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Test Bank - Advanced Practice Nursing: Essentials for Role Development, 5th Edition (Joel, 2023), Chapter 1-30 | All Chapters

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Test Bank - Advanced Practice Nursing: Essentials for Role Development, 5th Edition (Joel, 2023), Chapter 1-30 | All Chapters

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  • September 9, 2023
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  • 2023/2024
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  • advanced practice nursing
  • 5th edition
  • joel 2023
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TEST BANK
Advanced Practice Nursing: Essentials for Role Development
Lucille A. Joel
5th Edition Table of Contents
Chapter 01 Advanced Practice Nursing-Doing What Has to Be Done 1
Answers and Rationales 4
Chapter 02 Emerging Roles of the Advanced Practice Nurse 13
Answers and Rationales 16
Chapter 03 Role Development-A Theoretical Perspective 25
Answers and Rationales 28
Chapter 04 Educational Preparation of Advanced Practice Nurses-Looking to the Future 34
Answers and Rationales 36
Chapter 05 Global Perspectives on Advanced Practice Nursing 40
Answers and Rationales 43
Chapter 06 Advanced Practice Nurses and Prescriptive Authority 48
Answers and Rationales 51
Chapter 07 Credentialing and Clinical Privileges for the Advanced Practice Nurse 59
Answers and Rationales 62
Chapter 08 The Kaleidoscope of Collaborative Practice 70
Answers and Rationales 73
Chapter 09 Participation of the Advanced Practice Nurse in Health Plans and Quality Initiatives 81
Answers and Rationales 83
Chapter 10 Public Policy and the Advanced Practice Nurse 88
Answers and Rationales 91
Chapter 11 Resource Management 97
Answers and Rationales 99
Chapter 12 Mediated Roles-Working With and Through Other People 103
Answers and Rationales 105
Chapter 13 Evidence-Based Practice 109
Answers and Rationales 112
Chapter 14 Advocacy and the Advanced Practice Nurse 118
Answers and Rationales 120
Chapter 15 Case Management and the Advanced Practice Nurse 126
Answers and Rationales 129
Chapter 16 The Advanced Practice Nurse and Research 136
Answers and Rationales 139
Chapter 17 Holism and Complementary and Integrative Health Approaches for the Advanced Practice Nurse 145
Answers and Rationales 147
Chapter 18 Basic Skills for Teaching and the Advanced Practice Nurse 151
Answers and Rationales 153
Chapter 19 Culture as a Variable in Practice 157
Answers and Rationales 159
Chapter 20 Conflict Resolution in Advanced Practice Nursing 164 Answers and Rationales 166
Chapter 21 Leadership for APNs-If Not Now, When 171
Answers and Rationales 173
Chapter 22 Information Technology and the Advanced Practice Nurse 177
Answers and Rationales 179
Chapter 23 Writing for Publication 185
Answers and Rationales 188
Chapter 24 Measuring Advanced Practice Nurse Performance-Outcome Indicators, Models of Evaluation, and the Issue of Value 193
Answers and Rationales 195
Chapter 25 Advanced Practice Registered Nurses-Accomplishments, Trends, and Future Directions 200
Answers and Rationales 202
Chapter 26 Starting a Practice and Practice Management 208
Answers and Rationales 210
Chapter 27 The Advanced Practice Nurse as Employee or Independent Contractor-Legal and Contractual Considerations 215
Answers and Rationales 217
Chapter 28 The Law, the Courts, and the Advanced Practice Nurse 222
Answers and Rationales 224
Chapter 29 It Can Happen to You-Malpractice and the Advanced Practice Nurse 229
Answers and Rationales 231
Chapter 30 Ethics and the Advanced Practice Nurse 236
Answers and Rationales 238 Joel Adv Practice NSG, 5e CH01 TB Chapter 1: Advanced Practice Nursing: Doing What Has to Be Done QUESTIONS 1. Which change represents the primary impetus for the end of the era of the female lay healer? 1. Perception of health promotion as an obligation 2. Development of a clinical nurse specialist position statement 3. Foundation of the American Association of Nurse -Midwives 4. Emergence of a medical establishment Answer: 2. The beginning of modern nursing is traditionally considered to have begun wi th which event? 1. Establishment of the first school of nursing 2. Incorporation of midwifery by the lay healer 3. Establishment of the Frontier Nursing Service (FNS) 4. Creation of the American Association of Nurse -Midwives (AANM) Answer: 3. In 1910, which factors most significantly influenced the midwifery profession? Select all that apply. 1. Strict licensing requirements 2. Negative public perception 3. Dedicated funding for training 4. Poor maternal -child outcomes 5. Mandatory professional super vision Answer: 4. Which advanced practice nursing role is unique in that the practitioners view their role as comprising a combination of two distinct disciplines? 1. Nurse practitioner 2. Certified registered nurse anesthetist 3. Clinical nurse specialist 4. Certified nurse -midwife Answer: 5. In the 19th century, which factors led to the administration of anesthesia by nurses? Select all that apply. 1. Surgeon entitlement to collecting anesthesia fees 2. Collaborative pract ice between physician -anesthetists and nurses ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Advanced Practice Nursing: Essentials for Role Development, 5th Edition (Joel, 2
