An advance practice nurse (APN) is assigned to assess a Hispanic patient who speaks no English.
Since the APN speaks no Spanish which action would be most appropriate?
A) Rely on family members to interpret.
B) Attempt no communication with the patient other than through the interpreter.
C) Review the patient's record with an authorized interpreter before beginning the assessment of
the patient.
D) Use gestures to convey the meaning of words and use a foreign-language dictionary of
medical terms.
Question 2What was the impetus for the first advanced practice nurse program?
A) The program was initiated as an experiment to determine if registered nurses had the critical
thinking skills required for an expanded advanced practice role.
B) The program was initiated when it was evident that the medical schools across the country
could not prepare enough practitioners to meet the nation's health care needs in a cost
efficient manner.
C) The program was established in an effort to expand the role of registered nurses so that the
needs of children could be met more effectively and efficiently.
D) The program was initiated as a result of a new Medicare and Medicaid entitlement program.
Question 3Why should all nurses, including the advanced practice nurses (APN), understand the history of
nursing?
A) To increase awareness of the heritage, ideals, and issues which, have shaped nursing
B) To foster the values and beliefs that nurses serve as a moral role model for society
C) To understand the goals of early nurse leaders
D) To control and advance nursing practice
Question 4What is the primary driving force for change in health care delivery?
A) The nursing shortage B) Improved technology
C) Economics and health care reform D) Health promotion
Question 5What is a common goal of all advanced practice nurses?
A) Increased access to care B) Improved education of new nurses
C) Increased employment options for nurses D) Reduced health care costs
Question 6Why is co-dependent behavior often demonstrated in nurses?
A) Co-dependency is not a characteristic of many nurses.
B) Nurses lack autonomy.
C) Nurses wish to help others; helping is often confused with doing for..
D) Co-dependency is rewarded by most health care employers.
Question 7What is the best action regarding a peer who is consistently negative and has a complaint about
every aspect of nursing?
A) Report the nurse as a source of conflict.
B) Encourage the nurse to seek a new career.
C) Advise the nurse that she does nothing but complain.
D) Refuse to become involved in the negative behavior.
Question 8Who can best counsel a nurse who abuses either drugs or alcohol?
A) A co-worker B) Members of a peer assistance program
C) A supervisor D) Members of AA
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