Advanced Practice Nursing Essential Knowledge for the Profession 5th Edition Test Bank All Chapters.pdf

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Advanced Practice Nursing: Essential Knowledge for the Profession 5th
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Chapter1 Introduction to the Role of Advanced Practices Nursing
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Multiple Choice gg




1. In which year did the American Association of College of Nursing (AACN) introduced
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the 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)
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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 Doctorate of
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Nursing 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 g g


Although all answers are influenced by the DNP core competencies, the DNP program creation
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in 2004 bythe AACN was designed to address curriculum requirements of master’s degree
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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 gg gg


b. Family nurse practitioner gg gg


c. Pediatric nurse practitioner gg gg


d. Certified Registered Nurse Anesthetist gg gg gg

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ANS: D g g


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
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promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
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Hospital in Cleveland, Ohio.
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4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the
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last 25 years?
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a. Lack of access to health care providers
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b. Standardized curriculum development gg gg


c. Payment for services gg gg


d. Societal forces gg




ANS: B g g


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
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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 following
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increased demand for access to health care?
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a. Poverty
b. War
c. Rural access to care gg gg gg


d. Availability of training gg gg




ANS: B g g


Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers
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of physicians were inadequate. The earliest records date back to the American Civil War
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with the administration of chloroform. During World War I in 1917 more than 1000
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nurses, some trained anesthetists, traveled into battle. Other factors such as need for rural
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health care came later 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 Rochester, NY.
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He is known for some of the earliest recruitment and specialized training of nurses in
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which of the following roles?
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a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics gg gg


e. Family nursing gg

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ANS: B g g


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-provided anesthesia.
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7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
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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 g g


The HHS was established to provide nursing services to immigrants and low-income
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patients and their families in Manhattan. As resistance to nurse-provided care grew,
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standing orders were drafted from a group of Lower East Side physicians thereby
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circumventing then-existing legal ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary
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Breckenridge initiallyprovided Appalachia with nursing resources and which type of
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advanced nursing care?
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a. Pediatric care gg


b. Anesthesia
c. Midwifery
d. Surgical services gg




ANS: C g g


The original FNS provided nursing services and obstetric services to Appalachian residents.
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Later working from standard orders developed from their medical advisory committee
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nurses treated patients, made diagnoses, and dispensed medications.
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9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with
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the American College of Nurse-Midwives (ACNM) in 1969?
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a. American Association of Nurse-Midwives (AANM) gg gg gg gg


b. American Nurses Association (ANA) gg gg gg


c. Association for National Nurse-Midwifery (ANNM) gg gg gg gg


d. Council of Nursing Midwifery (ANM) gg gg gg gg




ANS: A g g


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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