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, Chapter 1: 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
ANS: B
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
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
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 broadlyperceived 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
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, ANS: 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
ANS: 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
ANS: 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 HenryStreet 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 thereby circumventing then-existing legal
ramifications.
https://www.stuvia.com/user/angelinas
, 8. The iFrontier iNursing iService i(FNS) ifounded iin iKentucky iin i1925 iby iMary
iBreckenridge iinitially iprovided iAppalachia iwith inursing iresources iand iwhich itype iof
iadvanced inursing icare?
a. Pediatric icare
b. Anesthesia
c. Midwifery
d. Surgical iservices
ANS: i C
The ioriginal iFNS iprovided inursing iservices iand iobstetric iservices ito iAppalachian iresidents.
iLater iworking ifrom istandard iorders ideveloped ifrom itheir imedical iadvisory icommittee inurses
itreated ipatients, imade idiagnoses, iand idispensed imedications.
9. Which iorganization ifounded iin i1941 iunder iMary iBreckenridge’s ileadership imerged iwith
ithe iAmerican iCollege iof iNurse-Midwives i(ACNM) iin i1969?
a. American iAssociation iof iNurse-Midwives i(AANM)
b. American iNurses iAssociation i(ANA)
c. Association ifor iNational iNurse-Midwifery i(ANNM)
d. Council iof iNursing iMidwifery i(ANM)
ANS: i A
The iAmerican iCollege iof iNurse-Midwives i(ACNM) iformed iunder ithe ileadership iof iMary
iBreckenridge iin i1941 ito iprovide inurse-midwife idevelopment iand icollaboration ifor imidwife
development. i In i 1955, i the i American i College i of i Nurse-Midwives i was i formed i and i the
i two iorganizations imerged iin i1969 iafter ithe ideath iof iMary iBreckenridge.
10. In ia ilandmark iruling iby ithe iSupreme iCourt ias ia iresult iof iChalmers-Frances iv. iNelson,
i1936, iwhat ilegal iprecedent iwas iestablished?
a. Nurse ianesthesia iwas iallowed iunder ithe inurse ipractice i act
b. Nurse ianesthesia iscope iof ipractice iincluded ianesthesia
c. Nurse ianesthesia iwas ilegal, iif iunder iguidance iof ia isupervising iphysician
d. Only itrained inursing iprofessionals icould iadminister ianesthesia iindependently
ANS: i C
The ilandmark idecision ifrom ithe iChalmers-Frances iv. iNelson icase iset inational iprecedent ifor
ithe iadvanced inursing ipractice irole. iIt iproved ito ibe ithe ibasis ifor iother icases iover ithe
ifollowing ifew idecades iand iestablished ithat itrained inurses icould ilegally iprovide ianesthesia icare
iunder isupervision iof ia iphysician.
11. The ifirst iknown iestablishment iof ithe inurse ipractitioner irole ioccurred iin i1965 iat
itheUniversity iof iColorado. iIn iwhich iarea iof itraining idid ithis irole ispecialize?
a. Pediatrics
b. Geriatrics
Want to earn $1.236
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extra pr year?
https://www.stuvia.com/user/angelinas
, Chapter 1: 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
ANS: B
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
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
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 broadlyperceived 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
https://www.stuvia.com/user/angelinas
, ANS: 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
ANS: 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
ANS: 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 HenryStreet 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 thereby circumventing then-existing legal
ramifications.
https://www.stuvia.com/user/angelinas
, 8. The iFrontier iNursing iService i(FNS) ifounded iin iKentucky iin i1925 iby iMary
iBreckenridge iinitially iprovided iAppalachia iwith inursing iresources iand iwhich itype iof
iadvanced inursing icare?
a. Pediatric icare
b. Anesthesia
c. Midwifery
d. Surgical iservices
ANS: i C
The ioriginal iFNS iprovided inursing iservices iand iobstetric iservices ito iAppalachian iresidents.
iLater iworking ifrom istandard iorders ideveloped ifrom itheir imedical iadvisory icommittee inurses
itreated ipatients, imade idiagnoses, iand idispensed imedications.
9. Which iorganization ifounded iin i1941 iunder iMary iBreckenridge’s ileadership imerged iwith
ithe iAmerican iCollege iof iNurse-Midwives i(ACNM) iin i1969?
a. American iAssociation iof iNurse-Midwives i(AANM)
b. American iNurses iAssociation i(ANA)
c. Association ifor iNational iNurse-Midwifery i(ANNM)
d. Council iof iNursing iMidwifery i(ANM)
ANS: i A
The iAmerican iCollege iof iNurse-Midwives i(ACNM) iformed iunder ithe ileadership iof iMary
iBreckenridge iin i1941 ito iprovide inurse-midwife idevelopment iand icollaboration ifor imidwife
development. i In i 1955, i the i American i College i of i Nurse-Midwives i was i formed i and i the
i two iorganizations imerged iin i1969 iafter ithe ideath iof iMary iBreckenridge.
10. In ia ilandmark iruling iby ithe iSupreme iCourt ias ia iresult iof iChalmers-Frances iv. iNelson,
i1936, iwhat ilegal iprecedent iwas iestablished?
a. Nurse ianesthesia iwas iallowed iunder ithe inurse ipractice i act
b. Nurse ianesthesia iscope iof ipractice iincluded ianesthesia
c. Nurse ianesthesia iwas ilegal, iif iunder iguidance iof ia isupervising iphysician
d. Only itrained inursing iprofessionals icould iadminister ianesthesia iindependently
ANS: i C
The ilandmark idecision ifrom ithe iChalmers-Frances iv. iNelson icase iset inational iprecedent ifor
ithe iadvanced inursing ipractice irole. iIt iproved ito ibe ithe ibasis ifor iother icases iover ithe
ifollowing ifew idecades iand iestablished ithat itrained inurses icould ilegally iprovide ianesthesia icare
iunder isupervision iof ia iphysician.
11. The ifirst iknown iestablishment iof ithe inurse ipractitioner irole ioccurred iin i1965 iat
itheUniversity iof iColorado. iIn iwhich iarea iof itraining idid ithis irole ispecialize?
a. Pediatrics
b. Geriatrics
Want to earn $1.236
https://www.stuvia.com/user/angelinas
extra pr year?
