(Test Bank) Advanced Practice Nursing Essentials For Role Development

Joel, 4

Nursing

Test Bank

4th Edition

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Test Bank for Advanced Practice Nursing Essentials For Role Development, The downloadable file consists of 531 pages, and the total size of the file is 11.98 MB. Purchase now only for highly discounted price.

Author(s): Joel

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FOURTH EDITION Adv Anced PrActice nursing essentials for r ole d evelopment Fourth Edition 6044_Fm_i-xvi.indd 1 9/11/17 8:51 PM6044_Fm_i-xvi.indd 2 9/11/17 8:51 PMAdv Anced PrActice nursing essentials for r ole d evelopment Fourth Edition Lucille A. Joel, e dd, APn, FAAn Distinguished Professor Rutgers, The State University of New Jersey School of Nursing, New Brunswick–Newark, New Jersey 6044_Fm_i-xvi.indd 3 9/11/17 8:52 PMF .A. Davis Company 1915 Arch StreetPhiladelphia, PA 19103 www.fadavis.com Copyright © 2018 by F .A. Davis Company Copyright © 2018 by F .A. Davis Company. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Printed in the United States of AmericaLast digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Sponsoring Editor: Jacalyn Sharp Content Project Manager II: Amy M. RomanoDesign and Illustration Manager: Carolyn O’Brien As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up-to-date, and in accord with accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique circumstances that may apply in each situation. The reader is advised always to check product information (package inserts) for changes and new information regarding dose and contraindications before administering any drug. Caution is especially urged when using new or infrequently ordered drugs. Library of Congress Cataloging-in-Publication Data Names: Joel, Lucille A., editor. Title: Advanced practice nursing : essentials for role development / [edited by] Lucille A. Joel, EdD, APN, FAAN, Distinguished Professor, Rutgers, The State University of New Jersey, School of Nursing, New Brunswick-Newark, New Jersey. Description: Fourth edition. | Philadelphia, PA : F .A. Davis Company, [2018] | Includes bibliographical references and index.Identifiers: LCCN 2017023590 | ISBN 9780803660441Classification: LCC RT82.8 .J64 2018 | DDC 610.7306/92--dc23 LC record available at https://lccn.loc. gov/2017023590 Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F .A. Davis Company for users registered with the Copyright Clearance Center (CCC) T ransactional Reporting Service, provided that the fee of $.25 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of the T ransactional Reporting Service is: 978-0-8036-6044-1/17 + $.25. 6044_Fm_i-xvi.indd 4 9/11/17 8:52 PMvPreface The content of this text was identified only after a careful review of the documents that shape both the advanced practice nursing role and the educational programs that prepare these individuals for practice. That review allowed some decisions about topics that were essential to all advanced practice nurses (APNs)*, whereas others were excluded because they are traditionally introduced during baccalaureate studies. This text is written for the graduate-level student in advanced practice and is intended to address the nonclinical aspects of the role. Unit 1 explores The Evolution of Advanced Practice from the historical perspective of each of the specialties: the clinical nurse-midwife (CNM), nurse anesthetist (NA), clinical nurse specialist (CNS), and nurse practitioner (NP). This historical background moves to a contemporary focus with the introduction of the many and varied hybrids of these roles that have appeared over time. These dramatic changes in practice have been a response to societal need. Adjustment to these changes is possible only from the kaleidoscopic view that theory allows. Skill acquisition, socialization, and adjustment to stress and strain are theoretical constructs and processes that will challenge the occupants of these roles many times over the course of a career, but coping can be taught and learned. Our accommodation to change is further challenged as we realize that advanced practice is neither unique to North America nor new on the global stage. Advanced practice roles, although accompanied by varied educational require - ments and practice opportunities, are well embedded and highly respected in international culture. In the United States, education for advanced practice had become well stabilized at the master’s degree level. This is