Role of APRN

Based on the American Association of Critical Care Nurses (AACN) evidence-leveling system, which type of evidence demonstrates the greatest strength? A) Meta-analysis of multiple controlled trials B) Well-designed controlled studies C) Peer-reviewed organizational standards D) Theory-based evidence from multiple case reports

A

In contrast to traditional, randomized controlled studies, outcomes research evaluates results of healthcare processes by: A) focusing studies on the "real world" of physician offices, hospitals, clinics, and homes and includes patients' functional status. B) relying principally on analyses of patients' lab results and diagnostic measures to determine functional status. C) compiling anecdotal reports from the patients' primary providers. D) using insurance companies' claims data

A

The nurse practitioner (NP) applies Giger and Davidhizar's "transcultural assessment model" during patient assessment. Which statement by the patient is most useful for determining the patient's perception of environmental control? A) "God will decide whether or not I get well." B) "Several of my relatives have sickle cell anemia." C) "My parents think I need to drink more water." D) "I am not comfortable with strangers touching me."

A

Which argument best supports the idea of nursing as a professional discipline rather than an academic discipline? A) "Nursing is an applied science. Its practice component places an emphasis on the delivery of service by nurses rather than the development of academic knowledge." B) "Nursing is a discipline with unique substance. It borrows very little from other disciplines and, as a result, is beyond the realm of most academic programs in the sciences that acknowledge idea sharing across disciplines." C) "Nursing is a concept with a lengthy unofficial history. Individuals have been providing nursing care to others since the Crusades, and this professional provision of services predates formal education in the field." D) "Nursing is a relative newcomer to advanced education. For many years, nurses were educated or trained only at a Bachelor's level, and advanced practice therefore has its roots in the profession itself rather than in academia."

A

A nurse is working with a physical therapy student in developing a course covering the musculoskeletal system for nursing students. This best describes the pillar of ____________. A) Interpersonal relationships B) Business competency C) Inspiration D) Professionalism

A Interpersonal relationships

Which organization outlines the required curriculum and expected competencies for baccalaureate, master's, and doctoral nursing practice programs? A) American Association of Colleges of Nursing (AACN) B) National League of Nursing (NLN) C) American Organization of Nurse Executives' (AONE) D) National Association of Clinical Nurse Specialists (ACNS)

A. AACN

An important component of writing for publication is to have strong ________ for it. A) internal motivation B) desires to be recognized C) writing abilities D) resources

A. Internal motivation

Before you begin writing your manuscript, you should conduct a literature review to locate materials similar to your topic. Questions you should consider while conducting the literature review include the following, EXCEPT ________? A) Which editors will publish my manuscript? B) What unique perspective would fill a gap? C) What journals publish on my topic? D) What has not been well-addressed?

A. Which editors will publish my manuscript?

Children under age 18 comprise approximately what percentage of the homeless population? A) 10.4% B) 22.8% C) 43.2% D) 61.3%

B

In the absence of specific therapy to interrupt transmission of HIV, an infected woman has what percent chance of having a child born with HIV? A) 10% B) 20% C) 50% D) 75%

B

Prevalence is: A) the number of new cases occurring during a specified period divided by the total population. B) the total number of cases at a specific point in time divided by the specified population. C) the number of new cases occurring during a specified period divided by the population at risk. D) the total number of cases at a specific point in time divided by the population at risk.

B

The best quality evidence is scientifically based and has been _____________________. A) Peer-reviewed B) Replicated C) Promoted by other clinicians D) Translated

B

When completing Step 1 of Melnyk and Fineout-Overholt's evidence-based practice (EBP) process, which action does the NP student implement? A) Cultivating a spirit of inquiry B) Formulating a clinical question C) Creating a culture of evidence-based practice D) Searching for high-quality research evidence

B

Which of the following is an example of tertiary prevention? A) Immunization and prenatal care B) Foot care for a patient newly diagnosed with diabetes C) Mammogram for a patient who has a family history of breast cancer D) Smoking cessation and handwashing

B

Which of the following methods are used to reduce the presence of confounding variables? A) Choose a different sample B) Use a control group C) Change the dependent variable D) Control for the confounding variable

