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DeNisco: Advanced Practice Nursing: Essential Knowledge for the Profession 5th Edition
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Multiple Choice WQ
1. In which year did the American Association of College of Nursing (AACN)
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Q introduced theDoctorate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002
ANS: B WQ
Introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet challen
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ges 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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WQ NursingPractice (DNP) degree? WQ WQ
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 W Q
Although all answers are influenced by the DNP core competencies, the DNP program crea
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tion in 2004 bythe AACN was designed to address curriculum requirements of master’s de
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gree 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 WQ WQ
b. Family nurse practitioner WQ WQ
c. Pediatric nurse practitioner WQ WQ
d. Certified Registered Nurse WQ WQ
, AnesthetistANS: D W Q
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to
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Q the American Association of Nurse Anesthetists (AANA) was the first recognize
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d group promoting advanced nursing practice. Agatha Hodgins founded the AANM at
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Q Lakeside Hospital in Cleveland, Ohio. WQ WQ WQ WQ
4. Which factor is broadly perceived to solidify and standardize the role of the APNs over t
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he last25 years?
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a. Lack of access to health care providers
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b. Standardized curriculum development WQ WQ
c. Payment for services WQ WQ
d. Societal forces WQ
ANS: B W Q
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 solidi
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fied 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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Qincreaseddemand for access to health care? WQ WQ WQ WQ WQ
a. Poverty
b. War
c. Rural access to care WQ WQ WQ
d. Availability of training WQ WQ
ANS: B W Q
Earliest demand for nursing- WQ WQ WQ
provided anesthesia spiked during periods of war when numbers of physicians were inadequ
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ate. The earliest records date back to the American Civil War with the administration of ch
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loroform. During World War I in 1917 more than 1000 nurses, some trained anesthetists, tra
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veled into battle. Other factors such as need for rural health care came later in the validation
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and need for APNs.
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, 6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester,
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NY. He is known for some of the earliest recruitment and specialized training of nurses in
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which of thefollowing roles?
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a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics WQ WQ
e. Family nursing WQ
ANS: B W Q
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.
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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 WQ WQ WQ WQ WQ WQ
b. Create inner-city nursing awareness WQ WQ WQ
c. Provide the disadvantaged access to care WQ WQ WQ WQ WQ
d. Establish guidelines for advanced nursing roles WQ WQ WQ WQ WQ
ANS: C W Q
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 physicia
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ns thereby circumventing then- existing legal ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breck
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enridge initiallyprovided Appalachia with nursing resources and which type of
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