TEST BANK FOR ADVANCED NURSING PRACTICE: ESSENTIAL
m m m m m m m
Advanced Practice Nursing: Essential Knowledge for the Profession 3r
m m m m m m m m
KNOWLEDGE
d
FOR THE PROFESSION 3rd EDITION DENISCO TEST BANK
m m m m m m m
Edition Denisco Test Bank
m m m
Chapter1mIntroductionmtomthemRolemofmAdvancedmPracticesmNursing
MultiplemChoice
1. Inmwhichm yearmdidmthemAmericanmAssociationmofmCollegemofmNursingm(AACN)mintroducedmt
hemDoctoratemofmNursingmPracticem(DNP)?
a.mmm 2006
b.mmm 2004
c.mmm 2000
d.m 2002
T
AhNeSA
:mABCNmintroducedmthemDNPmdegreeminm2004mtompreparemadvancedmpracticemnursesm(APRNs)
mtommeetmchallengesmandmstandardizempracticembeyondmmaster’smdegreemprograms.
2. WhichmofmthemfollowingmismthembestmexplanationmformthemcreationmofmthemDoctoratemofmNurs
ingmPracticem(DNP)mdegree?
a. Tomcompetemagainstmmaster’smdegreem programs
b. Tomensuremstandardizedmcurriculummensuringmindependentm practice
c. TomvalidatemAPRN’smformfinancialm reimbursement
d. Tomaddressmincreasingmcurriculummrequirementsmofmmaster’smdegreemprograms
ANS:m D
AlthoughmallmanswersmareminfluencedmbymthemDNPmcoremcompetencies,mthemDNPmprogrammcreationm
inm2004mbymthemAACNmwasmdesignedmtomaddressmcurriculummrequirementsmofmmaster’smdegreemprogra
ms.
3. Whichmofmthemfollowingmwasmthemfirstmrecognizedmareamofmadvancedmpracticem nursing?
a. ClinicalmNursemSpecialist
b. Familymnursempractitioner
c. Pediatricmnursempractitioner
d. CertifiedmRegisteredmNursemAnesthetist
,ANS:m D
Inm1931,mthemNationalmAssociationmofmNursemAnesthetistsm(NANA),mrenamedminm1939mtomthemAm
ericanmAssociationmofmNursemAnesthetistsm(AANA)mwasmthemfirstmrecognizedmgroupmpromotingmad
vancedmnursingmpractice.mAgathamHodginsmfoundedmthemAANMmatmLakesidemHospitalminmClevela
nd,mOhio.
4. WhichmfactormismbroadlymperceivedmtomsolidifymandmstandardizemthemrolemofmthemAPNsmovermtheml
astm25myears?
a. Lackmofmaccessmtomhealthmcaremproviders
b. Standardizedmcurriculummdevelopment
c. Paymentmform services
d. Societalmforces
ANS:m B
AsmthemevolutionmofmAdvancedmPracticemNursingmadvancesmspecificmspecialtiesmandmneedsmaremide
ntified.mThroughmthemevolutionmofmorganizationmandmstandardizationmthesemrolesmhavemsolidifiedmt
hemAPN’smroleminmtoday’smhealthmcaremenvironment.
5. DuringmthemformationmofmearlymAPNmrolesminmanesthesia,mwhichmofmthemfollowingmincreas
edmdemandmformaccessmtomhealthm care?
a. Poverty
b. War
c. Ruralmaccessmtomcare
d. Availabilitymofmtraining
ANS:m B
Earliestmdemandmformnursing-
providedmanesthesiamspikedmduringmperiodsmofmwarmwhenmnumbersmofmphysiciansmwereminadequate
.mThemearliestmrecordsmdatembackmtomthemAmericanmCivilmWarmwithmthemadministrationmofmchlorofo
rm.mDuringmWorldmWarmIminm1917mmoremthanm1000mnurses,msomemtrainedmanesthetists,mtraveledmin
tombattle.mOthermfactorsmsuchmasmneedmformruralmhealthmcaremcamemlaterminmthemvalidationmandmneedm
formAPNs.
6. Inm1889,mDr.mWilliammWorrallmMayombuiltmandmopenedmSt.mMary’smhospitalminmRochester,mNY.m
Hemismknownmformsomemofmthemearliestmrecruitmentmandmspecializedmtrainingmofmnursesminmwhichm
ofmthemfollowingmroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchmandmstatistics
e. Familymnursing
,ANS:m B
Inm1889,mDr.mWilliammWorrallmMayombeganmformallymtrainingmandmrecognizingmnursemanesthetists
.mThismhasmbeenmregardedmasmthemearliestmtrainingminmnurse-providedmanesthesia.
