Chapter 2. Emerging Roles of the Advanced
Practice Nurse
MULTIPLE CHOICE
1. Which of the following are defined as the four elements of core competency development
in ethical decision making for APRNs?
a. Knowledge development, knowledge application, creating an ethical environment,
promoting social justice
b. Knowledge development, educating others, creating an ethical environment,
promoting social justice
c. Knowledge development, knowledge application, effective communication,
promoting social justice
d. Knowledge development, knowledge application, creating an ethical environment,
understanding legal barriers
ANS: A
The core competency of ethical decision making for APRNs is best organized into
four key elements: knowledge development, knowledge application, creating an
ethical environment, and promoting social justice.
2. Which of the following examples best describes the knowledge development element of
core competency development for ethical decision making?
a. Analyzing the policymaking process
b. Using self-reflection during patient case reviews
c. Applying ethical decision-making model to a clinical problem
d. Mentoring others to develop ethical practice
, ANS: B
The use of knowledge development is a key element of core competency development
for ethical decision making. It involves gaining knowledge of ethical theories and
developing the ability to distinguish a true ethical dilemma from a situation of moral
distress or other clinically problematic situation. Becoming sensitive to ethical
dimensions of clinical practice and fidelity conflicts, developing values clarification
(self-reflection), and interpreting reactions and emotions of others are all elements of
knowledge development and moral sensitivity.
3. An APRN joins a group promoting awareness about abuse in long-term nursing care
facilities. He or she advocates for policies that protect the health care rights of individuals
who are not able to care for themselves independently. The APRN most likely employed
which of the following elements of core competency development for ethical decision
making?
a. Promoting social justice
b. Knowledge development
c. Creating an ethical environment
d. Knowledge application
ANS: A
Skills or behaviors for promoting social justice within a health care system include the
ability to analyze the policy process and advocacy, communication, and leadership
skills that promote involvement in health policy initiatives supporting social justice.
4. An APRN interacts with a patient and another colleague to achieve the best outcome ofan
ethical dilemma. The APRN most likely used which of the following elements of core
competency development for ethical decision making?
a. Knowledge application
b. Creating an ethical environment
c. Promoting social justice
d. Knowledge development
Practice Nurse
MULTIPLE CHOICE
1. Which of the following are defined as the four elements of core competency development
in ethical decision making for APRNs?
a. Knowledge development, knowledge application, creating an ethical environment,
promoting social justice
b. Knowledge development, educating others, creating an ethical environment,
promoting social justice
c. Knowledge development, knowledge application, effective communication,
promoting social justice
d. Knowledge development, knowledge application, creating an ethical environment,
understanding legal barriers
ANS: A
The core competency of ethical decision making for APRNs is best organized into
four key elements: knowledge development, knowledge application, creating an
ethical environment, and promoting social justice.
2. Which of the following examples best describes the knowledge development element of
core competency development for ethical decision making?
a. Analyzing the policymaking process
b. Using self-reflection during patient case reviews
c. Applying ethical decision-making model to a clinical problem
d. Mentoring others to develop ethical practice
, ANS: B
The use of knowledge development is a key element of core competency development
for ethical decision making. It involves gaining knowledge of ethical theories and
developing the ability to distinguish a true ethical dilemma from a situation of moral
distress or other clinically problematic situation. Becoming sensitive to ethical
dimensions of clinical practice and fidelity conflicts, developing values clarification
(self-reflection), and interpreting reactions and emotions of others are all elements of
knowledge development and moral sensitivity.
3. An APRN joins a group promoting awareness about abuse in long-term nursing care
facilities. He or she advocates for policies that protect the health care rights of individuals
who are not able to care for themselves independently. The APRN most likely employed
which of the following elements of core competency development for ethical decision
making?
a. Promoting social justice
b. Knowledge development
c. Creating an ethical environment
d. Knowledge application
ANS: A
Skills or behaviors for promoting social justice within a health care system include the
ability to analyze the policy process and advocacy, communication, and leadership
skills that promote involvement in health policy initiatives supporting social justice.
4. An APRN interacts with a patient and another colleague to achieve the best outcome ofan
ethical dilemma. The APRN most likely used which of the following elements of core
competency development for ethical decision making?
a. Knowledge application
b. Creating an ethical environment
c. Promoting social justice
d. Knowledge development
