, AdvancednPracticenNursing:nEssentialnKnowledgenfornthenProfessionn3rdnEditionnDenisconTestnB
Chapter1nIntroductionntonthenRolenofnAdvancednPracticesnNursingn
MultiplenChoice
1. Innwhichn yearndidnthenAmericannAssociationnofnCollegenofnNursingn(AACN)nintroducednthen
DoctoratenofnNursingnPracticen(DNP)?
a.nnn 2006
b.nnn 2004
c.nnn 2000
d.n 2002
T
AhNeSA
:nABCNnintroducednthenDNPndegreeninn2004ntonpreparenadvancednpracticennursesn(APRNs)ntonm
eetnchallengesnandnstandardizenpracticenbeyondnmaster’sndegreenprograms.
2. WhichnofnthenfollowingnisnthenbestnexplanationnfornthencreationnofnthenDoctoratenofnNursingnP
racticen(DNP)ndegree?
a. Toncompetenagainstnmaster’sndegreen programs
b. Tonensurenstandardizedncurriculumnensuringnindependentn practice
c. TonvalidatenAPRN’snfornfinancialn reimbursement
d. Tonaddressnincreasingncurriculumnrequirementsnofnmaster’sndegreenprograms
ANS:n D
AlthoughnallnanswersnareninfluencednbynthenDNPncorencompetencies,nthenDNPnprogramncreationninn2
004nbythenAACNnwasndesignedntonaddressncurriculumnrequirementsnofnmaster’sndegreenprograms.
3. Whichnofnthenfollowingnwasnthenfirstnrecognizednareanofnadvancednpracticen nursing?
a. ClinicalnNursenSpecialist
b. Familynnursenpractitioner
c. Pediatricnnursenpractitioner
d. CertifiednRegisterednNursenAnesthetist
, AdvancednPracticenNursing:nEssentialnKnowledgenfornthenProfessionn3rdnEditionnDenisconTestnB
ANS:n D
Inn1931,nthenNationalnAssociationnofnNursenAnesthetistsn(NANA),nrenamedninn1939ntonthenAmerica
nnAssociationnofnNursenAnesthetistsn(AANA)nwasnthenfirstnrecognizedngroupnpromotingnadvancedn
nursingnpractice.nAgathanHodginsnfoundednthenAANMnatnLakesidenHospitalninnCleveland,nOhio.
4. WhichnfactornisnbroadlynperceivedntonsolidifynandnstandardizenthenrolenofnthenAPNsnovernthenlastn2
5nyears?
a. Lacknofnaccessntonhealthncarenproviders
b. Standardizedncurriculumndevelopment
c. Paymentnfornservices
d. Societalnforces
ANS:n B
AsnthenevolutionnofnAdvancednPracticenNursingnadvancesnspecificnspecialtiesnandnneedsnarenidentifi
ed.nThroughnthenevolutionnofnorganizationnandnstandardizationnthesenrolesnhavensolidifiednthenAPN’
snroleninntoday’snhealthncarenenvironment.
5. DuringnthenformationnofnearlynAPNnrolesninnanesthesia,nwhichnofnthenfollowingnincreasednd
emandnfornaccessntonhealthn care?
a. Poverty
b. War
c. Ruralnaccessntoncare
d. Availabilitynofntraining
ANS:n B
Earliestndemandnfornnursing-
providednanesthesianspikednduringnperiodsnofnwarnwhennnumbersnofnphysiciansnwereninadequate.nT
henearliestnrecordsndatenbackntonthenAmericannCivilnWarnwithnthenadministrationnofnchloroform.nDur
ingnWorldnWarnIninn1917nmorenthann1000nnurses,nsomentrainednanesthetists,ntravelednintonbattle.nOt
hernfactorsnsuchnasnneednfornruralnhealthncarencamenlaterninnthenvalidationnandnneednfornAPNs.
6. Inn1889,nDr.nWilliamnWorrallnMayonbuiltnandnopenednSt.nMary’snhospitalninnRochester,nNY.nHenis
nknownnfornsomenofnthenearliestnrecruitmentnandnspecializedntrainingnofnnursesninnwhichnofnthenfoll
owingnroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchnandnstatistics
e. Familynnursing
, AdvancednPracticenNursing:nEssentialnKnowledgenfornthenProfessionn3rdnEditionnDenisconTestnB
ANS:n B
Inn1889,nDr.nWilliamnWorrallnMayonbegannformallyntrainingnandnrecognizingnnursenanesthetists.nT
hisnhasnbeennregardednasnthenearliestntrainingninnnurse-providednanesthesia.
7. Inn1893,nLilliannWaldnestablishednthenHenrynStreetnSettlementn(HSS)nHousenfornwhichnpurpose?
a. Accessntonhealthncarenofnruralnareas
b. Createninner-citynnursingnawareness
c. Providenthendisadvantagednaccessnton care
d. Establishnguidelinesnfornadvancednnursingn roles
ANS:n C
ThenHHSnwasnestablishedntonprovidennursingnservicesntonimmigrantsnandnlow-
incomenpatientsnandntheirnfamiliesninnManhattan.nAsnresistancentonnurse-
providedncarengrew,nstandingnordersnwerendraftednfromnangroupnofnLowernEastnSidenphysiciansnther
ebyncircumventingnthen-existingnlegalnramifications.
8. ThenFrontiernNursingnServicen(FNS)nfoundedninnKentuckyninn1925nbynMarynBreckenridgeniniti
allyprovidednAppalachianwithnnursingnresourcesnandnwhichntypenofnadvancednnursingncare?
a. Pediatricncare
b. Anesthesia
c. Midwifery
d. Surgicalnservices
ANS:n C
ThenoriginalnFNSnprovidednnursingnservicesnandnobstetricnservicesntonAppalachiannresidents.nLatern
workingnfromnstandardnordersndevelopednfromntheirnmedicalnadvisoryncommitteennursesntreatednpat
ients,nmadendiagnoses,nandndispensedn medications.
9. Whichnorganizationnfoundedninn1941nundernMarynBreckenridge’snleadershipnmergednwithnthen
AmericannCollegenofnNurse-Midwivesn(ACNM)ninn1969?
a. AmericannAssociationnofnNurse-Midwivesn(AANM)
b. AmericannNursesnAssociationn(ANA)
c. AssociationnfornNationalnNurse-Midwiferyn(ANNM)
d. CouncilnofnNursingnMidwiferyn(ANM)
ANS:n A
ThenAmericannCollegenofnNurse-
Midwivesn(ACNM)nformednundernthenleadershipnofnMarynBreckenridgeninn1941ntonprovidennurse-
midwifendevelopmentnandncollaborationnfornmidwife