TEST BANK m
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, Chapterm1:mIntroductionmtomthemRolemofmAdvancedmPracticesmNursingmM
ultiplemChoice
1. InmwhichmyearmdidmthemAmericanmAssociationmofmCollegemofmNursingm(AACN)mintroducedmt
hemDoctoratemofmNursingmPracticem(DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ANS:mB
IntroducedmthemDNPmdegreeminm2004mtompreparemadvancedmpracticemnursesm(APRNs)mtommeetmchalle
ngesmandmstandardizempracticembeyondmmaster’smdegreemprograms.
2. WhichmofmthemfollowingmismthembestmexplanationmformthemcreationmofmthemDoctoratemofmNursi
ngmPracticem(DNP)mdegree?
a. Tomcompetemagainstmmaster’smdegreemprograms
b. Tomensuremstandardizedmcurriculummensuringmindependentm practice
c. TomvalidatemAPRN’smformfinancialmreimbursement
d. Tomaddressmincreasingmcurriculummrequirementsmofmmaster’smdegreemprograms
ANS:m D
AlthoughmallmanswersmareminfluencedmbymthemDNPmcoremcompetencies,mthemDNPmprogrammcreation
minm2004mbythemAACNmwasmdesignedmtomaddressmcurriculummrequirementsmofmmaster’smdegreemprog
rams.
3. Whichmofmthemfollowingmwasmthemfirstmrecognizedmareamofmadvancedmpracticem nursing?
a. ClinicalmNursemSpecialist
b. Familymnursempractitioner
c. Pediatricmnursempractitioner
d. CertifiedmRegisteredmNursemAnesthetis
tmANS:m D
Inm 1931,m them NationalmAssociationm ofm Nursem Anesthetistsm (NANA),m renamedm inm 1939m tom the
AmericanmAssociationmofmNursemAnesthetistsm(AANA)mwasmthemfirstmrecognizedmgroupmpromotin
gmadvancedmnursingmpractice.mAgathamHodginsmfoundedmthemAANMmatmLakesidemHospitalminmCle
veland,mOhio.
4. WhichmfactormismbroadlyperceivedmtomsolidifymandmstandardizemthemrolemofmthemAPNsmovermtheml
astm25myears?
a. Lackmofmaccessmtomhealthmcaremproviders
b. Standardizedmcurriculummdevelopment
c. Paymentmformservices
d. Societalmforces
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, ANS:m B
AsmthemevolutionmofmAdvancedmPracticemNursingmadvancesmspecificmspecialtiesmandmneedsmaremide
ntified.mThroughmthemevolutionmofmorganizationmandmstandardizationmthesemrolesmhavemsolidifiedmth
emAPN’smroleminmtoday’smhealthmcaremenvironment.
5. DuringmthemformationmofmearlymAPNmrolesminmanesthesia,mwhichmofmthemfollowingmincreas
edmdemandmformaccessmtomhealthmcare?
a. Poverty
b. War
c. Ruralmaccessmtomcare
d. Availabilitymofmtraining
ANS:m B
Earliestmdemandmformnursing-
providedmanesthesiamspikedmduringmperiodsmofmwarmwhenmnumbersmofmphysiciansmwereminadequate
.mThemearliestmrecordsmdatembackmtomthemAmericanmCivilmWarmwithmthemadministrationmofmchlorofor
m.mDuringmWorldmWarmIminm1917mmoremthanm1000mnurses,msomemtrainedmanesthetists,mtraveledmint
ombattle.mOthermfactorsmsuchmasmneedmformruralmhealthmcaremcamemlaterminmthemvalidationmandmneedmf
ormAPNs.
6. Inm1889,mDr.mWilliammWorrallmMayombuiltmandmopenedmSt.mMary’smhospitalminmRochester,mNY.m
Hemismknownmformsomemofmthemearliestmrecruitmentmandmspecializedmtrainingmofmnursesminmwhich
mofmthemfollowingmroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchmandmstatistics
e. Familymnursing
ANS:m B
Inm1889,mDr.mWilliammWorrallmMayombeganmformallymtrainingmandmrecognizingmnursemanesthetists.
mThismhasmbeenmregardedm asmthemearliestmtrainingminmnurse-providedmanesthesia.
