Question 1

Parish nursing is a concept that began in the 1960s. What is the purpose of parish nursing?
A) A nurse to function as health counselor, educator, and advocate for a group of people who worship together
B) To provide members of a congregation access to registered nurses
C) The primary care provider for a church group
D) A nurse of the same religion who can practice nursing that conforms to religious practices and rules

Accepted Answer

The purpose of parish nursing is for a nurse to function as a health counselor, educator, and advocate for a group of people who worship together, promoting physical, emotional, and spiritual health. While B, C, and D may be elements of parish nursing, they do not fully encompass its purpose.

Question 2

Nursing centers or clinics are a type of joint practice developed by advanced practice nurses. These centers provide:
A) Opportunities for collaborative relationships for CNS, NPs, baccalaureate-prepared nurses, and community members
B) Specialized care for certain medical conditions
C) A place for NPs to practice without worrying about autonomy
D) A center for primary prevention

Accepted Answer

Nursing centers or clinics provide opportunities for advanced practice nurses, such as Clinical Nurse Specialists (CNS) and Nurse Practitioners (NP), to collaborate with baccalaureate-prepared nurses and members of the community. It enables them to work together to improve community healthcare outcomes.

Question 3

The NP is more likely than the CNS to be involved with:
A) Disease prevention activities
B) Deciding on a treatment plan
C) Identifying needs of populations at risk
D) Identifying health needs of the community

Accepted Answer

B

Question 4

In the 1960s, a shortage of physicians occurred and there was a tendency for physicians to specialize. As this trend continued, a serious gap in primary health care services developed. Primary health care includes:
A) Primary health services and prison medicine services
B) Public health and primary care services
C) Family practice and geriatrics
D) Home health and school health

Accepted Answer

Primary health care refers to the first point of contact for individuals seeking medical attention or preventive services. This includes services provided by primary care physicians, nurses, and other health professionals, as well as public health programs that focus on disease prevention and health promotion. Family practice and geriatrics may be specialties within primary care, but they do not fully encompass all the services needed in primary health care. Similarly, home health and school health are important components of health care, but they do not solely constitute primary care services. Prison medicine services are a specialized area of medical care and do not qualify as primary health care.

Question 5

Classes on breast self-exam are an example of which of the following levels of prevention with regard to population-focused CNS activities?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Accepted Answer

Breast self-exam classes are aimed at preventing the development of breast cancer in healthy individuals, which is an example of primary prevention. Secondary prevention involves detecting and treating diseases early, while tertiary prevention focuses on managing existing conditions and preventing complications. Assessment is a separate activity that involves collecting data to identify health problems and develop interventions.

Question 6

Professional certification exams for advanced practice nurses are offered by the:
A) American Nurses Association
B) National League for Nursing
C) State boards of nursing
D) Universities offering graduate degree programs

Accepted Answer

The American Nurses Association (ANA) offers professional certification exams for advanced practice nurses, providing credentials that validate expertise in specialized areas of nursing.

Question 7

When a CNS or NP provides other nurses with information on improving client care, which of the following roles is being practiced?
A) Researcher
B) Administrator
C) Educator
D) Consultant

Accepted Answer

When a CNS or NP provides other nurses with information on improving client care, they are practicing the role of a consultant. A consultant provides expert advice and guidance to others in a specific area of expertise. In this case, the CNS or NP is providing expertise in nursing care to other nurses.

Question 8

An example of secondary prevention of a population-focused CNS activity is:
A) Flu immunizations at churches
B) Education on need for early detection
C) "Men's Night Out" event with screenings for blood pressure and cholesterol
D) Follow-up clinics for diabetics

Accepted Answer

Secondary prevention involves early detection and treatment of disease. "Men's Night Out" with screenings for blood pressure and cholesterol is an example of secondary prevention as it focuses on identifying health issues early.

Question 9

Certification for the community health CNS and NP is for:
A) 1 year
B) 3 years
C) 5 years
D) 7 years

Accepted Answer

Certification for the community health CNS and NP is for 5 years, as per the American Nurses Credentialing Center (ANCC). After 5 years, individuals must recertify to maintain their certification.

