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TESTBANK rs rs
FOR
ADVANCEDPRACTICE s
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NURSING: ESSSENTIAL sr
KNOWLEDGE FOR THE
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PROFESSION 5th EDITION
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DENISCO
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Advanced Practice Nursing: Essential Knowledge for the Profession 5th Edition
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Denisco Test Bank
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Chapter1 Introduction to the Role of Advanced Practices Nursing
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Multiple Choice sr
1. In which year did the American Association of College of Nursing (AACN) introduced the
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Doctorate of Nursing Practice (DNP)?
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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
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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 Doctorate of Nursing
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Practice (DNP) degree?
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a. To compete against master’s degree programs
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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 s r
Although all answers are influenced bythe DNP core competencies, the DNP program creation in
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2004 bythe AACN was designed to address curriculum requirements ofmaster’s degree programs.
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3. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical Nurse Specialist sr sr
b. Family nurse practitioner sr sr
c. Pediatric nurse practitioner sr sr
d. Certified Registered Nurse Anesthetist sr sr sr
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ANS: D s r
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
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American Association of Nurse Anesthetists (AANA) was the first recognized group promoting
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advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital in
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Cleveland, Ohio.
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4. Which factor is broadlyperceived to solidifyand standardize the role ofthe APNs over the last 25
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years? sr
a. Lack of access to health care providers
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b. Standardized curriculum development sr sr
c. Payment for services sr sr
d. Societal forces sr
ANS: B s r
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
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identified. Through the evolution of organization and standardization these roles have solidified
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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 following increased
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demand for access to health care?
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a. Poverty
b. War
c. Rural access to care sr sr sr
d. Availability of training sr sr
ANS: B s r
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers of
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physicians were inadequate. The earliest records date back to the American Civil War with the
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administration of chloroform. During World War I in 1917 more than 1000 nurses, some trained
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anesthetists, traveled into battle. Other factors such as need for rural health care came later in the
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validation and need for APNs.
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6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY. He is
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known for some of the earliest recruitment and specialized training of nurses in which of the
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following roles?
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a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics sr sr
e. Family nursing sr
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ANS: B s r
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.
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This has been regarded as the earliest training in nurse-provided anesthesia.
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7. In 1893, Lillian Wald established the HenryStreet Settlement (HSS) House for which purpose?
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a. Access to health care of rural areas sr sr sr sr sr sr
b. Create inner-city nursing awareness sr sr sr
c. Provide the disadvantaged access to care sr sr sr sr sr
d. Establish guidelines for advanced nursing roles sr sr sr sr sr
ANS: C s r
The HHS was established to provide nursing services to immigrants and low-income patients and
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their families in Manhattan. As resistance to nurse-provided care grew, standing orders were
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drafted from a group of Lower East Side physicians thereby circumventing then-existing legal
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ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge
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initiallyprovided Appalachia with nursing resources and which type ofadvanced nursing care?
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a. Pediatric care sr
b. Anesthesia
c. Midwifery
d. Surgical services sr
ANS: C s r
The original FNS provided nursing services and obstetric services to Appalachian residents. Later
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working from standard orders developed from their medical advisory committee nurses treated
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patients, made diagnoses, and dispensed medications.
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9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with the
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American College of Nurse-Midwives (ACNM) in 1969?
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a. American Association of Nurse-Midwives (AANM) sr sr sr sr
b. American Nurses Association (ANA) sr sr sr
c. Association for National Nurse-Midwifery(ANNM) sr sr sr sr
d. Council of Nursing Midwifery (ANM) sr sr sr sr
ANS: A s r
The American College of Nurse-Midwives (ACNM) formed under the leadership of Mary
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Breckenridge in 1941 to provide nurse-midwife development and collaboration for midwife
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