7. Inm1893,mLillianmWaldmestablishedmthemHenryStreetmSettlementm(HSS)mHousemformwhichmpurpose?
a. Accessmtomhealthmcaremofmruralmareas
b. Createminner-citymnursingmawareness
c. Providemthemdisadvantagedmaccessmtom care
d. Establishmguidelinesmformadvancedmnursingm roles
ANS:m C
ThemHHSmwasmestablishedmtomprovidemnursingmservicesmtomimmigrantsmandmlow-
incomempatientsmandmtheirmfamiliesminmManhattan.mAsmresistancemtomnurse-
providedmcaremgrew,mstandingmordersmweremdraftedmfrommamgroupmofmLowermEastmSidemphysiciansm
therebymcircumventingmthen-existingmlegalmramifications.
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, 8. ThemFrontiermNursingmServicem(FNS)mfoundedminmKentuckyminm1925mbymMarymBreckenrid
geminitiallymprovidedmAppalachiamwithmnursingmresourcesmandmwhichmtypemofmadvancedmnu
rsingmcare?
a. Pediatricmcare
b. Anesthesia
c. Midwifery
d. Surgicalmservices
ANS:m C
ThemoriginalmFNSmprovidedmnursingmservicesmandmobstetricmservicesmtomAppalachianmresidents.mLat
ermworkingmfrommstandardmordersmdevelopedmfrommtheirmmedicalmadvisorymcommitteemnursesmtreat
edmpatients,mmademdiagnoses,mandmdispensedmmedications.
9. Whichmorganizationmfoundedminm1941mundermMarymBreckenridge’smleadershipmmergedmwithmt
hemAmericanmCollegemofmNurse-Midwivesm(ACNM)minm1969?
a. AmericanmAssociationmofmNurse-Midwivesm(AANM)
b. AmericanmNursesmAssociationm(ANA)
c. AssociationmformNationalmNurse-Midwiferym(ANNM)
d. CouncilmofmNursingmMidwiferym(ANM)
ANS:m A
ThemAmericanmCollegemofmNurse-
Midwivesm(ACNM)mformedmundermthemleadershipmofmMarymBreckenridgeminm1941mtomprovidemnurs
e-midwifemdevelopmentmandmcollaborationmformmidwife
development.m Inm 1955,m them Americanm Collegem ofm Nurse-
Midwivesm wasm formedm andm them twomorganizationsmmergedminm1969maftermthemdeathmofmMarymBre
ckenridge.
10. InmamlandmarkmrulingmbymthemSuprememCourtmasmamresultmofmChalmers-
Francesmv.mNelson,m1936,mwhatmlegalmprecedentmwasmestablished?
a. Nursemanesthesiamwasmallowedmundermthemnursempracticem act
b. Nursemanesthesiamscopemofmpracticemincludedmanesthesia
c. Nursemanesthesiamwasmlegal,mifmundermguidancemofmamsupervisingmphysician
d. Onlymtrainedmnursingmprofessionalsmcouldmadministermanesthesiamindependently
ANS:m C
ThemlandmarkmdecisionmfrommthemChalmers-
Francesmv.mNelsonmcasemsetmnationalmprecedentmformthemadvancedmnursingmpracticemrole.mItmprovedm
tombemthembasismformothermcasesmovermthemfollowingmfewmdecadesmandmestablishedmthatmtrainedmnurse
smcouldmlegallymprovidemanesthesiamcaremundermsupervisionmofmamphysician.
