AND ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS.
A community health nurse has witnessed significant shifts in patterns of disease over the course of a four-decade
career. Which of the following focuses most clearly demonstrates the changing pattern of disease in the United
States?
A) Type 1 diabetes management
B) Treatment of community-acquired pneumonia
C) Rehabilitation from traumatic brain injuries
D) Management of acute Staphylopoppus aureus infections - ANSWER>Ans: A
Feedback: Management of chronic diseases such as diabetes is a priority focus of the current health care
environment. This supersedes the treatment of acute infections and rehabilitation needs.
The ANA has identified several phenomena toward which the focus of nursing care should be directed, and a nurse
is planning care that reflects these priorities. Which of the nurses actions best demonstrates these priorities?
A) Encouraging the patients dependence on caregivers
B) Fostering the patients ability to make choices
C) Teaching the patient about nurses roles in the health care system
D) Assessing the patients adherence to treatment - ANSWER>Ans: B
Feedback: The ANA identifies several focuses for nursing care and research, including the ability to make choices.
The other answers are incorrect because they are not phenomena identified by the ANA.
The role of the certified nurse practitioner (CNP) has become a dominant role for nurses in all levels of health care.
Which of the following activities are considered integral to the CNP role? Select all that apply.
,A) Educating patients and family members
B) Coordinating care with other disciplines
C) Using direct provision of interventions
D) Educating registered nurses and practical nurses
E) Coordinating payment plans for patients - ANSWER>Ans: A, B, C
Feedback: This role is a dominant one for nurses in primary, secondary, and tertiary health care settings and in
home care and community nursing. Nurses help patients meet their needs by using direct intervention, by teaching
patients and family members to perform care, and by coordinating and collaborating with other disciplines to
provide needed services. The other answers are incorrect because NPs do not commonly perform education of
nurses and they do not focus on matters related to payment.
The ANA has identified central characteristics of nursing practice that are applicable across the wide variety of
contexts in which nurses practice. A nurse can best demonstrate these principles by performing which of the
following actions?
A) Teaching the public about the role of nursing
B) Taking action to control the costs of health care
C) Ensuring that all of his or her actions exemplify caring
D) Making sure to carry adequate liability insurance - ANSWER>Ans: C
Feedback: The ANA emphasizes the fact that caring is central to the practice of the registered nurse. The ANA does
not identify teaching the public about nursing, controlling costs, or maintaining insurance as a central tenet of
nursing practice.
A nurse has accepted a position as a clinical nurse leader (CNL), a new role that has been launched within the past
decade. In this role, the nurse should prioritize which of the following activities?
A) Acting as a spokesperson for the nursing profession
B) Generating and disseminating new nursing knowledge
C) Diagnosing and treating health problems that have a predictable course
D) Helping patients to navigate the health care system - ANSWER>Ans: D
Feedback: The CNL is a nurse generalist with a masters degree in nursing and a special background in clinical
leadership, educated to help patients navigate through the complex health care system. The other answers are
incorrect because they are not what nursing has identified as the CNL role.
, Our world is connected by a sophisticated communication system that makes much health information instantly
accessible, no matter where the patient is being treated. This instant access to health information has impacted
health care delivery strategies, including the delivery of nursing care. What is one way the delivery of health care
has been impacted by this phenomenon?
A) Brisk changes as well as swift obsolescence
B) Rapid change that is nearly permanent
C) Limitations on the settings where care can be provided
D) Increased need for social acceptance - ANSWER>Ans: A
Feedback: The sophisticated communication systems that connect most parts of the world, with the capability of
rapid storage, retrieval, and dissemination of information, have stimulated brisk change as well as swift
obsolescence in health care delivery strategies. The other answers are incorrect because, although we have rapid
change in the delivery of nursing care, it does not last a long time; it is evolving as health care itself evolves. Giving
nursing care has not become easier, it becomes more complex with every change; and it does not need to be more
socially acceptable; it needs to be more culturally sensitive.
With the changing population of health care consumers, it has become necessary for nurses to work more closely
with other nurses, as when acute care nurses collaborate with public health and home health nurses. What nursing
function has increased in importance because of this phenomenon?
A) Prescribing medication
B) Performing discharge planning
C) Promoting family involvement
D) Forming collegial relationships - ANSWER>Ans: B
Feedback: The importance of effective discharge planning and quality improvement cannot be overstated. The
other answers are incorrect because giving medication and family involvement in the patients care have not grown
in importance. Making and maintaining collegial relationships has become a necessity in working in the health care
delivery system. Effective discharge planning aids in getting patients out of the inpatient setting sooner, cutting
costs, and making rehabilitation in the community and home setting possible.
A nurse has integrated the principles of evidence-based practice into care. EBP has the potential to help the nurse
achieve what goal?
A) Increasing career satisfaction