7. Inm1893,mLillianmWaldmestablishedmthemHenrymStreetmSettlementm(HSS)mHousemformwhichmpurpose?
a. Accessmtomhealthmcaremofmruralmareas
b. Createminner-citymnursingmawareness
c. Providemthemdisadvantagedmaccessmtom care
d. Establishmguidelinesmformadvancedmnursingm roles
ANS:m C
ThemHHSmwasmestablishedmtomprovidemnursingmservicesmtomimmigrantsmandmlow-
incomempatientsmandmtheirmfamiliesminmManhattan.mAsmresistancemtomnurse-
providedmcaremgrew,mstandingmordersmweremdraftedmfrommamgroupmofmLowermEastmSidemphysiciansm
therebymcircumventingmthen-existingmlegalmramifications.
8. ThemFrontiermNursingmServicem(FNS)mfoundedminmKentuckyminm1925mbymMarymBreckenridgemi
nitiallymprovidedmAppalachiamwithmnursingmresourcesmandmwhichmtypemofmadvancedmnursingmcar
e?
a. Pediatricmcare
b. Anesthesia
c. Midwifery
d. Surgicalmservices
ANS:m C
ThemoriginalmFNSmprovidedmnursingmservicesmandmobstetricmservicesmtomAppalachianmresidents.mLa
termworkingmfrommstandardmordersmdevelopedmfrommtheirmmedicalmadvisorymcommitteemnursesmtreat
edmpatients,mmademdiagnoses,mandmdispensedm medications.
9. Whichmorganizationmfoundedminm1941mundermMarymBreckenridge’smleadershipmmergedmwithmthe
AmericanmCollegemofmNurse-Midwivesm(ACNM)minm1969?
a. AmericanmAssociationmofmNurse-Midwivesm(AANM)
b. AmericanmNursesmAssociationm(ANA)
c. AssociationmformNationalmNurse-Midwiferym(ANNM)
d. CouncilmofmNursingmMidwiferym(ANM)
ANS:m A
ThemAmericanmCollegemofmNurse-
Midwivesm(ACNM)mformedmundermthemleadershipmofmMarymBreckenridgeminm1941mtomprovidemnurs
e-midwifemdevelopmentmandmcollaborationmformmidwife
, development.mInm1955,mthemAmericanmCollegemofmNurse-
Midwivesmwasmformedmandmthemtwomorganizationsmmergedminm1969maftermthemdeathmofmMarymBreck
enridge.
10. InmamlandmarkmrulingmbymthemSuprememCourtmasmamresultmofmChalmers-
Francesmv.mNelson,m1936,mwhatmlegalmprecedentmwasm established?
a. Nursemanesthesiamwasmallowedmundermthemnursempracticem act
b. Nursemanesthesiamscopemofmpracticemincludedmanesthesia
c. Nursemanesthesiamwasmlegal,mifmundermguidancemofmamsupervisingm physician
d. Onlymtrainedmnursingmprofessionalsmcouldmadministermanesthesiam independently
ANS:m C
ThemlandmarkmdecisionmfrommthemChalmers-
Francesmv.mNelsonmcasemsetmnationalmprecedentmformthemadvancedmnursingmpracticemrole.mItmprovedm
tombemthembasismformothermcasesmovermthemfollowingmfewmdecadesmandmestablishedmthatmtrainedmnurs
esmcouldmlegallymprovidemanesthesiamcaremundermsupervisionmofmamphysician.
11. Themfirstmknownmestablishmentmofmthemnursempractitionermrolemoccurredminm1965matmtheUnivers
itymofmColorado.mInmwhichmareamofmtrainingmdidmthismrolemspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:m A
Themestablishmentmofmthemfirstmpediatricmnursempractitionermprogrammwasminm1965matmthemUniversit
ymofmColorado.mLorettamFord,mRNmandmHenrymSilver,mMDmprovidedmam4-
monthmcoursemtomcertifiedmregisteredmnursesmtomprovidemeducationmonmmanagingmchildhoodmhealth
mproblems.
12. ThemDNPmprogrammcurriculummoutlinedmwhichmofmthemfollowingmclinicalmrequirementsminm
anmeffortmtomstandardizemtraining?
a. 1000msupervisedmclinicalmhoursmandm200munsupervisedmclinicalmhours
b. 1000msupervisedmclinicalmhours
c. 900msupervisedmclinicalmhours
d. 800msupervisedmclinicalmhoursmandm200munsupervisedmclinicalmhours
ANS:m B
Inm2004,mthemAACNmoutlinedmthemDNPmcurriculumminmanmeffortmtomstandardizemandmrelievemchallen
gesmofmmaster’smdegreemprograms.mThismincludesmamstandardizedmcurriculummrequiringm1000msuper
visedmclinicalmhours.
