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v
ADVANCED PRACTICE v
NURSING: ESSSENTIAL v
v KNOWLEDGE FOR THE v v
v PROFESSION 5th EDITION v v
v DENISCO
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Advanced vPractice vNursing: vEssential vKnowledge vfor vthe vProfession v5th
v Edition vDenisco vTest vBank
Chapter1 v Introduction v to v the v Role v of v Advanced v Practices v Nursing
Multiple v Choice
1. In v which v year v did v the v American v Association v of v College v of v Nursing v (AACN)
v introduced v the v Doctorate v of v Nursing v Practice v (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ThNeSA: v ABC N vintroduced vthe vDNP vdegree vin v2004 vto vprepare vadvanced vpractice vnurses
A
v(APRNs) vto v meet v challenges v and v standardize v practice v beyond v master’s v degree v programs.
2. Which v of v the v following v is v the v best vexplanation v for v the vcreation v of vthe v Doctorate v of
v Nursing v Practice v (DNP) v degree?
a. To v compete v against v master’s v degree v programs
b. To v ensure v standardized v curriculum v ensuring v independent v practice
c. To v validate v APRN’s v for v financial v reimbursement
d. To v address v increasing v curriculum v requirements v of v master’s v degree vprograms
ANS: v D
Although vall vanswers vare v influenced v by vthe v DNP v core vcompetencies, v the vDNP v program
vcreation v in v 2004 vbythe vAACN vwas vdesigned vto vaddress vcurriculum vrequirements vof vmaster’s
vdegree vprograms.
3. Which v of v the v following v was v the v first vrecognized v area v of v advanced v practice v nursing?
a. Clinical v Nurse vSpecialist
b. Family vnurse v practitioner
c. Pediatric v nurse v practitioner
d. Certified v Registered v Nurse v Anesthetist
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ANS: v D
In v 1931, vthe vNational v Association v of vNurse v Anesthetists v (NANA), v renamed v in v 1939 v to
v the vAmerican v Association v of v Nurse vAnesthetists v (AANA) v was v the vfirst v recognized v group
v promoting v advanced v nursing v practice. v Agatha v Hodgins vfounded vthe v AANM v at v Lakeside
v Hospital v in v Cleveland, v Ohio.
4. Which vfactor vis vbroadly vperceived vto vsolidify vand vstandardize vthe vrole vof vthe v APNs vover
vthe vlast v 25 v years?
a. Lack v of v access v to v health v care vproviders
b. Standardized v curriculum v development
c. Payment v for v services
d. Societal v forces
ANS: v B
As vthe v evolution v of v Advanced v Practice v Nursing v advances v specific v specialties v and v needs
v are v identified. v Through v the v evolution v of v organization v and v standardization vthese v roles v have
v solidified v the v APN’s v role v in v today’s v health v care v environment.
5. During v the v formation v of v early vAPN v roles v in v anesthesia, v which v of v the v following
vincreased v demand v for v access v to v health v care?
a. Poverty
b. War
c. Rural v access v to vcare
d. Availability vof vtraining
ANS: v B
Earliest v demand v for v nursing-provided v anesthesia v spiked vduring v periods v of v war v when
v numbers v of v physicians v were v inadequate. v The v earliest v records vdate v back v to v the vAmerican
v Civil v War v with v the v administration v of v chloroform. v During v World v War vI v in v 1917 v more
v than v 1000 v nurses, v some v trained v anesthetists, vtraveled v into v battle. vOther v factors v such v as
v need v for v rural v health v care v came v later v in v the v validation v and v need v for v APNs.
6. In v1889, vDr. vWilliam vWorrall vMayo vbuilt vand vopened vSt. vMary’s vhospital vin vRochester,
vNY. vHe v is vknown vfor v some vof vthe v earliest v recruitment v and v specialized v training vof
vnurses v in vwhich vof v the v following v roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research v and v statistics
e. Family vnursing
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ANS: v B
In v 1889, vDr. v William v Worrall v Mayo v began vformally v training v and v recognizing v nurse
v anesthetists. v This v has v been v regarded v as v the v earliest v training v in v nurse-provided v anesthesia.
7. In v1893, v Lillian v Wald v established v the v Henry vStreet v Settlement v (HSS) vHouse vfor v which vpurpose?
a. Access v to v health v care v of v rural vareas
b. Create v inner-city vnursing v awareness
c. Provide v the v disadvantaged v access v to v care
d. Establish v guidelines v for v advanced v nursing v roles
ANS: v C
The v HHS v was v established v to v provide v nursing v services v to v immigrants v and v low-income
v patients v and vtheir vfamilies v in v Manhattan. v As v resistance vto v nurse-provided v care v grew,
v standing v orders v were vdrafted v from v a v group v of v Lower vEast v Side v physicians v thereby
v circumventing v then-existing v legal v ramifications.
8. The v Frontier v Nursing v Service v (FNS) v founded v in v Kentucky v in v 1925 v by v Mary
v Breckenridge v initiallyprovided vAppalachia vwith vnursing vresources vand vwhich vtype vof
vadvanced vnursing vcare?
a. Pediatric v care
b. Anesthesia
c. Midwifery
d. Surgical vservices
ANS: v C
The v original v FNS vprovided v nursing v services v and v obstetric v services v to v Appalachian
v residents. vLater vworking vfrom v standard v orders vdeveloped v from vtheir v medical v advisory
v committee v nurses v treated v patients, v made v diagnoses, v and v dispensed v medications.
9. Which v organization v founded v in v1941 v under v Mary vBreckenridge’s v leadership v merged
v with v the v American v College v of v Nurse-Midwives v (ACNM) v in v 1969?
a. American v Association v of v Nurse-Midwives v(AANM)
b. American v Nurses v Association v (ANA)
c. Association v for v National v Nurse-Midwifery v(ANNM)
d. Council v of v Nursing v Midwifery v(ANM)
ANS: v A
The v American v College v of v Nurse-Midwives v (ACNM) v formed v under vthe v leadership v of v Mary
v Breckenridge v in v 1941 v to v provide v nurse-midwife vdevelopment v and v collaboration v for
v midwife