Advanced Nursing Practice
Final Exam
Course Introduction
Advanced Nursing Practice explores the expanded roles and responsibilities of nurses in healthcare settings, emphasizing evidence-based practice, clinical decision-making, and leadership. The course covers advanced patient assessment, diagnostic reasoning, and pharmacological management, while also examining legal, ethical, and policy considerations affecting advanced practice nurses. Through case studies and practical exercises, students develop the competencies necessary to deliver high-quality care, promote patient advocacy, and contribute effectively to interprofessional healthcare teams. This course prepares students for advanced practice roles, including nurse practitioner, clinical nurse specialist, nurse educator, and nurse leader.
Recommended Textbook
Nursing Leadership and Management 2nd Canadian Edition by Patricia Kelly
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22 Chapters
442 Verified Questions
442 Flashcards
Source URL: https://quizplus.com/study-set/2429 Page 2
Chapter 1: Canadas Health Care Environment
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48250
Sample Questions
Q1) Which of the following federal acts was passed in 1977 and changed the funding arrangement between the federal government and the provinces from cost-sharing to block funding provided by the federal government?
A) the Canada Health Act
B) the Medicare Act
C) the Established Programs Financing Act (EPF)
D) the Constitution Act
Answer: C
Q2) Which province was the first to implement universal hospital insurance?
A) Ontario
B) Québec
C) Saskatchewan
D) Nova Scotia
Answer: C
Q3) Approximately how many registered nurses (RNs)are there in Canada?
A) 500,000
B) 260,000
C) 100,000
D) 25,000
Answer: B
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Chapter 2: Basic Clinical Health Care Economics
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The purpose of analyzing records of what transpires in hospitals is to practice financial stewardship and determine whether it is,in fact,doing good or producing "mischievous outcomes." Which of these authors made this comment?
A) Laura Nosek
B) Ida Androwich
C) Pat Kelly-Heidenthal
D) Florence Nightingale
Answer: D
Q2) Which of these systems has replaced in-house costing in many Canadian hospitals?
A) case-costing
B) resource benchmarking
C) resource intensity weights (RIWs)
D) activity-based costing (ABC)
Answer: C
Q3) Which strategy is included in financial reform for health care in Canada?
A) de-insuring certain services
B) introducing co-payments
C) charging some user fees
D) extending the use of fee-for-service to other providers
Answer: A
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Chapter 3: Evidence-Based Practice
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/48252
Sample Questions
Q1) Which type of evidence is used by nursing administrators to inform their decision-making?
A) quasi-experimental studies
B) organization evidence
C) political evidence
D) qualitative research evidence
Answer: B
Q2) At which university's school of medicine was the term evidence-based medicine first coined?
A) Johns Hopkins University
B) University of Toronto
C) McMaster University
D) Oxford University
Answer: C
Q3) Which other two terms does the term evidence-based practice encompass?
A) evidence-based medicine and the clinical setting
B) evidence-based medicine and evidenced-based care
C) guidelines and care plans
D) research utilization and practice
Answer: B
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Chapter 4: Nursing and Health Care Informatics
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48253
Sample Questions
Q1) Which specialities are combined in the field of Nursing Informatics?
A) nursing research and computer science
B) clinical practice,computer science,and information systems
C) computer science and education
D) computer science,information,and technology
Q2) According to Statistics Canada what percentage of home Internet users have searched the Internet for health information?
A) 77 percent
B) 70 percent
C) 53 percent
D) 25 percent
Q3) Which of the following is an example of a user group?
A) MS-HUG
B) AMIA
C) MRI
D) CPRI
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6
Chapter 5: Population-Based Health Care Practice
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/48254
Sample Questions
Q1) Which of the following resulted from a 1986 World Health Organization conference and still provides an international blueprint for health promotion?
A) Alma-Ata Declaration
B) Declaration of Montevideo
C) the Jakarta Proceedings
D) the Ottawa Charter
Q2) Which of the following states that the prerequisites for health include peace,food,social relations,and empowerment of women?
A) Alma-Ata Declaration
B) Declaration of Montevideo
C) the Jakarta Declaration
D) the Ottawa Charter
Q3) Which of the following initiatives is one of the five strategies for health promotion set out in the Ottawa Charter?
A) educate more doctors
B) increase spending on health
C) increase health budgets
D) strengthen community action
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Chapter 6: Personal and Interprofessional Communication
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which form of communication is touching considered to be?
A) visual
B) auditory
C) kinesthetic
D) message
Q2) Which type of organizational communication occurs among people with similar status?
A) downward
B) upward
C) lateral
D) diagonal
Q3) Which type of organizational communication occurs when team members discuss discharge planning?
