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Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition

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Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Advanced Practice Nursing:Essential Knowledge for the Profession, Third Edition is a core advanced practice text used in both Master's Level and DNP programs. The Third Edition is a unique compilation of existing chapters from a variety of high-level Jones & Bartlett Learning works creating a comprehensive and well-rounded resource for the advanced practice nursing student. Similar to the previous edition, The Third Edition features updated content around the AACN's Master's Essentials as well as the Essentials for Doctoral Education. Throughout this text the authors address the rapid changes in the health care environment with a special focus on health care finance, electronic health records, quality and safety as well as emerging roles for the advanced practice nurse. Patient care in the context of advanced nursing roles is also covered.

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, Chapter |1: |Introduction |to |the |Role |of |Advanced |Practices |Nursing
|Multiple |Choice

1. In |which |year |did |the |American |Association |of |College |of |Nursing |(AACN) |introduced |the
|Doctorate |of |Nursing |Practice |(DNP)?




a. 2006
b. 2004
c. 2000
d. 2002

ANS: |B
Introduced |the |DNP |degree |in |2004 |to |prepare |advanced |practice |nurses |(APRNs) |to |meet |challenges
|and |standardize |practice |beyond |master’s |degree |programs.




2. Which |of |the |following |is |the |best |explanation |for |the |creation |of |the |Doctorate |of |Nursing
|Practice |(DNP) |degree?




a. To |compete |against |master’s |degree |programs
b. To |ensure |standardized |curriculum |ensuring |independent |practice
c. To |validate |APRN’s |for |financial |reimbursement
d. To |address |increasing |curriculum |requirements |of |master’s |degree |programs

ANS: | D
Although |all |answers |are |influenced |by |the |DNP |core |competencies, |the |DNP |program |creation |in
|2004 |bythe |AACN |was |designed |to |address |curriculum |requirements |of |master’s |degree |programs.




3. Which |of |the |following |was |the |first |recognized |area |of |advanced |practice | nursing?

a. Clinical |Nurse |Specialist
b. Family|nurse |practitioner
c. Pediatric |nurse |practitioner
d. Certified |Registered |Nurse |Anesthetist
|ANS: | D


In | 1931, | the | National |Association | of | Nurse | Anesthetists | (NANA), | renamed | in | 1939 | to | the
American |Association |of |Nurse |Anesthetists |(AANA) |was |the |first |recognized |group |promoting
|advanced |nursing |practice. |Agatha |Hodgins |founded |the |AANM |at |Lakeside |Hospital |in

|Cleveland, |Ohio.




4. Which |factor|is |broadlyperceived |to |solidify|and |standardize |the |role |of|the |APNs |over |the |last |25
|years?




a. Lack |of |access |to |health |care |providers
b. Standardized |curriculum |development
c. Payment |for |services
d. Societal |forces




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, ANS: | B
As |the |evolution |of |Advanced |Practice |Nursing |advances |specific |specialties |and |needs |are
|identified. |Through |the |evolution |of |organization |and |standardization |these |roles |have |solidified

|the |APN’s |role |in |today’s |health |care |environment.




5. During |the |formation |of |early |APN |roles |in |anesthesia, |which |of |the |following |increased
|demand |for |access |to |health |care?




a. Poverty
b. War
c. Rural |access |to |care
d. Availability|of |training

ANS: | B
Earliest |demand |for |nursing-provided |anesthesia |spiked |during |periods |of |war |when |numbers |of
|physicians |were |inadequate. |The |earliest |records |date |back |to |the |American |Civil |War |with |the

|administration |of |chloroform. |During |World |War |I |in |1917 |more |than |1000 |nurses, |some |trained

|anesthetists, |traveled |into |battle. |Other |factors |such |as |need |for |rural |health |care |came |later |in |the

|validation |and |need |for |APNs.




6. In |1889, |Dr. |William |Worrall |Mayo |built |and |opened |St. |Mary’s |hospital |in |Rochester, |NY. |He |is
|known |for |some |of |the |earliest |recruitment |and |specialized |training |of |nurses |in |which |of |the

|following |roles?




a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research |and |statistics
e. Family |nursing

ANS: | B
In |1889, |Dr. |William |Worrall |Mayo |began |formally |training |and |recognizing |nurse |anesthetists.
|This |has |been |regarded |as |the |earliest |training |in |nurse-provided |anesthesia.




7. In |1893, |Lillian |Wald |established |the|HenryStreet |Settlement |(HSS)|House|for |which |purpose?

a. Access |to |health |care |of |rural |areas
b. Create |inner-city|nursing |awareness
c. Provide |the |disadvantaged |access |to |care
d. Establish |guidelines |for |advanced |nursing |roles

ANS: | C
The |HHS |was |established |to |provide |nursing |services |to |immigrants |and |low-income |patients |and
|their |families |in |Manhattan. |As |resistance |to |nurse-provided |care |grew, |standing |orders |were

|drafted |from |a |group |of |Lower |East |Side |physicians |thereby |circumventing |then-existing |legal

|ramifications.




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, 8. The |Frontier |Nursing |Service |(FNS) |founded |in |Kentucky |in |1925 |by |Mary |Breckenridge
|initially |provided |Appalachia |with |nursing |resources |and |which |type |of |advanced |nursing

|care?




a. Pediatric |care
b. Anesthesia
c. Midwifery
d. Surgical |services

ANS: | C
The |original |FNS |provided |nursing |services |and |obstetric |services |to |Appalachian |residents. |Later
|working |from |standard |orders |developed |from |their |medical |advisory |committee |nurses |treated

|patients, |made |diagnoses, |and |dispensed |medications.




9. Which |organization |founded |in |1941 |under |Mary |Breckenridge’s |leadership |merged |with |the
|American |College |of |Nurse-Midwives |(ACNM) |in |1969?




a. American |Association |of |Nurse-Midwives |(AANM)
b. American |Nurses |Association |(ANA)
c. Association |for |National |Nurse-Midwifery|(ANNM)
d. Council |of |Nursing |Midwifery|(ANM)

ANS: | A
The |American |College |of |Nurse-Midwives |(ACNM) |formed |under |the |leadership |of |Mary
|Breckenridge |in |1941 |to |provide |nurse-midwife |development |and |collaboration |for |midwife


development. | In | 1955, | the | American | College | of | Nurse-Midwives | was | formed | and | the
| two |organizations |merged |in |1969 |after |the |death |of |Mary |Breckenridge.




10. In |a |landmark |ruling |by|the |Supreme |Court |as |a |result |of |Chalmers-Frances |v. |Nelson, |1936,
|what |legal |precedent |was |established?




a. Nurse |anesthesia |was |allowed |under |the |nurse |practice |act
b. Nurse |anesthesia |scope |of |practice |included |anesthesia
c. Nurse |anesthesia |was |legal, |if |under |guidance |of |a |supervising |physician
d. Only|trained |nursing |professionals |could |administer |anesthesia |independently

ANS: | C
The |landmark |decision |from |the |Chalmers-Frances |v. |Nelson |case |set |national |precedent |for |the
|advanced |nursing |practice |role. | It |proved |to |be |the |basis |for |other |cases |over |the |following |few

|decades |and |established |that |trained |nurses |could |legally |provide |anesthesia |care |under |supervision |of

|a |physician.




11. The |first |known |establishment |of |the |nurse |practitioner |role |occurred |in |1965 |at |theUniversity |of
|Colorado. |In |which |area |of |training |did |this |role |specialize?




a. Pediatrics
b. Geriatrics




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