ADVANCED PRACTICE NURSING EXAM
QUESTIONS AND 100% VERIFIED ANSWERS
LATEST 2026 | GRADED A+ | GUARANTEED PASS!!
2005 Donabedian Model
- answer-- usede to evaluate quality of APRN care
- Three quality dimensions 1. structure 2. process 3. outcomes
- structure is care delivery context and factors that dictate how providers and
patients behave (setting in which care occurs)
- process is action taken in the delivery of health care (what is actually done in
giving and receiving care)
- outcome is the effect of health care on patients and populations (effects of care on
the health status of patients and populations)
- model is core of all other outcome measurments and role impact models
- variables can be studied independently or as a model for overall APRN practice
- Nursing role effectiveness model is based on this concept
Accountable Care Organizations (ACOs)
- answer-- organizations or structures that assume responsibilities for a defined
population of patients across a continuum of care, held accountable through
payments linked to value, reliable performance measurements demonstrate savings
are achieved with imporvements in care
- key feature under reform of ACA
- desgined to support properly coordinated care within a network (ensure patient
care is coordinated and get right care at the right time with goal of avoiding
unnecessary duplication of services and preventing medical errors)
- Successful ACOs share savings with Medicare Program
- create a more integrated system that can coordinate better and improve quality
and managing costs created by ACA
- give APRN opportunity to demonstrate ability to diagnose, manage, and
coordinate care for every type of patient population
- shared savings program for ACOs 1. consumer assessment of health care
providers and systems (CAHPS) 2. care coordination and patient safety 3.
preventative health 4. at risk populations
Advanced Practice Nurse Roles
- answer-1. Nurse Practitioner
,2. Clinical Nurse Specialist
3. Certified Registered Nurse Anesthetist
4. Certified Nurse Midwife
APRN Practice Model
- answer-- Consensus model?
- Hamric Integrative Model of Advanced Practice Nursing
- conceptual definition of APN and define characteristics that include primary
critera (graduate education, certification in specialty, focus on Clinical practice
with patients) and a set of core competencies (direct clinical practice,
collaboration, guidance and coaching, evidence based practice, ethical decision
making, consultation, and leadership)
- key components: primary critera, seven advanced competencies with direct care
as the core, and environmental and contextual factors that must be managed for
APN to florish
- generic features of APN: 1. use of knowledge in practice 2. critical thinking and
analytic skills 3. clinical judgement and decision making 4. professional leadership
and clinical inquiry 5. coaching and mentoring 6. research skills 7. changing
practice
- three sphere of influence aka literature review on CNS practice to further support
Hamric theory
- first sphere (management of complex or vulnerable populations) three
Characteristics of expert direct care, coordination of care and collaboration
identified as essential & Second sphere: (educationing and supporting
interdisciplinary staff) education, consultation and collaboration are important
&third sphere (influence) facilitating innovation and change
Benner's Seven Domains of Expert Nursing Practice
- answer-- from novice to expert
- based on expert practice of clinical nurses
- domains are a combination of roles, functions, and competencies
- domains not completely differentiated so there is overlap
- domains: 1. helping role 2. administering and monitoring therapeutic
interventions and regiments 3. effective management of rapidly changing situations
4. diagnostic and monitoring function 5. teaching and coaching funtion 6.
monitoring and ensuring quality of health care practices 7. organizational and work
role copetencies
- is a conceptual model of practice
, Bundle Payments and health care expenditures
- answer-- Also known as bundle payments
- Reimburstment of health care providers on the basis of expected cost for
clinically defined episodes of care
- "middle" ground between fee-for-service and capitation
- healthcare delivery system takes on financial risk of patient
- Forces system to enhance quality and coordination of care
- Incentivizes system to deliver care that truly meets the Triple Aim
Caplan's Principles
- answer-- broad definition of consultation where any professional activity is
carried out by a specialist
- indirect service model that involves a process of interaction between two
professional consultant and consulted where consultee ask for consultant help in a
current work problem that is believed to be within area of specialized competence
- client must be lay person who is focus of consultation, consultant is not
responsible for implementing interventions, consultee continues to have
professional responsibilities for any corrective action, consultee is free to accept or
reject suggestions
- four major types: 1. Client centered case consultation (traditional, generalist asks
a specialist for expert opinion on particular case) 2. Consultee centered case
consultation (focused on consultee difficulty in handeling the situation and goal is
education for consultee and focus on task and knowledge development & is still
about improve patient care) 3. Program centered administrative consultation (focus
on work problem that requires planning and administration and expert opinion to
provide care & goal is to provide expert consultation around a program
administrative question) 4. Consultee centered adminstrative consultation (focus on
consultee difficulty with programming/organizational objectives rather than
particular patient & goal is to help consultee develop and implement adaptic
behaviors to work within administrative boundaries)
Certified Nurse Midwife
- answer-- history from start of time
- isolated communities rely on midwives
- "granny midwives"
- Fontier Nursing Service (FNS) in 1925 & was decentralized network of nurse run
clinics in rural mountains of kentucky
- earliest school was the School of the Association for the Promotion and
Standardization of Midwifery in 1932
- combination of two disciplines nursing and midwifery
QUESTIONS AND 100% VERIFIED ANSWERS
LATEST 2026 | GRADED A+ | GUARANTEED PASS!!
