Test Bank for Advanced Practice Nursing: Essential Knowledge for the
Profession 3rd Edition Denisco Chapter 1-31
Complete Guide
,Chapter146Introduction46to46the46Role46of46Advanced46Practices46Nursing
Multiple46Choice
1. In46which46year46did46the46American46Association46of46College46of46Nursing46(AACN)4
6introduced46the46Doctorate46of46Nursing46Practice46(DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
TAhNeSA:46ABCN46introduced46the46DNP46degree46in46200446to46prepare46advanced46practice4
6nurses46(APRNs)46to46meet46challenges46and46standardize46practice46beyond46master’s46degre
e46programs.
2. Which46of46the46following46is46the46best46explanation46for46the46creation46of46the46Doctorat
e46of46Nursing46Practice46(DNP)46degree?
a. To46compete46against46master’s46degree46programs
b. To46ensure46standardized46curriculum46ensuring46independent46 practice
c. To46validate46APRN’s46for46financial46reimbursement
d. To46address46increasing46curriculum46requirements46of46master’s46degree46programs
CORRECT::4 6 D
Although46all46answers46are46influenced46by46the46DNP46core46competencies,46the46DNP46program
46creation46in46200446by46the46AACN46was46designed46to46address46curriculum46requirements46of46m
aster’s46degree46programs.
3. Which46of46the46following46was46the46first46recognized46area46of46advanced46practice46 nursing?
a. Clinical46Nurse46Specialist
b. Family46nurse46practitioner
c. Pediatric46nurse46practitioner
d. Certified46Registered46Nurse46Anesthetist
,CORRECT::4 6 D
In461931,46the46National46Association46of46Nurse46Anesthetists46(NANA),46renamed46in46193946t
o46the46American46Association46of46Nurse46Anesthetists46(AANA)46was46the46first46recognized46
group46promoting46advanced46nursing46practice.46Agatha46Hodgins46founded46the46AANM46at46
Lakeside46Hospital46in46Cleveland,46Ohio.
4. Which46factor46is46broadly46perceived46to46solidify46and46standardize46the46role46of46the46A
PNs46over46the46last462546years?
a. Lack46of46access46to46health46care46providers
b. Standardized46curriculum46development
c. Payment46for46services
d. Societal46forces
CORRECT::4 6 B
As46the46evolution46of46Advanced46Practice46Nursing46advances46specific46specialties46and46nee
ds46are46identified.46Through46the46evolution46of46organization46and46standardization46these46rol
es46have46solidified46the46APN’s46role46in46today’s46health46care46environment.
5. During46the46formation46of46early46APN46roles46in46anesthesia,46which46of46the
46following46increased46demand46for46access46to46health46care?
a. Poverty
b. War
c. Rural46access46to46care
d. Availability46of46training
CORRECT::4 6 B
Earliest46demand46for46nursing-
provided46anesthesia46spiked46during46periods46of46war46when46numbers46of46physicians46were46
inadequate.46The46earliest46records46date46back46to46the46American46Civil46War46with46the46admi
nistration46of46chloroform.46During46World46War46I46in46191746more46than46100046nurses,46some
46trained46anesthetists,46traveled46into46battle.46Other46factors46such46as46need46for46rural46health4
6care46came46later46in46the46validation46and46need46for46APNs.
6. In461889,46Dr.46William46Worrall46Mayo46built46and46opened46St.46Mary’s46hospital46in46Roche
ster,46NY.46He46is46known46for46some46of46the46earliest46recruitment46and46specialized46trainin
g46of46nurses46in46which46of46the46following46roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research46and46statistics
e. Family46nursing
, CORRECT::4 6 B
In461889,46Dr.46William46Worrall46Mayo46began46formally46training46and46recognizing46nurse46a
nesthetists.46This46has46been46regarded46as46the46earliest46training46in46nurse-
provided46anesthesia.
