Deck 39: The Advanced Practice Nurse in the Community

Question 1

A population-focused advanced public health nursing (APHN) activity is implementing a secondary prevention strategy. Which of the following best describes the intervention that is being completed?

A) Flu immunizations at churches
B) Education on need for early detection
C) Screenings for blood pressure and cholesterol
D) Follow-up clinics for diabetics

Answer 1

Screenings for blood pressure and cholesterol

Question 2

A registered nurse (RN) would like to become a nurse practitioner (NP). Which level of education is required?

A) Bachelor of science in nursing degree
B) Master's or higher degree in nursing and NP education
C) Bachelor of science in nursing degree and completion of a formal NP program
D) Master's degree with a specialty in public health nursing

Answer 2

Master's or higher degree in nursing and NP education

Question 3

In which role are the most differences seen between the advanced public health nurse (APHN) and the nurse practitioner (NP)?

A) Administrator
B) Clinician
C) Consultant
D) Educator

Answer 3

Clinician

Question 4

An advanced practice nurse (APN) 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) Clinical nurse leader
B) Advanced public health nurse (APHN)
C) Nurse practitioner (NP)
D) Clinical nurse specialist

Question 5

An advanced public health nurse (APHN) has recently been hired by a public health department. Which of the following best describes what the APHN will most likely be doing in this role?

A) Diagnosing health problems
B) Managing chronic disease
C) Limiting disability
D) Conducting community assessments

Question 6

A nurse is performing a population-focused intervention. Which of the following activities is the nurse most likely completing?

A) Setting up a health fair with nursing students at a local university
B) Teaching a new mother how to breastfeed
C) Completing a physical examination on a preschool child
D) Contacting local officials about the rise in crime in one area of the city

Question 7

An advanced public health nurse (APHN) is completing the process for certification renewal in the specialty. What time period has passed making renewal necessary?

A) 1 year
B) 3 years
C) 5 years
D) 7 years

Question 8

The nurse practitioner (NP) movement began at the University of Colorado with nurses providing what type of care?

A) Maternity
B) Well-child
C) Nursing home
D) Diabetes

Question 9

An advanced public health nurse (APHN) provides other nurses with information about how to improve client care. Which of the following roles is being performed?

A) Researcher
B) Administrator
C) Educator
D) Consultant

Question 10

Which statement accurately describes how nurse practitioner (NP) programs began?

A) Started as a physician's assistant program.
B) Were an offshoot of midwifery.
C) Have not always required a master's degree.
D) Began in Europe and didn't reach the United States until 1970.

Question 11

An advanced public health nurse (APHN) is offering classes on breast self-exam. Which of the following levels of prevention is being implemented?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Question 12

A nurse practitioner (NP) has recently been hired by a public health department. Which of the following best describes what the NP will most likely be doing in this role?

A) Disease prevention activities
B) Deciding on a treatment plan
C) Identifying needs of populations at risk
D) Identifying health needs of the community

Question 13

A nurse practitioner (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

Question 14

An advanced practice nurse (APN) is pursuing professional certification. Who will the nurse need to contact to obtain certification?

A) American Nurses Association
B) National League for Nursing
C) State board of nursing
D) Department of Health and Human Services

Question 15

A nurse practitioner (NP) recently began employment in an emergency department. What would the primary role of the NP be in this setting?

A) Triage clients.
B) Manage non-emergent client problems.
C) Assess medically uninsured clients.
D) Provide health education about preventive health care.

Question 16

A student is pursuing a graduate nursing education with preparation as a generalist, functioning at the micro-systems level, and assuming accountability for health care outcomes for a specific group of clients. Which educational preparation is this student receiving?

A) Clinical nurse leader (CNL)
B) Advanced public health nurse (APHN)
C) Nurse practitioner (NP)
D) Doctor of Nursing Practice (DNP)

Question 17

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.

Question 18

An advanced public health nurse (APHN) is working as an administrator. Which of the following would the nurse most likely be doing?

A) Engaging in consultation and problem solving with individuals, families, and the community
B) Providing direct authority and supervision over the staff and client care
C) Working with doctorate-prepared nurses on research projects
D) Educating the public on current health care practices

Question 19

An advanced public health nurse (APHN) has been working with multiple agencies to establish a nursing center in the community. What is the purpose of creating a nursing center?

A) To provide opportunities for collaborative relationships
B) To offer specialized care for certain medical conditions
C) To promote the autonomy of nurse practitioners (NPs)
D) To focus on primary prevention for the community

Question 20

An advanced practice nurse (APN) has obtained certification. Which of the following provides the rationale for receiving certification?

A) Assures competence at an advanced level.
B) Verifies minimal competency levels of practice.
C) Creates a network for nurses to collaborate.
D) Making becoming a nurse a challenging process.

Question 21

Which functions are shared by advanced public health nurses (APHNs) and nurse practitioners (NPs)? (Select all that apply.)

A) Leadership
B) Research
C) Comprehensive assessment
D) Systems focus
E) Community assessment

Question 22

Which is most likely to be a major stressor for an advanced public health nurse (APHN)?

A) Autonomy of practice
B) Professional isolation
C) Flexible work hours
D) Collaboration

Question 23

Which factors cause stress for advanced practice nurses (APNS)? (Select all that apply.)

A) Legal issues
B) Professional isolation
C) Conflicting expectations
D) Role confusion
E) Advanced education

Question 24

An advanced public health nurse (APHN) wants to establish an independent practice. Which is the best method to achieve this goal?

A) Act as a legal expert.
B) Learn complex assessment skills.
C) Market a service package.
D) Serve as a liaison for community programs.

Question 25

A nurse practitioner (NP) is investigating regulations for third-party reimbursement. Which information will the NP most likely discover?

A) NPs are reimbursed when directly supervised by a physician.
B) NPs only receive reimbursement when working in rural areas.
C) NPs are reimbursed at 85% of the physician rate.
D) NPs are unable to be reimbursed by Medicare and Medicaid.