B

An individual educated as a_____________ is able to educate the future nursing workforce to influence patient outcomes by focusing on evidence-based practice, quality improvement, policy advocacy, and informatics. A) Nurse Practitioner B) Doctor of Nursing Practice C) Certified Nurse Midwife D) Clinical Nurse Leader

B Doctor of Nursing Practice

In which specialty are most nurse practitioners educated? A) Pediatrics B) Primary care C) Family D) Adult gerontology

B Primary care

Historically, nursing preparation was referred to as "training," and many nurses educated through the 1970s still use this term to refer to their education. Why is this terminology particularly problematic in light of the advances made in nursing science in the last 30 years? A) On-the-job apprenticeships are no longer as prevalent as they were up through the late 1970s and early 1980s. B) It places emphasis on nurses' abilities to perform tasks rather than reason through and understand the purpose of their actions. C) Most modern nurses pursue Master's level education beyond their practice-based Bachelor's education. D) The last 30 years have seen nursing education move away from physician-taught courses in hospitals to professor-taught courses at universities.

B) It places emphasis on nurses' abilities to perform tasks rather than reason through and understand the purpose of their actions.

Which American Association of Colleges of Nursing (AACN) essential is unique to the doctor of nursing practice (DNP) program? A) Background for practice from sciences and humanities B) Advanced nursing practice C) Healthcare policy for advocacy in health care D) Organizational and systems leadership

B. Advanced nursing practice

Which organization outlined core competencies for nurse practitioners in all tracks and specialties? A) American Association of Nurse Practitioners (AANP) B) National Organization for Nurse Practitioner Faculties (NONPF) C) American Association of Colleges of Nursing (AACN) D) National Council of State Boards of Nursing (NCSBN)

B. NONPF

During the 1960s, why did nursing scholars heavily emphasize a focus on the theoretical development of nursing as its own, independent discipline? A) To support doctoral education for nurses that was discipline specific B) To prove that the logical positivist approach was a poor fit for the discipline C) To encourage and enhance the continued development of nursing science D) To promote research by nurses in all fields, not merely nursing science

C

Incidence is: A) the number of new cases occurring during a specified period divided by the total population. B) the total number of cases at a specific point in time divided by the specified population. C) the number of new cases occurring during a specified period divided by the population at risk. D) the total number of cases at a specific point in time divided by the population at risk.

C

The consensus statement crafted at the Knowledge Consensus Conference in Boston in 1998 addressed the following areas except: A) The nature of the human person B) The role of nursing theory C) The nature of the nurse as an individual D) The links of each area of understanding to nursing practice

C

The nurse practitioner (NP) is preparing to assess a Native American patient. Which strategy demonstrates cultural sensitivity by the NP? A) Understanding the patient may avoid eye contact B) Anticipating that the patient may be quiet until trust is established C) Desiring to learn about the patient's use of herbal remedies D) Recognizing the patient may prefer to collaborate with a folk healer

C

When searching for the best research evidence, which step does the nurse practitioner (NP) student complete first? A) Expand the search using the explode option. B) Combine searches generated from PICOT key words. C) Establish inclusion and exclusion criteria. D) Use tools to limit the search to the topic of interest.

C

Which of the following is the leading cause of death for children and adolescents? A) Asthma B) Depression C) Unintentional injuries D) Lack of immunizations

C

Which topic is specifically addressed in outcomes designated by the American Association of Colleges of Nursing (AACN) Essentials for Master's Education in Nursing? A) Physical assessment D) Pathophysiology C) Population health D) Pharmacology

C Population health

The ________ includes the standards, structure, formatting, style and other information that nursing manuscript writers usually follow. A) American Medical Association Manual of Style (2011) B) Publication Manual of the American Psychiatric Association (2013) C) Publication Manual of the American Psychological Association (2010) D) Publication Manual of the American Nursing Association (2011)

C) Publication Manual of the American Psychological Association (2010)

The process of writing to publish in journals can be broken down into several stages. Which of the following identifies the logical flow of the stages? A) Topic selection, journal selection, pre-writing, authorship negotiation, writing, submission, responding to reviews and re-writing. B) Journal selection, topic selection, pre-writing, writing, authorship negotiation, submission, responding to reviews and re-writing. C) Pre-writing, topic selection, journal selection, authorship negotiation, writing, submission, responding to reviews and re-writing. D) Pre-writing, journal selection, authorship negotiation, topic selection, writing, submission, responding to reviews and re-writing.