7. In461893,46Lillian46Wald46established46the46Henry46Street46Settlement46(HSS)46House46for46which46purpos
a. Access46to46health46care46of46rural46areas
b. Create46inner-city46nursing46awareness
c. Provide46the46disadvantaged46access46to46 care
d. Establish46guidelines46for46advanced46nursing46roles
CORRECT::4 6 C
The46HHS46was46established46to46provide46nursing46services46to46immigrants46and46low-
income46patients46and46their46families46in46Manhattan.46As46resistance46to46nurse-
provided46care46grew,46standing46orders46were46drafted46from46a46group46of46Lower46East46Side4
6physicians46thereby46circumventing46then-existing46legal46ramifications.
8. The46Frontier46Nursing46Service46(FNS)46founded46in46Kentucky46in46192546by46Mary46B
reckenridge46initially46provided46Appalachia46with46nursing46resources46and46which46typ
e46of46advanced46nursing46care?
a. Pediatric46care
b. Anesthesia
c. Midwifery
d. Surgical46services
CORRECT::4 6 C
The46original46FNS46provided46nursing46services46and46obstetric46services46to46Appalachian46resid
ents.4 6 Later46working46from46standard46orders46developed46from46their46medical46advisory46com
mittee46nurses46treated46patients,46made46diagnoses,46and46dispensed46medications.
9. Which46organization46founded46in46194146under46Mary46Breckenridge’s46leadership46merged
46with46the46American46College46of46Nurse-Midwives46(ACNM)46in461969?
a. American46Association46of46Nurse-Midwives46(AANM)
b. American46Nurses46Association46(ANA)
c. Association46for46National46Nurse-Midwifery46(ANNM)
d. Council46of46Nursing46Midwifery46(ANM)
CORRECT::4 6 A
The46American46College46of46Nurse-
Midwives46(ACNM)46formed46under46the46leadership46of46Mary46Breckenridge46in46194146to46pr
ovide46nurse-midwife46development46and46collaboration46for46midwife
Profession 3rd Edition Denisco Chapter 1-31
Complete Guide
,Chapter146Introduction46to46the46Role46of46Advanced46Practices46Nursing
Multiple46Choice
1. In46which46year46did46the46American46Association46of46College46of46Nursing46(AACN)4
6introduced46the46Doctorate46of46Nursing46Practice46(DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
TAhNeSA:46ABCN46introduced46the46DNP46degree46in46200446to46prepare46advanced46practice4
6nurses46(APRNs)46to46meet46challenges46and46standardize46practice46beyond46master’s46degre
e46programs.
2. Which46of46the46following46is46the46best46explanation46for46the46creation46of46the46Doctorat
e46of46Nursing46Practice46(DNP)46degree?
a. To46compete46against46master’s46degree46programs
b. To46ensure46standardized46curriculum46ensuring46independent46 practice
c. To46validate46APRN’s46for46financial46reimbursement
d. To46address46increasing46curriculum46requirements46of46master’s46degree46programs
CORRECT::4 6 D
Although46all46answers46are46influenced46by46the46DNP46core46competencies,46the46DNP46program
46creation46in46200446by46the46AACN46was46designed46to46address46curriculum46requirements46of46m
aster’s46degree46programs.
3. Which46of46the46following46was46the46first46recognized46area46of46advanced46practice46 nursing?
a. Clinical46Nurse46Specialist
b. Family46nurse46practitioner
c. Pediatric46nurse46practitioner
d. Certified46Registered46Nurse46Anesthetist
,CORRECT::4 6 D
In461931,46the46National46Association46of46Nurse46Anesthetists46(NANA),46renamed46in46193946t
o46the46American46Association46of46Nurse46Anesthetists46(AANA)46was46the46first46recognized46
group46promoting46advanced46nursing46practice.46Agatha46Hodgins46founded46the46AANM46at46
Lakeside46Hospital46in46Cleveland,46Ohio.
