Chapter 39: The Advanced Practice
Nurse in the Community exam with
answers
Which statement about advanced public health nurses (APHNs) and nurse practitioners
(NPs) is correct?
a. They often work in similar settings.
b. They have identical educational preparation.
c. Their practices have become more similar during the past decade.
d. The clinical nurse specialist role always involves prescriptive practice. - CORRECT
ANSWERS-ANS: A
APHNs and NPs often work in similar settings. APHNs and NPs have differing
educational preparation depending on the specialty focus. The practices have continued
to differ during the past decade. The clinical nurse specialist role typically does not
involve prescriptive practice.
The nurse practitioner (NP) movement began at the University of Colorado with nurses
providing what type of care?
a. Maternity
b. Well-child
c. Nursing home
d. Diabetes - CORRECT ANSWERS-ANS: B
It was determined that educating community-oriented nurses could decrease morbidity
among medically deprived children. Nursing practice for pediatric NPs included the
identification, assessment, and management of common acute and chronic health
problems, with appropriate referral of more complex problems to physicians.
An advanced practice nurse (APN) uses knowledge and physical, psychosocial, and
environmental assessment skills to respond to common health and illness problems.
Which of the following best describes this individual?
a. Clinical nurse leader
, b. Advanced public health nurse (APHN)
c. Nurse practitioner (NP)
d. Clinical nurse specialist - CORRECT ANSWERS-ANS: C
An NP applies nursing knowledge with physical, psychosocial, and environmental
assessment skills. An advanced practice nurse is a licensed professional nurse
prepared at the master's level or doctoral level to take leadership roles in applying the
nursing process and public health sciences to achieve specific health outcomes for the
community. An APHN has a minimum of a master's degree and has specialized courses
related to public health. Clinical nurse specialists influence care outcomes by providing
expert consultation for nursing staffs and by implementing improvements in health care
delivery systems. Clinical nurse leader is a master's degree-prepared generalist who
functions at the institution's microsystem level and assumes accountability for health
care outcomes for a specific group of clients within a unit or area.
A nurse practitioner (NP) is employed in a primary health care setting. Which services
are most likely provided in this setting?
a. Primary health services and prison medicine services
b. Public health and primary care services
c. Family practice and geriatrics care
d. Home health and school health services - CORRECT ANSWERS-ANS: B
Primary health care includes public health and primary care services.
Which statement accurately describes how nurse practitioner (NP) programs began?
a. Started as a physician's assistant program.
b. Were an offshoot of midwifery.
c. Have not always required a master's degree.
d. Began in Europe and didn't reach the United States until 1970. - CORRECT
ANSWERS-ANS: C
The early NP degree programs were often continuing education programs and
certificate programs that did not require a master's degree or even a baccalaureate
degree. NP programs began with a focus on well children. The NP movement began in
1965 at the University of Colorado.
A student is pursuing a graduate nursing education with preparation as a generalist,
functioning at the micro-systems level, and assuming accountability for health care
outcomes for a specific group of clients. Which educational preparation is this student
receiving?
a. Clinical nurse leader (CNL)
b. Advanced public health nurse (APHN)
c. Nurse practitioner (NP)
d. Doctor of Nursing Practice (DNP) - CORRECT ANSWERS-ANS: A
A clinical nurse leader is defined as a nurse who is a master's prepared generalist who
functions at the micro-system level and assumes accountability for health care
outcomes for a specific group of clients within a unit or area. An NP applies nursing
knowledge with physical, psychosocial, and environmental assessment skills. An APHN
has a minimum of a master's degree and has specialized courses related to public
Nurse in the Community exam with
answers
Which statement about advanced public health nurses (APHNs) and nurse practitioners
(NPs) is correct?
a. They often work in similar settings.
b. They have identical educational preparation.
c. Their practices have become more similar during the past decade.
d. The clinical nurse specialist role always involves prescriptive practice. - CORRECT
ANSWERS-ANS: A
APHNs and NPs often work in similar settings. APHNs and NPs have differing
educational preparation depending on the specialty focus. The practices have continued
to differ during the past decade. The clinical nurse specialist role typically does not
involve prescriptive practice.
The nurse practitioner (NP) movement began at the University of Colorado with nurses
providing what type of care?
a. Maternity
b. Well-child
c. Nursing home
d. Diabetes - CORRECT ANSWERS-ANS: B
It was determined that educating community-oriented nurses could decrease morbidity
among medically deprived children. Nursing practice for pediatric NPs included the
identification, assessment, and management of common acute and chronic health
problems, with appropriate referral of more complex problems to physicians.
An advanced practice nurse (APN) uses knowledge and physical, psychosocial, and
environmental assessment skills to respond to common health and illness problems.
Which of the following best describes this individual?
a. Clinical nurse leader
, b. Advanced public health nurse (APHN)
c. Nurse practitioner (NP)
d. Clinical nurse specialist - CORRECT ANSWERS-ANS: C
An NP applies nursing knowledge with physical, psychosocial, and environmental
assessment skills. An advanced practice nurse is a licensed professional nurse
prepared at the master's level or doctoral level to take leadership roles in applying the
nursing process and public health sciences to achieve specific health outcomes for the
community. An APHN has a minimum of a master's degree and has specialized courses
related to public health. Clinical nurse specialists influence care outcomes by providing
expert consultation for nursing staffs and by implementing improvements in health care
delivery systems. Clinical nurse leader is a master's degree-prepared generalist who
functions at the institution's microsystem level and assumes accountability for health
care outcomes for a specific group of clients within a unit or area.
A nurse practitioner (NP) is employed in a primary health care setting. Which services
are most likely provided in this setting?
a. Primary health services and prison medicine services
b. Public health and primary care services
c. Family practice and geriatrics care
d. Home health and school health services - CORRECT ANSWERS-ANS: B
Primary health care includes public health and primary care services.
Which statement accurately describes how nurse practitioner (NP) programs began?
a. Started as a physician's assistant program.
b. Were an offshoot of midwifery.
c. Have not always required a master's degree.
d. Began in Europe and didn't reach the United States until 1970. - CORRECT
ANSWERS-ANS: C
The early NP degree programs were often continuing education programs and
certificate programs that did not require a master's degree or even a baccalaureate
degree. NP programs began with a focus on well children. The NP movement began in
1965 at the University of Colorado.
A student is pursuing a graduate nursing education with preparation as a generalist,
functioning at the micro-systems level, and assuming accountability for health care
outcomes for a specific group of clients. Which educational preparation is this student
receiving?
a. Clinical nurse leader (CNL)
b. Advanced public health nurse (APHN)
c. Nurse practitioner (NP)
d. Doctor of Nursing Practice (DNP) - CORRECT ANSWERS-ANS: A
A clinical nurse leader is defined as a nurse who is a master's prepared generalist who
functions at the micro-system level and assumes accountability for health care
outcomes for a specific group of clients within a unit or area. An NP applies nursing
knowledge with physical, psychosocial, and environmental assessment skills. An APHN
has a minimum of a master's degree and has specialized courses related to public