m m m m m m m
Advanced Practice Nursing: Essential Knowledge for the Profession 3r
m m m m m m m m
KNOWLEDGE
d
FOR THE PROFESSION 3rd EDITION DENISCO TEST BANK
m m m m m m m
Edition Denisco Test Bank
m m m
Chapter1mIntroductionmtomthemRolemofmAdvancedmPracticesmNursing
MultiplemChoice
1. Inmwhichm yearmdidmthemAmericanmAssociationmofmCollegemofmNursingm(AACN)mintroducedmt
hemDoctoratemofmNursingmPracticem(DNP)?
a.mmm 2006
b.mmm 2004
c.mmm 2000
d.m 2002
T
AhNeSA
:mABCNmintroducedmthemDNPmdegreeminm2004mtompreparemadvancedmpracticemnursesm(APRNs)
mtommeetmchallengesmandmstandardizempracticembeyondmmaster’smdegreemprograms.
2. WhichmofmthemfollowingmismthembestmexplanationmformthemcreationmofmthemDoctoratemofmNurs
ingmPracticem(DNP)mdegree?
a. Tomcompetemagainstmmaster’smdegreem programs
b. Tomensuremstandardizedmcurriculummensuringmindependentm practice
c. TomvalidatemAPRN’smformfinancialm reimbursement
d. Tomaddressmincreasingmcurriculummrequirementsmofmmaster’smdegreemprograms
ANS:m D
AlthoughmallmanswersmareminfluencedmbymthemDNPmcoremcompetencies,mthemDNPmprogrammcreationm
inm2004mbymthemAACNmwasmdesignedmtomaddressmcurriculummrequirementsmofmmaster’smdegreemprogra
ms.
3. Whichmofmthemfollowingmwasmthemfirstmrecognizedmareamofmadvancedmpracticem nursing?
a. ClinicalmNursemSpecialist
b. Familymnursempractitioner
c. Pediatricmnursempractitioner
d. CertifiedmRegisteredmNursemAnesthetist
,ANS:m D
Inm1931,mthemNationalmAssociationmofmNursemAnesthetistsm(NANA),mrenamedminm1939mtomthemAm
ericanmAssociationmofmNursemAnesthetistsm(AANA)mwasmthemfirstmrecognizedmgroupmpromotingmad
vancedmnursingmpractice.mAgathamHodginsmfoundedmthemAANMmatmLakesidemHospitalminmClevela
nd,mOhio.
4. WhichmfactormismbroadlymperceivedmtomsolidifymandmstandardizemthemrolemofmthemAPNsmovermtheml
astm25myears?
a. Lackmofmaccessmtomhealthmcaremproviders
b. Standardizedmcurriculummdevelopment
c. Paymentmform services
d. Societalmforces
ANS:m B
AsmthemevolutionmofmAdvancedmPracticemNursingmadvancesmspecificmspecialtiesmandmneedsmaremide
ntified.mThroughmthemevolutionmofmorganizationmandmstandardizationmthesemrolesmhavemsolidifiedmt
hemAPN’smroleminmtoday’smhealthmcaremenvironment.
5. DuringmthemformationmofmearlymAPNmrolesminmanesthesia,mwhichmofmthemfollowingmincreas
edmdemandmformaccessmtomhealthm care?
a. Poverty
b. War
c. Ruralmaccessmtomcare
d. Availabilitymofmtraining
ANS:m B
Earliestmdemandmformnursing-
providedmanesthesiamspikedmduringmperiodsmofmwarmwhenmnumbersmofmphysiciansmwereminadequate
.mThemearliestmrecordsmdatembackmtomthemAmericanmCivilmWarmwithmthemadministrationmofmchlorofo
rm.mDuringmWorldmWarmIminm1917mmoremthanm1000mnurses,msomemtrainedmanesthetists,mtraveledmin
tombattle.mOthermfactorsmsuchmasmneedmformruralmhealthmcaremcamemlaterminmthemvalidationmandmneedm
formAPNs.
6. Inm1889,mDr.mWilliammWorrallmMayombuiltmandmopenedmSt.mMary’smhospitalminmRochester,mNY.m
Hemismknownmformsomemofmthemearliestmrecruitmentmandmspecializedmtrainingmofmnursesminmwhichm
ofmthemfollowingmroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchmandmstatistics
e. Familymnursing
,ANS:m B
Inm1889,mDr.mWilliammWorrallmMayombeganmformallymtrainingmandmrecognizingmnursemanesthetists
.mThismhasmbeenmregardedmasmthemearliestmtrainingminmnurse-providedmanesthesia.