11. Themfirstmknownmestablishmentmofmthemnursempractitionermrolemoccurredminm1965matmtheUniversi
tymofmColorado.mInmwhichmareamofmtrainingmdidmthismrolemspecialize?
a. Pediatrics
b. Geriatrics
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, Chapterm1:mIntroductionmtomthemRolemofmAdvancedmPracticesmNursingmM
ultiplemChoice
1. InmwhichmyearmdidmthemAmericanmAssociationmofmCollegemofmNursingm(AACN)mintroducedmt
hemDoctoratemofmNursingmPracticem(DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ANS:mB
IntroducedmthemDNPmdegreeminm2004mtompreparemadvancedmpracticemnursesm(APRNs)mtommeetmchalle
ngesmandmstandardizempracticembeyondmmaster’smdegreemprograms.
2. WhichmofmthemfollowingmismthembestmexplanationmformthemcreationmofmthemDoctoratemofmNursi
ngmPracticem(DNP)mdegree?
a. Tomcompetemagainstmmaster’smdegreemprograms
b. Tomensuremstandardizedmcurriculummensuringmindependentm practice
c. TomvalidatemAPRN’smformfinancialmreimbursement
d. Tomaddressmincreasingmcurriculummrequirementsmofmmaster’smdegreemprograms
ANS:m D
AlthoughmallmanswersmareminfluencedmbymthemDNPmcoremcompetencies,mthemDNPmprogrammcreation
minm2004mbythemAACNmwasmdesignedmtomaddressmcurriculummrequirementsmofmmaster’smdegreemprog
rams.
3. Whichmofmthemfollowingmwasmthemfirstmrecognizedmareamofmadvancedmpracticem nursing?
a. ClinicalmNursemSpecialist
b. Familymnursempractitioner
c. Pediatricmnursempractitioner
d. CertifiedmRegisteredmNursemAnesthetis
tmANS:m D
Inm 1931,m them NationalmAssociationm ofm Nursem Anesthetistsm (NANA),m renamedm inm 1939m tom the
AmericanmAssociationmofmNursemAnesthetistsm(AANA)mwasmthemfirstmrecognizedmgroupmpromotin
gmadvancedmnursingmpractice.mAgathamHodginsmfoundedmthemAANMmatmLakesidemHospitalminmCle
veland,mOhio.
4. WhichmfactormismbroadlyperceivedmtomsolidifymandmstandardizemthemrolemofmthemAPNsmovermtheml
astm25myears?
a. Lackmofmaccessmtomhealthmcaremproviders
b. Standardizedmcurriculummdevelopment
c. Paymentmformservices
d. Societalmforces
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, ANS:m B
AsmthemevolutionmofmAdvancedmPracticemNursingmadvancesmspecificmspecialtiesmandmneedsmaremide
ntified.mThroughmthemevolutionmofmorganizationmandmstandardizationmthesemrolesmhavemsolidifiedmth
emAPN’smroleminmtoday’smhealthmcaremenvironment.
5. DuringmthemformationmofmearlymAPNmrolesminmanesthesia,mwhichmofmthemfollowingmincreas
edmdemandmformaccessmtomhealthmcare?
a. Poverty
b. War
c. Ruralmaccessmtomcare
d. Availabilitymofmtraining
ANS:m B
Earliestmdemandmformnursing-
providedmanesthesiamspikedmduringmperiodsmofmwarmwhenmnumbersmofmphysiciansmwereminadequate
.mThemearliestmrecordsmdatembackmtomthemAmericanmCivilmWarmwithmthemadministrationmofmchlorofor
m.mDuringmWorldmWarmIminm1917mmoremthanm1000mnurses,msomemtrainedmanesthetists,mtraveledmint
ombattle.mOthermfactorsmsuchmasmneedmformruralmhealthmcaremcamemlaterminmthemvalidationmandmneedmf
ormAPNs.
6. Inm1889,mDr.mWilliammWorrallmMayombuiltmandmopenedmSt.mMary’smhospitalminmRochester,mNY.m
Hemismknownmformsomemofmthemearliestmrecruitmentmandmspecializedmtrainingmofmnursesminmwhich
mofmthemfollowingmroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchmandmstatistics
e. Familymnursing
ANS:m B
Inm1889,mDr.mWilliammWorrallmMayombeganmformallymtrainingmandmrecognizingmnursemanesthetists.
mThismhasmbeenmregardedm asmthemearliestmtrainingminmnurse-providedmanesthesia.
