Which of the following is considered a constraining factor for growth of the nurse practitioner role?
Emphasis on integrated healthcare services
Scope of practice and need for formal supervisory or collaborative relationships with physicians
Acceptance of the advanced practice nursing role
Consumer demand for services
The Correct Answer is B
Choice A reason: Emphasis on integrated healthcare services generally facilitates growth by promoting teamwork and expanding the role of NPs.
Choice B reason: Legal and regulatory restrictions requiring supervision or collaboration with physicians limit the autonomy of nurse practitioners and constrain the expansion of their independent practice.
Choice C reason: Acceptance of the advanced practice nursing role encourages growth and is not a limiting factor.
Choice D reason: Consumer demand for services supports growth by increasing the need for NPs rather than constraining it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: M-CHAT screens specifically for autism risk in toddlers but does not assess broader developmental domains.
Choice B reason: ADOS is a diagnostic tool for autism, not a general early developmental screening tool for clinic-wide use.
Choice C reason: The ASQ is a comprehensive developmental screening tool that identifies children with delays or disorders across multiple domains before school age, ideal for early intervention planning.
Choice D reason: Connors Parent Rating Scale assesses ADHD symptoms but does not screen for overall early developmental delays.
Correct Answer is B
Explanation
Choice A reason: Requesting an immediate surgical consult is appropriate because compartment syndrome is a surgical emergency. Prompt evaluation by an orthopedic surgeon can prevent permanent muscle and nerve damage.
Choice B reason: Leaving restrictive casts, dressings, or bandages intact is inappropriate. These can increase intracompartmental pressure, worsening ischemia and potentially leading to irreversible tissue damage. Rapid removal or loosening is essential.
Choice C reason: Providing supplemental oxygen is a supportive intervention that may help tissue oxygenation while awaiting definitive treatment, though it does not address the primary ischemic cause.
Choice D reason: Keeping the extremity at the level of the heart is appropriate because elevation above the heart can reduce arterial perfusion and worsen ischemia, while lowering below heart level may increase edema. Maintaining a neutral position optimizes blood flow.
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