HAMRIC & HANSON'S ADVANCED PRACTICE NURSING
7TH EDITION
CHAPTER NUMBER 1: HISTORY AND
EVOLUTION OF ADVANCED PRACTICE NURSING
MULTIPLE CHOICE QUESTION & ANSWERS
1. Which of the following is the best explanation for the creation of the Doc-
torate of Nursing Practice (DNP) degree?
a. To validate APRN’s for financial reimbursement
b. To address increasing curriculum requirements of master’s degree programs
c. To compete against master’s degree programs
d. To ensure standardized curriculum ensuring independent practice
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program
creation in 2004 by the American Association of Colleges of Nursing (AACN) was de-
signed to address curriculum requirements of master’s degree programs.
2. Which of the following was the first recognized area of advanced practice
nursing?
a. Clinical Nurse Specialist
,b. Certified Registered Nurse Anesthetist
c. Family Nurse practitioner
d. Pediatric Nurse practitioner
ANS: B
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
American Association of Nurse Anesthetists (AANA) was the first recognized group
promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
Hospital in Cleveland, Ohio.
3. Which factor is broadly perceived to solidify and standardize the role of
the APNs over the last 25 years?
a. Societal forces
b. Lack of access to health care providers
c. Payment for services
d. Standardized curriculum development
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and needs
are identified. Through the evolution of organization and standardization these roles
have solidified the APN’s role in today’s health care environment.
4. During the formation of early APN roles in anesthesia, which of the fol-
lowing increased demand for access to health care?
a. War
b. Poverty
,c. Rural access to care
d. Availability of training
ANS: A
Earliest demand for nursing-provided anesthesia spiked during periods of war when
numbers of physicians were inadequate. The earliest records date back to the American
Civil War with the administration of chloroform. During World War I in 1917 more
than 1000 nurses, some trained anesthetists, traveled into battle. Other factors such as
need for rural health care came later in the validation and need for APNs.
5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital
in Rochester, NY. He is known for some of the earliest recruitment and specialized
training of nurses in which of the following roles?
a. Obstetrics
b. Anesthesia
c. Family nursing
d. Pediatrics
e. Research and statistics
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse
anesthetists. This has been regarded as the earliest training in nurse-provided anesthe-
sia.
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS)
House for which primary purpose?
a. Access to health care of rural areas
, b. Provide the disadvantaged access to care
c. Establish guidelines for advanced nursing roles
d. Create inner-city nursing awareness
ANS: B
The HHS was established to provide nursing services to immigrants and low-income pa-
tients and their families in Manhattan. As resistance to nurse-provided care grew,
standing orders were drafted from a group of Lower East Side physicians thereby cir-
cumventing then-existing legal ramifications.
7. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by
Mary Breckenridge initially provided Appalachia with which type of advanced nursing
care?
a. Surgical services
b. Pediatric care
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appala-
chian residents. Later working from standard orders developed from their medical ad-
visory committee nurses treated patients, made diagnoses, and dispensed medications.
7TH EDITION
CHAPTER NUMBER 1: HISTORY AND
EVOLUTION OF ADVANCED PRACTICE NURSING
MULTIPLE CHOICE QUESTION & ANSWERS
1. Which of the following is the best explanation for the creation of the Doc-
torate of Nursing Practice (DNP) degree?
a. To validate APRN’s for financial reimbursement
b. To address increasing curriculum requirements of master’s degree programs
c. To compete against master’s degree programs
d. To ensure standardized curriculum ensuring independent practice
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program
creation in 2004 by the American Association of Colleges of Nursing (AACN) was de-
signed to address curriculum requirements of master’s degree programs.
2. Which of the following was the first recognized area of advanced practice
nursing?
a. Clinical Nurse Specialist
,b. Certified Registered Nurse Anesthetist
c. Family Nurse practitioner
d. Pediatric Nurse practitioner
ANS: B
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
American Association of Nurse Anesthetists (AANA) was the first recognized group
promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
Hospital in Cleveland, Ohio.
3. Which factor is broadly perceived to solidify and standardize the role of
the APNs over the last 25 years?
a. Societal forces
b. Lack of access to health care providers
c. Payment for services
d. Standardized curriculum development
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and needs
are identified. Through the evolution of organization and standardization these roles
have solidified the APN’s role in today’s health care environment.
4. During the formation of early APN roles in anesthesia, which of the fol-
lowing increased demand for access to health care?
a. War
b. Poverty
,c. Rural access to care
d. Availability of training
ANS: A
Earliest demand for nursing-provided anesthesia spiked during periods of war when
numbers of physicians were inadequate. The earliest records date back to the American
Civil War with the administration of chloroform. During World War I in 1917 more
than 1000 nurses, some trained anesthetists, traveled into battle. Other factors such as
need for rural health care came later in the validation and need for APNs.
5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital
in Rochester, NY. He is known for some of the earliest recruitment and specialized
training of nurses in which of the following roles?
a. Obstetrics
b. Anesthesia
c. Family nursing
d. Pediatrics
e. Research and statistics
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse
anesthetists. This has been regarded as the earliest training in nurse-provided anesthe-
sia.
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS)
House for which primary purpose?
a. Access to health care of rural areas
, b. Provide the disadvantaged access to care
c. Establish guidelines for advanced nursing roles
d. Create inner-city nursing awareness
ANS: B
The HHS was established to provide nursing services to immigrants and low-income pa-
tients and their families in Manhattan. As resistance to nurse-provided care grew,
standing orders were drafted from a group of Lower East Side physicians thereby cir-
cumventing then-existing legal ramifications.
7. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by
Mary Breckenridge initially provided Appalachia with which type of advanced nursing
care?
a. Surgical services
b. Pediatric care
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appala-
chian residents. Later working from standard orders developed from their medical ad-
visory committee nurses treated patients, made diagnoses, and dispensed medications.