7. Inm1893,mLillianmWaldmestablishedmthemHenrymStreetmSettlementm(HSS)mHousemformwhichmpurpose?
a. Accessmtomhealthmcaremofmruralmareas
b. Createminner-citymnursingmawareness
c. Providemthemdisadvantagedmaccessmtom care
d. Establishmguidelinesmformadvancedmnursingm roles
ANS:m C
ThemHHSmwasmestablishedmtomprovidemnursingmservicesmtomimmigrantsmandmlow-
incomempatientsmandmtheirmfamiliesminmManhattan.mAsmresistancemtomnurse-
providedmcaremgrew,mstandingmordersmweremdraftedmfrommamgroupmofmLowermEastmSidemphysiciansm
therebymcircumventingmthen-existingmlegalmramifications.
8. ThemFrontiermNursingmServicem(FNS)mfoundedminmKentuckyminm1925mbymMarymBreckenridgemi
nitiallymprovidedmAppalachiamwithmnursingmresourcesmandmwhichmtypemofmadvancedmnursingmcar
e?
a. Pediatricmcare
b. Anesthesia
c. Midwifery
d. Surgicalmservices
ANS:m C
ThemoriginalmFNSmprovidedmnursingmservicesmandmobstetricmservicesmtomAppalachianmresidents.mLa
termworkingmfrommstandardmordersmdevelopedmfrommtheirmmedicalmadvisorymcommitteemnursesmtreat
edmpatients,mmademdiagnoses,mandmdispensedm medications.
9. Whichmorganizationmfoundedminm1941mundermMarymBreckenridge’smleadershipmmergedmwithmthe
AmericanmCollegemofmNurse-Midwivesm(ACNM)minm1969?
a. AmericanmAssociationmofmNurse-Midwivesm(AANM)
b. AmericanmNursesmAssociationm(ANA)
c. AssociationmformNationalmNurse-Midwiferym(ANNM)
d. CouncilmofmNursingmMidwiferym(ANM)
ANS:m A
ThemAmericanmCollegemofmNurse-
Midwivesm(ACNM)mformedmundermthemleadershipmofmMarymBreckenridgeminm1941mtomprovidemnurs
e-midwifemdevelopmentmandmcollaborationmformmidwife
, development.mInm1955,mthemAmericanmCollegemofmNurse-
Midwivesmwasmformedmandmthemtwomorganizationsmmergedminm1969maftermthemdeathmofmMarymBreck
enridge.
10. InmamlandmarkmrulingmbymthemSuprememCourtmasmamresultmofmChalmers-
Francesmv.mNelson,m1936,mwhatmlegalmprecedentmwasm established?
a. Nursemanesthesiamwasmallowedmundermthemnursempracticem act
b. Nursemanesthesiamscopemofmpracticemincludedmanesthesia
c. Nursemanesthesiamwasmlegal,mifmundermguidancemofmamsupervisingm physician
d. Onlymtrainedmnursingmprofessionalsmcouldmadministermanesthesiam independently
ANS:m C
ThemlandmarkmdecisionmfrommthemChalmers-
Francesmv.mNelsonmcasemsetmnationalmprecedentmformthemadvancedmnursingmpracticemrole.mItmprovedm
tombemthembasismformothermcasesmovermthemfollowingmfewmdecadesmandmestablishedmthatmtrainedmnurs
esmcouldmlegallymprovidemanesthesiamcaremundermsupervisionmofmamphysician.
11. Themfirstmknownmestablishmentmofmthemnursempractitionermrolemoccurredminm1965matmtheUnivers
itymofmColorado.mInmwhichmareamofmtrainingmdidmthismrolemspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:m A
Themestablishmentmofmthemfirstmpediatricmnursempractitionermprogrammwasminm1965matmthemUniversit
ymofmColorado.mLorettamFord,mRNmandmHenrymSilver,mMDmprovidedmam4-
monthmcoursemtomcertifiedmregisteredmnursesmtomprovidemeducationmonmmanagingmchildhoodmhealth
mproblems.
12. ThemDNPmprogrammcurriculummoutlinedmwhichmofmthemfollowingmclinicalmrequirementsminm
anmeffortmtomstandardizemtraining?
a. 1000msupervisedmclinicalmhoursmandm200munsupervisedmclinicalmhours
b. 1000msupervisedmclinicalmhours
c. 900msupervisedmclinicalmhours
d. 800msupervisedmclinicalmhoursmandm200munsupervisedmclinicalmhours
ANS:m B
Inm2004,mthemAACNmoutlinedmthemDNPmcurriculumminmanmeffortmtomstandardizemandmrelievemchallen
gesmofmmaster’smdegreemprograms.mThismincludesmamstandardizedmcurriculummrequiringm1000msuper
visedmclinicalmhours.