A) downward
B) upward
C) lateral
D) diagonal
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8
Chapter 7: Politics and Consumer Partnerships
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which step in establishing a partnership with a consumer group includes agreeing on one's position and responsibilities in the partnership?
A) compromise
B) negotiate
C) plan
D) test
Q2) What is the projected median age range of the Canadian population for 2036?
A) 30 to 35 years
B) 36 to 39 years
C) 40 to 42 years
D) 42 to 45 years
Q3) Which of the following is a main concern of nurses who believe that their client advocacy role has been eroded by health care restructuring?
A) lack of confidence
B) advocacy takes time
C) risk of job loss
D) don't want to cause trouble
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Chapter 8: Nursing Leadership and Management
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of these is a characteristic of the consideration dimension of leadership behaviour?
A) focus on the work to be done
B) focus on the task
C) focus on production
D) focus on the employee
Q2) According to Bruch and Ghoshal,which two factors do managers need to balance in order to be effective?
A) time and energy
B) focus and energy
C) approachability and decisiveness
D) productivity and quality
Q3) At which of the following activities do managers become adept while carrying out their daily roles?
A) staffing
B) meetings
C) making decisions
D) Seeking information
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Chapter 9: Effective Team Building
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What is the main advantage of an interdisciplinary team?
A) single discipline
B) same ideas
C) variety of people and ideas
D) similar contributions
Q2) Which decision-making style would you utilize when a decision has to be made quickly and the task is relatively simple?
A) participatory
B) autocratic
C) consultative
D) majority rule
Q3) In which stage of group development is conflict most likely to first arise?
A) storming
B) performing
C) forming
D) norming
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Chapter 10: Budget Concepts for Client Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48259
Sample Questions
Q1) Which kind of budget takes into account demographics,regulations,and strategic plans?
A) a capital budget
B) an annual budget
C) a balanced budget
D) a project budget
Q2) Once you have prepared your program or departmental budget,who will have the responsibility for a final decision regarding acceptance of the budget?
A) department managers
B) VP Nursing
C) finance and operations senior management
D) Minister of Health
Q3) Which of these terms refers to a budget that indicates designated funds for the purchase of major new equipment?
A) unit budget
B) construction budget
C) capital budget
D) equipment budget
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Chapter 11: Effective Staffing
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of these terms refers to the time spent on activities that are client related but are NOT done directly to the client?
A) direct care
B) productive time
C) indirect care
D) non-productive time
Q2) What is the management tool for seeking out the best practices in one's industry?
A) accreditation
B) factor system
C) benchmarking
D) scorecard
Q3) Which of these terms applies to holiday time?
A) productive time
B) non-productive time
C) direct care
D) indirect care
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Page 13
Chapter 12: Delegation of Nursing Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following factors is critical to consider prior to delegation?
A) simplicity of task
B) predictability
C) level of staff interaction
D) potential for harm
Q2) According to most definitions of the term delegation,which of these elements is always involved in delegation?
A) at least two individuals and instructions
B) tasks and the time frame for accomplishing them
C) at least two individuals and a transfer of authority for specific duties
D) tasks and directions for reporting back
Q3) A co-worker who believes strongly in fate or chance is expressing their sense of which of the following?
A) environmental control
B) physical closeness
C) time
D) social organization
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14
Chapter 13: Strategic Planning and Organizing Client Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which of the following is an important criterion of a unit's vision statement?
A) It is reviewed annually.
B) It is shared verbally with new staff.
C) It is written in the present tense using action words and broad time frame.
D) It is shared with clients.
Q2) What is the term for the management process designed to achieve goals through the allocation of resources?
A) strategic planning
B) implementation
C) governance
D) a corporate plan
Q3) Which council's purpose is to facilitate and integrate the activities of the other councils?
A) education council
B) research council
C) coordinating council
D) quality council
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Page 15
Chapter 14: Change and Conflict Resolution
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which of the following statements,in general,best describes the concept of change?
A) Most people enjoy change.
B) Changes happen infrequently.
C) Change is inevitable and frequent.
D) One can resist change indefinitely.
Q2) What is the theory that is based on responsiveness and flexibility?
A) Chaos Theory
B) Learning Organization Theory
C) Diffusion of Innovations Theory
D) Change Theory
Q3) Which of the following series of changes are included in Rogers' Diffusion of Innovations Theory of Change?
A) diagnose,assess,select progressive change objective,choose role of change agent,maintain change,and terminate helping relationship
B) unfreeze,move,refreeze
C) create awareness,encourage interest,evaluate,trial,adopt
D) build relationship,diagnose problem,acquire resources,choose,gain acceptance
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16
Chapter 15: Power
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) In which of these circumstances is a power struggle regarding access and distribution of resources likely to occur?
