Chapter 7. Credentialing and Clinical
Privileges for the Advanced Practice
Registered Nurse
1. Poghosyan, Boyd, and Clarke (2016) proposed a comprehensive conceptual model
including three factors: scope of practice regulations, institutional policies, and practice
environments. What was their primary purpose?
a. To discourage role ambiguity among CNS providers
b. To enhance patient education provided by the APRN
c. To maximize NP Contributions to primary care
d. To provide educational practice guidelines to enhance NP education
ANS: C
The 2016 model provided a comprehensive review of literature and described
potential factors that affect NP care and patient outcomes. This included scope of
practice regulations that often cause barriers for NP provided primary care.
2. Which model of practice intended to impact the NP domain at four levels: theoretical,
clinical, educational, and research in 1993?
a. Hamric’s model
b. Calkin’s model of Advanced Nursing Practice
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Shuler’s Model of NP Practice
ANS: D
Shuler’s Model of NP Practice is a holistic and wellness oriented model that was
designed to impact the NP domain at four levels: theoretical, clinical, educational, and
, research. It is designed to elaborate the NP’s expanded knowledge and skills into
medicine including a template for conducting a visit.
3. Which model for APRN practice addresses all four APRN roles: CNS, CRNA, CNM, and
NP?
a. Calkin’s model of Advanced Nursing Practice
b. Hamric’s model
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Donabedian Model
ANS: B
Many models highlight core competencies among specific APRN roles, while others
emphasize competencies for hiring managers. At the time of this writing, only the
Hamric’s model encompasses all four APRN roles.
4. Which of the following is one of the eight published essentials included in the Essentials
of Doctoral Education for Advanced Nursing Practice developed by the AACN in 2006?
a. Algorithms for advanced patient care
b. Informatics and health care technologies
c. Scientific underpinnings of practice
d. Liberal education for general nursing practice
ANS: C
The AACN publishes their national consensus to provide the core elements for
nursing curriculum creation. Currently published are Baccalaureate Essentials,
Master’s Essentials, DNP Essentials, and Clinical Resources Essentials. Although
they are similar in their core approach to education, listed first in DNP essentials is
the scientific underpinnings of practice.
Privileges for the Advanced Practice
Registered Nurse
1. Poghosyan, Boyd, and Clarke (2016) proposed a comprehensive conceptual model
including three factors: scope of practice regulations, institutional policies, and practice
environments. What was their primary purpose?
a. To discourage role ambiguity among CNS providers
b. To enhance patient education provided by the APRN
c. To maximize NP Contributions to primary care
d. To provide educational practice guidelines to enhance NP education
ANS: C
The 2016 model provided a comprehensive review of literature and described
potential factors that affect NP care and patient outcomes. This included scope of
practice regulations that often cause barriers for NP provided primary care.
2. Which model of practice intended to impact the NP domain at four levels: theoretical,
clinical, educational, and research in 1993?
a. Hamric’s model
b. Calkin’s model of Advanced Nursing Practice
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Shuler’s Model of NP Practice
ANS: D
Shuler’s Model of NP Practice is a holistic and wellness oriented model that was
designed to impact the NP domain at four levels: theoretical, clinical, educational, and
, research. It is designed to elaborate the NP’s expanded knowledge and skills into
medicine including a template for conducting a visit.
3. Which model for APRN practice addresses all four APRN roles: CNS, CRNA, CNM, and
NP?
a. Calkin’s model of Advanced Nursing Practice
b. Hamric’s model
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Donabedian Model
ANS: B
Many models highlight core competencies among specific APRN roles, while others
emphasize competencies for hiring managers. At the time of this writing, only the
Hamric’s model encompasses all four APRN roles.
4. Which of the following is one of the eight published essentials included in the Essentials
of Doctoral Education for Advanced Nursing Practice developed by the AACN in 2006?
a. Algorithms for advanced patient care
b. Informatics and health care technologies
c. Scientific underpinnings of practice
d. Liberal education for general nursing practice
ANS: C
The AACN publishes their national consensus to provide the core elements for
nursing curriculum creation. Currently published are Baccalaureate Essentials,
Master’s Essentials, DNP Essentials, and Clinical Resources Essentials. Although
they are similar in their core approach to education, listed first in DNP essentials is
the scientific underpinnings of practice.
