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, Advanced Practice Nursing: Essential Knowledge for the Profession 3rd 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
ANSWER: The aacn was 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
ANSWER: 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
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, Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bank
ANSWER: 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 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
ANSWER: 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
ANSWER: 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
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, Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bank
ANSWER: 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 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
ANSWER: 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 thereby circumventing then-existing legal ramifications.
8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge
initiallyprovided Appalachia with nursing resources and which type of advanced nursing care?
a. Pediatric care
b. Anesthesia
c. Midwifery
d. Surgical services
ANSWER: 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 patients, 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)
ANSWER: A
The American College of Nurse-Midwives (ACNM) formed under the leadership of Mary Breckenridge in
1941 to provide nurse-midwife development and collaboration for midwife
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