2005 Donabedian Model
- answer-- usede to evaluate quality of APRN care
- Three quality dimensions 1. structure 2. process 3. outcomes
- structure is care delivery context and factors that dictate how providers and
patients behave (setting in which care occurs)
- process is action taken in the delivery of health care (what is actually done in
giving and receiving care)
- outcome is the effect of health care on patients and populations (effects of care on
the health status of patients and populations)
- model is core of all other outcome measurments and role impact models
- variables can be studied independently or as a model for overall APRN practice
- Nursing role effectiveness model is based on this concept
Accountable Care Organizations (ACOs)
- answer-- organizations or structures that assume responsibilities for a defined
population of patients across a continuum of care, held accountable through
payments linked to value, reliable performance measurements demonstrate savings
are achieved with imporvements in care
- key feature under reform of ACA
- desgined to support properly coordinated care within a network (ensure patient
care is coordinated and get right care at the right time with goal of avoiding
unnecessary duplication of services and preventing medical errors)
- Successful ACOs share savings with Medicare Program
- create a more integrated system that can coordinate better and improve quality
and managing costs created by ACA
- give APRN opportunity to demonstrate ability to diagnose, manage, and
coordinate care for every type of patient population
- shared savings program for ACOs 1. consumer assessment of health care
providers and systems (CAHPS) 2. care coordination and patient safety 3.
preventative health 4. at risk populations
Advanced Practice Nurse Roles
- answer-1. Nurse Practitioner
,2. Clinical Nurse Specialist
3. Certified Registered Nurse Anesthetist
4. Certified Nurse Midwife
APRN Practice Model
- answer-- Consensus model?
- Hamric Integrative Model of Advanced Practice Nursing
- conceptual definition of APN and define characteristics that include primary
critera (graduate education, certification in specialty, focus on Clinical practice
with patients) and a set of core competencies (direct clinical practice,
collaboration, guidance and coaching, evidence based practice, ethical decision
making, consultation, and leadership)
- key components: primary critera, seven advanced competencies with direct care
as the core, and environmental and contextual factors that must be managed for
APN to florish
- generic features of APN: 1. use of knowledge in practice 2. critical thinking and
analytic skills 3. clinical judgement and decision making 4. professional leadership
and clinical inquiry 5. coaching and mentoring 6. research skills 7. changing
practice
- three sphere of influence aka literature review on CNS practice to further support
Hamric theory
- first sphere (management of complex or vulnerable populations) three
Characteristics of expert direct care, coordination of care and collaboration
identified as essential & Second sphere: (educationing and supporting
interdisciplinary staff) education, consultation and collaboration are important
&third sphere (influence) facilitating innovation and change
Benner's Seven Domains of Expert Nursing Practice
- answer-- from novice to expert
- based on expert practice of clinical nurses
- domains are a combination of roles, functions, and competencies
- domains not completely differentiated so there is overlap
- domains: 1. helping role 2. administering and monitoring therapeutic
interventions and regiments 3. effective management of rapidly changing situations
4. diagnostic and monitoring function 5. teaching and coaching funtion 6.
monitoring and ensuring quality of health care practices 7. organizational and work
role copetencies
- is a conceptual model of practice
, Bundle Payments and health care expenditures
- answer-- Also known as bundle payments
- Reimburstment of health care providers on the basis of expected cost for
clinically defined episodes of care
- "middle" ground between fee-for-service and capitation
- healthcare delivery system takes on financial risk of patient
- Forces system to enhance quality and coordination of care
- Incentivizes system to deliver care that truly meets the Triple Aim
Caplan's Principles
- answer-- broad definition of consultation where any professional activity is
carried out by a specialist
- indirect service model that involves a process of interaction between two
professional consultant and consulted where consultee ask for consultant help in a
current work problem that is believed to be within area of specialized competence
- client must be lay person who is focus of consultation, consultant is not
responsible for implementing interventions, consultee continues to have
professional responsibilities for any corrective action, consultee is free to accept or
reject suggestions
- four major types: 1. Client centered case consultation (traditional, generalist asks
a specialist for expert opinion on particular case) 2. Consultee centered case
consultation (focused on consultee difficulty in handeling the situation and goal is
education for consultee and focus on task and knowledge development & is still
about improve patient care) 3. Program centered administrative consultation (focus
on work problem that requires planning and administration and expert opinion to
provide care & goal is to provide expert consultation around a program
administrative question) 4. Consultee centered adminstrative consultation (focus on
consultee difficulty with programming/organizational objectives rather than
particular patient & goal is to help consultee develop and implement adaptic
behaviors to work within administrative boundaries)
Certified Nurse Midwife
- answer-- history from start of time
- isolated communities rely on midwives
- "granny midwives"
- Fontier Nursing Service (FNS) in 1925 & was decentralized network of nurse run
clinics in rural mountains of kentucky
- earliest school was the School of the Association for the Promotion and
Standardization of Midwifery in 1932
- combination of two disciplines nursing and midwifery
