Chapter 01: Advanced Practice Nursing: Clinical Nurse Specialist (CNS) Practice

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____	1.	Which of the following is not part of the requirements for an advanced practice registered nurse (APRN)?
A.	Bachelor’s degree	
B.	Clinical experience	
C.	Graduate-level education	
D.	Passing a national certification examination	

____	2.	An advanced practice registered nurse (APRN) uses evidence-based clinical practice guidelines to guide screening and diagnosis. This is a component of which competency?
A.	Collaboration	
B.	Consultation	
C.	Direct Care	
D.	Systems Leadership	

____	3.	Skillful guidance and teaching to advance the care of patients, families, groups of patients, and the profession of nursing is referred to as which competency?
A.	Coaching	
B.	Consultation	
C.	Direct Care	
D.	Systems Leadership	

____	4.	Nurses must be valued and committed partners in making policy, directing and evaluating clinical care, and leading organizational operations. The American Association of Critical-Care Nurses refers to this standard as:
A.	appropriate staffing.	
B.	authentic leadership.	
C.	effective decision making.	
D.	skilled communication.	

____	5.	Which model of evidence-based practice dissemination uses internal and external factors to determine which approach should be taken from an education, practice, and research perspective?
A.	CURN	
B.	Iowa	
C.	Johns Hopkins	
D.	Stetler	

____	6.	Which of the following is not among the top 10 psychosocial activities of expertise of a clinical nurse specialist (CNS)?
A.	Depression therapy	
B.	Home health-care management	
C.	Marriage counseling	
D.	Substance abuse therapy	

____	7.	According to a 1999 Institute of Medicine (IOM) report, how many deaths occur each year in hospitals because of medical error?
A.	Less than 45,000	
B.	Between 45,000 and 98,000	
C.	Between 100,000 and 150,000	
D.	More than 150,000	

____	8.	Which occupation does not come under the umbrella of advance practice registered nursing?
A.	Clinical nurse specialist	
B.	Nurse anesthetist	
C.	Nurse midwife	
D.	Physician’s assistant	

____	9.	How many medical errors are classified as hospital acquired conditions or never events?
A.	7	
B.	14	
C.	21	
D.	28	

____	10.	The word never in reference to never events means:
A.	these events never occur.	
B.	these events should never occur.	
C.	advanced practice registered nurses (APRNs) are never responsible for these events.	
D.	physicians are never responsible for these events.	

____	11.	Which body continues to be a source of driving quality within health-care institutions?
A.	Centers for Disease Control and Prevention	
B.	Centers for Medicare and Medicaid Services	
C.	U.S. Department of Health	
D.	The Joint Commission on Hospital Accreditation (The is part of the official name hence TJC)	

____	12.	Hildegard Peplau developed the first master’s program focused on the advanced training of psychiatric clinical nurse specialists (CNSs) in:
A.	1934.	
B.	1944.	
C.	1954.	
D.	1964.	

____	13.	The National Association of Clinical Nurse Specialists (NACNS) was established in:
A.	1975.	
B.	1985.	
C.	1995.	
D.	2005.	

____	14.	A clinical nurse specialist (CNS) is skilled in using which theory to develop and evaluate programs, and assure implementation of evidence-based practices?
A.	Change	
B.	Game	
C.	Number	
D.	Relativity	

____	15.	Which type of power is not commonly used among clinical nurse specialists (CNSs)?
A.	Charismatic	
B.	Coercive	
C.	Expert	
D.	Referent	

____	16.	Which of the following is one reason why it might be difficult for advanced practice registered nurses (APRNs) to move from one state to another?
A.	Differences in job descriptions	
B.	Differences in licensure and regulation	
C.	Differences in hospitals	
D.	Differences in educational programs	

____	17.	What does the LACE model advocate for all advanced practice registered nurses (APRNs)?
A.	National accreditation	
B.	National certification	
C.	National education	
D.	National licensing	

____	18.	The process in which credentials are issued, demonstrating that educational and certifying bodies have met or exceeded known standards of performance, is known as:
A.	accreditation.	
B.	certification.	
C.	licensing.	
D.	registration.	

Chapter 01: Advanced Practice Nursing: Clinical Nurse Specialist (CNS) Practice
Answer Section

MULTIPLE CHOICE

	1.	ANS:	A	PTS:	1

	2.	ANS:	C	PTS:	1

	3.	ANS:	A	PTS:	1

	4.	ANS:	C	PTS:	1

	5.	ANS:	C	PTS:	1

	6.	ANS:	B	PTS:	1

	7.	ANS:	B	PTS:	1

	8.	ANS:	D	PTS:	1

	9.	ANS:	D	PTS:	1

	10.	ANS:	B	PTS:	1

	11.	ANS:	D	PTS:	1

	12.	ANS:	C	PTS:	1

	13.	ANS:	C	PTS:	1

	14.	ANS:	A	PTS:	1

	15.	ANS:	B	PTS:	1

	16.	ANS:	B	PTS:	1

	17.	ANS:	B	PTS:	1

	18.	ANS:	A	PTS:	1