a. Pediatrics
b. Geriatrics
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, Test bank Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition
c. Midwifery
d. Anesthesia
ANS: A
The establishment of the first pediatric nurse practitioner program was in 1965 at the University
of Colorado. Loretta Ford, RN and Henry Silver, MD provided a 4-month course to certified
registered nurses to provide education on managing childhood health problems.
12. The DNP program curriculum outlined which of the following clinical requirements in an
effort to standardize training?
a. 1000 supervised clinical hours and 200 unsupervised clinical hours
b. 1000 supervised clinical hours
c. 900 supervised clinical hours
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d. 800 supervised clinical hours and 200 unsupervised clinical hours
ANS: B
In 2004, the AACN outlined the DNP curriculum in an effort to standardize and relieve challenges
of master’s degree programs. This includes a standardized curriculum requiring 1000 supervised
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clinical hours.
13. Which state became the first to recognize diagnosis and treatment as part of the
scope of practice of specialty nurses?
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a. Idaho
b. Oklahoma
c. South Dakota
d. Maryland
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ANS: A
Idaho Governor Cecil Andrus signed HB 46 and HB 207 into law on February 11,
1971. This amended the states’ nurse practice act making it the first state to officially
recognize diagnosis and treatment of specialty nurses. The recognition of the ability
to diagnose and treat overcame an initial hurdle toward independent nursing practice.
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14. The American Nursing Association (ANA) defines which requirement for the
designation of a clinical nurse specialist in any specialty?
a. Specialty training certificate
b. Successful completion of certification examination
c. Masters or doctoral degree
d. 1000 hours relevant supervised training
e. Two or more years of clinically relevant experience
ANS: C
In 1980, the ANA specifically outlined criteria for the acknowledgment of clinical
, Test bank Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition
nurse specialist training programs. At that time they required graduate level training
to become an expert in a relevant specialty area of nursing. Additionally, they must
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meet any requirements set forth by the specific professional society.
Chapter2 The Nurse Practitioner: Historical Perspective on the Art and Science of Nurse
Practitionering
1. Which of the following is the primary mission of the National Organization of Nurse
Practitioner Faculties (NONPF)?
a. Provide leadership in promoting quality NP education
b. NP Faculty training program assistance
c. Provide financial assistance to NP students
d. Lobbying legislature on behalf of NPs
ANS: A
The NONPF’s primary mission is to provide leadership in promoting quality NP education. The
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organization has published domains and core competencies for primary care and these serve as a
framework for NP education and practice.
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2. A model of competencies that are encompassed around three spheres of influence known as
patient, nurses and nursing practice, and organization and influence is known as?
a. NACNS Model of clinical nurse specialist competencies
b. Fenton’s and Brykczynski’s Expert Practice
Calkin’s model of Advanced Nursing Practice
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c.
d. Shuler’s Model of NP Practice
ANS: A
The NACNS’s initial 2008 statement was revised in 2004. The statement outlined competencies
that aligned to each of the three spheres of influence: patient, nurses and nursing practice, and
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organization and influence.
3. Building upon Benner’s seven domains of expert nursing practice, which conceptual model
adds an additional domain “The consulting role of the nurse”?
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a. Calkin’s model of Advanced Nursing Practice
b. Fenton’s and Brykczynski’s Expert Practice
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice
d. Shuler’s Model of NP Practice
e. NACNS Clinical Nurse Specialists Model
ANS: B
Fenton’s and Brykczynski’s Expert Practice Domains of the CNS and NP expanded on Benner’s
seven domains adding consultation provided by CNS’s to other nurses and management of health
and illness in ambulatory care settings.