Advanced Nursing Roles
Final Exam Questions
Course Introduction
Advanced Nursing Roles explores the expanding scope of practice for nurses in complex healthcare environments. This course examines the responsibilities, competencies, and contributions of advanced practice nurses, including nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives. Emphasis is placed on leadership, evidence-based practice, health policy, interdisciplinary collaboration, and advocacy for patients and communities. Students will analyze current trends, ethical considerations, regulatory frameworks, and professional challenges associated with advanced nursing roles, preparing them to provide holistic, patient-centered care at an advanced level.
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
16
16 Flashcards
Source URL: https://quizplus.com/quiz/70711
Sample Questions
Q1) During a health history a patient discusses ongoing issues with maintaining a healthy weight. What is the significance of body weight in relation to health?
A) Determines the amount of healthcare resources to be used for care
B) Consistent predictor of long-term health and longevity
C) Identifies the cost for care the patient will need
D) Predicts the curability of a disease process Correct
Answer: B
Q2) The nurse manager is planning to change the nurse-patient ratio on a care area. Which strategy would support an ideal work environment?
A) Reduce the overall number of registered nurses.
B) Reduce the overall number of ancillary staff.
C) Staff to 50% of the national standard for ratios.
D) Staff according to national standards Correct
Answer: D
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3
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 reviewing the incidence of hospital-acquired infections for a particular care area. Which single action would improve the incidence of infections in the hospital?
A) Frequent hand washing
B) Using paper towels
C) Using antibacterial soap
D) Wearing gloves Correct
Answer: A
Q2) The director of nursing is considering using Amer's Hybrid Model of Change to improve the quality of patient care. When analyzing this model, what information will the director need to make an objective assessment of the current situation?
A) Number of nursing staff
B) Staffing budget
C) Current culture
D) Turn-over rates Correct
Answer: C
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Chapter 3: Transition to Practice: an Essential Element of
Quality and Safety
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70713
Sample Questions
Q1) A nurse tells the staff development trainer to not assign any new staff to preceptor for at least a year. What could be done to change this nurse's decision?
A) Orient the preceptor to the role.
B) Use simulation to help with decision making.
C) Review the concepts of Six Sigma.
D) Reduce the transition program to 2 months. Correct
Answer: A
Q2) Several nursing leaders are asked to participate on a task force to study the feasibility of a national standardized transition to practice nursing program. What is the major reason for the development of such a program in the United States?
A) Practice settings are failing
B) Education programs are failing
C) New graduates need to be prepared to work on day one
D) Response to changes in health care over the last 20 years Correct
Answer: D
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5
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 is researching professional nursing organizations that focus on social justice. What would be the purpose for the nurse to join this type of organization?
A) Improve the quality of patient care
B) Recognize ways to make changes
C) Reduce the incidence of medical errors
D) Support oppressed members of society Correct
Q2) A Shared Governance committee is creating a philosophy for the Department of Nursing. Which statement would the committee members select as supporting a caring foundation for nursing?
A) Belief in the goodness of human beings
B) Focus on loving and nurturing self and others
C) Focus on the whole person and wellness
D) Belief in self-reflection and justice for all Correct
Q3) A healthcare organization is planning to apply for Magnet recognition. How will this status affect the nursing staff?
A) Provide control over the practice environment
B) Increase budgeting for the nursing department
C) Equalize the nurse-physician relationship
D) Identify issues of staff turnover Correct
Page 6
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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 preceptor provides a graduate nurse with a tool to self-assess the nurse's knowledge on teamwork and collaboration. Which criteria would be included on this tool?
A) Describe impact of own communication style on others
B) Initiate a plan for self-development as a team member
C) Value teamwork and the relationships upon which it is based
D) Delineate general categories of error and hazards in care Correct
Q2) The staff nurse is using the SBAR process to report a patient care situation. What would be included as background for the process?
A) When the situation occurred
B) Synopsis of treatment to date
C) Changes from prior assessments
D) Safety concerns Correct
Q3) The staff nurse observes that another nurse is behind in providing care to assigned patients. Which action exemplifies mutual support?
A) Documenting patient care for the nurse
B) Offering to help the nurse with patient care activities
C) Finding nursing assistive personnel to help the nurse
D) Changing the nurse's scheduled lunch break to later in the shift Correct
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Page 7
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) A healthcare organization is collecting data to determine the progress of meeting identified metrics. To make sure that the data represents the stakeholders' interests, what would be done at this time?
