Nurses Association
B) National League for Nursing
C) State boards of nursing
D) Universities offering graduate degree programs

Question 7

When a CNS or NP provides other nurses with information on improving client care, which of the following roles is being practiced?

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

Question 8

An example of secondary prevention of a population-focused CNS activity is:

A) Flu immunizations at churches
B) Education on need for early detection
C) "Men's Night Out" event with screenings for blood pressure and cholesterol
D) Follow-up clinics for diabetics

Question 9

Certification for the community health CNS and NP is for:

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

Question 10

Population-focused interventions are often implemented to meet the needs of the communities. The CNS wishes to use this approach. Which of the following is an example of this type of intervention?

A) Setting up a health fair with nursing students at a local university to take blood pressures and do diabetic screening for a group of migrant workers
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 11

The CNS or NP functioning in the role of administrator:

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 12

The ability of NPs to diagnose and treat has increased the provision of health care, teaching, and client compliance with teaching plans. In some states standing orders for the management of certain illnesses exist. This implies:

A) All patients will be treated the same.
B) Nursing diagnoses are used as the basis of practice.
C) Assessment is based on the medical model and does not involve nursing.
D) The NP uses protocols or algorithms that were previously agreed upon by the physician and the NP.

Question 13

The nurse practitioner movement began at the University of Colorado with nurses providing:

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

Question 14

The purpose of certification is to:

A) Assure the public that nurses who claim to be competent at an advanced level have had their credentials verified through examination
B) Verify minimal competency levels of practice
C) Create a network for nurses to collaborate
D) Make it difficult to become a nurse

Question 15

As of 1992, the ANCC required which of the following for NP certification?

A) BSN
B) Master's or higher degree in nursing and NP education
C) BSN and completion of a formal NP program
D) MPH or MSN with a specialty in Community Health Nursing or Public Health Nursing

Question 16

In which role are the most differences seen between the community health clinical nurse specialist and the nurse practitioner?

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

Question 17

When the advanced practice nurse applies nursing knowledge with physical, psychosocial, and environmental assessment skills to respond to common health and illness problems, the nurse is referred to as a(n):

A) Advanced practice nurse
B) Community health nurse specialist
C) Nurse practitioner
D) Public health clinical nurse specialist

Question 18

The CNS is more likely than the NP to be involved with:

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

Question 19

Educational preparation for public health and community health CNS includes a master's degree. In contrast, the nurse practitioner (NP) degree:

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

Question 20

Which of the following is true about clinical nurse specialists and nurse practitioners?

A) They often work in similar settings.
B) They have identical educational preparation.
C) Debate on similarities has settled the similarities and differences.
D) The clinical nurse specialist role always involves prescriptive practice.

Question 21

The scope of practice of the nurse practitioner is defined by:

A) Reimbursement policies
B) Certification requirements
C) The nurse's educational preparation
D) The state's nurse practice act

Question 22

Factors causing stress for advanced practice nurses include which of the following? Select all that apply.

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

Question 23

The primary role of the nurse practitioner in emergency departments is usually to:

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

Question 24

The major stressor for the family nurse practitioner or clinical specialist is likely to be:

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

Question 25

Which of the following roles are shared by clinical nurse specialists and nurse practitioners? Select all that apply.

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

Question 26

One of the best ways for an interested clinical nurse specialist to establish an independent practice is to:

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