no longer true. The story of our recent transition to doctoral preparation is laid before us with the subsequent issues this creates. The Practice Environment, the topic of Unit 2, dra- matically affects the care we give. With the addition of medical diagnosis and prescribing to the advanced practice repertoire, we became competitive with other disciplines, deserving the rights of reimbursement, prescriptive author- ity, clinical privileges, and participation as members on health plan panels. There is the further responsibility to understand budgeting and material resource management, as well as the nature of different collaborative, responding, and reporting relationships. The APN often provides care within a mediated role, working through other profession - als, including nurses, to improve the human condition. Competency in Advanced Practice, the topic of Unit 3, demands an incisive mind capable of the highest order of critical thinking. This cognitive skill becomes refined as the subroles for practice emerge. The APN is ultimately a direct caregiver, client advocate, teacher, consultant, researcher, and case manager. The APN’s forte is to coach individuals and populations so that they may take control of their own health in their own way, ideally even seeing chronic disease as a new trajectory of wellness. The APN’s clients are as diverse as the many ethnicities of the U.S. public, and the challenge is often to learn from them, taking care to do no harm. The APN’s therapeutic modalities go beyond traditional Western medicine, reaching into the realm of complementary therapies and integrative health-care practices that have become expected by many consumers. Any or all of these role competencies are potential areas for conflict, needing to be understood, managed, and resolved in the best interests of the client. Some of the most pressing issues confronting APNs today are how to mobilize informational technology in the service of the client, securing visibility for their work, and thinking *Please note that the terms advanced practice nurse (APn) and advanced practice registered nurse (APrn) are used interchangeably in this text according to the author’s choice. 6044_Fm_i-xvi.indd 5 9/11/17 8:52 PMvi PrEF acE through publication. The chapters in this section aim to introduce these competencies, not to provide closure on any one topic; the art of direct care in specialty practice is not broached. When you have completed your course of studies, you will have many choices to make. There are opportunities to pursue your practice as an employee, an employer, or an independent contractor. Each holds different rights and responsibilities. Each demands Ethical, Legal, and Business Acumen, which is covered in Unit 4. Each requires you to prove the value you hold for your clients and for the systems in which you work. Cost efficiency and therapeutic effectiveness cannot be dismissed lightly today. The nuts and bolts of establishing a practice are detailed, and although these particulars apply directly to independent practice, they can be easily extrapolated to employee status. Finally, experts in the field discuss the legal and ethical dimensions of practice and how they uniquely apply to the role of the APN to ensure protection for ourselves and our clients. This text has been carefully crafted based on over 40 years of experience in practice and teaching APNs. It substantially includes the nonclinical knowledge necessary to perform successfully in the APN role and raises the issues that still have to be resolved to leave this practice area better than we found it. LuciLLe A. J oeL 6044_Fm_i-xvi.indd 6 9/11/17 8:52 PMviiPatricia DiFusco, MS, NP-C, FNP-BC, AAHIVS Nurse Practitioner SUNY Downstate Medical CenterBrooklyn, New York Caroline Doherty, AGACNP , AACC Advanced Senior LecturerUniversity of PennsylvaniaSchool of Nursing Philadelphia, Pennsylvania Carole Ann Drick, PhD, RN, AHN-BC PresidentAmerican Holistic Nurses AssociationTopeka, Kansas Lynne M. Dunphy, PhD, APRN, FNP-BC, FAAN, FAANP Professor and Associate Dean for Practice and Community Engagement Florida Atlantic University Christine E. Lynn College of Nursing Boca Raton, Florida Denise Fessler, RN, MSN, CMAC Principal/CEOFessler and AssociatesHealthcare Management Consulting, LLCLancaster, Pennsylvania Eileen Flaherty, RN, MBA, MPH Staff SpecialistMassachusetts General HospitalBoston, MassachusettsCindy Aiena, MBA Executive Director of FinancePartners HealthCare/MGHBoston, Massachusetts Judith