Question 1

Which statement accurately describes how NP programs began?

Accepted Answer

The early NP degree programs were often continuing education programs and certificate programs that did not require a master's degree or even a baccalaureate degree.NP programs began with a focus on well children.The NP movement began in 1965 at the University of Colorado.

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?

Accepted Answer

Secondary prevention focuses on early detection and screening-screenings for blood pressure and cholesterol.Flu immunizations at churches and education on need for early detection are primary prevention strategies,and follow-up clinics for diabetes are a tertiary prevention strategy.

Question 3

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

Accepted Answer

Examinations are administered through the ANCC,which is part of the American Nurses Association.The National League for Nursing and state board of nursing do not provide professional certification for advanced practice nurses.

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?

Accepted Answer

An NP applies nursing knowledge with physical,psychosocial,and environmental assessment skills.An advanced practice nurse is a licensed professional nurse prepared at the master's level or doctoral level to take leadership roles in applying the nursing process and public health sciences to achieve specific health outcomes for the community.An APHN has a minimum of a master's degree and has specialized courses related to public health.Clinical nurse specialists influence care outcomes by providing expert consultation for nursing staffs and by implementing improvements in health care delivery systems.

Question 5

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

Accepted Answer

The consultant role is being practiced when an APHN provides other nurses with information on improving client care.As a researcher,the advanced practice nurse conducts their own investigations and collaborates with doctorate-prepared nurses,answering questions related to nursing practice and primary health care.As an administrator,the advanced practice nurse may be responsible for and have direct or indirect authority and supervision over the organization's staff and client care.As an educator,the advanced practice nurse provides formal and informal teaching.

Question 6

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

Accepted Answer

Primary health care includes public health and primary care services by definition.

Question 7

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

Accepted Answer

It was determined that educating community-oriented nurses could decrease morbidity among medically deprived children.Nursing practice for pediatric NPs included the identification,assessment,and management of common acute and chronic health problems,with appropriate referral of more complex problems to physicians.

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?

Accepted Answer

Nursing centers provide opportunities for collaborative practice among APHNs,NPs,baccalaureate-prepared nurses,and community members.Nursing centers address the health needs of vulnerable populations.Their central mission is community development; public involvement; interprofessional practice; and health promotion and disease prevention supported by the principles of primary health care.

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?

Accepted Answer

In the role of a clinician,the NP diagnoses actual or potential health problems; decides on treatment plans jointly with clients; intervenes to promote health,to protect against disease,to treat illness,to manage chronic disease,and to limit disability; and evaluates with the client and other primary care team members about how effective and comprehensive the nursing intervention may be in providing continuity of care.Disease prevention activities,identifying needs of populations at risk,and identifying health needs of the community are roles of an APHN.

Question 10

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

Accepted Answer

Many differences are seen between the APHN and the NP in the clinician role.APHNs are focused on the needs of the overall community,whereas NPs are focused on the care of individuals.APHNs and NPs both provide education within a nursing framework and as a professional nurse educator.Both may have administrative roles within the agency setting.Both may serve as consultants to help with problem solving for an individual,family,or community to improve health care delivery.

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?

Accepted Answer

Practicing within the role of clinician,the APHN is involved in conducting community assessments; identifying needs of populations at risk; and planning,implementing,and evaluating population-focused programs to achieve health goals.Diagnosing health problems,managing chronic disease,and limiting disability are roles of an NP.

Question 12

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

Accepted Answer

As of 1992,the American Nursing Credentialing Center (ANCC)required a master's degree or higher for NP certification.The practice doctorate is encouraged for NP certification,but is not required.

Question 13

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

Accepted Answer

The purpose of certification is to assure the public that nurses who claim to be competent at an advanced level have had their credentials verified through examination.Licensure verifies minimal competency levels of practice,not certification.Certification does not regulate the ability to become a nurse; that occurs with licensure.Certification does not create a network of nurses for the purpose of collaboration.

Question 14

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

Accepted Answer

The primary role of the NP in emergency departments is usually to manage nonemergent uninsured clients.Provision of health education about preventive care most likely would occur in an outpatient clinic,not in an emergency department.NPs are able to treat patients in this setting.Both medically insured and uninsured individuals will be seen in this practice setting.

Question 15

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

Accepted Answer

Certification for APHNs and NPs is for 5 years.

Question 16

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

Accepted Answer

Setting up a health fair with nursing students at a local university is an example of a population-focused intervention.Population-focused interventions address the needs of the community rather than only the needs of individuals.Teaching a new mother how to breastfeed and doing physical examinations on each preschool child are examples of individual-focused interventions.Contacting local officials about the rise in crime is an example of a system-focused intervention.

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?

Accepted Answer

A clinical nurse leader is defined as a nurse who is a master's prepared generalist who functions at the micro-system level and assumes accountability for health care outcomes for a specific group of clients within a unit or area.An NP applies nursing knowledge with physical,psychosocial,and environmental assessment skills.An APHN has a minimum of a master's degree and has specialized courses related to public health.A DNP is the preferred educational preparation for specialty advanced practice nurses.

Question 18

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

Accepted Answer

Primary prevention refers to those interventions aimed at preventing the occurrence of disease,injury,or disability.Classes on breast self-exam focus on preventing the occurrence of breast cancer.Secondary prevention refers to those interventions aimed at early detection and screening.Tertiary prevention refers to those interventions aimed at treatment and rehabilitation.Assessment is not a level of prevention.

Question 19

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

Accepted Answer

The APHN or NP functioning in the role of administrator is often responsible for and has direct authority and supervision over the staff and client care.As a consultant,the APHN engages in consultation and problem solving with individuals,families,and the community.As a researcher,the APHN works with doctorate-prepared nurses on research projects.As an educator,the APHN educates the public on current health care practices.

Question 20

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

Accepted Answer

APHNs and NPs often work in similar settings.APHNs and NPs have differing educational preparation depending on the specialty focus.The practices have continued to differ during the past decade.The clinical nurse specialist role typically does not involve prescriptive practice.

Quiz 39: The Advanced Practice Nurse in the Community