Advanced Practice Nurses Flashcards, test questions and answers

Question 1

MULTIPLE RESPONSE 1. In which areas have advanced practice nurses demonstrated their skill in improving? (Select all that apply.) a. Health outcomes b. Length of stay c. Cost effectiveness d. Reimbursement measures e. Interprofessional communication

Answer

ANS: A, C Advanced practice nurses have demonstrated their skill in improving health outcomes and cost effectiveness. Many of these advanced practice nurses have nursing facility practices managing complex care of frail older adults in collaboration with interprofessional teams. This role is well established, and positive outcomes include increased patient and family satisfaction, decreased costs, less frequent hospitalizations and emergency department visits, and improved quality of care. Reimbursement measures and interprofessional communication have not been identified as areas that advanced practice nurses have demonstrated their skill in improving.
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Question 2

NPs are advanced practice nurses who

Answer

can diagnose and treat common and chronic conditions
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Question 3

NP’s are advanced practice nurses who

Answer

can diagnose and treat common and chronic conditions.
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Question 4

Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems? A. Medical history is of little significance and can be eliminated from the nursing assessment. B. Assessment provides a holistic view of the client including biopsychosocial aspects. C. Comprehensive assessments can be performed only by advanced practice nurses. D. Psychosocial evaluations are gained by subjective reports rather than objective observations.

Answer

ANS: B The assessment of clients diagnosed with psychiatric problems should provide a holistic view of the client. A thorough assessment involves collecting and analyzing data from the client, significant others, and health-care providers that may include the following dimensions: physical, psychological, sociocultural, spiritual, cognitive, developmental, economic, lifestyle, and functional abilities.
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Question 5

2. Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems? A. Medical history is of little significance and can be eliminated from the nursing assessment. B. Assessment provides a holistic view of the client including biopsychosocial aspects. C. Comprehensive assessments can be performed only by advanced practice nurses. D. Psychosocial evaluations are gained by subjective reports rather than objective observations.

Answer

ANS: B The assessment of clients diagnosed with psychiatric problems should provide a holistic view of the client. A thorough assessment involves collecting and analyzing data from the client, significant others, and health-care providers that may include the following dimensions: physical, psychological, sociocultural, spiritual, cognitive, developmental, economic, lifestyle, and functional abilities. PTS: 1 REF: 165 KEY: Cognitive Level: Application | Integrated Process: Assessment
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Question 6

List the types of advanced practice nurses who may practice in the perioperative environment.

Answer

Nurse practitioners (NPs), certified registered nurse anesthetists (CRNAs), and clinical nurse specialists (CNSs) are examples of nurses who may practice in the advanced role in the perioperative environment.
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Question 7

-1965: Social Security Act: Medicare(old) & Medicaid(poor) – Inpatient care increased & community care decreased -1970’s: inequitable wages for nurses, advanced practice nurses emerging -1980’s: need for indigent care; escalating healthcare costs; DRG’s -1990’s: concern for the health of the nation; women with families working full time, AIDS epidemic; technologic increases; center for nursing research

Answer

United States 1960’s and Forward
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Question 8

An example an additional act that may be performed by an RN that requires additional education and training as prescribed by the Board and that is recognized as proper to be performed by an RN (excluding advanced practice nurses) would be (hint: see advisory opinions): Insertion of an intraarterial catheter Amniotomy Certification of Death Epidural Anesthesia

Answer

Insertion of an intraarterial catheter
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Question 9

Roles and duties of nurses have expanded Past: worked under the supervision of a physician Liability fell on the employing agency or physician Modern times Advanced practice nurses

Answer

Our roles have expanded: more accountable for our actions Independent of the physician not their “hand maiden” – Responsible for the patient your being assigned to – Hospitals will not cover for nurses – they’re being sued. – Have a legal responsibility to question and clarify orders – Liability used to falls an employing agency or physician WHAT NURSES ARE MOST OFTEN SUED FOR – Falls – IV Inflitrations – Pressure ulcers • Human response — assess, diagnose, and implement care. What we are held accountable for #1 trusted profession Work within your realm and scope of practice (what you can and can not do) Maintain competency
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Question 10

9. Mezey and Fulmer (2002) justify gerontological nursing research and the work of gerontological advanced practice nurses by concluding the following: a. Other scientists devalue gerontological nursing research. b. The research influences outcomes from nursing care in a positive way. c. Gerontological care is expensive but required in long-term care. d. Gerontological nursing research is well known to practicing nurses.

Answer

ANS: B The practices of advanced practice nurses, who base their practice on nursing research, have resulted in positive older adult outcomes and cost effectiveness. The scientific community widely accepts the research. Advanced practice nurses generate positive outcomes and are cost effective in many settings. Mezey and Fulmer believe the goal of gerontological nursing is to disseminate the knowledge from gerontological nursing research to all nurses and to have the knowledge applied to their practices. PTS: 1 DIF: Understand REF: 16 TOP: Nursing Process: Diagnosis
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