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Test Bank For Advanced Practice Nursing 6th Edition by Hamric and Hanson s.pdf questions and answers

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Test Bank - Advanced Practice Nursing 6th Edition All Chapters

Chapter 1: Highlights from the History of Advanced Practice Nursing in the United

States Test Bank

Multiple Choice

1. In which year did the American Association of College of Nursing (AACN)
introduced theDoctorate of Nursing Practice (DNP)?

a. 2006
b. 2004
c. 2000
d. 2002

ANS: B
The AACN 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
NursingPractice (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 by the 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 broadly perceived to solidify and standardize the role of the APNs over the
last25 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
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 increaseddemand
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
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