C.

Which of the following are the major elements to consider during the writing stage? A) Journal language, journal specialty, style and format, citing sources, grammar and spelling, type of journal, proofreading, and getting feedback. B) Organization, sentence structure, style, journal language, grammar and spelling, citing sources, proofreading, and type of journal. C) Organization, sentence and paragraph structure, style and language, grammar and punctuation, citing sources, proofreading, and inviting feedback. D) Type of journal, manuscript submission process, organization, sentence and paragraph structure, grammar and spelling, and proofreading.

C. Organization, sentence and paragraph structure, style and language, grammar and punctuation, citing sources, proofreading, and inviting feedback.

In which step of the change process is it important to be visible, provide support and encouragement for the staff, and seek feedback? A) Step Two: Leading or Serving on an Interprofessional Change Team B) Step Four: Identifying and Analyzing Forces of Change C) Step Six: Implementing Change D) Step Eight: Incorporating Changes into the Culture/Refreezing

C. Step 6: Implementing change

In which area is there a need for increased attention? A) Acceptance of pluralism B) Linking feminism to modern trends C) Increasing empirical orientation in conceptual work D) Theory development

D

The nurse practitioner's demonstration of cultural competence includes which intervention? A) Achieving consensus on differing values B) Using colloquial expressions when speaking C) Identifying stereotypes held by others D) Establishing boundaries for acceptable behaviors

D

What does the federal Ryan White CARE Act fund? A) Care for underserved rural and urban populations B) Skin cancer screening programs C) School-based health services in predominantly minority neighborhoods D) Development of treatment and care options for persons with HIV and AIDS

D

Which statement most accurately encapsulates Thomas Kuhn's proposed philosophy of science? A) Science philosophy should address both the conceptual and empirical problems of science and serve as merely a problem-solving activity. B) Science philosophy should focus on concept clarification and concept analysis based on theory development and synthesis. C) Science philosophy should resolve conceptual problems in science without being limited to the development of theories. D) Science philosophy should examine the process of science, rather than the product of science, according to a disciplinary matrix known as a paradigm.

D

Graduate-level nursing curriculum focuses on providing a strong background of which course(s)? A) Pathophysiology B) Physical Assessment C) Pharmacology D) All of the above

D All of the above

Which factor represents a potential barrier to the nurse practitioner's practice in a primary care setting? A) Cost effectiveness B) Professional growth C) Aging baby boomers D) Collaboration agreements

D Collaboration agreements

The nurse is providing care based on the Institute of Medicine (IOM) recommendations for high quality health care. The nurse is careful to minimize the use of supplies in addition to gathering all supplies before beginning the procedure. Which IOM recommendation is the nurse following? A) Equitable B) Patient-Centered C) Timely D) Efficient

D. Efficient

There are a variety of models designed to guide individuals when implementing change. Four distinct phases are typically present in each models. Which step is typically not present? A) Assessing the need for change B) Setting objectives C) Implementing change D) Establishing a policy

D. Establishing a policy

Which role is not considered an advanced practice registered nurse (APRN)? A) Certified Nurse Anesthetist B) Nurse Practitioner C) Certified Nurse Midwife D) Nurse Educator

D. Nurse educator

Why is it important to identify the journal to which you plan to submit your manuscript before you write it? A) To enable you to prepare the manuscript for the editors and audience. B) To ensure that you know for which editors you are preparing your manuscript. C) To enable you to prepare for the costs of pre-writing, writing, and revisions. D) To ensure that you write for the appropriate audience, journal format, and style.

D. ensure that you write for the appropriate audience, journal format, and style

Due to the potentially high stakes of manuscript publishing, you are well-advised to do which of the following if you are co-authoring? A) always offer to be the last author on the manuscript B) avoid co-authoring at all costs as it leads to problems C) write a lengthy contract ensuring that you are lead D) negotiate both authorship and lineup during pre-writing

D. negotiate both authorship and lineup during prewriting