What terms indicate appropriate progression associated with the history and evolutio n of advance practice nursing? Specialist, Expanded Role, Advanced Practice 46. An experienced NP, has two separate but equally important ethical obligations that he is unfortunately unable to carry out. This is an example of which barrier to ethical practice? Moral Dilemma 47. Pre-invasive epithelial tumors of glandular or squamous cell origin describes which of the following? Cancer in situ 48. Which two options are barriers to the conceptualization of Advanced Practice Nursing? Interprofessional education and practice Need to differentiate between advanced practice nursing and medicine 49. The Dreyfus Model of Skill Acquisition includes which four stages of APN performance? Expert, Advanced Beginner, Competent, Proficient 50. The nurse practitioner is caring for a client who has undergone a recent gastrectomy who complains of fatigue, palpitations, shortness of breath, and numbness and tingling to their fingers on both hands. The nurse suspects pernicious anemia related to: Deficiency of intrinsic factor production 51. The analysis of a theory or conceptual model includes examining the origins. Which would not be considered an aspect of origin of the theory/model? The unique focus 52. The clinical manifestations of dyskinetic cerebral palsy include: Jerky uncontrolled and abrupt fine musculoskeletal movements 53. Which core competency incorporates assuming complex collaborative roles with stakeholders and communities? Leadership 54. A critical environmental element that affects the authority of advanced practice nurses to practice to their fullest/maximum scope, according to Hamric’s model, is: Health policy 55. For nursing to considered a discipline, which statement is true? Context has considerable influence on the development of the knowledge base. 56. The APN wants to develop a community educational program for hypertension and stroke prevention. She recognizes that the individual’s lifestyle and pattern of behavior need to be addressed for the program to be successful. Which theory would be most appropriate to guide the program development?