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,Chapter1: Introduction to theRoleofAdvanced Practices Nursing
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DeNisco: Advanced Practice Nursing: Essential Knowledge for the Profession 5th Edition
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Multiple Choice pf




1. In which yeardid the AmericanAssociation ofCollegeofNursing (AACN) in tro
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duced theDoctorate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002


ANS: B vj




IntroducedtheDNP degreein 2004to prepareadvancedpracticenurses (APRNs)tomeet challenges an
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d standardize practice beyond master’s degree programs.
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2. Whichofthe following is thebest explanation forthecreation ofthe Doctorate of N urs
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ingPractice (DNP) degree? pf pf




a. To compete against master’s degree programs
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b. To ensurestandardized 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 degreeprograms
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ANS: v p f jp f



D
Although all answers are influenced by the DNP core competencies, the DNP program creatio n i
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n2004 bythe AACN was designed to address curriculum requirements of master’s degreep rogr
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ams.


3. Whichofthefollowing was thefirstrecognized areaofadvanced practice nursing?
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a. ClinicalNurseSpecialist pf




b. Familynurse practitioner pf




c. Pediatric nurse practitioner pf pf




d. Certified Registered Nurse pf pf

, AnesthetistANS: v p f jp f D
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939
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f to th e American Association of Nurse Anesthetists (AANA) was the first reco
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gnized g roup promoting advanced nursing practice. Agatha Hodgins founded the AANM
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p f at Lakesi de Hospital in Cleveland, Ohio.
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4. Whichfactoris broadlyperceivedtosolidifyand standardize theroleoftheAPNsover the vj vj vj vj pf pf




last25 years? pf




a. Lackof access to health careproviders pf pf pf pf pf




b. Standardizedcurriculum development vj




c. Payment for services vj pf




d. Societalforces




ANS: v p f jp f



B
As the evolution of Advanced Practice Nursing advances specific specialties and needs are ide nti
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fied. Through the evolution of organization and standardization these roles have solidified t he A
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PN’s role in today’s health care environment.
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5. Duringtheformation of earlyAPN roles inanesthesia, which ofthefollowing in cre
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aseddemand for access to health care? pf pf pf pf pf




a. Poverty
b. War
c. Rural access tocare pf pf




d. Availability of training pf vj




ANS: v p f jp f



B
Earliest demand for nursing- pf pf pf




provided anesthesia spiked during periods of war when numbers of physicians were inadequate
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. The earliest records date back to the American Civil War with the administration of chlorofo r
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m. During World War I in 1917 more than 1000 nurses, some trained anesthetists, traveled int o bat
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tle. Other factors such as need for rural health care came later in the validation and need fo r APNs.
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, 6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY. H
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eis known for some of the earliest recruitment and specialized training of nurses in which of t
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hefollowing roles? pf




a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics pf vj




e. Familynursing


ANS: v p f jp f



B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.Thi s h
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as been regarded as the earliest training in nurse-provided anesthesia.
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7. In 1893, Lillian Wald established theHenryStreet Settlement (HSS) Housefor which purpose?
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a. Access to health careofruralareas pf pf pf pf pf




b. Create inner-citynursing awareness pf pf pf




c. Provide thedisadvantaged access to care vj pf pf pf pf




d. Establish guidelines foradvanced nursing roles pf pf pf pf pf




ANS: v p f jp f



C
TheHHS was established to provide nursing services to immigrants and low-
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income patients andtheir families in Manhattan. As resistance to nurse-
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provided care grew, standing orders were drafted from a group of Lower East Side physicians t hereby
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circumventing then- existing legal ramifications. pf pf pf pf




8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenr id
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geinitiallyprovidedAppalachiawith nursingresourcesand which typeof vj vj vj