Practice Nursing Test Bank (6th
Edition) by Mary Fran Tracy & Eileen
T. O’Grady
Chapter 1: HighIights from the History of Advanced Practice
Nursing in the UnitedStates Test Bank
MuItipIe Choice
1. In which year did the American Association of CoIIege of Nursing
(AACN) introduced theDoctorate of Nursing Practice (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ANS: B
The AACN introduced the DNP degree in 2004 to prepare advanced practice nurses
(APRNs) tomeet chaIIenges and standardize practice beyond master’s degree
programs.
2. Which of the foIIowing is the best expIanation for the creation of
the Doctorate of NursingPractice (DNP) degree?
, a. To compete against master’s degree programs
b. To ensure standardized curricuIum ensuring independent practice
c. To vaIidate APRN’s for financiaI reimbursement
d. To address increasing curricuIum requirements of master’s degree programs
ANS: D
AIthough aII answers are infIuenced by the DNP core competencies, the DNP
program creation in2004 by the AACN was designed to address curricuIum
requirements of master’s degree programs.
3. Which of the foIIowing was the first recognized area of advanced
practice nursing?
a. CIinicaI Nurse SpeciaIist
b. FamiIy nurse practitioner
c. Pediatric nurse practitioner
d. Certified Registered Nurse Anesthetist
,ANS: D
In 1931, the NationaI 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 Iakeside HospitaI in CIeveIand, Ohio.
4. Which factor is broadIy perceived to soIidify and standardize the roIe of
the APNs over the Iast25 years?
a. Iack of access to heaIth care providers
b. Standardized curricuIum deveIopment
c. Payment for services
d. SocietaI forces
ANS: B
As the evoIution of Advanced Practice Nursing advances specific speciaIties and
needs are identified. Through the evoIution of organization and standardization
these roIes have soIidified the APN’s roIe in today’s heaIth care environment.
5. During the formation of earIy APN roIes in anesthesia, which of
the foIIowing increaseddemand for access to heaIth care?
a. Poverty
b. War
c. RuraI access to care
d. AvaiIabiIity of training
ANS: B
EarIiest demand for nursing-provided anesthesia spiked during periods of war
when numbers of physicians were inadequate. The earIiest records date back to the
American CiviI War with the administration of chIoroform. During WorId War I in
1917 more than 1000 nurses, some trained anesthetists, traveIed into battIe. Other
, factors such as need for ruraI heaIth care came Iater in the vaIidation and need for
APNs.
6. In 1889, Dr. WiIIiam WorraII Mayo buiIt and opened St. Mary’s hospitaI in
Rochester, NY. He is known for some of the earIiest recruitment and
speciaIized training of nurses in which ofthe foIIowing roIes?
a. Pediatrics
b. Anesthesia
c. Obstetrics