Advanced Practice Nursing Essentials

Multiple Choice 1. Multiple studies have compared APRN care to physician care in the United States and Canada. What have these results mostly shown? a. The care provided is equivalent across all categories b. The care provided is mostly equivalent, with patient satisfaction from APRN care superior to physician care in some studies. c. Physician care is superior to APRN care d. APRN care is superior to physician care ANS: B APRN care as compared to physician care has shown that ...

MULTIPLE CHOICE 1. A nurse returns to practice after 15 years in retirement. Her life savings became depleted due to several poor investments and an Internet scam. It has been several years since the nurse worked on a patient care unit. During orientation the nurse asked the instructor, Are patient charts still kept at the front desk? The best response by the instructor would be that the hospital has integrated informatics into patient care and they now use: a. CIS. b. EHR. c. FAX. d....

MULTIPLE CHOICE 1. An independent group of items, people, or procedures with a common purpose is called a(n): a. process. b. goal. c. system. d. organization. ANS: C Systems are independent groups of people, processes, or items with a common purpose or goal. Organizations are made up of various systems such as different departments (i.e., radiology, laboratory, and cardiology) or processes (i.e., QI or risk management departments). PTS: 1 DIF: Knowledge REF: IMPROVEMENT OF TH...

1. Which of the following can be used by an APRN as a strategy to answer behavior-based and hypothetical questions? a. STATE Model® b. SHARE Model® c. CARE Model® d. DARE Model® ANS: B The SHARE Model® provides a strategy for answering behavior-based and hypothetical questions by (1) describing a specific situation, (2) identifying hindrances or challenges, (3) explaining the action taken, (4) discussing the results or outcomes, and (5) evaluating or summarizing what ...

MULTIPLE CHOICE 1. A patient states, I have knowledge about my diet and how to do my insulin injections, so I can get on with my life. In which stage of illness is this patient? a. Disbelief and denial b. Irritability and anger c. Attempting to gain control d. Acceptance and participation ANS: D Feedback A. The person in the first stage believes that the symptoms do not really represent illness and will go away. B. At the second stage the person is angry at the body for no...

Multiple Choice 1. Rather than focusing on a problem, which leadership model seeks to find positives through conversations and relationship building? a. Roving leadership b. Appreciative inquiry c. Systems leadership d. Situational leadership ANS: B Appreciative inquiry seeks to find positives through appreciative conversations and relationship building. 2. A well-trusted and liked clinician at an institution speaks to groups of APRNs about his or her experiences as a means...

1. The two biggest problems in health care today are related to: a. centralized patient data and flow of information. b. patient safety and soaring health care costs. c. physician/patient conflicts and consumer groups. d. clinical expertise and conflict management skills. ANS: B The two biggest problems in health care today are related to patient safety and soaring costs. PTS: 1 DIF: Comprehension REF: INNOVATION 2. A conflict management technique where both sides work togeth...

MULTIPLE CHOICE 1. An APRN is working in an outpatient care clinic for diabetics. He or she is responsible for starting newly diagnosed diabetic patients on long-acting basal insulin to control their fasting morning blood glucose levels. The APRN starts a 55-year-old obese patient 35 units of long- acting insulin nightly. The APRN chooses this dose solely based on the weight of the patient and does not review the patient’s current medication list. The APRN has previously used this method su...

MULTIPLE CHOICE 1. A registered nurse is concerned about the patients perceptions and feelings about the quality of life that they experience after a diagnosis of liver cancer. Which is the most appropriate type of research study the nurse should use to gather information about this situation? a. Quantitative study b. Randomized trial c. Qualitative study d. Case controlled study ANS: C Qualitative research offers analysis of interviews, observations, and/or surveys to measure p...

MULTIPLE CHOICE 1. The single most important reason for the decline in the number of hospitalbased diploma programs was a. shift in hospital occupancy from acute care to home care. b. increase in hospital-based medical residency programs competing for educational dollars. c. beginning of associate degree programs that were shorter in length. d. diploma educations position outside the mainstream of higher education. ANS: D Feedback A. The increase in complexity of health care ...