Advanced Concepts in Nursing Practice Exam
Course Introduction
This course delves into the complex and evolving concepts essential to advanced nursing practice. Students will explore theoretical frameworks, evidence-based practice, and the integration of clinical reasoning and judgement in diverse healthcare environments. Emphasis is placed on leadership, interprofessional collaboration, patient safety, cultural competence, and ethical decision-making. Through case studies and critical analysis, learners will develop advanced assessment, diagnostic, and intervention skills required to address complex patient needs and improve health outcomes within a dynamic healthcare system.
Recommended Textbook
Quality and Safety for Transformational Nursing Core Competencies 1st Edition by Kim Amer
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12 Chapters
191 Verified Questions
191 Flashcards
Source URL: https://quizplus.com/study-set/3561
Page 2
Chapter 1: Risk and Threats to Safe Quality Care in Hospital Settings
Available
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70711
Sample Questions
Q1) When reviewing interventions planned for a patient's care the nurse ensures that safety is addressed. What is a characteristic of a safe intervention?
A) Ensures that quality care will be provided
B) Little or no risk of harm to the patient
C) Results in improved outcomes
D) Leads to fewer errors Correct
Answer: B
Q2) An organization is planning strategies to ensure the safety of their patients while receiving care. Which strategies would be consistent with those of the Institute of Medicine to ensure a safe healthcare system? Standard Text: Select all that apply.
A) Have strong leaders
B) Master workforce planning
C) Support team collaboration
D) Conduct expert data collection
E) Support continuing education initiatives Correct
Answer: A,C,E
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Chapter 2: Quality and Safety Models
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70712
Sample Questions
Q1) The nurse manager is identifying ways to improve the safety of patient care with documentation. On which areas would the manager focus these efforts? Standard Text: Select all that apply.
A) Charting
B) Care plans
C) Report notes
D) Agency referrals
E) Procedure manuals Correct
Answer: A,B,D,E
Q2) The nurse identifies an issue with the labeling of a medication for a patient. What can the nurse do to prevent this situation from creating a medication error?
A) Write over the medication label.
B) Notify the nurse manager about the issue.
C) Contact the pharmacy and discuss ways to eliminate the issue.
D) Document the identification of the issue in the medical record. Correct
Answer: C
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Chapter 3: Transition to Practice: an Essential Element of
Quality and Safety
Available
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70713
Sample Questions
Q1) An organization is planning to implement the National Council of the State Boards of Nursing's (NCSBN) transition to nursing practice model. What is a guiding principle of this model?
A) Promote public safety by supporting new nurses
B) Outcomes to be consistent with safe nursing care
C) Select best practice models to protect the public
D) Focus learning on repetition of specific skills Correct
Answer: B
Q2) A new graduate has been providing patient care for several months and the preceptor has decided to change the relationship to one of benevolent surveillance. What action will the preceptor perform when practicing this type of surveillance?
A) Being approachable
B) Encouraging question asking
C) Providing constructive feedback
D) Keeping an eye on the new graduate Correct
Answer: D
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Chapter 4: Power, Empowerment, and Change in Nursing and Health Care
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/70714
Sample Questions
Q1) The staff nurse has identified a critical patient safety issue within a health care organization. Prior to reporting the issue the nurse completes a risk assessment. What would be a desirable outcome from this assessment?
A) Disregard
B) Loss of anonymity
C) Walk away from a job
D) Become a change agent Correct
Q2) The nurse observes a physician provide a cursory examination of an older patient. Afterwards the physician is overheard saying that healthcare dollars are scarce yet they are being spent on people who are going to die anyway. The nurse identifies this physician's behavior as violating which concept of the Power Theory?
A) Awareness
B) Freedom
C) Choice
D) Action
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Chapter 5: Quality and Safety Education Strategies
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70715
Sample Questions
Q1) The nurse manager observes a staff nurse initiating actions to resolve a conflict between a physician and another nurse. Which category of teamwork and collaboration criterion did the staff nurse exemplify?
A) Skill
B) Attitude
C) Creativity
D) Knowledge Correct
Q2) The nurse is utilizing the 6.0.-second situation assessment tool to determine which patient to see first after morning report. Which patient would be considered the most critical?
A) Patient respiratory rate 8 and lethargic
B) Patient without intravenous lines wearing oxygen
C) Patient lying on right side in bed responds to verbal stimuli
D) Patient in bed with both side rails down talking on the telephone Correct
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Chapter 6: Evaluating a Program: Metrics and Stakeholders
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70716
Sample Questions
Q1) The nurse manager wants to use a questionnaire to gather data about a metric. What could be done to determine the reliability of the questions on this evaluation tool?
A) Share the questionnaire with other nurses who are content experts.
B) Ask the staff development department to analyze the questions.
C) Use the test with different people and match the responses.
D) Examine the consistency of repeat findings. Correct
Q2) The nurse manager is coordinating evaluation tools to measure the outcomes of patient care. Which tool would be used to for an outcome-based evaluation?
