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,Chapter 1: Introduction to the Role of Advanced Practices Nursing
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DeNisco: Advanced Practice Nursing: Essential Knowledge for the Profession 5th Edition
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Multiple Choice mv




1. In which year did the American Association of College of Nursing (AACN) in
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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 a
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nd 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? mv mv




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 m v jm



D
Although all answers are influenced by the DNP core competencies, the DNP program creatio
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mv n in2004 bythe AACN was designed to address curriculum requirements of master’s degree
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p rograms.
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3. Whichof the following was the first recognized area of advanced practice nursing?
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a. Clinical NurseSpecialist mv




b. Familynurse practitioner mv




c. Pediatric nurse practitioner mv mv




d. Certified Registered Nurse mv mv

, AnesthetistANS: v m v jm v D
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 19
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39 to th e American
m v m v mv mv m v Association m v of m v Nurse m v Anesthetists m v (AANA) m v was m v the m v firs
t m v recognized m v g roup promoting advanced nursing practice. Agatha Hodgins founded t
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he AANM at Lakesi de Hospital in Cleveland, Ohio.
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4. Whichfactoris broadlyperceivedtosolidifyand standardize theroleoftheAPNsover the vj vj vj vj mv




mv last25 years? mv




a. Lack of access to health careproviders mv mv mv mv mv




b. Standardizedcurriculum development vj




c. Payment for services vj mv




d. Societalforces




ANS: v m v jm



B
As the evolution of Advanced Practice Nursing advances specific specialties and needs are ide
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mv ntified. Through the evolution of organization and standardization these roles have solidified
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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? mv mv mv mv mv




a. Poverty
b. War
c. Rural access tocare mv mv




d. Availability of training mv vj




ANS: v m v jm



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 nee
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d fo r APNs.
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, 6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY.
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mv Heis known for some of the earliest recruitment and specialized training of nurses in whic
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h of thefollowing roles?
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a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics mv vj




e. Familynursing


ANS: v m v jm



B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.Thi
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mv 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 mv mv mv mv mv




b. Create inner-city nursing awareness mv mv mv




c. Provide the disadvantaged access to care vj mv mv mv mv




d. Establish guidelines for advanced nursing roles mv mv m
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ANS: v m v jm



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 her
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eby circumventing then- existing legal ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenr
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mv idgeinitiallyprovidedAppalachiawith nursingresourcesand which typeof vj vj vj