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Joel essentials in role development, Exams of Nursing

A.T. Still University of Health Sciences (ATSU)Nursing

Joel essentials in role developmentJoel essentials in role developmentJoel essentials in role development

Typology: Exams

2023/2024

Available from 06/10/2024

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Joel essentials in role development
3. Which type of grant proposal does the advanced practice nurse (APN) submit when
completing a doctor of philosophy (PhD) residency?
1. Practice
2. Business
3. Research
4. Leadership - Correct answer3. research
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 - Correct answer4. 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 healing 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.
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) - Correct
answer1. 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 establishment
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
Nurse-Midwives (AANM).
3. In 1910, which factors most significantly influenced the midwifery profession? Select
all that apply.
1. Strict licensing requirements
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Joel essentials in role development

  1. Which type of grant proposal does the advanced practice nurse (APN) submit when completing a doctor of philosophy (PhD) residency?
  2. Practice
  3. Business
  4. Research

4. Leadership - Correct answer 3. research

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 - Correct answer 4. 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 healing 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. 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) - Correct

answer 1. 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 establishment 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 Nurse-Midwives (AANM).

  1. In 1910, which factors most significantly influenced the midwifery profession? Select all that apply.
  2. Strict licensing requirements
  1. Negative public perception
  2. Dedicated funding for training
  3. Poor maternal-child outcomes

5. Mandatory professional supervision - Correct answer 2. & 4

In 1910, the midwifery profession was significantly influenced by poor maternal-child outcomes and a public perception as unprofessional.

  1. 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 - Correct answer 4. 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. 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 administration by physicians

5. Formation of a national organization by nurse anesthetists - Correct answer 1 & 3

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 Which factor 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 specialization - Correct answer 3. return of nurse veterans from

the Vietnam War who sought to increase their knowledge and skills, and to work in advanced roles and nontraditional fields, such as anesthesia and trauma.

  1. Differentiation between the role of the clinical nurse specialist (CNS) and the nurse practitioner (NP) is primarily based on which premise? . Designation as an advanced practice nurse
  2. Diagnosis of patient health conditions
  3. Nature of practice setting environments

practitioners (NPs) has shifted to adult gerontology. As opposed to emphasizing state- based regulation of advanced practice nursing, broad goals of the Consensus Model include developing more consistent standards for advanced practice nurses (APNs) that promote eligibility for interstate licensure reciprocity. Instead of ensuring regulation of advanced practice registered nurses (APRNs) as a collective group, the Consensus Model recommends regulation of APRNs in one of four accepted roles. The Consensus Model describes the practice of clinical nurse specialists (CNSs) as including both acute and primary care settings.

  1. For nurse practitioners (NPs), which issue represents a current barrier to autonomy.
  2. Restrictions on reimbursement for services
  3. Absence of state-based prescriptive authority
  4. Limited ability to serve in acute care settings

4. Lack of authority to manage medical problems - Correct answer 1. Restrictions on

reimbursement for services

  1. Which changes have contributed to the evolution of the present-day nurse practitioner (NP)'s role? Select all that apply.
  2. Focus on delivering care to low-income patients 2.Development of retail patient care clinics
  3. Increased access to Medicaid recipients
  4. Inclusion of patients from suburban areas

5. Emphasis on serving uninsured immigrants - Correct answer 2. Development of

retail patient care clinics

  1. Inclusion of patients from suburban areas Which consideration led to designation of the nurse practitioner (NP) rather than the clinical nurse specialist (CNS) as the advanced practice nurse (APN) who would deliver care related to psychiatric or mental health services?
  2. Level of educational preparation
  3. Eligibility for prescriptive authority
  4. Ability to serve in community settings

4. Practice based on core competencies - Correct answer 2. A heightened emphasis

on a biopsychological approach to treating clients with psychiatric/mental health needs has underscored the importance of prescriptive authority for this advanced practice nursing role. Which of the following defines the current practice of the acute care nurse practitioner (NP)?

  1. Unit-based versus practice-based assignment
  2. Participation on a specialty care team
  3. Geographical setting

4. Patient population - Correct answer 4. Patient population

Which activity does the advanced practice nurse (APN) complete when participating in a doctor of nursing practice (DNP) residency?

