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ursing: Essential Knowledge for the Pr
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ofession 5th Edition by Susan M. DeNi
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sco
COMPLETE CHAPTERS 1-30 WITH RATIONALES| A+ GRADED
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Page | 1
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, Chapter1 Introduction to the Role of Advanced Practices Nursing Multi
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ple Choice xx
1. In which year did the American Association of College of Nursing (AACN) introduced the Doctor
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ate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002
ACCURATE ANSWER: B xx xx
AACN introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet
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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 Prac
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tice (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 progra
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ms ACCURATE ANSWER: D
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Although all answers are influenced by the DNP core competencies, the DNP program creation in 2004
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by the AACN was designed to address curriculum requirements of master’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 xx xx
b. Family nurse practitioner xx xx
c. Pediatric nurse practitioner xx xx
d. Certified Registered Nurse Anesthetists
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xx ACCURATE ANSWER: D xx xx
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,In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the American Asso
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ciation of Nurse Anesthetists (AANA) was the first recognized group promoting advanced nursing practice
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. Agatha Hodgins founded the AANM at Lakeside 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 las
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t 25 years?
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a. Lack of access to health care providers
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b. Standardized curriculum development xx xx
c. Payment for services xx xx
d. Societal forces AC xx xx
CURATE ANSWER: B xx xx
As the evolution of Advanced Practice Nursing advances specific specialties and needs are identified
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. Through the evolution of organization and standardization these roles have solidified the APN’s role
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xin today’s health care environment.
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5. During the formation of early APN roles in anesthesia, which of the following increased demand
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for access to health care?
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a. Poverty
b. War
c. Rural access to care xx xx xx
d. Availability of training xx xx
xx ACCURATE ANSWER: B xx xx
Earliest demand for nursing- xx xx xx
provided anesthesia spiked during periods of war when numbers of physicians were inadequate.
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The earliest records date back to the American Civil War with the administration of chloroform.
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xDuring World War I in 1917 more than 1000 nurses, some trained anesthetists, traveled into bat
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tle. Other factors such as need for rural health care came later in the validation and need for AP
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Ns.
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, 6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY. He
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is known for some of the earliest recruitment and specialized training of nurses in which of the foll
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owing roles? xx
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics xx xx
e. Family nursing xx
ACCURATE ANSWER: B xx xx
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists. This
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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 role
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s ACCURATE ANSWER: C
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The HHS was established to provide nursing services to immigrants and low-
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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 physicians ther
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eby circumventing then-existing legal ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge initi
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ally provided Appalachia with nursing resources and which type of advanced nursing care?
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a. Pediatric care xx
b. Anesthesia
c. Midwifery
d. Surgical services xx
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