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Hamric and Hanson's Advanced Practice Nursing 6th Edition




TES BANK FOR Hamric and Hanson's Advanced
J




Practice Nursing 6th Edition by Mary Fran Tracy,
Eileen T. O'Grady

Chapter 1: Highlights from the History of Advanced Practice Nursing
in the United States Tes Bank J




Multiple Choice




1. In which year did the American Association ofCollege ofNursing (AACN)
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introduced the Doctorate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002


ANS: B J




The AACN introduced the DNP degree in2004 toprepare advanced practice nurses
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(APRNs) to meet challenges and standardize practice beyond master’s degree programs.
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2. Which ofthe following is thebest explanation forthe creation ofthe
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Doctorate of Nursing Practice (DNP) degree?
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a. Tocompeteagainst master’sdegreeprograms
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b. Toensurestandardizedcurriculumensuringindependentpractice
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c. Tovalidate APRN’s for financial reimbursement
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d. Toaddress increasingcurriculumrequirements of master’sdegreeprograms
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ANS: D J




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




3. Which ofthe following was the first recognized areaofadvanced practice
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nursing?

a. Clinical NurseSpecialist J J




b. Family nurse practitioner J J




c. Pediatric nurse practitioner J J




d. CertifiedRegisteredNurseAnesthetist J J J J




ANS: D J




In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to
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the American Association of Nurse Anesthetists (AANA) was the first recognized group
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promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
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Hospital in Cleveland, Ohio.
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4. Which factor is broadly perceived to solidify and standardize the role ofthe
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APNs over the last 25 years?
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a. Lack of access to health care providers
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b. Standardizedcurriculumdevelopment J J




c. Payment for services J J




d. Societal forces J




ANS: B J




As the evolution of Advanced Practice Nursing advances specific specialties and needs
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are identified. Through the evolution of organization and standardization these roles
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have solidified the APN’s role in today’s health care environment.
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5. Duringthe formation ofearlyAPN roles inanesthesia, which ofthe
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following increased demand for access to health care? J J J J J J J




a. Poverty
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c. Rural access to care
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d.Availabilityoftraining J J




ANS: B J




Earliest demand for nursing-provided anesthesia spiked during periods of war when
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numbers of physicians were inadequate. The earliest records date back to the
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American Civil War with the administration of chloroform. During World War I in 1917
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more than 1000 nurses, some trained anesthetists, traveled into battle. Other factors such as
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need for rural health care came later in the validation and need for APNs.
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6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in
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Rochester, NY. He is known for some of the earliest recruitment
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and specialized training of nurses in which of the following roles?
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a. Pediatrics J




b.Anesthesia
c. Obstetrics
d. Research and statistics J J




e. Familynursing J J




ANS: B J




In1889,Dr.WilliamWorrallMayobeganformallytrainingandrecognizing nurse
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anesthetists. This has been regarded as the earliest training in nurse- provided
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anesthesia.



7. In1893, LillianWaldestablished the HenryStreetSettlement (HSS) House for
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which purpose? J




a. Accessto health care of rural areas J J J J J J




b. Create inner-citynursingawareness J J J




c. Providethe disadvantaged access to care J J J J J




d. Establishguidelines foradvanced nursing roles J J J J J




ANS: C J




The HHS was established to provide nursing services to immigrants and low- income
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patients and their families in Manhattan. As resistance to nurse-provided care grew,
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standing orders were drafted from a group of Lower East Side physicians thereby
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circumventing then-existing legal ramifications. J J J




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