TEST BANK FOR Hamric and Hanson's Advanced Pract
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ice Nursing 6th Edition by Mary Fran Tracy, Eileen T. O'
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Grady
Chapter 1: Highlights from the History of Advanced Practice Nursing i
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n the United States Test Bank
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Multiple Choice n
1. In which year did the American Association of College of Nursing (AACN) i
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ntroduced the Doctorate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002
ANS: B n
The AACN introduced the DNP degree in 2004 to prepare advanced practice nurses (AP
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RNs) to meet challenges and standardize practice beyond master’s degree programs.
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2. Which of the following is the best explanation for the creation of the D
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octorate of Nursing Practice (DNP) degree?
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a. To compete against master’s degree programs
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TestnBank Pagen1
, Hamric n andnHanson'snAdvancednPracticen Nursingn 6th nEdition
b. To ensure standardized 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 degree programs
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ANS: D n
Although all answers are influenced by the DNP core competencies, the DNP program
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n creation in 2004 by the AACN was designed to address curriculum requirements of
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master’s degree programs. n n
3. Which of the following was the first recognized area of advanced practice n
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ursing?
a. Clinical Nurse Specialist n n
b. Family nurse practitioner n n
c. Pediatric nurse practitioner n n
d. Certified Registered Nurse Anesthetist n n n n
ANS: D n
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to
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n the American Association of Nurse Anesthetists (AANA) was the first recognized gr
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oup promoting advanced nursing practice. Agatha Hodgins founded the AANM at La
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keside Hospital in Cleveland, Ohio.
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4. Which factor is broadly perceived to solidify and standardize the role of the A
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PNs over the last 25 years?
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a. Lack of access to health care providers
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TestnBank Pagen2
, Hamric n andnHanson'snAdvancednPracticen Nursingn 6th nEdition
b. Standardized curriculum development n n
c. Payment for services n n
d. Societal forces n
ANS: B n
As the evolution of Advanced Practice Nursing advances specific specialties and nee
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ds are identified. Through the evolution of organization and standardization these role
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s have solidified the APN’s role in today’s health care environment.
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5. During the formation of early APN roles in anesthesia, which of the f
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ollowing increased demand for access to health care?
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a. Poverty
n b. War n
c. Rural access to care d.A
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vailability of training n n
ANS: B n
Earliest demand for nursing- n n n
provided anesthesia spiked during periods of war when numbers of physicians were in
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adequate. The earliest records date back to the American Civil War with the administ
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ration of chloroform. During World War I in 1917 more than 1000 nurses, some trained a
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nesthetists, traveled into battle. Other factors such as need for rural health care came late
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r in the validation and need for APNs.
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6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in
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TestnBank Pagen3
, Hamric n andnHanson'snAdvancednPracticen Nursingn 6th nEdition
Rochester, NY. He is known n n n n for some n
of the earliest recruitment and specialized tr
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aining of nurses in which of the following roles?
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a. Pediatrics n
b.Anesthesia
c. Obstetrics
d. Research and statistics n n
e. Family nursing n
n ANS: B n
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse
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anesthetists. This has been regarded as the earliest training in nurse-
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n provided anesthesia. n
7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for w
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hich purpose?n
a. Access to health care of rural areas
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b. Create inner-city nursing awareness
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c. Provide the disadvantaged access to care
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d. Establish guidelines for advanced nursing roles
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ANS: C n
The HHS was established to provide nursing services to immigrants and low-
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n income patients and their 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 ph
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ysicians thereby circumventing then-existing legal ramifications.
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TestnBank Pagen4