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,Chapter1gIntroductiongtogthegRolegofgAdvancedgPracticesgNursing
MultiplegChoice



1. IngwhichgyeargdidgthegAmericangAssociationgofgCollegegofgNursingg(AACN)gintroducedgt
hegDoctorategofgNursinggPracticeg(DNP)?

a. 2006
b. 2004
c. 2000
d. 2002

TAhNeSA:gABCNgintroducedgthegDNPgdegreeging2004gtogpreparegadvancedgpracticegnursesg(AP
RNs)gtogmeetgchallengesgandgstandardizegpracticegbeyondgmaster’sgdegreegprograms.


2. WhichgofgthegfollowinggisgthegbestgexplanationgforgthegcreationgofgthegDoctorategofgNursinggP
racticeg(DNP)gdegree?

a. Togcompetegagainstgmaster’sgdegreegprograms
b. Togensuregstandardizedgcurriculumgensuringgindependentg practice
c. TogvalidategAPRN’sgforgfinancialgreimbursement
d. Togaddressgincreasinggcurriculumgrequirementsgofgmaster’sgdegreegprograms

CORRECT::g D
AlthoughgallganswersgareginfluencedgbygthegDNPgcoregcompetencies,gthegDNPgprogramgcreationging20
04gbygthegAACNgwasgdesignedgtogaddressgcurriculumgrequirementsgofgmaster’sgdegreegprograms.


3. Whichgofgthegfollowinggwasgthegfirstgrecognizedgareagofgadvancedgpracticeg nursing?

a. ClinicalgNursegSpecialist
b. Familygnursegpractitioner
c. Pediatricgnursegpractitioner
d. CertifiedgRegisteredgNursegAnesthetist

,CORRECT::g D
Ing1931,gthegNationalgAssociationgofgNursegAnesthetistsg(NANA),grenamedging1939gtogthegAmerica
ngAssociationgofgNursegAnesthetistsg(AANA)gwasgthegfirstgrecognizedggroupgpromotinggadvancedg
nursinggpractice.gAgathagHodginsgfoundedgthegAANMgatgLakesidegHospitalgingCleveland,gOhio.


4. WhichgfactorgisgbroadlygperceivedgtogsolidifygandgstandardizegthegrolegofgthegAPNsgovergthegl
astg25gyears?

a. Lackgofgaccessgtoghealthgcaregproviders
b. Standardizedgcurriculumgdevelopment
c. Paymentgforgservices
d. Societalgforces

CORRECT::g B
AsgthegevolutiongofgAdvancedgPracticegNursinggadvancesgspecificgspecialtiesgandgneedsgaregidentif
ied.gThroughgthegevolutiongofgorganizationgandgstandardizationgthesegrolesghavegsolidifiedgthegAPN
’sgrolegingtoday’sghealthgcaregenvironment.


5. DuringgthegformationgofgearlygAPNgrolesginganesthesia,gwhichgofgthegfollowinggi
ncreasedgdemandgforgaccessgtoghealthgcare?

a. Poverty
b. War
c. Ruralgaccessgtogcare
d. Availabilitygofgtraining

CORRECT::g B
Earliestgdemandgforgnursing-
providedganesthesiagspikedgduringgperiodsgofgwargwhengnumbersgofgphysiciansgwereginadequate.gT
hegearliestgrecordsgdategbackgtogthegAmericangCivilgWargwithgthegadministrationgofgchloroform.gDu
ringgWorldgWargIging1917gmoregthang1000gnurses,gsomegtrainedganesthetists,gtraveledgintogbattle.gOt
hergfactorsgsuchgasgneedgforgruralghealthgcaregcameglatergingthegvalidationgandgneedgforgAPNs.


6. Ing1889,gDr.gWilliamgWorrallgMayogbuiltgandgopenedgSt.gMary’sghospitalgingRochester,gNY.gHegi
sgknowngforgsomegofgthegearliestgrecruitmentgandgspecializedgtraininggofgnursesgingwhichgofgthegfo
llowinggroles?

a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchgandgstatistics
e. Familygnursing

, CORRECT::g B
Ing1889,gDr.gWilliamgWorrallgMayogbegangformallygtraininggandgrecognizinggnurseganesthetists.gT
hisghasgbeengregardedgasgthegearliestgtraininggingnurse-providedganesthesia.


7. Ing1893,gLilliangWaldgestablishedgthegHenrygStreetgSettlementg(HSS)gHousegforgwhichgpurpose?

a. Accessgtoghealthgcaregofgruralgareas
b. Createginner-citygnursinggawareness
c. Providegthegdisadvantagedgaccessgtogcare
d. Establishgguidelinesgforgadvancedgnursinggroles

CORRECT::g C
ThegHHSgwasgestablishedgtogprovidegnursinggservicesgtogimmigrantsgandglow-
incomegpatientsgandgtheirgfamiliesgingManhattan.gAsgresistancegtognurse-
providedgcareggrew,gstandinggordersgweregdraftedgfromgaggroupgofgLowergEastgSidegphysiciansgther
ebygcircumventinggthen-existingglegalgramifications.


8. ThegFrontiergNursinggServiceg(FNS)gfoundedgingKentuckyging1925gbygMarygBreckenridgegi
nitiallygprovidedgAppalachiagwithgnursinggresourcesgandgwhichgtypegofgadvancedgnursinggc
are?

a. Pediatricgcare
b. Anesthesia
c. Midwifery
d. Surgicalgservices

CORRECT::g C
ThegoriginalgFNSgprovidedgnursinggservicesgandgobstetricgservicesgtogAppalachiangresidents.g Laterg
workinggfromgstandardgordersgdevelopedgfromgtheirgmedicalgadvisorygcommitteegnursesgtreatedgpat
ients,gmadegdiagnoses,gandgdispensedgmedications.


9. Whichgorganizationgfoundedging1941gundergMarygBreckenridge’sgleadershipgmergedgwithgtheg
AmericangCollegegofgNurse-Midwivesg(ACNM)ging1969?

a. AmericangAssociationgofgNurse-Midwivesg(AANM)
b. AmericangNursesgAssociationg(ANA)
c. AssociationgforgNationalgNurse-Midwiferyg(ANNM)
d. CouncilgofgNursinggMidwiferyg(ANM)

CORRECT::g A
ThegAmericangCollegegofgNurse-
Midwivesg(ACNM)gformedgundergthegleadershipgofgMarygBreckenridgeging1941gtogprovidegnurse-
midwifegdevelopmentgandgcollaborationgforgmidwife