1 | P a g e Joel Adv Practice NSG, 5e CH01 TB 3. Lack of recognition of anesthesiology as a medical specialty 4. Opposition to anesthesia administration by physicians 5. Formation of a national organization by nurse anesthetists Answer: 6. Which fa ctor contributed to expansion of the role of the clinical nurse specialist (CNS) during the 1960s? 1. Increased numbers of practicing physicians 2. Tightening of female role definitions 3. Return of nurses from military conflict 4. Lack of medical speci alization Answer: 7. Differentiation between the role of the clinical nurse specialist (CNS) and the nurse practitioner (NP) is primarily based on which premise? 1. Designation as an advanced practice nurse 2. Diagnosis of patient health conditions 3. Nature of practice setting environments 4. Authority to prescribe medications Answer: 8. The National Council of State Boards of Nursing’s Consensus Model for Advanced Practice Registered Nurse (APRN) Reg ulation prompted gains related to which aspects of the role and function of the nurse practitioner (NP)? Select all that apply. 1. Legal authority 2. Reimbursement 3. Consumer recognition 4. Prescriptive privilege 5. Autonomy Answer: 9. The doctor of nursing practice (DNP) degree was developed to support the achievement of which goal related to advanced practice nursing education? 1. Eliminating master’s degree programs 2. Promoting excellence in clinical practice 3. Replacing doctor of philosophy programs 4. Emphasizing nursing research ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Advanced Practice Nursing: Essentials for Role Development, 5th Edition (Joel, 2
2 | P a g e Joel Adv Practice NSG, 5e CH01 TB Answer: 10. Among national nursing leaders, which argument serves as a basis for opposition to the requirement that advanced practice nurses (APNs) earn a doctor of nursing practice (DNP) degree? 1. Greater professionalization is needed among advanced practice nu rses. 2. The number of graduate nursing programs should be limited. 3. Advanced practice nursing certification should not require a doctoral degree. 4. The need for care providers should be prioritized. Answer: ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Advanced Practice Nursing: Essentials for Role Development, 5th Edition (Joel, 2
3 | P a g e Joel Adv Practice NSG, 5e CH01 TB ANSWERS AND RATIONALES 1. Which chang e represents the primary impetus for the end of the era of the female lay healer? 1. Perception of health promotion as an obligation 2. Development of a clinical nurse specialist position statement 3. Foundation of the American Association of Nurse -Midwiv es 4. Emergence of a medical establishment Answer: 4 Page: 5 Feedback 1. This is incorrect. Lay healers traditionally viewed their role as being a function of their community obligations; however, the emerging medical establishment viewed healing as a commodity. The emergence of a male medical establishment represents the primary impetus for the end of the era of the female lay healer. 2. This is incorrect. The American Nurses Association (ANA) position statement on educational requireme nts for the clinical nurse specialist (CNS) was developed in 1965; the ANA’s position statement on the role of the CNS was issued in 1976. The emergence of a male medical establishment represents the primary impetus for the end of the era of the female lay healer. 3. This is incorrect. The American Association of Nurse -Midwives (AANM) was founded in 1928. The emergence of a male medical establishment represents the primary impetus for the end of the era of the female lay healer. 4. This is correct. The emergence of a male medical establishment represents the primary impetus for the end of the era of the female lay healer. Whereas lay healers viewed their role as being a function of their community obligations, the emerging medical establishment viewed he aling as a commodity. The era of the female lay healer began and ended in the 19th century. The American Association of Nurse -Midwives (AANM) was founded in 1928. The American Nurses Association (ANA) position statement on educational requirements for the clinical nurse specialist (CNS) was developed in 1965; the ANA’s position statement on the role of the CNS was issued in 1976. 2. The beginning of modern nursing is traditionally considered to have begun with which event? 1. Establishment of the first school of nursing 2. Incorporation of midwifery by the lay healer 3. Establishment of the Frontier Nursing Service (FNS) 4. Creation of the American Association of Nurse -Midwives (AANM) Answer: 1 Pages: 5 Feedback ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Advanced Practice Nursing: Essentials for Role Development, 5th Edition (Joel, 2
