g g
HamricgandgHanson'sgAdvancedgPracticegNursingg6thgEditiongby
gMarygFrangTracy,gEileengT.gO'Grady
,Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition Chapter
g g g g g g g g g g
1:gHighlightsgfromgthegHistorygofgAdvancedgPracticegNursinggingthegUnitedgStates
MultiplegChoice
1. IngwhichgyeargdidgthegAmericangAssociationgofgCollegegofgNursingg(AACN)gintroducedgtheg
DoctorategofgNursinggPracticeg(DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ANS:gB
ThegAACNgintroducedgthegDNPgdegreeging2004gtogpreparegadvancedgpracticegnursesg(APRNs)gtogm
eetgchallengesgandgstandardizegpracticegbeyondgmaster’sgdegreegprograms.
2. WhichgofgthegfollowinggisgthegbestgexplanationgforgthegcreationgofgthegDoctorategofgNursinggP
racticeg(DNP)gdegree?
a. Togcompetegagainstgmaster’sgdegreegprograms
b. Togensuregstandardizedgcurriculumgensuringgindependentgpractice
c. TogvalidategAPRN’sgforgfinancialgreimbursement
d. Togaddressgincreasinggcurriculumgrequirementsgofgmaster’sgdegreegprograms
ANS:gD
AlthoughgallganswersgareginfluencedgbygthegDNPgcoregcompetencies,gthegDNPgprogramgcreationging2
004gbygthegAACNgwasgdesignedgtogaddressgcurriculumgrequirementsgofgmaster’sgdegreegprograms.
3. Whichgofgthegfollowinggwasgthegfirstgrecognizedgareagofgadvancedgpracticegnursing?
a. ClinicalgNursegSpecialist
b. Familygnursegpractitioner
c. Pediatricgnursegpractitioner
d. CertifiedgRegisteredgNursegAnesthetist
ANS:gD
Ing1931,gthegNationalgAssociationgofgNursegAnesthetistsg(NANA),grenamedging1939gtogthegAmerica
ngAssociationgofgNursegAnesthetistsg(AANA)gwasgthegfirstgrecognizedggroupgpromotinggadvancedgn
ursinggpractice.gAgathagHodginsgfoundedgthegAANMgatgLakesidegHospitalgingCleveland,gOhio.
4. WhichgfactorgisgbroadlygperceivedgtogsolidifygandgstandardizegthegrolegofgthegAPNsgovergtheglastg2
5gyears?
, a. Lackgofgaccessgtoghealthgcaregproviders
b. Standardizedgcurriculumgdevelopment
c. Paymentgforgservices
d. Societalgforces
ANS:gB
AsgthegevolutiongofgAdvancedgPracticegNursinggadvancesgspecificgspecialtiesgandgneedsgaregidentifi
ed.gThroughgthegevolutiongofgorganizationgandgstandardizationgthesegrolesghavegsolidifiedgthegAPN’
sgrolegingtoday’sghealthgcaregenvironment.
5. DuringgthegformationgofgearlygAPNgrolesginganesthesia,gwhichgofgthegfollowinggincreasedgd
emandgforgaccessgtoghealthgcare?
a. Poverty
b. War
c. Ruralgaccessgtogcare
d. Availabilitygofgtraining
ANS:gB
Earliestgdemandgforgnursing-
providedganesthesiagspikedgduringgperiodsgofgwargwhengnumbersgofgphysiciansgwereginadequate.gTh
egearliestgrecordsgdategbackgtogthegAmericangCivilgWargwithgthegadministrationgofgchloroform.gDuri
nggWorldgWargIging1917gmoregthang1000gnurses,gsomegtrainedganesthetists,gtraveledgintogbattle.gOthe
rgfactorsgsuchgasgneedgforgruralghealthgcaregcameglatergingthegvalidationgandgneedgforgAPNs.
6. Ing1889,gDr.gWilliamgWorrallgMayogbuiltgandgopenedgSt.gMary’sghospitalgingRochester,gNY.gHegis
gknowngforgsomegofg thegearliestgrecruitmentgandgspecializedgtraininggofgnursesgingwhichgofgthegfo
llowinggroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchgandgstatistics
e. Familygnursing
ANS:gB
Ing1889,gDr.gWilliamgWorrallgMayogbegangformallygtraininggandgrecognizinggnurseganesthetists.gThi
sghasgbeengregardedgasgthegearliestgtraininggingnurse-providedganesthesia.
7. Ing1893,gLilliangWaldgestablishedgthegHenrygStreetgSettlementg(HSS)gHousegforgwhichgpurpose?
a. Accessgtoghealthgcaregofgruralgareas
b. Createginner-citygnursinggawareness
c. Providegthegdisadvantagedgaccessgtogcare
, d. Establishgguidelinesgforgadvancedgnursinggroles
ANS:gC
ThegHHSgwasgestablishedgtogprovidegnursinggservicesgtogimmigrantsgandglow-
incomegpatientsgandgtheirgfamiliesgingManhattan.gAsgresistancegtognurse-
providedgcareggrew,gstandinggordersgweregdraftedgfromgaggroupgofgLowergEastgSidegphysiciansgthere
bygcircumventinggthen-existingglegalgramifications.
8. ThegFrontiergNursinggServiceg(FNS)gfoundedgingKentuckyging1925gbygMarygBreckenridgegi
nitiallygprovidedgAppalachiagwithgnursinggresourcesgandgwhichgtypegofgadvancedgnursinggc
are?
a. Pediatricgcare
b. Anesthesia
c. Midwifery
d. Surgicalgservices
ANS:gC
ThegoriginalgFNSgprovidedgnursinggservicesgandgobstetricgservicesgtogAppalachiangresidents.gLaterg
workinggfromgstandardgordersgdevelopedgfromgtheirgmedicalgadvisorygcommitteegnursesgtreatedgpati
ents,gmadegdiagnoses,gandgdispensedgmedications.
9. Whichgorganizationgfoundedging1941gundergMarygBreckenridge’sgleadershipgmergedgwithgtheg
AmericangCollegegofgNurse-Midwivesg(ACNM)ging1969?
a. AmericangAssociationgofgNurse-Midwivesg(AANM)
b. AmericangNursesgAssociationg(ANA)
c. AssociationgforgNationalgNurse-Midwiferyg(ANNM)
d. CouncilgofgNursinggMidwiferyg(ANM)
ANS:gA
ThegAmericangCollegegofgNurse-
Midwivesg(ACNM)gformedgundergthegleadershipgofgMarygBreckenridgeging1941gtogprovidegnurse-
midwifegdevelopmentgandgcollaborationgforgmidwife
development.gIng1955,gthegAmericangCollegegofgNurse-
Midwivesgwasgformedgandgthegtwogorganizationsgmergedging1969gaftergthegdeathgofgMarygBreckenridge
.
10. IngaglandmarkgrulinggbygthegSupremegCourtgasgagresultgofgChalmers-
Francesgv.gNelson,g1936,gwhatglegalgprecedentgwasgestablished?
a. Nurseganesthesiagwasgallowedgundergthegnursegpracticegact
b. Nurseganesthesiagscopegofgpracticegincludedganesthesia
c. Nurseganesthesiagwasglegal,gifgundergguidancegofgagsupervisinggphysiciangd.g
Onlygtrainedgnursinggprofessionalsgcouldgadministerganesthesiagindependently