Deck 8: Traditional Advanced Practice Roles for the DNP

Question 1

Which option is a goal of the DNP degree as it applies to nurse practitioners?

A)Enhancing clinical skill and performance
B) Increasing the number of nurse managers available to organizations
C)Promoting a higher level of nursing research
D)Preparing problem-solvers to assist with current healthcare concerns

Answer 1

D

Question 2

Initial nurse practitioner education at the University of Colorado in 1965 focused primarily on

A)acquiring medical skills to advance patient care.
B) enhancing teamwork within nurse-physician patient care teams.
C)providing well-child care, including health promotion and disease prevention.
D)educating nurses to complement the work of practicing physicians.

Answer 2

C

Question 3

Which are the three spheres in which the clinical nurse specialist (CNS) uses evidence-based interventions to improve health?

A)Patient, nursing practice, and system
B) Individual, community, and world
C)Culture, financial, and education
D)Problem solving, leadership, and care

Answer 3

A

Question 4

Which set of factors is the clinical nurse specialist (CNS) position designed to promote?

A)Leadership, management, and staffing
B) Safety, EBP, and staff retention
C)Education, patient care, and management
D)EBP, collaborative care, and informatics

Question 5

Which is the purpose of certification for the clinical nurse specialist (CNS)?

A)To verify completion of educational requirements
B) To establish parameters of practice and roles
C)To ensure continuing education requirements are met yearly
D)To validate knowledge and competency for entry into practice

Question 6

Which is the reason for the transition from NP master's level programs to doctoral level education?

A)The importance of competing with medical practitioners
B) The evident need for greater knowledge
C)A need for improving outcomes and reducing disparities
D)The importance of establishing health goals for patients

Question 7

Which is a primary driving force for the development of the DNP degree?

A)Master's-degree programs for APRNs carried a comparative credit load to doctoral degrees.
B) The work required to get a master's degree was less than that of other doctoral programs in healthcare.
C)The DNP was needed to establish the relevance of the advanced practitioner in nursing.
D)The DNP was needed to gain acceptance from the medical field as a qualified practitioner.

Question 8

The initial certification of nurse anesthetists began in which year?

A)1952
B) 1945
C)1877
D)1975

Question 9

The nurse midwife provides care for which scope of practice?

A)Pregnancy to childbirth
B) Female reproductive needs of any age
C)Primary care from menarche to menopause
D)Family planning and birth

Question 10

Compared to other APRN roles, midwifery practice has a unique ability to work for the betterment of which population?

A)The disadvantaged and vulnerable
B) Those with adequate health insurance
C)The young educated population
D)The older population on fixed incomes

Question 11

The work of the nurse anesthetist (CRNA) is limited to the operating room.

Question 12

To practice midwifery, the practitioner must also be a registered nurse.

Question 13

The ACNM requires a DNP degree for entry into the practice of midwifery.

Question 14

The first midwifery service demonstrated that national adoption of their processes would prevent approximately 60,000 perinatal deaths each year.

Question 15

The National Board of Certification and Recertification of Nurse Anesthetists is a voluntary certification process.

Question 16

The DNP-prepared nurse practitioner can function as a faculty member in a school of nursing.

Question 17

Each advance practice nurse (APRN) has the same scope of practice.

Question 18

The DNP role is intended to increase clinical expertise of the nurse and take the place of some physician roles.

Question 19

Specialized nursing practice began with a _________ nursing program in 1880 at McLean Hospital in Massachusetts.

Question 20

Match the APRN title with its role
-CRNA

A)Addresses nursing education and systems improvement
B) Expert clinicians and scholars for multiple patient populations
C)May be consulted for emergency and respiratory concerns
D)Advocates for high quality healthcare for all women

Question 21

Match the APRN title with its role
-CNM

A)Addresses nursing education and systems improvement
B) Expert clinicians and scholars for multiple patient populations
C)May be consulted for emergency and respiratory concerns
D)Advocates for high quality healthcare for all women

Question 22

Match the APRN title with its role
-CNS

A)Addresses nursing education and systems improvement
B) Expert clinicians and scholars for multiple patient populations
C)May be consulted for emergency and respiratory concerns
D)Advocates for high quality healthcare for all women

Question 23

Match the APRN title with its role
-NP

A)Addresses nursing education and systems improvement
B) Expert clinicians and scholars for multiple patient populations
C)May be consulted for emergency and respiratory concerns
D)Advocates for high quality healthcare for all women

Question 24

Nurse anesthetists were used in the late 1800s to meet the needs of surgical patients. What characteristics do today's nurses share with nurses in the 1800s that make them good candidates for providing anesthesia care?