4 | P a g e Joel Adv Practice NSG, 5e CH01 TB 1. This is correct. Traditionally, modern nursing is considered to have begun in 1873, when the first three U.S. training schools for nurses opened. The role of the lay healer as a midwife is documented to have occurred in the 19th century, before the establi shment of schools of nursing. The Frontier Nursing Service (FNS), which provided nurse -midwifery services, was established in 1925. In 1928, the Kentucky State Association of Midwives, which was an outgrowth of the FNS, became the American Association of N urse-Midwives (AANM). 2. This is incorrect. The role of the lay healer as a midwife is documented to have occurred in the 19th century, before the establishment of schools of nursing. Traditionally, modern nursing is considered to have begun in 1873, wh en the first three U.S. training schools for nurses opened. 3. This is incorrect. The Frontier Nursing Service (FNS), which provided nurse -
midwifery services, was established in 1925. Traditionally, modern nursing is considered to have begun in 1873, wh en the first three U.S. training schools for nurses opened. 4. This is incorrect. In 1928, the Kentucky State Association of Midwives, which was an outgrowth of the FNS, became the American Association of Nurse -
Midwives (AANM). Modern nursing is conside red to have begun in 1873 at which time the first three U.S. training schools for nurses opened. 3. In 1910, which factors most significantly influenced the midwifery profession? Select all that apply. 1. Strict licensing requirements 2. Negative public perception 3. Dedicated funding for training 4. Poor maternal -child outcomes 5. Mandatory profess ional supervision Answer: 2, 4 Pages: 5 -6 Feedback 1. This is incorrect. In 1910, the midwifery profession was significantly influenced by poor maternal -child outcomes and a public perception as unprofessional. Though legislation ultimately was passed to tighten requirements related to licensing and supervision of midwives, in the early 20th century, midwives were largely unregulated and generally perceived as unprofessional. 2. This is correct. In 1910, the midwifery profession was significantly inf luenced by poor maternal -child outcomes and a public perception as unprofessional. At that time, approximately 50% of all U.S. births were reportedly attended by midwives. However, especially with regard to perinatal health indicators, the national populat ion’s general health was poor. Unfavorable outcomes among both mothers and infants were attributed to midwives who, at that time, were largely unregulated and generally perceived as unprofessional. Poor maternal -
child outcomes, negative perceptions of midw ives, obstetricians’ targeted efforts ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Advanced Practice Nursing: Essentials for Role Development, 5th Edition (Joel, 2
5 | P a g e Joel Adv Practice NSG, 5e CH01 TB to take control of the birthing process, and a movement away from home births prompted major changes. Legislation was passed to tighten requirements related to licensing and supervision of midwives. One aim of the Shep pard-Towner Maternity and Infancy Act involved allocating funds to train public health nurses in midwifery; however, the bill lapsed in 1929. 3. This is incorrect. Goals of the Sheppard -Towner Maternity and Infancy Act included allocating funds to train public health nurses in midwifery, but the bill lapsed in 1929. In 1910, poor maternal -child outcomes and a public perception as unprofessional significantly influenced the midwifery profession. 4. This is correct. In 1910, the midwifery professio n was significantly influenced by poor maternal -child outcomes and a public perception as unprofessional. At that time, approximately 50% of all U.S. births were reportedly attended by midwives. However, especially with regard to perinatal health indicator s, the national population’s general health was poor. Unfavorable outcomes among both mothers and infants were attributed to midwives who, at that time, were largely unregulated and generally perceived as unprofessional. Poor maternal -
