Advanced Nursing Practice
Practice Exam
Course Introduction
Advanced Nursing Practice is designed to equip registered nurses with the complex knowledge and skills necessary for expanded clinical roles and leadership positions in diverse healthcare settings. The course explores advanced concepts in health assessment, clinical decision-making, evidence-based practice, pathophysiology, pharmacology, and patient management across the lifespan. Emphasizing the integration of research and theory into practice, students will develop competencies in clinical reasoning, interprofessional collaboration, and healthcare technology. Ethical and legal considerations, as well as strategies for quality improvement and patient safety, are addressed to prepare nurses for advanced practice roles such as nurse practitioners or clinical nurse specialists.
Recommended Textbook
Ethics and Issues in Contemporary Nursing 4th Edition by Margaret A. Burkhardt
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20 Chapters
313 Verified Questions
313 Flashcards
Source URL: https://quizplus.com/study-set/1109 Page 2
Chapter 1: Social, Philosophical, and Other Historical Forces
Influencing the Development of Nursing
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/21802
Sample Questions
Q1) Empathy is a motive for:
A) meeting the needs of others.
B) moral reasoning and action.
C) becoming a nurse.
D) determining right from wrong.
Answer: B
Q2) Socrates can be described as (select all that apply):
A) being one of the greatest philosophers of ancient times.
B) believing a person should do what is best for him or herself.
C) proposing that one must seek knowledge and develop the inner self in order to experience a good life.
D) creating the Socratic method.
E) believing that knowledge does lead to the "good life."
Answer: A, C, D, E
Q3) The social status of women affects the status of the nursing profession because:
A) nursing has traditionally been a profession of women.
B) throughout history, nurses have been afforded higher social status.
C) women of higher social status rarely become nurses.
D) women are more skilled than men at nurturing others.
Answer: A
Page 3
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Chapter 2: Ethical Theory
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21803
Sample Questions
Q1) Beauchamp and Childress propose focal virtues that are more pivotal than others in characterizing a virtuous person. These focal virtues include (select all that apply):
A) compassion.
B) discernment.
C) temperance.
D) trustworthiness.
E) integrity.
Answer: A, B, D, E
Q2) The nurse maintained confidentiality regarding a patient's terminal illness even though family members would have provided emotional and financial support to the patient had they known of the diagnosis. Adhering to this principle regardless of outcome is an example of the application of which ethical theory?
A) Deontology
B) Naturalism
C) Rationalism.
D) Utilitarianism,
Answer: A
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Page 4
Chapter 3: Ethical Principles
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21804
Sample Questions
Q1) The ANA Code of Ethics for Nurses recognizes that confidentiality:
A) flows from respect for persons and is an absolute requirement in all situations.
B) is restricted to legal regulations and definitions.
C) is not absolute and may be modified to protect the patient or other innocent people.
D) None of the above
Answer: C
Q2) The principle of beneficence requires the nurse to:
A) promote harm or evil and do good.
B) prevent or remove harm and do good.
C) ask the patient to sign a survey indicating the nurse has been beneficial to his or her care.
D) avoid harm as a consequence of doing good.
Answer: B
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Chapter 4: Values Clarification
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/21805
Sample Questions
Q1) Values of individual institutions and organized health care systems that are explicitly communicated through philosophy and policy statements are called:
A) formal values.
B) overt values.
C) institutional values.
D) covert values.
Q2) Statements that describe values may include which of the following? Select all that apply.
A) Values are concrete concepts that reflect what is meaningful and important to individuals.
B) Values are learned in conscious and unconscious ways and become a part of a person's makeup.
C) Values provide direction and meaning to life.
D) Values may be expressed overtly or in an indirect way.
E) Values have little influence over an individuals' choices.
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Chapter 5: Values Development
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/21806
Sample Questions
Q1) An organizing way of looking at the nature of the universe as a whole and the role of the human in it that incorporates both the physical plane and the interconnected, multidimensional universe is called:
A) cosmology.
B) values development.
C) ethic of care.
D) faith development.
Q2) The discussions of moral development found in current literature flow primarily from the frameworks developed by:
A) Kohlberg and Gilligan.
B) Piaget and Fowler.
C) Gilligan and Piaget.
D) Kohlberg and Fowler.
Q3) Human values development reflects the content and process of learning what is right and wrong within a culture.
A) True
B) False
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Chapter 6: Ethics and Professional Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21807
Sample Questions
Q1) "Self-governing" is another word or definition for:
A) expertise.
B) profession.
C) autonomy.
D) accountability.
Q2) The minimum expectations for safe nursing care can be defined as:
A) accountability.
B) standards of nursing practice.
C) expertise.
D) authority.
Q3) Who was the first nursing theorist to write about caring?
A) Martha Rogers
B) Jean Watson
C) Madeleine Leninger
D) Margaret Newman
Q4) A complex, organized occupation preceded by a long training program is a(n):
A) profession.
B) expert.
C) autonomy.
D) nurse.
Page 8
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Chapter 7: Ethical Decision Making
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21808
Sample Questions
Q1) Several types of moral problems exist and are discussed in chapter 7. Which of the following are examples of a moral problem? Select all that apply.
