TEST BANK FOR
ADVANCED PRACTICE NURSING: ESSENTIALS FOR ROLE
DEVELOPMENT 4TH EDITION LUCILLE A. JOEL
, lOMoAR cPSD| 25701531
Table of Contents
Chapter 1. Advanced Practice Nursing: Doing What Has to Be Done Radicals, Renegades, and Rebels ............ 3
Chapter 2. Emerging Roles of the Advanced Practice Nurse ............................................................................... 6
Chapter 3. Role Development: A Theoretical Perspective ................................................................................ 17
Chapter 4. Educational Preparation of Advanced Practice Nurses: Looking to the Future .............................. 22
Chapter 5. Global Perspectives on Advanced Nursing Practice ......................................................................... 31
Chapter 6. Advanced Practice Nurses and Prescriptive Authority .................................................................... 37
Chapter 7. Credentialing and Clinical Privileges for the Advanced Practice Registered Nurse......................... 41
Chapter 8. The Kaleidoscope of Collaborative Practice ..................................................................................... 46
Chapter 9. Participation of the Advanced Practice Nurse in Health Plans and Quality Initiatives .................... 51
Chapter 10. Public Policy and the Advanced Practice Registered Nurse........................................................... 58
Chapter 11. Resource Management .................................................................................................................. 63
Chapter 12. Mediated Roles: Working With and Through Other People .......................................................... 68
Chapter 13. Evidence-Based Practice ................................................................................................................ 71
Chapter 14. Advocacy and the Advanced Practice Nurse.................................................................................. 76
Chapter 15. Case Management and Advanced Practice Nursing ...................................................................... 80
Chapter 16. The Advanced Practice Nurse and Research.................................................................................. 89
Chapter 17. The Advanced Practice Nurse: Holism and Complementary and Integrative HealthApproaches . 96
Chapter 18. Basic Skills for Teaching and the Advanced Practice Nurse ......................................................... 105
Chapter 19. Culture as a Variable in Practice .................................................................................................. 110
Chapter 20. Conflict Resolution in Advanced Practice Nursing ....................................................................... 119
Chapter 21. Leadership for APNs: If Not Now, When? .................................................................................... 125
Chapter 22. Information Technology and the Advanced Practice Nurse ........................................................ 130
Chapter 23. Writing for Publication ................................................................................................................. 143
Chapter 24. Measuring Advanced Practice Nurse Performance: Outcome Indicators, Models of Evaluation
and the Issue of Value ..................................................................................................................................... 151
Chapter 25: An Integrative Review of APRN Outcomes and Performance Improvement .............................. 168
Chapter 26. Starting a Practice and Practice Management ............................................................................. 170
Chapter 27. The Advanced Practice Nurse as Employee or Independent Contractor: Legal and Contractual
Considerations ................................................................................................................................................. 178
Chapter 28. The Law, The Courts, and the Advanced Practice Registered Nurse ........................................... 184
Chapter 29. Malpractice and the Advanced Practice Nurse ............................................................................ 196
Chapter 30. Ethics and the Advanced Practice Nurse ..................................................................................... 201
, lOMoAR cPSD| 25701531
Chapter 1. Advanced Practice Nursing: Doing What Has to Be Done Radicals, Renegades, and Rebels
MULTIPLE CHOICE
1. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ANS: C
Regression to an earlier stage of development is a common response to stress. Separation anxiety is
most common in infants and toddlers. Rebellion against hospital rules is usually not an issue if the
adolescent understands the rules and would not create childlike behaviors. An adolescent may want
to know everything with their logical thinking and deductive reasoning, but that would not explain
why they would act like a child.
2. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to
her toys and makes up stories. The mother wants her child to have a psychologic evaluation. The
nurses best initial response is to
a. refer the child to a psychologist.
b. explain that playing make believe with dolls and people is normal at this age.
c. complete a developmental screening.
d. separate the child from the mother to get more information.
ANS: B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at
this age. A referral to a psychologist would be premature based only on the complaint of the
mother. Completing a developmental screening would be very appropriate but not the initial
response. The nurse would certainly want to get more information, but separating the child from the
mother is not necessary at this time.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
, lOMoAR cPSD| 25701531
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
Growth is a quantitative change in which an increase in cell number and size results in an increase
in overall size or weight of the body or any of its parts. The processes by which early cells
specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to as
development. Qualitative changes associated with aging are referred to as maturation.
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nurse when a mother asks what the Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANS: C
The Denver II is the most commonly used measure of developmental status used by health care
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a
thorough neurodevelopment history and physical examination. Developmental delay, which is
suggested by screening, is a symptom, not a diagnosis. The need for any therapy would be
identified with a comprehensive evaluation, not a screening tool. Some providers use the Denver II
as a framework for teaching about expected development, but this is not the primary purpo se of the
tool.