child outcomes, negat ive perceptions of midwives, obstetricians’ targeted efforts to take control of the birthing process, and a movement away from home births prompted major changes. Legislation was passed to tighten requirements related to licensing and supervision of midwiv es. One aim of the Sheppard -Towner Maternity and Infancy Act involved allocating funds to train public health nurses in midwifery; however, the bill lapsed in 1929. 5. This is incorrect. In 1910, the midwif ery profession was largely unregulated. Factors that influenced the profession included poor maternal -child outcomes and a public perception as unprofessional. 4. Which advanced practice nursing role is unique in that the practitioners view their role as comprising a combination of two distinct disciplines? 1. Nurse practitioner 2. Certified registered nurse anesthetist 3. Clinical nurse specialist 4. Certified nurse -midwife Answer: 4 Page: 7 Feedback 1. This is incorrect. The role of the certified nurse -midwife (CNM) is unique in that the CNM views the practice role as combining two disciplines: nursing and midwifery. 2. This is incorrect. The role of the certified nurse -midwife (CNM) is unique in that the CNM views the practice role as combining two disciplines: nursing and midwifery. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Advanced Practice Nursing: Essentials for Role Development, 5th Edition (Joel, 2
6 | P a g e Joel Adv Practice NSG, 5e CH01 TB 3. This is incorrect. The role of the certified nurse -midwife (CNM) is unique in that the CNM views the practice role as combining two disciplines: nursing and midwifery. 4. This is correct. The role of the certified nurse -midwife (CNM) is unique in that the CNM views the practice role as combining two disciplines: nursing and midwifery. 5. In the 19th century, which factors led to the administration of anesthesia by nurses? Select all that apply. 1. Surgeon entitlement to collecting anesthesia fees 2. Collaborative practice between physician -anesthetists and nurses 3. Lack of recognition of anesthesiology as a medical specialty 4. Opposition to anesthesia administ ration by physicians 5. Formation of a national organization by nurse anesthetists Answer: 1, 3 Pages: 7 -8 Feedback 1. This is correct. In the 19th century, anesthesia was in its early stages. This is because of a lack of recognition as a medical spe cialty and the surgeon’s entitlement to collecting anesthesia fees, other physicians had little to no interest in anesthesia administration. However, physicians were not opposed to administering anesthesia; rather, anesthesia was viewed as a means by which to transform surgery into a scientific modality for treating health alterations. Collaboration between physicians and nurses did not contribute to administration of anesthesia by nurses; contentiousness is a hallmark of the relationship between nurse anes thetists and anesthesiologists even in the present day. In the 19th century, no national organization of nurse anesthetists yet existed. The National Association of Nurse Anesthetists, which was renamed the American Association of Nurse Anesthetists (AANA) , was founded in 1931. 2. This is incorrect. With the introduction of anesthesia, collaboration between physicians and nurses did not contribute to administration of anesthesia by nurses. By contrast, contentiousness is a hallmark of the relationship bet ween nurse anesthetists and anesthesiologists even in the present day. In the 19th century, anesthesia was in its early stages. Administration of anesthesia by nurses occurred primarily because of anesthesiology’s lack of recognition as a medical specialty and the surgeon’s entitlement to collecting anesthesia fees. 3. This is correct. In the 19th century, anesthesia was in its early stages. Because of a lack of recognition as a medical specialty and the surgeon’s entitlement to collecting anesthesia fees, other physicians had little to no interest in anesthesia administration. However, physicians were not opposed to administering anesthesia; rather, anesthesia was viewed as a means by which to transform surgery into a scientific approach to treating with health alterations. Collaboration between physicians and nurses did not contribute to administration of anesthesia by nurses; contentiousness is a hallmark of the relationship ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Advanced Practice Nursing: Essentials for Role Development, 5th Edition (Joel, 2
7 | P a g e

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