Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
b b b b b b b b b
ition Denisco Test Bank
b b b
Chapter1bIntroductionbtobthebRolebofbAdvancedbPracticesbNursing
MultiplebChoice
1. InbwhichbyearbdidbthebAmericanbAssociationbofbCollegebofbNursingb(AACN)bintroducedbtheb
DoctoratebofbNursingbPracticeb(DNP)?
a.bbb 2006
b.bbb2004
c.bbb 2000
d.b 2002
T
AhNeSA
:bABCNbintroducedbthebDNPbdegreebinb2004btobpreparebadvancedbpracticebnursesb(APRNs)btob
meetbchallengesbandbstandardizebpracticebbeyondbmaster’sbdegreebprograms.
2. WhichbofbthebfollowingbisbthebbestbexplanationbforbthebcreationbofbthebDoctoratebofbNursingbP
racticeb(DNP)bdegree?
a. Tobcompetebagainstbmaster’sbdegreeb programs
b. Tobensurebstandardizedbcurriculumbensuringbindependentbpractice
c. TobvalidatebAPRN’sbforbfinancialbreimbursement
d. Tobaddressbincreasingbcurriculumbrequirementsbofbmaster’sbdegreebprograms
ANS:b D
AlthoughballbanswersbarebinfluencedbbybthebDNPbcorebcompetencies,bthebDNPbprogrambcreationbinb2004b
bybthebAACNbwasbdesignedbtobaddressbcurriculumbrequirementsbofbmaster’sbdegreebprograms.
3. Whichbofbthebfollowingbwasbthebfirstbrecognizedbareabofbadvancedbpracticeb nursing?
a. ClinicalbNursebSpecialist
b. Familybnursebpractitioner
c. Pediatricbnursebpractitioner
d. CertifiedbRegisteredbNursebAnesthetis
, Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
b b b b b b b b b
ition Denisco Test Bank
b b b
NS:b D
Inb1931,bthebNationalbAssociationbofbNursebAnesthetistsb(NANA),brenamedbinb1939btobthebAmerica
nbAssociationbofbNursebAnesthetistsb(AANA)bwasbthebfirstbrecognizedbgroupbpromotingbadvancedb
nursingbpractice.bAgathabHodginsbfoundedbthebAANMbatbLakesidebHospitalbinbCleveland,bOhio.
4. WhichbfactorbisbbroadlybperceivedbtobsolidifybandbstandardizebthebrolebofbthebAPNsboverbtheblastb2
5byears?
a. Lackbofbaccessbtobhealthbcarebproviders
b. Standardizedbcurriculumbdevelopment
c. Paymentbforbservices
d. Societalbforces
ANS:b B
AsbthebevolutionbofbAdvancedbPracticebNursingbadvancesbspecificbspecialtiesbandbneedsbarebidentifi
ed.bThroughbthebevolutionbofborganizationbandbstandardizationbthesebrolesbhavebsolidifiedbthebAPN’
sbrolebinbtoday’sbhealthbcarebenvironment.
5. DuringbthebformationbofbearlybAPNbrolesbinbanesthesia,bwhichbofbthebfollowingbincreasedbd
emandbforbaccessbtobhealthb care?
a. Poverty
b. War
c. Ruralbaccessbtobcare
d. Availabilitybofbtraining
ANS:b B
Earliestbdemandbforbnursing-
providedbanesthesiabspikedbduringbperiodsbofbwarbwhenbnumbersbofbphysiciansbwerebinadequate.bT
hebearliestbrecordsbdatebbackbtobthebAmericanbCivilbWarbwithbthebadministrationbofbchloroform.bDur
ingbWorldbWarbIbinb1917bmorebthanb1000bnurses,bsomebtrainedbanesthetists,btraveledbintobbattle.bOt
herbfactorsbsuchbasbneedbforbruralbhealthbcarebcameblaterbinbthebvalidationbandbneedbforbAPNs.
6. Inb1889,bDr.bWilliambWorrallbMayobbuiltbandbopenedbSt.bMary’sbhospitalbinbRochester,bNY.bHebis
bknownbforbsomebofbthebearliestbrecruitment bandbspecializedbtrainingbofbnursesbinbwhichbofbthebfoll
owingbroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchbandbstatistics
e. Familybnursing
,Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
b b b b b b b b b
ition Denisco Test Bank
b b b
ANS:b B
Inb1889,bDr.bWilliambWorrallbMayobbeganbformallybtrainingbandbrecognizingbnursebanesthetists.bT
hisbhasbbeenbregardedbasbthebearliestbtrainingbinbnurse-providedbanesthesia.
