NURSE 361: chapter 39 advanced practice nurse in the community

what are the 5 role characteristics for APHNs identified by the ACHNE

- population-level health care focus
- ecological view
-responsibility for health outcomes for populations
-partnership/collaboration, using and interprofessional approach
-leadership practice

where is certification examination for advanced practice nurses offered by

the American Nurses Credentialing center (ANCC)

what is the purpose of professional certification ?

to confirm knowledge and expertise in a defined area of nursing

what are APHN role characteristics for focus on population health ?

- population and community assessment
-advocacy and policy setting at the organizational, community, and state levels
-ecological view for large-scale program planning and project management
- leadership and partnership building

as a clinician, what are APHN's primary responsibilities ?

to take a leadership role in the overall assessment, planning, development, coordination, and evaluation of innovative programs to meet identified community health needs

APHN is involved in what ?

-conducting community assessments
- Identifying needs of populations at risk
-planning, implementing, and evaluating population focused programs to achieve health goal, including health promotion and disease prevention activities

who is the NPs primary client ?

individual and family

what are the direct roles of clinician the NP

- assesses health risks and health and illness status
- the response to illness of individuals and families
- diagnose actual or potential health problems
- decide on treatment plans jointly w/ clients
- intervenes to promote health to protect against dis

what is the APHN goal

to ID others in the community who may be at risk and in need of services

what is important to both APHNs and NPs?

to practice health promotion/ disease promotion

what was the goal of the patient protection and affordable care act?

to improve the individual health care experience, reduction of the cost of health, and improvement of the health populations, create the potential for new public health nursing roles and responsibilities

1. The advanced public health nurse (APHN) is a licensed nurse and:
a. baccalaureate degree prepared to apply the science of public and community health.
b. master's or doctoral degree prepared to apply advanced practice nursing knowledge in the care of i

C

2. The strategy that is most appropriate for an APHN to consider when planning a population-focused health promotion program is to:
a. contact the state health department to determine state-level health objectives.
b. develop a collaborative relationship

B

3. The purpose of professional certification is to:
a. assure the public that advanced practice nurses have achieved an appropriate level of competence.
b. determine competency for graduation from a community health advanced practice nursing program.
c. e

A

4. One of the concerns faced by nurse practitioners (NPs) because of their direct care role is:
a. facing consumer group opposition to added complexity in the health care system.
b. obtaining employment and role negotiation.
c. obtaining institutional hos

C
NPs in the community are more concerned than APHNs about institutional privileges

5. The statement that best reflects the Center for Medicare and Medicaid Services (CMS) model for direct reimbursement of NPs as Medicare providers is:
a. certified family nurse practitioners (CFNPs) and certified pediatric nurse practitioners (CPNPs) req

C

6. Changes in the health care system and nursing have occurred in the past few decades because of a shift in:
a. educational preparation for advanced practice nurses.
b. legislative initiatives.
c. physician shortages.
d. societal demands and needs.

D

7. An APHN problem solves in partnership with a community to solve health care access issues for the poor elderly in the community. The advanced practice role that best describes this intervention is:
a. clinician.
b. consultant.
c. educator.
d. researche

B

8. An NP is employed at a small rural primary health clinic on a Hopi reservation in the Southwest as a member of the National Health Service Corps. This practice arena for the advanced practice nurse can best be described as:
a. governmental.
b. independ

A

9. In proactively managing the role stressor of expanded liability, the APHN must understand that:
a. the scope of the NP's and APHN's authority determines the liability standards applied.
b. malpractice insurance carriers for advanced practice nurses off

A
all nurses are liable for their actions

1. Major stressors frequently encountered by the APHN in the community include which of the following? (Select all that apply.)
a. Conflicting expectations
b. Liability
c. Professional isolation
d. Professional responsibilities
e. Reimbursement issues

ABCD