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, Chapter 1: Introduction to the Role of Advanced Practices Nursing
Multiple Choice
1. In which year did the American Association of College of Nursing (AACN)
introduced the Doctorate of Nursing Practice (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ANS>>: B
Introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to
meet challenges and standardize practice beyond master’s degree programs.
2. Which of the following is the best explanation for the creation of the Doctorate of
Nursing Practice (DNP) degree?
a. To compete against master’s degree programs
b. To ensure standardized curriculum ensuring independent practice
c. To validate APRN’s for financial reimbursement
d. To address increasing curriculum requirements of master’s degree programs
ANS>>: D
Although all ANS>>wers are influenced by the DNP core competencies, the DNP
program creation in 2004 bythe AACN was designed to address curriculum
requirements of master’s degree programs.
3. Which of the following was the first recognized area of advanced practice nursing?
a. Clinical Nurse Specialist
b. Family nurse practitioner
c. Pediatric nurse practitioner
d. Certified Registered Nurse
Anesthetist ANS>>: D
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
American Association of Nurse Anesthetists (AANA) was the first recognized group
promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
Hospital in Cleveland, Ohio.
4. Which factor is broadlyperceived to solidify and standardize the role of the APNs
over the last 25 years?
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, a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
d. Societal forces
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, ANS>>: B
As the evolution of Advanced Practice Nursing advances specific specialties and needs
are identified. Through the evolution of organization and standardization these roles
have solidified the APN’s role in today’s health care environment.
5. During the formation of early APN roles in anesthesia, which of the following
increased demand for access to health care?
a. Poverty
b. War
c. Rural access to care
d. Availability of training
ANS>>: B
Earliest demand for nursing-provided anesthesia spiked during periods of war when
numbers of physiciANS>> were inadequate. The earliest records date back to the
American Civil War with the administration of chloroform. During World War I in 1917
more than 1000 nurses, some trained anesthetists, traveled into battle. Other factors such
as need for rural health care came later in the validation and need for APNs.
6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester,
NY. He is known for some of the earliest recruitment and specialized training of
nurses in which of the following roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics
e. Family nursing
ANS>>: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse
anesthetists. This has been regarded as the earliest training in nurse-provided
anesthesia.
7. In 1893, Lillian Wald established the HenryStreet Settlement (HSS) House for which purpose?
a. Access to health care of rural areas
b. Create inner-city nursing awareness
c. Provide the disadvantaged access to care
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