Barberio, PhD, APNC Associate Clinical ProfessorRutgers-The State University of New JerseySchool of NursingNew Brunswick-Newark, New Jersey Deborah Becker, PhD, ACNP , BC, CCNS Director, Adult Gerontology Acute Care ProgramUniversity of PennsylvaniaSchool of NursingPhiladelphia, Pennsylvania Andrea Brassard, PhD, FNP-BC, FAANP Senior Strategic Policy AdvisorCenter to Champion Nursing in America at AARPWashington, District of Columbia Edna Cadmus, RN, PhD, NEA-BC Clinical Professor and Speciality Director-Nursing Leadership Program Executive Director NJCCNRutgers-The State University of New JerseySchool of NursingNew Brunswick-Newark, New Jersey Ann H. Cary, PhD, MPH, FN, FNAP , FAAN Dean and ProfessorUniversity of MissouriKansas City, School of Nursing and Health StudiesKansas City, Missouricontributors 6044_Fm_i-xvi.indd 7 9/11/17 8:52 PMviii contributors Phyllis Shanley Hansell, EdD, RN, FNAP , FAAN Professor Seton Hall UniversityCollege of Nursing South Orange, New Jersey Allyssa Harris, RN, PhD, WHNP-BC Assistant ProfessorWilliam F . Connell School of NursingBoston CollegeBoston, Massachusetts Gladys L. Husted, RN, PhD Professor EmeritusDuquesne UniversityPittsburgh, Pennsylvania James H. Husted Independent ScholarPittsburgh, Pennsylvania Joseph Jennas, CRNA, MS Program DirectorClinical Assistant ProfessorSUNY Downstate Medical CenterBrooklyn, New York Lucille A. Joel, EdD, APN, FAAN Distinguished ProfessorRutgers-The State University of New JerseySchool of Nursing New Brunswick-Newark New Jersey Dorothy A. Jones, EdD, RNC-ANP , FAAN Professor, Boston College Connell School of NursingSenior Nurse, Massachusetts General HospitalBoston, Massachusetts David M. Keepnews, PhD, JD, RN, NEA-BC, FAAN Dean and ProfessorLong Island University (LIU) BrooklynHarriet Rothkopf Heilbrunn School of NursingBrooklyn, New YorkJane M. Flanagan, PhD, ANP-BC Associate Professor and Program DirectorAdult GerontologyBoston CollegeConnell School of Nursing Chestnut Hill, Massachusetts Rita Munley Gallagher, RN, PhD Nursing and Healthcare ConsultantWashington, District of Columbia Mary Masterson Germain, EdD, ANP-BC, FNAP , D.S. (Hon) Professor EmeritusState University of New York–Downstate Medical Center College of Nursing Brooklyn, New York Kathleen M. Gialanella, JD, LLM, RN Law OfficesWestfield, New JerseyAssociate Adjunct ProfessorTeachers College, Columbia UniversityNew York, New York Shirley Girouard, RN, PhD, FAAN Professor and Associate DeanState University of New York-Downstate Medical Center College of NursingBrooklyn, New York Antigone Grasso, MBA DirectorPatient Care Services Management Systems and Financial Performance Massachusetts General HospitalBoston, Massachusetts Anna Green, RN, Crit Care Cert, MNP Project ManagerAustralian Red Cross Blood ServiceMelbourne, Australia 6044_Fm_i-xvi.indd 8 9/11/17 8:52 PMcontributors ix Beth Quatrara, DNP , RN, CMSRN, ACNS-BC Advanced Practice Nurse–CNS University of Virginia Health SystemCharlottesville, Virginia Kelly Reilly, MSN, RN, BC Director of NursingMaimonides Medical CenterBrooklyn, New York Valerie Sabol, PhD, ACNP-BC, GNP-BC, ANEF, FAANP Professor and Division ChairHealthcare in Adult PopulationDuke UniversitySchool of NursingDurham, North Carolina Mary E. Samost, RN, MSN, DNP , CENP System Director Surgical ServicesHallmark Health SystemMedford, Massachusetts Madrean Schober, PhD, MSN, ANP , FAANP PresidentSchober Global Healthcare Consulting InternationalIndianapolis, Indiana Robert Scoloveno, PhD, RN Director–Simulation LaboratoriesAssistant ProfessorRutgers-The State University of New JerseySchool of NursingCamden, New Jersey Carrie Scotto, RN, PhD Associate ProfessorThe University of AkronCollege of Nursing Akron, Ohio Dale Shaw, RN, DNP , ACNP-BC ACNP–Acute Care NeurosurgeryUniversity of Virginia Health SystemCharlottesville, VirginiaAlice F. Kuehn, RN, PhD, BC-FNP/GNP Associate Professor EmeritusUniversity of Missouri-ColumbiaSchool of NursingColumbia, Missouri Parish NurseSt. Peter Catholic ChurchJefferson City, Missouri Irene McEachen, RN, MSN, EdD Associate ProfessorSaint Peter’s UniversityDivision of NursingJersey City, New Jersey Deborah C. Messecar, PhD, MPH, AGCNS-BC, RN Associate ProfessorOregon Health and Science UniversitySchool of NursingPortland, Oregon Patricia A. Murphy, PhD, APRN, FAAN Associate ProfessorRutgers-The State University of New JerseyNew Jersey Medical SchoolNewark, New Jersey Marilyn H. Oermann, RN, PhD, FAAN, ANEF Thelma Ingles Professor of NursingDirector of Evaluation