7. Inm1893,mLillianmWaldmestablishedmthemHenryStreetmSettlementm(HSS)mHousemformwhichmpurpose?
a. Accessmtomhealthmcaremofmruralmareas
b. Createminner-citymnursingmawareness
c. Providemthemdisadvantagedmaccessmtom care
d. Establishmguidelinesmformadvancedmnursingm roles
ANS:m C
ThemHHSmwasmestablishedmtomprovidemnursingmservicesmtomimmigrantsmandmlow-
incomempatientsmandmtheirmfamiliesminmManhattan.mAsmresistancemtomnurse-
providedmcaremgrew,mstandingmordersmweremdraftedmfrommamgroupmofmLowermEastmSidemphysiciansm
therebymcircumventingmthen-existingmlegalmramifications.
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, 8. ThemFrontiermNursingmServicem(FNS)mfoundedminmKentuckyminm1925mbymMarymBreckenrid
geminitiallymprovidedmAppalachiamwithmnursingmresourcesmandmwhichmtypemofmadvancedmnu
rsingmcare?
a. Pediatricmcare
b. Anesthesia
c. Midwifery
d. Surgicalmservices
ANS:m C
ThemoriginalmFNSmprovidedmnursingmservicesmandmobstetricmservicesmtomAppalachianmresidents.mLat
ermworkingmfrommstandardmordersmdevelopedmfrommtheirmmedicalmadvisorymcommitteemnursesmtreat
edmpatients,mmademdiagnoses,mandmdispensedmmedications.
9. Whichmorganizationmfoundedminm1941mundermMarymBreckenridge’smleadershipmmergedmwithmt
hemAmericanmCollegemofmNurse-Midwivesm(ACNM)minm1969?
a. AmericanmAssociationmofmNurse-Midwivesm(AANM)
b. AmericanmNursesmAssociationm(ANA)
c. AssociationmformNationalmNurse-Midwiferym(ANNM)
d. CouncilmofmNursingmMidwiferym(ANM)
ANS:m A
ThemAmericanmCollegemofmNurse-
Midwivesm(ACNM)mformedmundermthemleadershipmofmMarymBreckenridgeminm1941mtomprovidemnurs
e-midwifemdevelopmentmandmcollaborationmformmidwife
development.m Inm 1955,m them Americanm Collegem ofm Nurse-
Midwivesm wasm formedm andm them twomorganizationsmmergedminm1969maftermthemdeathmofmMarymBre
ckenridge.
10. InmamlandmarkmrulingmbymthemSuprememCourtmasmamresultmofmChalmers-
Francesmv.mNelson,m1936,mwhatmlegalmprecedentmwasmestablished?
a. Nursemanesthesiamwasmallowedmundermthemnursempracticem act
b. Nursemanesthesiamscopemofmpracticemincludedmanesthesia
c. Nursemanesthesiamwasmlegal,mifmundermguidancemofmamsupervisingmphysician
d. Onlymtrainedmnursingmprofessionalsmcouldmadministermanesthesiamindependently
ANS:m C
ThemlandmarkmdecisionmfrommthemChalmers-
Francesmv.mNelsonmcasemsetmnationalmprecedentmformthemadvancedmnursingmpracticemrole.mItmprovedm
tombemthembasismformothermcasesmovermthemfollowingmfewmdecadesmandmestablishedmthatmtrainedmnurse
smcouldmlegallymprovidemanesthesiamcaremundermsupervisionmofmamphysician.
11. Themfirstmknownmestablishmentmofmthemnursempractitionermrolemoccurredminm1965matmtheUniversi
tymofmColorado.mInmwhichmareamofmtrainingmdidmthismrolemspecialize?
a. Pediatrics
b. Geriatrics
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extra pr year?