A) Moral uncertainty
B) Moral dilemma
C) Routine problem
D) Practical dilemma
E) Moral distress
Q2) A registered nurse witnesses another nurse violating a patient's autonomy. Even though she did not participate in the action, the nurse who witnessed the act experiences powerlessness, frustration, and anger. This reaction describes which of the following?
A) Moral distress
B) Moral uncertainty
C) Moral outrage
D) Moral dilemma
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9
Chapter 8: Legal Issues
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/21809
Sample Questions
Q1) Law that deals with the rights and obligations of people who make agreements between two or more people that can be enforced by law is:
A) tort law.
B) negligence.
C) contract law.
D) private law.
Q2) When one harms a person's reputation and good name, diminishes other's value or esteem, or arouses negative feelings toward the person in others by the communication of false, malicious, unprivileged, or harmful words, this is referred to as:
A) fraud.
B) defamation.
C) libel.
D) slander.
Q3) Willful acts that violate another person's rights or property are:
A) intentional torts.
B) fraud.
C) assault.
D) battery.
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Chapter 9: Professional Relationship Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21810
Sample Questions
Q1) A facility administrator systematically passes over all Hispanic nurses who apply for promotion, regardless of their qualifications and abilities. According to the Civil Rights Act of 1964, this is an example of which of the following?
A) Disparate impact
B) Segregation
C) Stereotyping
D) Disparate treatment
Q2) Racism is prohibited by which of the following?
A) The Civil Rights Act of 1964
B) The ICN Code of Ethics for Nurses
C) The ANA Code of Ethics for Nurses
D) All of the above
Q3) _____________ occurs when one directs hostile or aggressive behavior toward another member of the same group.
A) Discrimination
B) Lateral violence
C) Sexual harassment
D) Disparate impact
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11
Chapter 10: Practice Issues Related to Technology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21811
Sample Questions
Q1) The ability to alter organisms genetically for a variety of purposes is:
A) eugenics
B) genetic screening
C) genetic diagnosis
D) genetic engineering
Q2) Ethical and legal obligation to protect the confidentiality of patient information directs nurses to do which of the following regarding electronic storing and transfer of personal health information?
A) Avoid using fax machines to transfer personal health information.
B) Share personal secure passwords with immediate co-workers only.
C) Rely on HIPAA regulations to assure the security of electronic devices.
D) Use password-protected screen savers and data encryption technology.
Q3) In assessing a patient's quality of life (QOL), the nurse needs to understand that QOL:
A) is an objective measure of comfort and factors that make life worth living.
B) is only considered good if the patient feels fulfilled and can be independent.
C) generally means the same thing to most patients, families, and nurses.
D) includes subjective ideas about conditions of life and functional ability.
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Chapter 11: Practice Issues Related to Patient Self
Determination
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21812
Sample Questions
Q1) Competence is:
A) a legal action physicians can impose on patients who are elderly and confused.
B) the ability of a patient to understand medical options and treatment.
C) a legal ruling regarding a person's ability to make meaningful life decisions.
D) the ability of a patient to communicate about current events.
Q2) Instructions that indicate health care interventions to initiate or withhold, or that designate someone who will act as a surrogate in making such decisions in the event that we lose decision-making capacity is termed:
A) informed consent.
B) autonomy.
C) paternalism.
D) advanced directives.
Q3) The nurse's role and responsibilities in informed consent include all the following except:
A) verifying that the patient is aware of options and implications of each.
B) advocating to ensure that criteria for autonomous decision making is met.
C) explaining the procedure to the patient when the doctor cannot do so.
D) signing as a witness attesting that the patient is giving consent willingly.
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Chapter 12: Scholarship Issues
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/21813
Sample Questions
Q1) A nurse researcher would address protection of human rights by assuring that the research protocol includes all the following except:
A) right to freedom from injury.
B) right to privacy.
C) right to autonomy.
D) right to free medical care.
Q2) Which of the following are characteristics of ethical research that go beyond the protection of human rights? Select all that apply.
A) Scientific objectivity
B) Cooperation
C) Courage
D) Personal gain
E) Equitability
Q3) Of utmost importance in the ethical treatment of data are the integrity and honesty of the:
A) statistician.
B) participants.
C) researcher.
D) data collector.
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Page 14
Chapter 13: Global Consciousness in the Twenty First Century
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21814
Sample Questions
Q1) Nursing involvement with refugees and displaced persons can occur at what levels?
A) Emergency needs
B) Care and maintenance
C) Seeking ongoing solutions
D) All of the above
E) a and b
Q2) Key provisions of the Patient Protection and Affordable Health Care Act of 2010 include which of the following? Select all that apply.
A) Keeping the Medicare Part D "donut hole"
B) Prohibiting insurance companies from denying coverage for people with preexisiting conditions
C) Requiring new groups and individual health plans to provide free preventive care for recommended preventive services
D) Decreasing Medicare reimbursement for primary care services
E) Allowing parents to keep children on their health insurance policies until age 26
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Chapter 14: Health Policy Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21815
Sample Questions
Q1) When political parties take opposing positions on an issue, the different opinions and subsequent decisions are said to be:
A) invalid.
