Deck 25: Advanced Practice Registered Nurses: Accomplishments, Trends, and Future Directions

Question 1

Which of the following accounts for the shift in nurse practitioners' (NPs') and certified nurse-midwives' (CNMs') practice settings?

A) Population-driven needs
B) Expansion in scope of practice
C) Fragmentation in health care
D) Physician residency education

Answer 1

Physician residency education

Question 2

Certified registered nurse anesthetists (CRNAs) have more autonomy in providing anesthesia care in which of the following settings?

A) Rural hospitals
B) Critical care units
C) Skilled care facilities
D) Outpatient surgery centers

Answer 2

Rural hospitals

Question 3

Which of the following works directly with patients and is an expert in an area such as wound care, pain management, or diabetes care?

A) Clinical nurse specialist (CNS)
B) Certified nurse-midwife (CNM)
C) Family nurse practitioner (FNP)
D) Certified registered nurse anesthetist (CRNA)

Answer 3

Clinical nurse specialist (CNS)

Question 4

Which of the following provides primary care to the poor or elderly in urban, rural, and underserved areas?

A) Clinical nurse specialist (CNS)
B) Certified nurse-midwife (CNM)
C) Family nurse practitioner (FNP)
D) Certified registered nurse anesthetist (CRNA)

Question 5

Which of the following facilitated direct Medicare reimbursement for nurse practitioners (NPs)?

A) The Federal Register
B) Balanced Budget Act of 1997
C) American Nurses Association
D) American Academy of Family Physicians

Question 6

Which of the following is thought to have had the greatest influence on advanced practice registered nurses' (APRNs') salaries?

A) Gender
B) Education
C) Specialty area
D) Practice setting

Question 7

An advanced practice registered nurse (APRN) is developing a report describing patient conditions that have responded positively to nurse practitioner (NP) care. Which nurse-sensitive indicators delineated by the Agency for Healthcare Research and Quality (AHRQ) as responsive to nursing care should the APRN include? Select all that apply.

A) Pain
B) Pressure ulcers
C) Congestive heart failure
D) Ventilator-associated pneumonia
E) Catheter-associated urinary tract infections

Question 8

An advanced practice registered nurse (APRN) is examining quality indicators that generate revenue. Which of the following has linked reimbursement to quality indicators?

A) American Hospital Association (AHA)
B) Centers for Medicare and Medicaid Services (CMS)
C) Agency for Healthcare Research and Quality (AHRQ)
D) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

Question 9

Which of the following influenced blended nursing education programs to distinguish advanced practice registered nurse (APRN) roles?

A) Consensus Model (LACE)
B) Institute of Medicine (IOM)
C) American Nurses Credentialing Center (ANCC)
D) American Association of Colleges of Nursing (AACN)

Question 10

Which of the following has the most significant impact on an advanced practice registered nurse's (APRN's) professional identity?

A) Practice settings
B) Disciplinary focus
C) Physician shortages
D) Doctoral preparation