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Nursing: Essential Knowledge for the
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Profession 5th Edition by Susan M. De
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Nisco
COMPLETE CHAPTERS 1-30 WITH RATIONALES| A+ GRADED
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, Chapter1 Introduction to the Role of Advanced Practices Nursing Multi
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ple Choice pm
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 pm pm
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 Pract
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ice (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 pm pm
b. Family nurse practitionerpm pm
c. Pediatric nurse practitioner pm pm
d. Certified Registered Nurse Anesthetists
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ACCURATE ANSWER: D
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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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mAgatha 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 last
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25 years?
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a. Lack of access to health care providers
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b. Standardized curriculum development pm pm
c. Payment for services pm pm
d. Societal forces AC pm pm
CURATE ANSWER: B pm pm
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 i
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n 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 pm pm pm
d. Availability of training pm pm
pm ACCURATE ANSWER: B pm pm
Earliest demand for nursing-
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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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During World War I in 1917 more than 1000 nurses, some trained anesthetists, traveled into battl
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e. Other factors such as need for rural health care came later in the validation and need for APNs
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.
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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? pm
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics pm pm
e. Family nursing pm
ACCURATE ANSWER: B pm pm
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists. This h
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as 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 initia
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lly provided Appalachia with nursing resources and which type of advanced nursing care?
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a. Pediatric care pm
b. Anesthesia
c. Midwifery
d. Surgical services pm
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