TEST BANK FOR ADVANCED
PRACTICE NURSING: ESSENTIALS
FOR ROLE DEVELOPMENT 5TH
EDITION BY LUCILLE A. JOEL| ALL
CHAPTERS| LATEST
Advanced Practice Nursing: Essentials for Role
Development — Exam
Textbook: Joel, L. A. (5th Edition, 2023)
Format: Multiple-choice with bolded correct answers and rationales
Chapter 1: Historical Development of Advanced Practice
Nursing
1. Which historical development most directly contributed to the establishment of
advanced nursing roles?
A. Elimination of nursing education programs
B. Increasing complexity of patient care and healthcare needs
C. Reduction in the number of hospitalized patients
D. Elimination of professional nursing organizations
Rationale: Advanced nursing roles developed in response to increasingly complex
healthcare needs, shortages of healthcare providers, and the need for nurses with
expanded knowledge and clinical responsibilities .
2. Which change represents the primary impetus for the end of the era of the
female lay healer?
,A. Perception of health promotion as an obligation
B. Development of a clinical nurse specialist position statement
C. Foundation of the American Association of Nurse-Midwives
D. Emergence of a medical establishment
Rationale: Lay healers traditionally viewed their role as a function of community
obligations; however, the emerging medical establishment viewed healing as a
commodity. The emergence of a male medical establishment represents the primary
impetus for the end of the era of the female lay healer .
3. The beginning of modern nursing is traditionally considered to have begun with
which event?
A. Establishment of the first school of nursing
B. Incorporation of midwifery by the lay healer
C. Establishment of the Frontier Nursing Service (FNS)
D. Creation of the American Association of Nurse-Midwives (AANM)
Rationale: Traditionally, modern nursing is considered to have begun in 1873, when the
first three U.S. training schools for nurses opened .
4. 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
Rationale: The CRNA role is the oldest recognized APN role. The National Association
of Nurse Anesthetists (now the AANA) was founded in 1931, predating the formal
organization of other APN specialties .
5. In which year did the American Association of Colleges of Nursing (AACN)
introduce the Doctorate of Nursing Practice (DNP)?
A. 2006
B. 2004
C. 2000
D. 2002
Rationale: The AACN introduced the DNP degree in 2004 to prepare advanced practice
nurses to meet challenges and standardize practice beyond master's degree programs .
, 6. 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
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
Rationale: The DNP program creation in 2004 by the AACN was designed to address
curriculum requirements of master's degree programs that had become overloaded .
7. 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
Rationale: Earliest demand for nursing-provided anesthesia spiked during periods of
war when numbers of physicians were inadequate. During World War I in 1917, more
than 1,000 nurses, some trained anesthetists, traveled into battle .
8. In 1889, Dr. William Worrall Mayo is known for some of the earliest recruitment
and specialized training of nurses in which role?
A. Nurse anesthetists
B. Pediatrics
C. Obstetrics
D. Research and statistics
Rationale: 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 .
9. 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
PRACTICE NURSING: ESSENTIALS
FOR ROLE DEVELOPMENT 5TH
EDITION BY LUCILLE A. JOEL| ALL
CHAPTERS| LATEST
Advanced Practice Nursing: Essentials for Role
Development — Exam
Textbook: Joel, L. A. (5th Edition, 2023)
Format: Multiple-choice with bolded correct answers and rationales
Chapter 1: Historical Development of Advanced Practice
Nursing
1. Which historical development most directly contributed to the establishment of
advanced nursing roles?
A. Elimination of nursing education programs
B. Increasing complexity of patient care and healthcare needs
C. Reduction in the number of hospitalized patients
D. Elimination of professional nursing organizations
Rationale: Advanced nursing roles developed in response to increasingly complex
healthcare needs, shortages of healthcare providers, and the need for nurses with
expanded knowledge and clinical responsibilities .
2. Which change represents the primary impetus for the end of the era of the
female lay healer?
,A. Perception of health promotion as an obligation
B. Development of a clinical nurse specialist position statement
C. Foundation of the American Association of Nurse-Midwives
D. Emergence of a medical establishment
Rationale: Lay healers traditionally viewed their role as a function of community
obligations; however, the emerging medical establishment viewed healing as a
commodity. The emergence of a male medical establishment represents the primary
impetus for the end of the era of the female lay healer .
3. The beginning of modern nursing is traditionally considered to have begun with
which event?
A. Establishment of the first school of nursing
B. Incorporation of midwifery by the lay healer
C. Establishment of the Frontier Nursing Service (FNS)
D. Creation of the American Association of Nurse-Midwives (AANM)
Rationale: Traditionally, modern nursing is considered to have begun in 1873, when the
first three U.S. training schools for nurses opened .
4. 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
Rationale: The CRNA role is the oldest recognized APN role. The National Association
of Nurse Anesthetists (now the AANA) was founded in 1931, predating the formal
organization of other APN specialties .
5. In which year did the American Association of Colleges of Nursing (AACN)
introduce the Doctorate of Nursing Practice (DNP)?
A. 2006
B. 2004
C. 2000
D. 2002
Rationale: The AACN introduced the DNP degree in 2004 to prepare advanced practice
nurses to meet challenges and standardize practice beyond master's degree programs .
, 6. 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
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
Rationale: The DNP program creation in 2004 by the AACN was designed to address
curriculum requirements of master's degree programs that had become overloaded .
7. 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
Rationale: Earliest demand for nursing-provided anesthesia spiked during periods of
war when numbers of physicians were inadequate. During World War I in 1917, more
than 1,000 nurses, some trained anesthetists, traveled into battle .
8. In 1889, Dr. William Worrall Mayo is known for some of the earliest recruitment
and specialized training of nurses in which role?
A. Nurse anesthetists
B. Pediatrics
C. Obstetrics
D. Research and statistics
Rationale: 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 .
9. 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
