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DeNisco: Advanced Practice Nursing: Essential Knowledge for the Profession 5th Edition
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Multiple Choice x%
1. In which year did the American Association of College of Nursing (AACN) in
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x% troduced theDoctorate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002
ANS: B vj
Introduced the DNP degreein 2004 to prepare advanced practice nurses (APRNs) tomeet challenges
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and standardize practice beyond master’s degree programs.
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2. Which of the following is the best explanation for the creation of the Doctorate of N
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% ursingPractice (DNP) degree? x% x%
a. To compete against master’s degree programs
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b. To ensure standardized curriculum ensuring independent practice
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c. To validate APRN’s for financial reimbursement
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d. To address increasing curriculum requirements of master’s degreeprograms
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ANS: v x % jx
D
Although all answers are influenced by the DNP core competencies, the DNP program creati
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o n in2004 bythe AACN was designed to address curriculum requirements of master’s degr
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eep rograms.
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3. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical NurseSpecialist x%
b. Familynurse practitioner x%
c. Pediatric nurse practitioner x% x%
d. Certified Registered Nurse x% x%
, AnesthetistANS: v x % jx % D
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 19
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39 to th e American
x % x % x% x% x % Association x % of x % Nurse x % Anesthetists x % (AANA) x % was x % the x % fir
st x % recognized x % g roup promoting advanced nursing practice. Agatha Hodgins founded
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the AANM at Lakesi de Hospital in Cleveland, Ohio.
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4. Whichfactoris broadlyperceivedtosolidifyand standardize theroleoftheAPNsover the vj vj vj vj x%
x% last25 years? x%
a. Lack of access to health careproviders x% x% x% x% x%
b. Standardizedcurriculum development vj
c. Payment for services vj x%
d. Societalforces
ANS: v x % jx
B
As the evolution of Advanced Practice Nursing advances specific specialties and needs are id
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e ntified. Through the evolution of organization and standardization these roles have solidifie
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d t he APN’s role in today’s health care environment.
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5. During the formation of early APN roles inanesthesia, which of the following in
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% creaseddemand for access to health care? x% x% x% x% x%
a. Poverty
b. War
c. Rural access tocare x% x%
d. Availability of training x% vj
ANS: v x % jx
B
Earliest demand for nursing-
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provided anesthesia spiked during periods of war when numbers of physicians were inadequate
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. The earliest records date back to the American Civil War with the administration of chlorof
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o rm. During World War I in 1917 more than 1000 nurses, some trained anesthetists, traveled
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int o battle. Other factors such as need for rural health care came later in the validation and ne
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ed fo r APNs.vj x% x%
, 6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY
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. Heis known for some of the earliest recruitment and specialized training of nurses in whic
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h of thefollowing roles?
vjx % x% x%
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics x% vj
e. Familynursing
ANS: v x % jx
B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.Th
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i s has been regarded as the earliest training in nurse-provided anesthesia.
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7. In 1893, Lillian Wald established the HenryStreet Settlement (HSS) Housefor which purpose?
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a. Access to health care of ruralareas x% x% x% x% x%
b. Create inner-city nursing awareness x% x% x%
c. Provide the disadvantaged access to care vj x% x% x% x%
d. Establish guidelines for advanced nursing roles x% x% x% x% x%
ANS: v x % jx
C
The HHS was established to provide nursing services to immigrants and low
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- income patients and their families in Manhattan. As resistance to nurse-
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provided care grew, standing orders were drafted from a group of Lower East Side physicians t he
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reby circumventing then- existing legal ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Brecken
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r idgeinitiallyprovidedAppalachiawith nursingresourcesand which typeof
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