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Nursing: Essential Knowledge for the
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Profession 5th Edition by Susan M.
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DeNisco z
COMPLETE CHAPTERS 1-30 WITH RATIONALES| A+ GRADED
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Page | 1
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, Chapter1 Introduction to the Role of Advanced Practices Nursing Multiple
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Choice
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1. In which year did the American Association of College of Nursing (AACN) introduced the Doctorate of
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Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002
ACCURATE ANSWER: B z z
AACN introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet
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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 Practice
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(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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ACCURATE ANSWER: D
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Although all answers are influenced by the DNP core competencies, the DNP program creation in 2004
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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 z z
b. Family nurse practitioner z z
c. Pediatric nurse practitioner z z
d. Certified Registered Nurse Anesthetists z z z
ACCURATE ANSWER: D
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,In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the American Association
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of Nurse Anesthetists (AANA) was the first recognized group promoting advanced nursing practice. Agatha
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Hodgins founded the AANM at Lakeside Hospital in Cleveland, Ohio.
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4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the last 25
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years?
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a. Lack of access to health care providers
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b. Standardized curriculum development z z
c. Payment for services z z
d. Societal forces z
ACCURATE ANSWER: B
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As the evolution of Advanced Practice Nursing advances specific specialties and needs are identified.
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Through the evolution of organization and standardization these roles have solidified the APN’s role in
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today’s health care environment.
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5. During the formation of early APN roles in anesthesia, which of the following increased demand for
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access to health care?
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a. Poverty
b. War
c. Rural access to care z z z
d. Availability of training z z
ACCURATE ANSWER: B
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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 following
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roles?
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a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics z z
e. Family nursing z
ACCURATE ANSWER: B z z
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists. This has
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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 areas z z z z z z
b. Create inner-city nursing awareness z z z
c. Provide the disadvantaged access to care z z z z z
d. Establish guidelines for advanced nursing roles z z z z z
ACCURATE ANSWER: C
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The HHS was established to provide nursing services to immigrants and low-income patients and their
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families in Manhattan. As resistance to nurse-provided care grew, standing orders were drafted from a
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group of Lower East Side physicians thereby circumventing then-existing legal ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge initially
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provided Appalachia with nursing resources and which type of advanced nursing care?
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a. Pediatric care z
b. Anesthesia
c. Midwifery
d. Surgical services z
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