NR 519 EXAM PREP VERIFIED
Advanced Nursing Practice
Across the Health
Continuum
COMPLETED
2023/2024
,1. What are the four core competencies of advanced nursing practice (ANP) according to the International Council of
Nurses (ICN)?
Answer: The four core competencies of ANP are:
- Clinical practice: The ability to provide direct and indirect care to patients, families, groups, communities and
populations across the health continuum, using advanced clinical knowledge, skills and judgment.
- Leadership: The ability to influence health policy and systems, promote quality and safety, foster interprofessional
collaboration, mentor and coach other nurses and health professionals, and manage change and innovation.
- Research: The ability to conduct, apply, disseminate and translate research and evidence to improve health outcomes
and nursing practice.
- Education: The ability to design, implement, evaluate and revise educational programs and strategies for patients,
families, students, staff and other health professionals.
2. What are the three levels of prevention in public health nursing and how do they relate to the health continuum?
Answer: The three levels of prevention in public health nursing are:
- Primary prevention: The interventions that aim to prevent disease or injury before it occurs, by reducing exposure to
risk factors or enhancing protective factors. Examples include immunization, health education, sanitation,
environmental protection and lifestyle modification.
- Secondary prevention: The interventions that aim to detect and treat disease or injury at an early stage, before it
causes significant morbidity or mortality. Examples include screening tests, early diagnosis, referral and treatment.
- Tertiary prevention: The interventions that aim to reduce the impact of disease or injury on individuals and
populations, by minimizing complications, disability and suffering. Examples include rehabilitation, palliative care,
chronic disease management and support services.
Primary prevention corresponds to the healthy stage of the health continuum, secondary prevention corresponds to the
at-risk or early symptomatic stage, and tertiary prevention corresponds to the established disease or disability stage.
3. What are the main differences between a nurse practitioner (NP) and a clinical nurse specialist (CNS) in terms of
their roles, scopes of practice and educational preparation?
Answer: A nurse practitioner is a registered nurse who has completed a master's or doctoral degree program in a
specific area of nursing practice (such as family, adult-gerontology, pediatrics, mental health or acute care) and has
obtained national certification in that specialty. An NP can provide comprehensive primary or specialty care to
patients across the lifespan and settings, including diagnosis, treatment, prescription, referral and follow-up. An NP
can practice independently or in collaboration with other health professionals.
A clinical nurse specialist is a registered nurse who has completed a master's or doctoral degree program in a specific
area of nursing practice (such as oncology, critical care, wound care or diabetes) and has obtained national
certification in that specialty. A CNS can provide expert consultation, education and research to improve the quality of
care and outcomes for patients with complex health problems within a specific clinical domain. A CNS can also
provide direct care to patients with complex needs within their scope of practice. A CNS usually works as part of an
interprofessional team.
,4. What are the main challenges and opportunities for ANPs in the current and future health care system?
Answer: Some of the main challenges for ANPs in the current and future health care system are:
- Regulatory barriers: The lack of uniformity and consistency in the regulation of ANP roles, scopes of practice and
prescriptive authority across states and countries can limit their full utilization and mobility.
- Role confusion: The lack of clarity and recognition of the distinct roles and contributions of ANPs among other
health professionals, administrators, policy makers and the public can lead to role overlap, duplication or conflict.
- Reimbursement issues: The lack of adequate reimbursement for ANP services by public and private payers can affect
their financial viability and sustainability.
- Educational issues: The lack of sufficient faculty, resources and clinical sites for ANP education can affect the
quality and quantity of ANP graduates.
- Workforce issues: The shortage, maldistribution and retention of ANPs can affect their access and availability to
meet the growing demand for primary and specialty care.
Identify which reflex is being tested in this picture.
Answers Plantar
:
Patellar
Triceps
Achille’s
, Question 5
1.5 out of 1.5 points
The clinic nurse assesses the skin of a white client with a diagnosis of psoriasis. The nurse
understands that which characteristic is associated with this skin disorder?
Answers Clear, thin nail beds
:
Red-purple raised areas
Oily skin and no episodes of pruritus
Silvery-white scaly patches on the scalp, elbows, knees, and sacral regions
Question 6
1.5 out of 1.5 points
"When testing stool for occult blood, the nurse is aware that a false-positive result may occur
with:"
Answers a large amount of red meat within the last 3 days.
