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,Chapter 1: Introduction to the Role of Advanced Practices Nursing
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DeNisco: Advanced Practice Nursing: Essential Knowledge for the Profession 5th Edition
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Multiple Choice zl




1. In which year did the American Association of College of Nursing (AACN) int
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roduced theDoctorate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002


ANS: B zl




Introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet challenges
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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 Nu
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rsingPractice (DNP) degree? zl zl




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 z l




Although all answers are influenced by the DNP core competencies, the DNP program creatio
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n in 2004 bythe AACN was designed to address curriculum requirements of master’s degree pr
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ograms.


3. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical Nurse Specialist zl zl




b. Family nurse practitioner zl zl




c. Pediatric nurse practitioner zl zl




d. Certified Registered Nurse zl zl

, AnesthetistANS: D z l




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 gr
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oup promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakesid
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e Hospital in Cleveland, Ohio.
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4. Which factoris broadlyperceived to solidifyand standardize the role ofthe APNs over the l
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ast25 years? zl




a. Lack of access to health care providers zl zl zl zl zl zl




b. Standardized curriculum development zl zl




c. Payment for services zl zl




d. Societal forces zl




ANS: B z l




As the evolution of Advanced Practice Nursing advances specific specialties and needs are ide
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ntified. Through the evolution of organization and standardization these roles have solidified t
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he 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 in
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creaseddemand for access to health care? zl zl zl zl zl




a. Poverty
b. War
c. Rural access to care zl zl zl




d. Availability of training zl zl




ANS: B z l




Earliest demand for nursing- zl zl zl




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 chlorofor
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m. During World War I in 1917 more than 1000 nurses, some trained anesthetists, traveled into
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battle. Other factors such as need for rural health care came later in the validation and need for
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APNs.

, 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 which o
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f thefollowing roles?
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a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics zl zl




e. Family nursing zl




ANS: B z l




In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.Thi
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s has been regarded as the earliest training in nurse-provided anesthesia.
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7. In 1893, Lillian Wald established the HenryStreet Settlement (HSS) House for which purpose?
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a. Access to health care of rural areas zl zl zl zl zl zl




b. Create inner-city nursing awareness zl zl zl




c. Provide the disadvantaged access to care zl zl zl zl zl




d. Establish guidelines for advanced nursing roles zl zl zl zl zl




ANS: C z l




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 t
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hereby circumventing then- existing legal ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenr
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idge initiallyprovided Appalachia with nursing resources and which type of
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