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Test Bank for Advanced Practice Nursing: Essential Knowledge for the Profession, 3rd Edition – Complete Exam Questions & Answer Key with Rationales

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This Test Bank for Advanced Practice Nursing: Essential Knowledge for the Profession, 3rd Edition is a comprehensive exam preparation resource containing multiple-choice, select-all-that-apply, true/false, completion, and multiple-response questions with verified correct answers and detailed answer rationales for every item. The document is organized across the full scope of the advanced practice nursing curriculum, covering the introduction to the role of advanced practice nursing; the historical perspective on the art and science of nurse practitioning; the Doctor of Nursing Practice degree; emerging roles for the DNP nurse educator; leading change in complex health environments; interprofessional collaboration for improving patient and population health; U.S. healthcare delivery; beliefs, values, and health; the healthcare interdisciplinary context and microsystem concept; microeconomics in the hospital firm; government regulation; CQI diffusion in health care; the patient safety movement and accelerating patient safety improvement; health information technology; the electronic health record and clinical informatics; IOM core competency in informatics; the evolution of nursing science; theory-based advanced nursing practice; research and how health care advances; evidence-based practice; clinical scholarship; transcultural nursing and cultural diversity models; global diversity; health services for special populations; introduction to ethics; the nurse–patient relationship and general ethical concerns; leadership and role transition for the advanced practice nurse; managing personal resources including time and stress management; and role transition strategies for success in the marketplace. Students can use this test bank to practice exam-style questions, review core APRN, NP, CNS, CRNA, and CNM concepts, reinforce chapter content, check understanding with rationales, and prepare for course exams and certification-style assessments.

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TEST BANK
Advanced Practice Nursing - Essential Knowledge for the Profession

Susan M. DeNisco & Anne M. Barker

3rd Edition

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Table of Contents

Part I — Professional Roles for the Advanced Practice Nurse
1. Introduction to the Role of Advanced Practice Nursing
2. The Nurse Practitioner: Historical Perspective on the Art and Science of Nurse Practitionering
3. Overview of the Doctor of Nursing Practice Degree
4. Emerging Roles for the DNP Nurse Educator
5. Influencing and Leading Change in the Complex Health Environment: The Role of the Advanced Practice
Nurse
6. Interprofessional Collaboration for Improving Patient and Population Health Knowledge
Part II — Healthcare Delivery and Health Policy for Advanced Practice: Core Knowledge
7. An Overview of U.S. Healthcare Delivery
8. Beliefs, Values, and Health
9. The Healthcare Interdisciplinary Context: A Focus on the Microsystem Concept
10. Microeconomics in the Hospital Firm: Competition, Regulation, the Profit Motive, and Patient Care
11. Government Regulation: Parallel and Powerful
Part III — Quality, Safety, and Information Systems for Advanced Practice Nurses
12. Factors Influencing the Application and Diffusion of CQI in Health Care
13. Patient Safety Movement: The Progress and the Work That Remains
14. Accelerating Patient Safety Improvement
15. Health Information Technology
16. The Electronic Health Record and Clinical Informatics
17. IOM Core Competency: Utilize Informatics
Part IV — Theoretical Foundations, Research, and Evidence-Based Practice
18. The Evolution of Nursing Science
19. Theory-Based Advanced Nursing Practice
20. Research: How Health Care Advances
21. Evidence-Based Practice
22. Clinical Scholarship and Evidence-Based Practice
Part V — The Role of Race, Culture, Ethics, and Advocacy in Advanced Nursing Practice
23. Birth of Transcultural Nursing to Current Theories and Conceptual Models for Cultural Diversity
24. Global Diversity
25. Health Services for Special Populations
26. Introduction to Ethics
27. Advanced Practice Nursing: The Nurse–Patient Relationship and General Ethical Concerns
28. Leadership and Role Transition for the Advanced Practice Nurse
29. Managing Personal Resources: Time and Stress Management
30. Role Transition: Strategies for Success in the Marketplace

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Chapter 1: Introduction to the Role of Advanced Practices Nursing
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

T
AhNeSA
: ABC N 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
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 bythe 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 Anesthetis

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NS: 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
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 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

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