TEST BANK FOR Hamric and Hanson's Advanced
Practice Nursing 6th Edition by Mary Fran Tracy,
Eileen T. O'Grady
Chapter 1: Highlights from the History of Advanced Practice Nursing
in the United States Test Bank
Multiple Choice
1. In which year did the\ American\ Association\ of\ College\ of\ Nursing\ (AACN)\
introduced\ the\ Doctorate\ 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)\ to\ meet\ challenges\ and\ standardize\ practice\ beyond\ master’s\ degree\
programs.
2. Which\ of\ the\ following\ is\ the\best\ explanation\ for\ the\ creation\ of\ the\
Doctorate\ of\ Nursing\ Practice\ (DNP)\ degree?
a. To\compete\against\master’s\ degree\programs
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b. To\ensure\standardized\curriculum\ensuring\independent\ practice
c. To\validate\ APRN’s\ for\ financial\ reimbursement
d. To\address\ increasing\curriculum\requirements\ of\ master’s\ degree\ programs
ANS:\ D
Although\ all\ answers\ are\ influenced\ by\ the\ DNP\ core\ competencies,\ the\ DNP\
program\ creation\ in\ 2004\ by\ the\ AACN\ was\ designed\ to\ address\ curriculum\
requirements\ of\ master’s\ degree\ programs.
3. Which\ of\ the\ following\ was\ the\ first\ recognized\ area\ of\ advanced\ practice\
nursing?
a. Clinical\ Nurse\ Specialist
b. Family\ nurse\ practitioner
c. Pediatric\ nurse\ practitioner
d. Certified\Registered\Nurse\Anesthetist\
ANS:\ D
In\ 1931,\ the\ National\ 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\
Lakeside\ Hospital\ in\ Cleveland,\ Ohio.
4. Which\ factor\ is\ broadly\ perceived\ to\ solidify\ and\ standardize\ the\ role\ of\ the\
APNs\ over\ the\ last\ 25\ years?
a. Lack\ of\ access\ to\ health\ care\ providers
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b. Standardized\curriculum\development
c. Payment\ for\ services
d. Societal\ forces
ANS:\ B
As\ the\ evolution\ of\ Advanced\ Practice\ Nursing\ advances\ specific\ specialties\ and\
needs\ are\ identified.\ Through\ the\ evolution\ of\ organization\ and\ standardization\ these\
roles\ have\ solidified\ the\ APN’s\ role\ in\ today’s\ health\ care\ environment.
5. During\ the\ formation\ of\ early\APN\ roles\ in\ anesthesia,\ which\ of\ the\
following\ increased\ demand\ for\ access\ to\ health\ care?
a. Poverty
\ b.\War
c.\ Rural\ access\ to\ care\
d.Availability\of\ training
ANS:\ B
Earliest\ demand\ for\ nursing-provided\ anesthesia\ spiked\ during\ periods\ of\ war\ when\
numbers\ of\ physicians\ were\ inadequate.\ The\ earliest\ records\ date\ back\ to\ the\
American\ Civil\ War\ with\ the\ administration\ of\ chloroform.\ During\ World\ War\ I\ in\
1917\ more\ than\ 1000\ nurses,\ some\ trained\ anesthetists,\ traveled\ into\ battle.\ Other\
factors\ such\ as\ need\ for\ rural\ health\ care\ came\ later\ in\ the\ validation\ and\ need\ for\
APNs.
6. In\ 1889,\ Dr.\ William\ Worrall\ Mayo\ built\ and\ opened\ St.\ Mary’s\ hospital\
in
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Rochester,\ NY.\ He\ is\ known for\ some of\ the\ earliest\ recruitment\
and\ specialized\ training\ of\ nurses\ in\ which\ of\ the\ following\ roles?
a. Pediatrics\
b.Anesthesia
c. Obstetrics
d. Research\ and\ statistics
e. Family\nursing\
ANS:\ B
In\1889,\Dr.\William\ Worrall\Mayo\began\formally\training\and\recognizing\ nurse\
anesthetists.\ This\ has\ been\ regarded\ as\ the\ earliest\ training\ in\ nurse-\ provided\
anesthesia.
7. In\ 1893,\Lillian\ Wald\established\ the\Henry\Street\ Settlement\ (HSS)\ House\ for\
which\ purpose?
a. Access\ to\ health\ care\ of\ rural\ areas
b. Create\ inner-city\nursing\ awareness
c. Provide\the\ disadvantaged\ access\ to\ care
d. Establish\guidelines\ for\advanced\nursing\ roles
ANS:\ C
The\ HHS\ was\ established\ to\ provide\ nursing\ services\ to\ immigrants\ and\ low-\
income\ patients\ and\ their\ families\ in\ Manhattan.\ As\ resistance\ to\ nurse-provided\
care\ grew,\ standing\ orders\ were\ drafted\ from\ a\ group\ of\ Lower\ East\ Side\ physicians\
thereby\ circumventing\ then-existing\ legal\ ramifications.
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