Question 10

Population-focused interventions are often implemented to meet the needs of the communities. The CNS wishes to use this approach. Which of the following is an example of this type of intervention?
A) Setting up a health fair with nursing students at a local university to take blood pressures and do diabetic screening for a group of migrant workers
B) Teaching a new mother how to breastfeed
C) Doing physical examinations on preschool children at the clinic one at a time
D) Contacting local officials about the rise in crime in one area of the city

Accepted Answer

Option A is the only option that is focused on a specific population, in this case, migrant workers. The intervention of offering a health fair is targeted at meeting the needs of this group in a broader scale. Option B and C are individual focused interventions, while option D is a community advocacy intervention.

Question 11

The CNS or NP functioning in the role of administrator:
A) Engages in consultation and problem solving with individuals, families, and the community
B) Is often responsible for and has direct authority and supervision over the staff and client care
C) Works with doctorally prepared nurses on research projects
D) Educates the public on current health care practices

Accepted Answer

The CNS or NP functioning in the role of administrator is often responsible for and has direct authority and supervision over the staff and client care. This includes managing budgets, developing policies and procedures, implementing quality improvement initiatives, and evaluating outcomes. While they may engage in consultation with individuals, families, and the community, education of the public on current health care practices, and work with doctorally prepared nurses on research projects, these are not the primary responsibilities of an administrative CNS or NP.

Question 12

The ability of NPs to diagnose and treat has increased the provision of health care, teaching, and client compliance with teaching plans. In some states standing orders for the management of certain illnesses exist. This implies:
A) All patients will be treated the same.
B) Nursing diagnoses are used as the basis of practice.
C) Assessment is based on the medical model and does not involve nursing.
D) The NP uses protocols or algorithms that were previously agreed upon by the physician and the NP.

Accepted Answer

Standing orders for management of certain illnesses allow NPs to use protocols or algorithms that were previously agreed upon by the physician and the NP. This allows for efficient and effective management of certain illnesses, but does not imply that all patients will be treated the same or that assessment is based solely on the medical model. Nursing diagnoses may still be used as the basis of practice.

Question 13

The nurse practitioner movement began at the University of Colorado with nurses providing:
A) Maternity care
B) Well-child care
C) Nursing home care
D) Diabetes care

Accepted Answer

The nurse practitioner movement began at the University of Colorado with nurses providing well-child care, focusing on pediatric health and preventive services.

Question 14

The purpose of certification is to:
A) Assure the public that nurses who claim to be competent at an advanced level have had their credentials verified through examination
B) Verify minimal competency levels of practice
C) Create a network for nurses to collaborate
D) Make it difficult to become a nurse

Accepted Answer

Certification aims to assure the public that nurses who claim to have advanced competency have undergone examination and had their credentials verified. This helps the public have confidence in the competence of the certified nurse.

Question 15

As of 1992, the ANCC required which of the following for NP certification?
A) BSN
B) Master's or higher degree in nursing and NP education
C) BSN and completion of a formal NP program
D) MPH or MSN with a specialty in Community Health Nursing or Public Health Nursing

Accepted Answer

As of 1992, the ANCC (American Nurses Credentialing Center) required a Master's or higher degree in nursing and NP (Nurse Practitioner) education for NP certification. This criterion is still in place today. Option A (BSN) and Option C (BSN and completion of a formal NP program) were not sufficient for NP certification at that time, and Option D (MPH or MSN with a specialty in Community Health Nursing or Public Health Nursing) is not a requirement for NP certification.

Question 16

In which role are the most differences seen between the community health clinical nurse specialist and the nurse practitioner?
A) Administrator
B) Clinician
C) Consultant
D) Educator

Accepted Answer

The most differences seen between the community health clinical nurse specialist and the nurse practitioner are in the clinician role. Nurse practitioners typically have a broader scope of practice and may diagnose and prescribe medication, while clinical nurse specialists focus on the development and implementation of evidence-based interventions and do not have the authority to diagnose or prescribe medication.