  1. Participate in quality improvement
  2. Present at research conferences
  3. Pilot research projects for dissertation

4. Submit research grant proposals - Correct answer 3. Pilot research projects for

dissertation

  1. Which activity does the advanced practice nurse (APN) anticipate when completing a doctor of philosophy (PhD) research residency?
    1. Literature review in nursing science
  2. Participation in quality improvement
  3. Presentation at practice conferences

4. Development of capstone with mentors - Correct answer 1. Literature review in

nursing science

  1. According to the Consensus Model for APRN Regulation, advanced practice nursing should abide by which recommendation?
  2. Emphasizing state-based regulation of advanced practice nursing standards
  3. Ensuring regulation of advanced practice registered nurses (APRNs) as a unified, collective group
  4. Preparing clinical nurse specialists (CNSs) to function primarily in acute care
  5. Changing the population focus of adult nurse practitioners to adult gerontology -

Correct answer

The following are: The government is responsible for public health activities• A population-based focus is assumed• Public health addresses relationships between the state and the population• Population-based services are delivered grounded in science• Public health officers have the power to coerce individuals and businesses into actions

that protect the health of the population - Correct answer Characteristics of Public

Health Law the legal powers and duties of the state that assure conditions of health for the people and limit the use of state powers to constrain autonomy, privacy, liberty, proprietary, or

other legal protected rights" - Correct answer Public Health Law Definition

Foundation U.S. Constitution

  1. Designation as a midlevel practitioner

5. Endorsement of APRN Consensus Model - Correct answer 1.quality of Care

  1. Cost - effectiveness
  2. Endorsement of APRN Consensus Model- Though totally unfettered authority by all advanced practice registered nurses (APRNs) has not yet been achieved, the experience of prescribing medications for patients under the care of these providers has been found to be safe and beneficial. The practicality, the enhancement of quality of care, and the cost-effectiveness of the practice of these groups has enhanced the logic and desirability of giving prescriptive authority to APRNs nationwide.
  3. The primary document that supports advance practice registered nurses' (APRNs') unrestricted prescriptive authority and provides recommendations for APRNs' education

and certification is _______________. - Correct answer APRN Consensus Model

Reorder the steps for changing a state's nurse practice act (first to last).

  1. Hearing to give testimony
  2. Introduction of legislation
  3. Sent to floor of both chambers
  4. Referral to committee of jurisdiction

5. Passage through appropriate committees - Correct answer 2. Legislation must be

introduced that amends or adds to current law.

  1. Once legislation is introduced, it is referred to a committee of jurisdiction (usually a professional licensure committee) for consideration.
    1. Once the legislation is in committee, the chair of that committee generally calls for a hearing to allow proponents and opponents of the legislation to give testimony regarding the introduced legislation.
  2. After passing through all appropriate committees, the legislation, at the discretion of the majority party leadership, is taken to the floor of the voting chamber for a vote. In some states, proposed legislation must also go through the appropriations committee of at least one of the voting chambers to determine cost and evaluate fiscal impact on the state.
  3. After passing through all appropriate committees, the legislation is taken to the floor of the voting chambers. Sometimes this is done simultaneously in both chambers of the state legislature; in others, the legislation passes through one chamber at a time Nurses working in a Magnet facility have low staff turnover rates and report high job satisfaction, making others aspire to have the longevity in employment experienced by those at the Magnet facility. Which of the following reference groups is this an example of?
  4. Evaluative
  5. Normative
  6. Comparison

4. Audience - Correct answer 3. Comparison

  1. Which action should the advanced practice nurse (APN) take to be successful in socialization?
  1. Be better at multitasking.
    1. Develop a rapport with colleagues.
  2. Develop skills in empathic communication.

4. Practice sympathetic listening - Correct answer 3. Develop skills in empathic

communication. An advanced practice nurse (APN) consistently identifies each client by the five rights upon every encounter. This behavior is an example of which of the following?

  1. First-order change
    1. Second-order change
  2. Role-making

4. Subrole internalization - Correct answer 2. Second-order change

  1. Which action by the advanced practice nurse (APN) demonstrates role-making?
    1. Practicing autonomy when working in a busy practice
  2. Suggesting a change in treatment to the supervising physician
  3. Changing a client's medication to a lower dosage

4. Teaching a client how to self-administer insulin - Correct answer 2. Suggesting a

change in treatment to the supervising physician

  1. The advanced practice nurse (APN) is mentoring an APN student. The APN recognizes that the student is having a hard time adjusting to the new role. Which action should the mentor take?
  2. Allow the student to work through the process.
  3. Listen sympathetically to the student.
  4. Refer the student to a colleague with similar experiences. 4. Treat each failure as a

learning opportunity. - Correct answer 4. Treat each failure as a learning opportunity.

  1. The advanced practice nurse (APN) is working with a colleague in a busy surgical center and becomes concerned with the colleague's change in behavior. Which sign indicates that the colleague might be experiencing burnout?
  2. Empathic behavior
  3. Short attention span
  4. Sensitivity

4. Intolerance - Correct answer 4. Intolerance

The advanced practice nurse (APN) is working in a busy emergency room. Which action can the APN take to reduce role strain?

  1. Own the problem and work through it.
  2. Find a quiet place to retreat.
  3. Focus on helping others.

4. Become more involved in the work environment. - Correct answer 2. Find a quiet

place to retreat.