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nProfession 3rd Edition Denisco Chapter 1-31
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n Complete Guide
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,Chapter1 Introduction to the Role of Advanced Practices Nursing
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Multiple Choice n
1. In which year did the American Association of College of Nursing (AACN) introduced
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the Doctorate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002
TAhNeSA: ABCN introduced the DNP degree in 2004 to prepare advanced practice nurses
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(APRNs) to meet challenges and 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 Nursing
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Practice (DNP) degree?
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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 degree programs
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CORRECT:: D n
Although all answers are influenced by the DNP core competencies, the DNP program creation in
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2004 by the AACN was designed to address curriculum requirements of master’s degree programs.
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3. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical Nurse Specialist n n
b. Family nurse practitioner n n
c. Pediatric nurse practitioner n n
d. Certified Registered Nurse Anesthetist n n n
,CORRECT:: D n
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
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American Association of Nurse Anesthetists (AANA) was the first recognized group promoting
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advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital in
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Cleveland, Ohio.
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4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the
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last 25 years?
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a. Lack of access to health care providers
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b. Standardized curriculum development n n
c. Payment for services n n
d. Societal forces n
CORRECT:: B n
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
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identified. Through the evolution of organization and standardization these roles have solidified
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the APN’s role in today’s health care environment.
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5. During the formation of early APN roles in anesthesia, which of the following
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increased demand for access to health care?
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a. Poverty
b. War
c. Rural access to care n n n
d. Availability of training n n
CORRECT:: B n
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers of
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physicians were inadequate. The earliest records date back to the American Civil War with the
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administration of chloroform. During World War I in 1917 more than 1000 nurses, some trained
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anesthetists, traveled into battle. Other factors such as need for rural health care came later in the
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validation and need for APNs.
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6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY. He is
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known for some of the earliest recruitment and specialized training of nurses in which of the
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following roles?
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a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics n n
e. Family nursing n
, CORRECT:: B n
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.
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This has been regarded as the earliest training in nurse-provided anesthesia.
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7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
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a. Access to health care of rural areasn n n n n n
b. Create inner-city nursing awareness
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c. Provide the disadvantaged access to care n n n n n
d. Establish guidelines for advanced nursing roles n n n n n
CORRECT:: C n
The HHS was established to provide nursing services to immigrants and low-income patients and
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their families in Manhattan. As resistance to nurse-provided care grew, standing orders were
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drafted from a group of Lower East Side physicians thereby circumventing then-existing legal
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ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge
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initially provided Appalachia with nursing resources and which type of advanced nursing
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care?n
a. Pediatric care n
b. Anesthesia
c. Midwifery
d. Surgical services n
CORRECT:: C n
The original FNS provided nursing services and obstetric services to Appalachian residents. Later
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working from standard orders developed from their medical advisory committee nurses treated
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patients, made diagnoses, and dispensed medications.
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9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with the
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American College of Nurse-Midwives (ACNM) in 1969?
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a. American Association of Nurse-Midwives (AANM) n n n n
b. American Nurses Association (ANA) n n n
c. Association for National Nurse-Midwifery (ANNM) n n n n
d. Council of Nursing Midwifery (ANM) n n n n
CORRECT:: A n
The American College of Nurse-Midwives (ACNM) formed under the leadership of Mary
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Breckenridge in 1941 to provide nurse-midwife development and collaboration for midwife
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