A) Number of line items outside of the budget
B) Number of patient falls within the last month
C) Number of patient telephone calls received about discharge medications
D) Number of instances where intravenous fluids were not available for patient care
Correct
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Chapter 7: Interprofessional Team Building
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70717
Sample Questions
Q1) The director of a skilled nursing facility plans to implement interprofessional teams as an approach to caring for the older residents. What outcomes would the director expect after implementing this team approach? Standard Text: Select all that apply.
A) Improved resident mental status
B) Improved resident functional status
C) Improved management in urinary incontinence
D) Improved relationship with insurance companies
E) Short-term improvement in resident health status Correct
Q2) The nurse manager is working with an architect to physically redesign a patient care area. The new design removes a central nurse's station and creates patient care pods. How will the redesign of the care area influence team development?
A) Facilities collaboration
B) Segregates care givers
C) Maximizes care giver focus
D) Reduces redundancy Correct
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Chapter 8: Transforming Care at the Bedside Tcab
Source URL: https://quizplus.com/quiz/70718
Sample Questions
Q1) The nursing staff working on a Transforming Care at the Bedside unit is implementing a test of change. Which is a characteristic of this test?
A) All staff implements the change immediately.
B) The change is implemented by day shift only.
C) The change is implemented for at least a month.
D) The outcome from the change is discussed at a biannual meeting. Correct
Q2) A patient on a Transforming Care at the Bedside unit does not like an assigned room and wants to be able to look out the window to see the weather outside. Which action would the nurse take to support patient-centered care?
A) Tell the charge nurse that the patient wants a different room.
B) Explain to the patient that no additional rooms are available at this time.
C) Describe the current weather and suggest that the patient focus on getting well.
D) Work with the admitting department to find the patient a room with a window view. Correct
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16
16 Flashcards
Source URL: https://quizplus.com/quiz/70719
Sample Questions
Q1) The healthcare organization is creating a committee of staff members to assist in the design of an electronic health record application. Which staff member should participate on this committee?
A) Nursing assistant
B) Informatics nurse
C) Quality improvement manager
D) Utilization review coordinator Correct
Q2) The nurse is planning patient interventions to fulfill a goal for the adoption of health information technology. Which intervention would the nurse identify for the patient?
A) Encourage the patient to use a home computer
B) Provide computerized medication teaching sheets
C) Print the care plan from the computer for the patient
D) Teach the patient that health records are computerized for easy access Correct
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11
Chapter 10: Patient-Centered Care
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70720
Sample Questions
Q1) A patient from another culture is demonstrating noncompliance with prescribed medical treatment. What could be contributing to this patient's behavior?
A) Using an interpreter for communication
B) Including the family in the patient's care
C) Speaking up for the patient's preferences
D) Focusing on task completion Correct
Q2) The nurse is caring for an older patient who is in the intensive care unit for sepsis. The youngest daughter can only visit with the patient in the evenings after visiting hours have ended. What can the nurse do to support family-centered care for the patient and daughter?
A) Provide permission for the daughter to visit the patient after visiting hours.
B) Encourage that the daughter call the patient on the telephone during the day.
C) Explain to the patient that the daughter can visit once intensive care is no longer needed.
D) Ensure the daughter that the patient is being well cared for and not to worry about visiting. Correct
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12
Chapter 11: Quality Health Care, Policy and Law
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70721
Sample Questions
Q1) After providing morning medications the nurse realizes that a medication error was made. What should the nurse do?
A) Evaluate the patient for effects of the medication error.
B) Document that medications were switched between patients.
C) Encourage the patient to ingest more water throughout the day.
D) Tell the truth and report the medication error according to policy. Correct
Q2) The nurse is providing a patient with the document Patient Care Partnership. What is included as a focus of this document?
A) To be free of torture
B) Receive fair treatment
C) The right to have a name
D) Help with billing issues Correct
Q3) A nurse strives to provide ethical care to assigned patients. On which strategies will the nurse focus to achieve this goal? Standard Text: Select all that apply.
A) Safety
B) Wellness
C) Health promotion
D) Cost-containment
E) Limited use of resources Correct
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Chapter 12: Future-Focused Quality Nursing
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70722
Sample Questions
Q1) A nurse is selected to serve on a task force whose purpose is to plan responses to terroristic threats in a major city. The media is planning a session with the task force to discuss progress on the plan thus far. What would the nurse do to prepare for the media session?
A) Plan to smile into the camera and stay quiet.
B) Stand in the back of the room to reduce exposure.
C) Prepare thoughtful responses to potential questions.
D) Direct all questions to the chairperson of the committee. Correct
Q2) The nurse is identifying professional goals to support changes in the healthcare industry. Which trends would the nurse use to help establish these goals? Standard Text: Select all that apply.
A) Identify opportunities for lifelong learning.
B) Recognize innovations that need nursing expertise.
C) Read the latest progress on access to health care for all.
D) Participate in activities with people from different cultures.
E) Sustain employment during periods of volatility in the industry. Correct
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