,Advanced[Practice[Nursing:[Essential[Knowledge[for[the[Profession[5th[
Edition[Denisco[Test[Bank
Chapter1[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
ThNeSA
A :[ ABC[N[ introduced[the[DNP[degree[in[2004[to[prepare[advanced[practice[nurses[(APRNs)[to[m
eet[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[answers[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[Americ
an[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[broadly[perceived[to[solidify[and[standardize[the[role[of[the[APNs[over[the[last[
25[years?
a. Lack[of[access[to[health[care[providers
b. Standardized[curriculum[development
c. Payment[for[services
d. Societal[forces
ANS:[ B
As[the[evolution[of[Advanced[Practice[Nursing[advances[specific[specialties[and[needs[are[identif
ied.[Through[the[evolution[of[organization[and[standardization[these[roles[have[solidified[the[AP
N’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.[T
he[earliest[records[date[back[to[the[American[Civil[War[with[the[administration[of[chloroform.[Du
ring[World[War[I[in[1917[more[than[1000[nurses,[some[trained[anesthetists,[traveled[into[battle.[Ot
her[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[i
s[known[for[some[of[the[earliest[recruitment[and[specialized[training[of[nurses[in[which[of[the[f
ollowing[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.[T
his[has[been[regarded[as[the[earliest[training[in[nurse-provided[anesthesia.
7. In[1893,[Lillian[Wald[established[the[Henry[Street[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
d. Establish[guidelines[for[advanced[nursing[ roles
ANS:[ C
The[HHS[was[established[to[provide[nursing[services[to[immigrants[and[low-
income[patients[and[their[families[in[Manhattan.[As[resistance[to[nurse-
provided[care[grew,[standing[orders[were[drafted[ from[ a[ group[ of[ Lower[ East[ Side[ physicians[ t
hereby[ circumventing[ then-existing[ legal
, ramifications.
8. The[Frontier[Nursing[Service[(FNS)[founded[in[Kentucky[in[1925[by[Mary[Breckenridge[init
iallyprovided[Appalachia[with[nursing[resources[and[which[type[of[advanced[nursing[care?
a. Pediatric[care
b. Anesthesia
c. Midwifery
d. Surgical[services
ANS:[ C
The[original[FNS[provided[nursing[services[and[obstetric[services[to[Appalachian[residents.[Later[
working[from[standard[orders[developed[from[their[medical[advisory[committee[nurses[treated[pat
ients,[made[diagnoses,[and[dispensed[medications.
9. Which[organization[founded[in[1941[under[Mary[Breckenridge’s[leadership[merged[with[the[
American[College[of[Nurse-Midwives[(ACNM)[in[1969?
a. American[Association[of[Nurse-Midwives[(AANM)
b. American[Nurses[Association[(ANA)
c. Association[for[National[Nurse-Midwifery[(ANNM)
d. Council[of[Nursing[Midwifery[(ANM)
ANS:[ A
The[ American[ College[ of[ Nurse-
Midwives[ (ACNM)[ formed[ under[ the[ leadership[ of[ Mary[ Breckenridge[in[1941[to[provide[nurs
e-
midwife[development[and[collaboration[for[midwife[development.[ In[ 1955,[ the[ American[ Colleg
e[ of[ Nurse-
Midwives[ was[ formed[ and[ the[ two[ organizations[merged[in[1969[after[the[death[of[Mary[Brecke
nridge.
10. In[a[landmark[ruling[by[the[Supreme[Court[as[a[result[of[Chalmers-
Frances[v.[Nelson,[1936,[what[legal[precedent[was[established?
a. Nurse[anesthesia[was[allowed[under[the[nurse[practice[ act
b. Nurse[anesthesia[scope[of[practice[included[ anesthesia
c. Nurse[anesthesia[was[legal,[if[under[guidance[of[a[supervising[physician
d. Only[trained[nursing[professionals[could[administer[anesthesia[ independently
ANS:[ C
The[landmark[decision[from[the[Chalmers-
Frances[v.[Nelson[case[set[national[precedent[for[the[advanced[nursing[practice[role.[It[proved[to[b
e[the[basis[for[other[cases[over[the[following[few[decades[and[established[that[trained[nurses[could[
legally[provide[anesthesia[care[under[supervision[of[a[physician.