B) partisan.
C) political.
D) unethical.
Q2) Which of the following is both a moral and political issue?
A) Abortion
B) Stem cell research
C) Physician-assisted suicide
D) All but b above
E) All of the above
Q3) Issues that are created, affected, or regulated by any of the government branches are:
A) political issues
B) partisan issues
C) health policy issues
D) regulatory issues
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Chapter 15: Economic Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21816
Sample Questions
Q1) Different methods of paying for health care in the United States seek to provide superior care, equality of access, and freedom of choice for all citizens, while promoting the public interest through cost-containment programs. Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. Yet, segments of the health care system maintain aspects of a free-market competition. Which of the following statements best describes this system?
A) Utilitarian theory is the sole basis for U.S. health care financing, forming the foundation of Medicare, Medicaid, and privately purchased health care insurance.
B) Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing.
C) Several theories of justice try to achieve a balance between competing social goals in the U.S. health care system.
D) Most health care financing occurs at the community level; therefore communitarian principles are most applicable to U.S. health care economics.
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Chapter 16: Social Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21817
Sample Questions
Q1) Poverty and homelessness are an issue among U.S. citizens. Which of the following statements are true regarding poverty? Select all that apply.
A) Poverty is known to have a negative impact on the health of individuals.
B) Poorer individuals are sicker than individuals with adequate financial resources.
C) Individuals living below the poverty level frequently participate in preventive care services.
D) The new homeless are families, single women with children, veterans, and elderly.
E) Children living in poverty have a higher incidence of conditions associated with trauma, poor nutrition, drugs, burns, mental illness, and HIV infections.
Q2) ____ and ____ continue to be prevalent in the United States as a consequence of the overall economy and changes in government assistance programs and taxes.
A) Uninsured; racism
B) Racism; homelessness
C) Elderly population; poverty
D) Poverty; homelessness
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18
Chapter 17: Gender Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21818
Sample Questions
Q1) Which of the following situations can be described as paternalism?
A) The physician decides to withhold news of her son's death because he believes the patient will be less able to recover from her injuries if she is grieving.
B) The physician calls the health care team, patient, and patient's family together to collaborate on alternative strategies to solve an ethical dilemma.
C) A nursing assistant in the newborn nursery hides in an empty room to bottle-feed a breastfed baby because she says, "the mother doesn't have enough milk and he is starving!"
D) All of the above
E) a and c
Q2) Indicators of sexual harassment may include which of the following? Select all that apply.
A) Invasion of space
B) Overtly friendly behavior
C) Respectful behavior
D) Planned or intentional sexually suggestive behavior
E) Lack of physical or organizational power
F) Sexualized workplace
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Chapter 18: Transcultural and Spiritual Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21819
Sample Questions
Q1) The ability to incorporate the patient's cultural perspective into nursing assessments and to modify nursing care in order to be as congruent as possible with the patient cultural perspective is:
A) diversity.
B) cultural awareness.
C) cultural sensitivity.
D) ethnocentrism.
Q2) Complementary therapies include a wide variety of modalities including which of the following?
A) Relaxation techniques
B) Herbal treatments
C) Prayer
D) All of the above
E) a and c only
Q3) Beliefs and practices that are the expressive aspects of religion are referred to as:
A) spirituality.
B) religiosity.
C) culture.
D) values.
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Page 20
Chapter 19: Empowerment for Nurses
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21820
Sample Questions
Q1) For the past few months Antonio has complained about inadequate staffing on all shifts to the administrator of the nursing home where he works as a nurse. He documented poor patient care, including patients not being fed appropriately and several patients who developed serious bedsores after being left for hours on wet linens without being turned. When the administrator repeatedly refused to make any changes, citing economic reasons, Antonio spoke to a reporter at the local paper about the situation. This action of Antonio's would be considered:
A) unethical.
B) making trouble.
C) whistle-blowing.
D) unprofessional.
Q2) Which of the following might hinder nursing empowerment?
A) Taking action to address system issues
B) Eliminating divergent and conflicting views
C) Collaborating and sharing in decision making
D) Participating in forming institutional policies
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Chapter 20: Facilitating Patient Enpowerment
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21821
Sample Questions
Q1) Individuals who believe that they are able to influence or control things that happen to them are considered to have a/an:
A) negative locus of control.
B) external locus of control.
C) internal locus of control.
D) positive locus of control.
Q2) When Rosalie is passing medications to one of her elderly patients, the patient tells Rosalie that she does not want to take the "new medicine" because she does not know what it is for and it makes her feel funny. Rosalie tells her that the doctor thinks it will make her feel better so it is best that she take it. Rosalie's response is an example of:
A) patient empowerment.
B) holistic caring.
C) paternalistic behavior.
D) patient teaching.
Q3) Nursing knowledge that is needed in order to enable empowerment includes:
A) ethical principles and decision-making process.
B) values development and their impact on choices.
C) scientific principles and evidence-based practice.
D) a and b.
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Page 22