Chapter 39: The Advanced Practice Nurse in the Community

Chapter 39: The Advanced Practice Nurse in the Community

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. 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.

 

 

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.

 

DIF:    Cognitive level: Understanding         REF:    p. 852

TOP:    Nursing process: Evaluation

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

2. The NP movement began at the University of Colorado with nurses providing _____ care.

a.	maternity
b.	well-child
c.	nursing home
d.	diabetes

 

 

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.

 

DIF:    Cognitive level: Understanding         REF:    p. 853

TOP:    Nursing process: Evaluation

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

3. An advanced practice nurse 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.	Advanced practice nurse
b.	APHN
c.	NP
d.	Clinical nurse specialist

 

 

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.

 

DIF:    Cognitive level: Applying                  REF:    p. 852

TOP:    Nursing process: Evaluation

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

4. An 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

 

 

ANS:   B

Primary health care includes public health and primary care services by definition.

 

DIF:    Cognitive level: Applying                  REF:    p. 853

TOP:    Nursing process: Planning

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care