A) Publish the data in the hospital newsletter.
B) Release the data to the media for reporting.
C) Share the data with a small group of stakeholders.
D) Report the data to the Board of Directors during the next meeting. 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 administrator of a healthcare organization that utilizes interprofessional collaboration is struggling with reduced income and decides that staffing cuts need to occur. When planning these cuts what issue must remain the central focus?
A) Support of the stakeholders
B) Achievement of goals
C) Patient well-being
D) Staff support Correct
Q2) The nurse is using electronic communication to notify a physician who is attending an off-site meeting about the status of a patient. Which actions would the nurse include when communicating electronically?
A) Be clear and concise.
B) Use exclamation points.
C) Type in all capital letters.
D) Type in shorthand. Correct
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Chapter 8: Transforming Care at the Bedside Tcab
Source URL: https://quizplus.com/quiz/70718
Sample Questions
Q1) The nurse manager wants to learn how the nursing staff is responding to the process Transforming Care at the Bedside. Which approach can the manager use to learn more about the process from the staff?
A) Listen to morning report.
B) Attend morning huddles.
C) Conduct a focus group.
D) Observe the staff provide care. Correct
Q2) The nursing staff on a patient care area wants to implement a change to a care process. What role will the nurse manager have with the implementation of this change?
A) Discuss the change with the hospital administrator.
B) Make sure all nursing staff is engaged in the process.
C) Expect the nursing staff to make the change independently.
D) Obtain permission for the change from the medical director. Correct
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Chapter 9: Informatics and Nursing: Using Technology to Improve Quality
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70719
Sample Questions
Q1) The nurse is making a visit to a patient after computerized monitoring equipment was delivered to the home. On which area is the most important for the nurse to focus when reviewing the equipment with the patient?
A) Tasks
B) Equipment
C) User's ability
D) Environment Correct
Q2) A healthcare organization is sponsoring a seminar that will focus on the use of robotics when providing patient care. How would the organization encourage nurses to attend this educational program? Standard Text: Select all that apply.
A) Emphasize the reduction in staffing needs with the robots.
B) Diagramming the salary cost savings with the use of robots.
C) Explain how the robot will streamline nursing tasks.
D) Discuss how the robot helps increase productivity.
E) Review the impact of the robot on efficiency. Correct
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Chapter 10: Patient-Centered Care
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70720
Sample Questions
Q1) The nurse is coordinating the care of a patient whose spouse will be in the hospital when the patient is discharged home. What will the nurse do to ensure a smooth transition to community for the patient?
A) Suggest the patient stay hospitalized until the spouse is able to return to home.
B) Recommend the patient be placed in an extended care facility for further recuperation.
C) Identify who can help the patient at home until the spouse is discharged from the hospital.
D) Call the patient's daughter and explain that the patient will need care at home. Correct
Q2) The nurse is coordinating the discharge of an older patient with chronic renal failure. The patient's spouse is disabled and the patient can no longer drive to dialysis. What would be a goal for this patient's care?
A) Analyzing the patient's financial resources
B) Making an individualized plan of care
C) Encouraging family-to-family support
D) Designing flexible health care Correct
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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) A Shared Governance committee is identifying ways to improve the safety of patient care. What goals will the committee members keep in mind when making these decisions? Standard Text: Select all that apply.
A) Achieve safe staffing levels.
B) Build in break times for all staff.
C) Follow evidence-based care processes.
D) Examine increasing the use of technology.
E) Recognize that disciplinary action is an option. Correct
Q2) The family of a resident in a skilled nursing facility is requesting to transfer the patient because of unsafe nursing care. What unsafe nursing practices did the family observe? Standard Text: Select all that apply.
A) Nurses sitting in the nurses' station and patient call lights on
B) Breakfast trays being passed by staff wearing clean gloves
C) Inability to find a nurse to help with a patient problem
D) Dirty floors and overflowing trash bins and containers
E) Dressing supplies on the window seals Correct
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13
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 staff nurse volunteers to participate on an interdisciplinary team to collaborate on a new care delivery approach. What benefits will this nurse experience by participating with this team? Standard Text: Select all that apply.
A) Reduce time for patient care
B) Improve promotion status
C) Professional growth
D) Expand networking
E) Job satisfaction Correct
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