Question 17

When the advanced practice nurse applies nursing knowledge with physical, psychosocial, and environmental assessment skills to respond to common health and illness problems, the nurse is referred to as a(n):
A) Advanced practice nurse
B) Community health nurse specialist
C) Nurse practitioner
D) Public health clinical nurse specialist

Accepted Answer

The description provided fits the role of a nurse practitioner, who applies nursing knowledge and assessment skills to address health and illness issues. Advanced practice nurse is a broad term that encompasses various roles, including nurse practitioners. Community health nurse specialists and public health clinical nurse specialists may have similar skills, but their focus is more on promoting population health rather than direct patient care.

Question 18

The CNS is more likely than the NP to be involved with:
A) Diagnosing health problems
B) Managing chronic disease
C) Limiting disability
D) Conducting community assessments

Accepted Answer

The answer of The CNS is more likely than the...

Question 19

Educational preparation for public health and community health CNS includes a master's degree. In contrast, the nurse practitioner (NP) degree:
A) Started as a physician's assistant program
B) Was an offshoot of midwifery
C) Has not always required a master's degree
D) Began in Europe and didn't reach the United States until 1970

Accepted Answer

The nurse practitioner (NP) degree has not always required a master's degree. In the early years, NP programs were offered at the post-baccalaureate level, but now a master's degree is required for national certification as an NP.

Question 20

Which of the following is true about clinical nurse specialists and nurse practitioners?
A) They often work in similar settings.
B) They have identical educational preparation.
C) Debate on similarities has settled the similarities and differences.
D) The clinical nurse specialist role always involves prescriptive practice.

Accepted Answer

Clinical nurse specialists and nurse practitioners often work in similar settings, such as hospitals, clinics, and private practices. However, they have different educational preparation and roles. Clinical nurse specialists typically focus on a specific patient population and provide expert clinical knowledge to improve patient outcomes, while nurse practitioners diagnose and treat patients, including prescribing medications in some states. While there may be ongoing debate about the similarities and differences between the two roles, it is generally accepted that they have distinct and unique contributions to the healthcare team.

Quiz 39: The Advanced Practice Nurse in the Community

Parish nursing is a concept that began in the 1960s. What is the purpose of parish nursing?

Nursing centers or clinics are a type of joint practice developed by advanced practice nurses. These centers provide:

The NP is more likely than the CNS to be involved with:

In the 1960s, a shortage of physicians occurred and there was a tendency for physicians to specialize. As this trend continued, a serious gap in primary health care services developed. Primary health care includes:

Classes on breast self-exam are an example of which of the following levels of prevention with regard to population-focused CNS activities?

Professional certification exams for advanced practice nurses are offered by the:

When a CNS or NP provides other nurses with information on improving client care, which of the following roles is being practiced?

An example of secondary prevention of a population-focused CNS activity is:

Certification for the community health CNS and NP is for:

Population-focused interventions are often implemented to meet the needs of the communities. The CNS wishes to use this approach. Which of the following is an example of this type of intervention?

The CNS or NP functioning in the role of administrator:

The ability of NPs to diagnose and treat has increased the provision of health care, teaching, and client compliance with teaching plans. In some states standing orders for the management of certain illnesses exist. This implies:

The nurse practitioner movement began at the University of Colorado with nurses providing:

The purpose of certification is to:

As of 1992, the ANCC required which of the following for NP certification?

In which role are the most differences seen between the community health clinical nurse specialist and the nurse practitioner?

When the advanced practice nurse applies nursing knowledge with physical, psychosocial, and environmental assessment skills to respond to common health and illness problems, the nurse is referred to as a(n) :

The CNS is more likely than the NP to be involved with:

Educational preparation for public health and community health CNS includes a master's degree. In contrast, the nurse practitioner (NP) degree:

Which of the following is true about clinical nurse specialists and nurse practitioners?