:
absent bile
increased fat content
increased ingestion of fruit
Question 7
1.5 out of 1.5 points
Advanced Nursing Practice
Across the Health
Continuum
COMPLETED
2023/2024
,1. What are the four core competencies of advanced nursing practice (ANP) according to the International Council of
Nurses (ICN)?
Answer: The four core competencies of ANP are:
- Clinical practice: The ability to provide direct and indirect care to patients, families, groups, communities and
populations across the health continuum, using advanced clinical knowledge, skills and judgment.
- Leadership: The ability to influence health policy and systems, promote quality and safety, foster interprofessional
collaboration, mentor and coach other nurses and health professionals, and manage change and innovation.
- Research: The ability to conduct, apply, disseminate and translate research and evidence to improve health outcomes
and nursing practice.
- Education: The ability to design, implement, evaluate and revise educational programs and strategies for patients,
families, students, staff and other health professionals.
2. What are the three levels of prevention in public health nursing and how do they relate to the health continuum?
Answer: The three levels of prevention in public health nursing are:
- Primary prevention: The interventions that aim to prevent disease or injury before it occurs, by reducing exposure to
risk factors or enhancing protective factors. Examples include immunization, health education, sanitation,
environmental protection and lifestyle modification.
- Secondary prevention: The interventions that aim to detect and treat disease or injury at an early stage, before it
causes significant morbidity or mortality. Examples include screening tests, early diagnosis, referral and treatment.
- Tertiary prevention: The interventions that aim to reduce the impact of disease or injury on individuals and
populations, by minimizing complications, disability and suffering. Examples include rehabilitation, palliative care,
chronic disease management and support services.
Primary prevention corresponds to the healthy stage of the health continuum, secondary prevention corresponds to the
at-risk or early symptomatic stage, and tertiary prevention corresponds to the established disease or disability stage.
3. What are the main differences between a nurse practitioner (NP) and a clinical nurse specialist (CNS) in terms of
their roles, scopes of practice and educational preparation?
Answer: A nurse practitioner is a registered nurse who has completed a master's or doctoral degree program in a
specific area of nursing practice (such as family, adult-gerontology, pediatrics, mental health or acute care) and has
obtained national certification in that specialty. An NP can provide comprehensive primary or specialty care to
patients across the lifespan and settings, including diagnosis, treatment, prescription, referral and follow-up. An NP
can practice independently or in collaboration with other health professionals.
A clinical nurse specialist is a registered nurse who has completed a master's or doctoral degree program in a specific
area of nursing practice (such as oncology, critical care, wound care or diabetes) and has obtained national
certification in that specialty. A CNS can provide expert consultation, education and research to improve the quality of
care and outcomes for patients with complex health problems within a specific clinical domain. A CNS can also
provide direct care to patients with complex needs within their scope of practice. A CNS usually works as part of an
interprofessional team.
,4. What are the main challenges and opportunities for ANPs in the current and future health care system?
Answer: Some of the main challenges for ANPs in the current and future health care system are:
- Regulatory barriers: The lack of uniformity and consistency in the regulation of ANP roles, scopes of practice and
prescriptive authority across states and countries can limit their full utilization and mobility.
- Role confusion: The lack of clarity and recognition of the distinct roles and contributions of ANPs among other
health professionals, administrators, policy makers and the public can lead to role overlap, duplication or conflict.
- Reimbursement issues: The lack of adequate reimbursement for ANP services by public and private payers can affect
their financial viability and sustainability.
- Educational issues: The lack of sufficient faculty, resources and clinical sites for ANP education can affect the
quality and quantity of ANP graduates.
- Workforce issues: The shortage, maldistribution and retention of ANPs can affect their access and availability to
meet the growing demand for primary and specialty care.
Identify which reflex is being tested in this picture.
Answers Plantar
:
Patellar
Triceps
Achille’s
, Question 5
1.5 out of 1.5 points
The clinic nurse assesses the skin of a white client with a diagnosis of psoriasis. The nurse
understands that which characteristic is associated with this skin disorder?
Answers Clear, thin nail beds
:
Red-purple raised areas
Oily skin and no episodes of pruritus
Silvery-white scaly patches on the scalp, elbows, knees, and sacral regions
Question 6
1.5 out of 1.5 points
"When testing stool for occult blood, the nurse is aware that a false-positive result may occur
with:"
Answers a large amount of red meat within the last 3 days.
:
absent bile
increased fat content
increased ingestion of fruit
Question 7
1.5 out of 1.5 points