A) when an externally competitive environment is created
B) when there is a failure to understand the role and responsibilities of others
C) when nurses have experience
D) when relationships are maintained at status quo
Q2) Which of the following tends to result from visible reciprocal acknowledgement of expertise among group members?
A) maintenance of productivity
B) enhancement of power
C) balance of power
D) decreased productivity
Q3) What is the process that transforms information into power?
A) commitment
B) relationships
C) critical thinking
D) choice and control
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17
Chapter 16: Managing Performance and Outcomes Using an Organizational Quality Improvement Model
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which step in the FOCUS process asks the question,"What is the problem?"
A) F
B) O
C) C
D) U
Q2) Which of the following is one of the primary benefits of adopting quality concepts and principles?
A) Health care processes can better meet the needs of the health care provider.
B) management contributes to better work is design
C) maintaining costs at budgeted levels
D) discovering performance issues more quickly and efficiently
Q3) Which of these acronyms also refers to total quality management?
A) QA
B) QI
C) PI
D) CIQ
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Page 18
Chapter 17: Decision Making
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following is an advantage of group decision making?
A) less time involved
B) less costly
C) less conflict
D) higher quality outcomes
Q2) Which term describes those who use a type of perception opposite to the objective/rational perspective?
A) feelers
B) left-brain thinkers
C) evidenced-based thinkers
D) intuitive
Q3) Which factors influence decision making through organizational culture and legal frameworks?
A) organizational factors
B) extrinsic factors
C) personal factors
D) intrinsic factors
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Page 19
Chapter 18: Legal Aspects of Client Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of these acronyms represents the Canadian federal government agency that works to eliminate work-related illness and injury?
A) ADA
B) CCOHS
C) ADEA
D) EEOC
Q2) What type of law includes constitutional law,criminal law,and statutory law?
A) common law
B) public law
C) civil law
D) contract law
Q3) What is the highest law in Canada?
A) pubic law
B) provincial law
C) The Canadian Constitution
D) judicial action
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Page 20
Chapter 19: Spirituality and the Profession of Nursing
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48268
Sample Questions
Q1) Who has developed a complete model for palliative care in Canada?
A) Canadian Nurses Association (CNA)
B) Canadian Medical Association (CMA)
C) Canadian Pastoral Association (CPA)
D) Canadian Hospice Palliative Care Association (CHPCA)
Q2) In the Canadian context,what does the term cultural care encompass?
A) nursing in another country
B) shared customs and traditions
C) recognizing new immigrants
D) understanding another language
Q3) Which of the following differentiates spirituality from religion?
A) Religion is characterized by boundaries.
B) Religion involves rituals.
C) Spirituality is defined by boundaries.
D) They involve different beliefs.
Q4) Which of these terms means "to remember one's value"?
A) a memorial
B) recall
C) posthumous
D) legacy
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Chapter 20: Ethics and the Profession of Nursing
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20 Verified Questions
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Sample Questions
Q1) What influences encouraged the emergence of nursing ethics?
A) some seeing nursing as a "moral practice"
B) the need for a contextual approach to nursing ethics
C) the need to respond to societal ethical issues
D) the need to examine the ethical norms,unique relationships,and sphere of nursing practice
Q2) Which of these terms refers to our beliefs and traditions about right and wrong behaviour?
A) morality
B) ethics
C) professional behaviour
D) norms
Q3) In Canada,what is the broad legal document in which are embedded ethical approaches to health care?
A) The Constitution Act
B) British North America Act
C) Canadian Charter of Rights and Freedoms
D) Patient's Bill of Rights
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Chapter 21: Collective Bargaining
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) What is the term for closing a place of business to force employees to accept management's terms?
A) strike
B) lockout
C) fact finding
D) free speech
Q2) In what year was the National Federation of Nurses Unions formed?
A) 1968
B) 1975
C) 1981
D) 1991
Q3) Which of the following is a formal group that presents to management workers' desires in the context of labour legislation?
A) a workplace advocate
B) a collective action
C) a union
D) a workplace committee
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Page 23
Chapter 22: Career Planning and Development: Creating Your Path to the Future
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of these activities facilitates meeting with others in your area of interest?
A) networking
B) visioning
C) interviewing
D) marketing
Q2) What is the first phase of the Donner-Wheeler Model?
A) creating your career vision
B) networking
C) checking the want ads
D) scanning your environment
Q3) Which of the following is the best strategy when preparing for a specific job interview?
A) practising with a friend
B) being well rested
C) arriving early
D) networking
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