and Educational ResearchDuke UniversitySchool of NursingDurham, North Carolina Marie-Eileen Onieal, PhD, MMHS, RN, CPNP , FAANP Faculty, Doctor of Nursing PracticeRocky Mountain University of Health ProfessionsProvo, Utah David M. Price, MD, PhD Founding FacultyCenter for Personalized Education of Physicians (CDEP) Denver, Colorado 6044_Fm_i-xvi.indd 9 9/11/17 8:52 PMx contributors Caroline T. Torre, RN, MA, APN, FAANP Nursing Policy Consultant Princeton, New JerseyFormerly, Director, Regulatory AffairsNew Jersey State Nurses AssociationT renton, New Jersey Jan Towers, PhD, NP-C, CRNP (FNP), FAANP Director of Health PolicyFederal Government and Professional AffairsAmerican Academy of Nurse PractitionersWashington, District of Columbia Maria L. Vezina, RN, EdD, NEA-BC Chief Nursing Officer/Vice President, NursingThe Mount Sinai HospitalNew York, New YorkBenjamin A. Smallheer, PhD, RN, ACNP-BC, FNP-BC, CCRN, CNE Assistant Professor of NursingDuke UniversitySchool of NursingDurham, North Carolina Thomas D. Smith, DNP , RN, NEA-BC, FAAN Chief Nursing OfficerMaimonides Medical CenterBrooklyn, New York Mary C. Smolenski, MS, EdD, FNP , FAANP Independent ConsultantWashington, District of Columbia Shirley A. Smoyak, RN, PhD, FAAN Distinguished ProfessorRutgers-The State University of New JerseySchool of NursingNew Brunswick-Newark, New Jersey Christine A. Tanner, RN, PhD, ANEF Professor EmeritaOregon Health and Science UniversityPortland, Oregon 6044_Fm_i-xvi.indd 10 9/11/17 8:52 PMxiSheila Grossman, PhD, APRN, FNP-BC, FAAN Professor and Coordinator Family Nurse Practitioner ProgramFairfield UniversityFairfield, Connecticut Elisabeth Jensen, RN, PhD Associate ProfessorSchool of NursingYork UniversityToronto, OntarioCanada Linda E. Jensen, PhD, MN, RN Professor Graduate NursingClarkson CollegeOmaha, Nebraska Julie Ann Koch, DNP , RN, FNP-BC, FAANP Assistant Dean of Graduate NursingDNP Program CoordinatorValparaiso University College of Nursing & Health Professions Valparaiso, Indiana Linda U. Krebs, RN, PhD, AOCN, FAAN Associate ProfessorUniversity of ColoradoAnschutz Medical Campus, College of NursingAurora, ColoradoNancy Bittner, RN, PhD Associate DeanSchool of Nursing Science and Health ProfessionsRegis CollegeWeston, Massachusetts Cynthia Bostick, PMHCNS-BC, PhD LecturerCalifornia State UniversityCarson, California Susan S. Fairchild, EdD, APRN Dean, School of NursingGrantham UniversityKansas City, Missouri Cris Finn, RN, PhD, FNP Assistant ProfessorRegis UniversityDenver, Colorado Susan C. Fox, RN, PhD, CNS-BC Associate ProfessorCollege of NursingUniversity of New MexicoAlbuquerque, New Mexico Eileen P . Geraci, PhD candidate, MA, ANP-BC Professor of NursingWestern Connecticut State UniversityDanbury, Connecticutreviewers 6044_Fm_i-xvi.indd 11 9/11/17 8:52 PMxii rEviEwErs Julie Ponto, RN, PhD, ACNS-BC, AOCN Professor Winona State University–RochesterRochester, Minnesota Susan D. Schaffer, PhD, ARNP , FNP-BC Chair, Department of Women’s, Children’s and Family Nursing FNP T rack CoordinatorUniversity of Florida College of NursingGainesville, Florida Beth R. Steinfeld, DNP , WHNP-BC Assistant ProfessorSUNY Downstate Medical CenterBrooklyn, New York Lynn Wimett, EdD, APRN-C ProfessorRegis UniversityDenver, Colorado Jennifer Klimek Yingling, PhD, RN, ANP-BC, FNP-BC Advanced Practice NurseFaxton-St. Luke’s HealthcareSUNY Institute of TechnologyUtica, New YorkJoy Lewis, CRNA, MSN Interim Assistant Program Director Nurse Anesthesia Lincoln Memorial UniversityHarrogate, Tennessee Laurie Kennedy-Malone, PhD, GNP-BC, FAANP , FGSA Professor of NursingUniversity of North Carolina at Greensboro School of Nursing Greensboro, North Carolina Susan McCrone, PhD, PMHCNS-BC ProfessorWest Virginia UniversityMorgantown, West Virginia Sandra Nadelson, RN, MS Ed, PhD Associate ProfessorBoise State UniversityBoise, Idaho Geri B. Neuberger, RN, MN, EdD, ARNP-CS ProfessorUniversity of Kansas School of NursingKansas City, Kansas Crystal Odle, DNAP , CRNA Director, Assistant Professor Nurse Anesthesia Program Lincoln Memorial UniversityHarrogate, Tennessee 6044_Fm_i-xvi.indd 12 9/11/17 8:52 PMxiiiThis book belongs to its authors. I am proud to be one among them. Beyond that, I have been the instrument to make these written contributions accessible to today’s students and faculty. I thank each author for the products of his or her intellect, experience, and commitment to advanced practice.Acknowledgments 6044_Fm_i-xvi.indd 13 9/11/17 8:52 PM6044_Fm_i-xvi.indd 14 9/11/17 8:52 PM