NSG 6006 SouthPre-Specialty Exam: Questions And
Answers
What is Hamric's definition of advanced practice nursing? Right Ans -
"Advanced practice nursing is the patient-focused application of an expanded
range of competencies to improve health outcomes for patients and
populations within a specialized clinical area of the larger discipline of
nursing"
What is the central competency of any advanced practice nursing regardless
of role? Right Ans - Direct clinical practice
___________________________ and ___________________________ have distinct definitions
and cannot be seen as interchangeable. Right Ans - Advanced practice
nursing/advanced nursing practice
The term ____________________________ is characterized by the integration an
application of a broad range of theoretical and evidence-based knowledge that
occurs as part of graduate nursing education Right Ans - Advanced nursing
practice
Virginia Henderson's Theory Right Ans - the patient is an individual who
requires help to reach independence
Dorothy Orem's Theory Right Ans - Self care deficit model. restoring the
clients self care capability to enable him or her to sustain structural reliability,
performance, and growth through purposeful nursing.
Betty Neuman's Theory Right Ans - based on stress and client's reaction to
stressor
internal/external factors
Who started the first nurse practitioner program in 1965 at the University of
Colorado? Right Ans - Henry Silver and Loretta Ford
What has influenced the history of advanced practice nursing? Right Ans -
Societal forces including wars, the economic climate, and health care policy
,____________________________ involves focusing on practice in a specific area
derived from the field of professional nursing. Right Ans - Specialization
Examples of specialized fields of nursing include: Right Ans - Oncology
___________________________ further delineates the focus of practice. With this
expanded knowledge and skill, there is potentially further advancement of
theoretical, evidence-based, and practical knowledge in caring for a specific
patient population base. Right Ans - Sub-specialization
Examples of sub-specialty fields include: Right Ans - Diabetes, transplant
and palliative care
Examples of innovative nursing specialties: Right Ans - Forensic nurses and
hospitalist
What is the definition of an APN hospitalist? Right Ans - a nationally
certified nurse practitioner whose practice site is the hospital and who has no
outside primary or tertiary practice site.
List the summary of terms that describe the evolution of advanced practice
nursing. Right Ans - Specialist, expanded role, and advanced practice
Define the role of a clinical nurse specialist (CNS). Right Ans - Manage the
care of complex and vulnerable populations, educate and support nursing and
interdisciplinary staff, and facilitate change and innovation in health care
systems
Describe the role of a nurse practitioner (NP). Right Ans - Focuses on
outpatient care and provides patients, families and communities with
expertise to diagnose, treat, manage and evaluate acute and chronic illnesses
as well as engagement in health promotion and disease prevention
Describe the role of an acute care nurse practitioner (ACNP). Right Ans - To
diagnose and manage disease and promote the health of patients with acute,
critical, and complex chronic health conditions across the continuum of acute
care services.
, Define the role of a certified nurse midwife (CNM). Right Ans - Independent
management of women's health care, focusing particularly on common
primary care issues, family planning and gynecologic needs of women,
pregnancy, childbirth, the postpartum period, and care of the newborn
Define the role of a certified registered nurse anesthetist (CRNA). Right Ans
- Delivering pre-anesthetic evaluation and preparation; anesthesia induction,
maintenance, and emergence; post-anesthesia care; peri-anesthetic and
clinical support functions
Which group of nurse specialist was the first to receive direct reimbursement
for services rendered? Right Ans - Certified registered nurse anesthetists
(CRNA)
List the core competencies of practice. Right Ans - Direct care, guidance &
coaching, consultation, evidence-based practice, leadership, collaboration, and
ethical-decision making
What are the characteristics that comprise advance practice nursing direct
care? Right Ans - use of holistic perspective, formation of therapeutic
partnerships with patients, expert clinical performance, use of reflective
practice, use of evidence as a guide to practice, and use of diverse approaches
to health and illness management
Guidance and coaching Right Ans - Conceptualized as a complex, dynamic,
collaborative, and holistic interpersonal process mediated by the APN-patient
relationship and the APN's self-reflective skills
Consultation Right Ans - A role function used by APN's to offer clinical
expertise to other colleagues, as a specialty consultant, or to seek additional
information to enhance their own practice.
Evidence-based practice Right Ans - The conscientious explicit and
judicious use of current best research-based evidence when making decisions
about the care of individual patients
Leadership Right Ans - A core competency that involves three distinct
defining characteristics which include: mentoring, innovation, and activism