4. Which46factor46is46broadly46perceived46to46solidify46and46standardize46the46role46of46the46A
PNs46over46the46last462546years?
a. Lack46of46access46to46health46care46providers
b. Standardized46curriculum46development
c. Payment46for46services
d. Societal46forces
CORRECT::4 6 B
As46the46evolution46of46Advanced46Practice46Nursing46advances46specific46specialties46and46nee
ds46are46identified.46Through46the46evolution46of46organization46and46standardization46these46rol
es46have46solidified46the46APN’s46role46in46today’s46health46care46environment.
5. During46the46formation46of46early46APN46roles46in46anesthesia,46which46of46the
46following46increased46demand46for46access46to46health46care?
a. Poverty
b. War
c. Rural46access46to46care
d. Availability46of46training
CORRECT::4 6 B
Earliest46demand46for46nursing-
provided46anesthesia46spiked46during46periods46of46war46when46numbers46of46physicians46were46
inadequate.46The46earliest46records46date46back46to46the46American46Civil46War46with46the46admi
nistration46of46chloroform.46During46World46War46I46in46191746more46than46100046nurses,46some
46trained46anesthetists,46traveled46into46battle.46Other46factors46such46as46need46for46rural46health4
6care46came46later46in46the46validation46and46need46for46APNs.
6. In461889,46Dr.46William46Worrall46Mayo46built46and46opened46St.46Mary’s46hospital46in46Roche
ster,46NY.46He46is46known46for46some46of46the46earliest46recruitment46and46specialized46trainin
g46of46nurses46in46which46of46the46following46roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research46and46statistics
e. Family46nursing
, CORRECT::4 6 B
In461889,46Dr.46William46Worrall46Mayo46began46formally46training46and46recognizing46nurse46a
nesthetists.46This46has46been46regarded46as46the46earliest46training46in46nurse-
provided46anesthesia.
7. In461893,46Lillian46Wald46established46the46Henry46Street46Settlement46(HSS)46House46for46which46purpos
a. Access46to46health46care46of46rural46areas
b. Create46inner-city46nursing46awareness
c. Provide46the46disadvantaged46access46to46 care
d. Establish46guidelines46for46advanced46nursing46roles
CORRECT::4 6 C
The46HHS46was46established46to46provide46nursing46services46to46immigrants46and46low-
income46patients46and46their46families46in46Manhattan.46As46resistance46to46nurse-
provided46care46grew,46standing46orders46were46drafted46from46a46group46of46Lower46East46Side4
6physicians46thereby46circumventing46then-existing46legal46ramifications.
8. The46Frontier46Nursing46Service46(FNS)46founded46in46Kentucky46in46192546by46Mary46B
reckenridge46initially46provided46Appalachia46with46nursing46resources46and46which46typ
e46of46advanced46nursing46care?
a. Pediatric46care
b. Anesthesia
c. Midwifery
d. Surgical46services
CORRECT::4 6 C
The46original46FNS46provided46nursing46services46and46obstetric46services46to46Appalachian46resid
ents.4 6 Later46working46from46standard46orders46developed46from46their46medical46advisory46com
mittee46nurses46treated46patients,46made46diagnoses,46and46dispensed46medications.
9. Which46organization46founded46in46194146under46Mary46Breckenridge’s46leadership46merged
46with46the46American46College46of46Nurse-Midwives46(ACNM)46in461969?
a. American46Association46of46Nurse-Midwives46(AANM)
b. American46Nurses46Association46(ANA)
c. Association46for46National46Nurse-Midwifery46(ANNM)
d. Council46of46Nursing46Midwifery46(ANM)
CORRECT::4 6 A
The46American46College46of46Nurse-
Midwives46(ACNM)46formed46under46the46leadership46of46Mary46Breckenridge46in46194146to46pr
ovide46nurse-midwife46development46and46collaboration46for46midwife
