Testbank for Advanced Practice Nursing: Essential Knowledge for the Profession 5th Edition

,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 sv




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


ANS: B sv




Introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet challenges a
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nd 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 Nur
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singPractice (DNP) degree? sv sv




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. Toaddress increasing curriculum requirements of master’s degreeprograms
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ANS: D s v




Although all answers are influenced by the DNP core competencies, the DNP program creation
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v in2004 bythe AACN was designed to address curriculum requirements of master’s degree prog
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rams.


3. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical NurseSpecialist sv vs




b. Family nurse practitioner sv sv




c. Pediatric nurse practitioner sv sv




d. Certified Registered Nurse sv sv

, AnesthetistANS: D s v




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 gro
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up promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
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Hospital in Cleveland, Ohio. sv sv sv




4. Which factorisbroadlyperceived tosolidifyand standardize theroleoftheAPNsover the la
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st25 years? sv




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




b. Standardized curriculum development sv sv




c. Payment for services sv sv




d. Societal forces sv




ANS: B s v




As the evolution of Advanced Practice Nursing advances specific specialties and needs are iden
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tified. Through the evolution of organization and standardization these roles have solidified the
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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 incr
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easeddemand for access to health care? sv sv sv sv sv




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




d. Availability oftraining sv vs




ANS: B s v




Earliest demand for nursing- sv sv sv




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 bat
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tle. Other factors such as need for rural health care came later in the validation and need for APNs
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.

, 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 of
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thefollowing roles? sv




a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics sv sv




e. Family nursing sv




ANS: B s v




In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.This
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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 sv sv sv sv sv sv




b. Create inner-city nursing awareness sv sv sv




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




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




ANS: C s v




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 th
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ereby circumventing then- existing legal ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenri
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dge initiallyprovided Appalachia withnursing resources and whichtypeof
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