11. The[first[known[establishment[of[the[nurse[practitioner[role[occurred[in[1965[at[theUniversity[
of[Colorado.[In[which[area[of[training[did[this[role[specialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
Edition[Denisco[Test[Bank
Chapter1[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
ThNeSA
A :[ ABC[N[ introduced[the[DNP[degree[in[2004[to[prepare[advanced[practice[nurses[(APRNs)[to[m
eet[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[answers[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[Americ
an[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[broadly[perceived[to[solidify[and[standardize[the[role[of[the[APNs[over[the[last[
25[years?
a. Lack[of[access[to[health[care[providers
b. Standardized[curriculum[development
c. Payment[for[services
d. Societal[forces
ANS:[ B
As[the[evolution[of[Advanced[Practice[Nursing[advances[specific[specialties[and[needs[are[identif
ied.[Through[the[evolution[of[organization[and[standardization[these[roles[have[solidified[the[AP
N’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.[T
he[earliest[records[date[back[to[the[American[Civil[War[with[the[administration[of[chloroform.[Du
ring[World[War[I[in[1917[more[than[1000[nurses,[some[trained[anesthetists,[traveled[into[battle.[Ot
her[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[i
s[known[for[some[of[the[earliest[recruitment[and[specialized[training[of[nurses[in[which[of[the[f
ollowing[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.[T
his[has[been[regarded[as[the[earliest[training[in[nurse-provided[anesthesia.
7. In[1893,[Lillian[Wald[established[the[Henry[Street[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
d. Establish[guidelines[for[advanced[nursing[ roles
ANS:[ C
The[HHS[was[established[to[provide[nursing[services[to[immigrants[and[low-
income[patients[and[their[families[in[Manhattan.[As[resistance[to[nurse-
provided[care[grew,[standing[orders[were[drafted[ from[ a[ group[ of[ Lower[ East[ Side[ physicians[ t
hereby[ circumventing[ then-existing[ legal
, ramifications.
8. The[Frontier[Nursing[Service[(FNS)[founded[in[Kentucky[in[1925[by[Mary[Breckenridge[init
iallyprovided[Appalachia[with[nursing[resources[and[which[type[of[advanced[nursing[care?
a. Pediatric[care
b. Anesthesia
c. Midwifery
d. Surgical[services
ANS:[ C
The[original[FNS[provided[nursing[services[and[obstetric[services[to[Appalachian[residents.[Later[
working[from[standard[orders[developed[from[their[medical[advisory[committee[nurses[treated[pat
ients,[made[diagnoses,[and[dispensed[medications.
9. Which[organization[founded[in[1941[under[Mary[Breckenridge’s[leadership[merged[with[the[
American[College[of[Nurse-Midwives[(ACNM)[in[1969?
a. American[Association[of[Nurse-Midwives[(AANM)
b. American[Nurses[Association[(ANA)
c. Association[for[National[Nurse-Midwifery[(ANNM)
d. Council[of[Nursing[Midwifery[(ANM)
ANS:[ A
The[ American[ College[ of[ Nurse-
Midwives[ (ACNM)[ formed[ under[ the[ leadership[ of[ Mary[ Breckenridge[in[1941[to[provide[nurs
e-
midwife[development[and[collaboration[for[midwife[development.[ In[ 1955,[ the[ American[ Colleg
e[ of[ Nurse-
Midwives[ was[ formed[ and[ the[ two[ organizations[merged[in[1969[after[the[death[of[Mary[Brecke
nridge.
10. In[a[landmark[ruling[by[the[Supreme[Court[as[a[result[of[Chalmers-
Frances[v.[Nelson,[1936,[what[legal[precedent[was[established?
a. Nurse[anesthesia[was[allowed[under[the[nurse[practice[ act
b. Nurse[anesthesia[scope[of[practice[included[ anesthesia
c. Nurse[anesthesia[was[legal,[if[under[guidance[of[a[supervising[physician
d. Only[trained[nursing[professionals[could[administer[anesthesia[ independently
ANS:[ C
The[landmark[decision[from[the[Chalmers-
Frances[v.[Nelson[case[set[national[precedent[for[the[advanced[nursing[practice[role.[It[proved[to[b
e[the[basis[for[other[cases[over[the[following[few[decades[and[established[that[trained[nurses[could[
legally[provide[anesthesia[care[under[supervision[of[a[physician.
11. The[first[known[establishment[of[the[nurse[practitioner[role[occurred[in[1965[at[theUniversity[
of[Colorado.[In[which[area[of[training[did[this[role[specialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