Question 25

The clinical nurse specialist (CNS) has practiced effectively at the level of a master's prepared nurse for many years. What is the benefit to requiring the DNP as the entry level for the CNS role?

Question 26

Felsenstein indicates that the requirements to earn a master's degree in an NP program has increased to 45-50 semester credits, compared to 30 semester credits in other specialty areas. How could this higher number of credits impact the ability to meet the healthcare needs of Americans in the next several years?

Question 27

Why is the DNP-prepared midwife uniquely qualified to meet the needs of vulnerable populations?

Question 28

How do Florence Nightingale's concepts in Notes on Nursing support advanced practice nursing today?

Question 29

Specialized nursing practice began with what type of nursing program?

A) Acute care
B) Psychiatric
C) Disease prevention
D) Pharmacology

Question 30

Who is considered to be the "founding mother" of clinical nurse specialists?

A) Nightingale
B) Peplau
C) Sanger
D) Barton

Question 31

Which sphere of influence includes pharmacologic interventions and prescribing?

A) Nursing
B) Client
C) Organizational
D) System

Question 32

According to the issues described in the Milken Institute Report, in which way can APRNs reduce healthcare spending for people with chronic conditions?

A) Improving healthcare financing practices
B) Acquiring program management skills
C) Proving expertise related to health outcomes
D) Providing preventive care

Question 33

Which of the following is the main difference in preparation between master's-prepared NPs and DNP-prepared NPs?

A) Inclusion of evidence-based practice
B) Inclusion of healthcare outcomes research and evaluation
C) Inclusion of leadership training
D) Inclusion of health promotion training

Question 34

The IOM 2001 report Crossing the Quality Chasm was released in response to which of the following issues?

A) Lack of evidence-based practice
B) Inadequate healthcare professional education
C) Lack of patient-centered care
D) Number of deaths due to medical error

Question 35

Which of the following recommendations was released by the Tri-Council for Nursing to support the IOM's 2010 core recommendations?

A) Nurses should achieve higher levels of education
B) Nurses should provide accessible care to Americans
C) Nurses should be able to practice without partnering with physicians and other healthcare providers
D) Nurses should provide more care within community-based settings

Question 36

The role of nurse practitioner was started in direct response to which of these?

A) Competition with physicians
B) The need for disease prevention
C) A physician shortage
D) The need for health promotion

Question 37

Which of the following is the granting of authority to practice in an advanced role to the nurse practitioner?

A) Credentialing
B) Licensure
C) Certification
D) Accreditation

Question 38

The initial methods of anesthesia delivery to surgical patients included which of these?

A) A handkerchief soaked in chloroform
B) Intravenous administration
C) Ingestion of a tablet
D) Application of a topical medication

Question 39

Nurse anesthetists have been the primary anesthesia providers in the U.S. military forces since what era?

A) World War I
B) World War II
C) Vietnam War
D) Civil War

Question 40

Which of the following accreditation actions would occur if a nurse anesthesia program was noncompliant with the standards set forth by the council?

A) Suspension
B) Probation
C) Revocation
D) Certification

Question 41

A nurse anesthetist formulates a patient-specific plan for anesthesia care. Which standard for nurse anesthesia practice would include this action?

A) Standard I
B) Standard II
C) Standard III
D) Standard IV

Question 42

Midwives work primarily in which type of setting?

A) Outpatient
B) Inpatient
C) Out-of-hospital birth
D) Hospital

Question 43

Who introduced the nurse-midwifery model of care to the United States.

A) Agnes McGee
B) Dr. George Crile
C) Agatha Hodgins
D) Mary Breckinridge

Question 44

Which of the following is more important for nurse-midwives in comparison with other DNPs?

A) Business acumen
B) Cultural competence
C) Quality measures
D) Data collection

Question 45

A clinical nurse specialist uses evidence-based nursing interventions within three spheres to improve health.

Question 46

Many states require certification and a license as a registered nurse as well as a second license as an APRN.

Question 47

The core competencies for CNS practice have not been validated.

Question 48

The core competencies for CNS practice were developed partly from expert opinion.