ADVANCED PRACTICE NURSING: ESSENTIALS FOR ROLE
DEVELOPMENT 4TH EDITION LUCILLE A. JOEL
, lOMoAR cPSD| 25701531
Table of Contents
Chapter 1. Advanced Practice Nursing: Doing What Has to Be Done Radicals, Renegades, and Rebels ............ 3
Chapter 2. Emerging Roles of the Advanced Practice Nurse ............................................................................... 6
Chapter 3. Role Development: A Theoretical Perspective ................................................................................ 17
Chapter 4. Educational Preparation of Advanced Practice Nurses: Looking to the Future .............................. 22
Chapter 5. Global Perspectives on Advanced Nursing Practice ......................................................................... 31
Chapter 6. Advanced Practice Nurses and Prescriptive Authority .................................................................... 37
Chapter 7. Credentialing and Clinical Privileges for the Advanced Practice Registered Nurse......................... 41
Chapter 8. The Kaleidoscope of Collaborative Practice ..................................................................................... 46
Chapter 9. Participation of the Advanced Practice Nurse in Health Plans and Quality Initiatives .................... 51
Chapter 10. Public Policy and the Advanced Practice Registered Nurse........................................................... 58
Chapter 11. Resource Management .................................................................................................................. 63
Chapter 12. Mediated Roles: Working With and Through Other People .......................................................... 68
Chapter 13. Evidence-Based Practice ................................................................................................................ 71
Chapter 14. Advocacy and the Advanced Practice Nurse.................................................................................. 76
Chapter 15. Case Management and Advanced Practice Nursing ...................................................................... 80
Chapter 16. The Advanced Practice Nurse and Research.................................................................................. 89
Chapter 17. The Advanced Practice Nurse: Holism and Complementary and Integrative HealthApproaches . 96
Chapter 18. Basic Skills for Teaching and the Advanced Practice Nurse ......................................................... 105
Chapter 19. Culture as a Variable in Practice .................................................................................................. 110
Chapter 20. Conflict Resolution in Advanced Practice Nursing ....................................................................... 119
Chapter 21. Leadership for APNs: If Not Now, When? .................................................................................... 125
Chapter 22. Information Technology and the Advanced Practice Nurse ........................................................ 130
Chapter 23. Writing for Publication ................................................................................................................. 143
Chapter 24. Measuring Advanced Practice Nurse Performance: Outcome Indicators, Models of Evaluation
and the Issue of Value ..................................................................................................................................... 151
Chapter 25: An Integrative Review of APRN Outcomes and Performance Improvement .............................. 168
Chapter 26. Starting a Practice and Practice Management ............................................................................. 170
Chapter 27. The Advanced Practice Nurse as Employee or Independent Contractor: Legal and Contractual
Considerations ................................................................................................................................................. 178
Chapter 28. The Law, The Courts, and the Advanced Practice Registered Nurse ........................................... 184
Chapter 29. Malpractice and the Advanced Practice Nurse ............................................................................ 196
Chapter 30. Ethics and the Advanced Practice Nurse ..................................................................................... 201
, lOMoAR cPSD| 25701531
Chapter 1. Advanced Practice Nursing: Doing What Has to Be Done Radicals, Renegades, and Rebels
MULTIPLE CHOICE
1. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so
needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything.
ANS: C
Regression to an earlier stage of development is a common response to stress. Separation anxiety is
most common in infants and toddlers. Rebellion against hospital rules is usually not an issue if the
adolescent understands the rules and would not create childlike behaviors. An adolescent may want
to know everything with their logical thinking and deductive reasoning, but that would not explain
why they would act like a child.
2. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to
her toys and makes up stories. The mother wants her child to have a psychologic evaluation. The
nurses best initial response is to
a. refer the child to a psychologist.
b. explain that playing make believe with dolls and people is normal at this age.
c. complete a developmental screening.
d. separate the child from the mother to get more information.
ANS: B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at
this age. A referral to a psychologist would be premature based only on the complaint of the
mother. Completing a developmental screening would be very appropriate but not the initial
response. The nurse would certainly want to get more information, but separating the child from the
mother is not necessary at this time.
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
, lOMoAR cPSD| 25701531
REF: 5 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference between growth and
development would best describe growth as
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight.
ANS: D
Growth is a quantitative change in which an increase in cell number and size results in an increase
in overall size or weight of the body or any of its parts. The processes by which early cells
specialize are referred to asdifferentiation. Psychosocial and cognitive changes are referred to as
development. Qualitative changes associated with aging are referred to as maturation.
REF: 2 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most appropriate response of the nurse when a mother asks what the Denver II does is that it
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool.
d. provides a framework for health teaching.
ANS: C
The Denver II is the most commonly used measure of developmental status used by health care
professionals; it is a screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a
thorough neurodevelopment history and physical examination. Developmental delay, which is
suggested by screening, is a symptom, not a diagnosis. The need for any therapy would be
identified with a comprehensive evaluation, not a screening tool. Some providers use the Denver II
as a framework for teaching about expected development, but this is not the primary purpo se of the
tool.
