2026
Advanced practice nursing is the patient-focused application of an
expanded range of competencies to improve health outcomes for
patients and populations within a specialized clinical area of the larger
discipline of nursing" Correct Ans - Hamric's definition of
advanced practice nursing
What is the central competency of any advanced practice nursing
regardless of role? Correct Ans - direct clinical practice
and have
distinct definitions and cannot be seen as interchangeable.
Correct Ans - Advanced
practice nursing/advanced nursing practice
The term is characterized by the integration
an application of a broad range of theoretical and evidence-based
knowledge that occurs as part of graduate nursing education
Correct Ans - Advanced nursing
practice
Who started the first nurse practitioner program in 1965 at the
University of Colorado? Correct Ans - Henry Silver and Loretta Ford
What has influenced the history of advanced practice nursing? Correct
Ans - Societal forces including wars, the economic climate, and health
care policy
The APN movement consists of? Correct Ans -
Society War
Economic climate
Healthcare Policy
What is the oldest recognized role of the APN? Correct Ans - CRNA
What are the 4 recognized roles of the APN? Correct Ans - NP
CRNA
CNS
,CNM
List the core competencies of practice. Correct Ans - Direct care,
guidance & coaching, consultation, evidence-based practice,
leadership, collaboration, and ethical-decision making
,The consensus model for the APN regulation addresses what 4
areas? Correct Ans - Specialty areas
Roles and titles
Population Foci
Preparation for APN
roles
Which group of nurse specialist was the first to receive direct
reimbursement for services rendered? Correct Ans - CRNA
scope of practice Correct Ans - - Describes practice limits and sets
parameters within which nurses in various APRN specialties may
practice-Differs from state to state; based on state statues
promulgated by various state nurse practice acts and rules and
regulations for APRN practice
Scope of practice Correct Ans - Must practice and be certified in
the specific specialty Graduate education
ANA definition of scope of practice Correct Ans - "The description
of the who, what, where, when, why, and how of nursing practice"
Nursing scope of practice acts are most closely tied to the
of practice Correct Ans - state
The Novice to Expert Theory is described by Correct Ans - The
Dreyfus Model
Calkin's Model of Advanced Nursing Practice Correct Ans -
developed the model to help nurse administrators differentiate
advanced practice nursing from other levels of clinical practice in
personnel policies, and proposed that this could be accomplished by
matching patient responses to health problems with the skill and
knowledge levels of nursing personnel; three curves were overlaid on a
normal distribution chart. Calkin depicted the skills and knowledge of
novices, experts by experience, and APNs in relation to knowledge
required to care for patients whose responses to health care problems
(i.e., health care needs) ranged from simple and common to complex
and complicated
unclear expectations, diffuse responsibilities, uncertainties about sub-
, roles Role ambiguity Correct Ans - role ambiguity
incompatibility between skills and abilities, personal values, self- concept,
and obligations Correct Ans - role incongruity
when role expectations are perceived to be mutually exclusive
or contradictory Correct Ans - role conflict