7. Inb1893,bLillianbWaldbestablishedbthebHenrybStreetbSettlementb(HSS)bHousebforbwhichbpurpose?
a. Accessbtobhealthbcarebofbruralbareas
b. Createbinner-citybnursingbawareness
c. Providebthebdisadvantagedbaccessbtob care
d. Establishbguidelinesbforbadvancedbnursingb roles
ANS:b C
ThebHHSbwasbestablishedbtobprovidebnursingbservicesbtobimmigrantsbandblow-
incomebpatientsbandbtheirbfamiliesbinbManhattan.bAsbresistancebtobnurse-
providedbcarebgrew,bstandingbordersbwerebdraftedbfrombabgroupbofbLowerbEastbSidebphysiciansbther
ebybcircumventingbthen-existingblegalbramifications.
8. ThebFrontierbNursingbServiceb(FNS)bfoundedbinbKentuckybinb1925bbybMarybBreckenridgebiniti
allybprovidedbAppalachiabwithbnursingbresourcesbandbwhichbtypebofbadvancedbnursingbcare?
a. Pediatricbcare
b. Anesthesia
c. Midwifery
d. Surgicalbservices
ANS:b C
TheboriginalbFNSbprovidedbnursingbservicesbandbobstetricbservicesbtobAppalachianbresidents.bLaterb
workingbfrombstandardbordersbdevelopedbfrombtheirbmedicalbadvisorybcommitteebnursesbtreatedbpat
ients,bmadebdiagnoses,bandbdispensedb medications.
9. Whichborganizationbfoundedbinb1941bunderbMarybBreckenridge’sbleadershipbmergedbwithbthe
AmericanbCollegebofbNurse-Midwivesb(ACNM)binb1969?
a. AmericanbAssociationbofbNurse-Midwivesb(AANM)
b. AmericanbNursesbAssociationb(ANA)
c. AssociationbforbNationalbNurse-Midwiferyb(ANNM)
d. CouncilbofbNursingbMidwiferyb(ANM)
ANS:b A
ThebAmericanbCollegebofbNurse-
Midwivesb(ACNM)bformedbunderbthebleadershipbofbMarybBreckenridgebinb1941btobprovidebnurse-
midwifebdevelopmentbandbcollaborationbforbmidwife
, Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
b b b b b b b b b
ition Denisco Test Bank
b b b
development.bInb1955,bthebAmericanbCollegebofbNurse-
Midwivesbwasbformedbandbthebtwoborganizationsbmergedbinb1969bafterbthebdeathbofbMarybBreckenri
dge.
10. InbablandmarkbrulingbbybthebSupremebCourtbasbabresultbofbChalmers-
Francesbv.bNelson,b1936,bwhatblegalbprecedentbwasb established?
a. Nursebanesthesiabwasballowedbunderbthebnursebpracticebact
b. Nursebanesthesiabscopebofbpracticebincludedbanesthesia
c. Nursebanesthesiabwasblegal,bifbunderbguidancebofbabsupervisingb physician
d. Onlybtrainedbnursingbprofessionalsbcouldbadministerbanesthesiabindependently
ANS:b C
TheblandmarkbdecisionbfrombthebChalmers-
Francesbv.bNelsonbcasebsetbnationalbprecedentbforbthebadvancedbnursingbpracticebrole.bItbprovedbtobb
ebthebbasisbforbotherbcasesboverbthebfollowingbfewbdecadesbandbestablishedbthatbtrainedbnursesbcouldbl
egallybprovidebanesthesiabcarebunderbsupervisionbofbabphysician.
11. Thebfirstbknownbestablishmentbofbthebnursebpractitionerbroleboccurredbinb1965batbtheUniversitybo
fbColorado.bInbwhichbareabofbtrainingbdidbthisbrolebspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:b A
Thebestablishmentbofbthebfirstbpediatricbnursebpractitionerbprogrambwasbinb1965batbthebUniversitybofb
Colorado.bLorettabFord,bRNbandbHenrybSilver,bMDbprovidedbab4-
monthbcoursebtobcertifiedbregisteredbnursesbtobprovidebeducationbonbmanagingbchildhoodbhealthbpro
blems.
12. ThebDNPbprogrambcurriculumboutlinedbwhichbofbthebfollowingbclinicalbrequirementsbinbanbe
ffortbtobstandardizebtraining?
a. 1000bsupervisedbclinicalbhoursbandb200bunsupervisedbclinicalbhours
b. 1000bsupervisedbclinicalbhours
c. 900bsupervisedbclinicalbhours
d. 800bsupervisedbclinicalbhoursbandb200bunsupervisedbclinicalbhours
ANS:b B
Inb2004,bthebAACNboutlinedbthebDNPbcurriculumbinbanbeffortbtobstandardizebandbrelievebchallengesbo
fbmaster’sbdegreebprograms.bThisbincludesbabstandardizedbcurriculumbrequiringb1000bsupervisedbcli
b b b b b b b b b
ition Denisco Test Bank
b b b
Chapter1bIntroductionbtobthebRolebofbAdvancedbPracticesbNursing
MultiplebChoice
1. InbwhichbyearbdidbthebAmericanbAssociationbofbCollegebofbNursingb(AACN)bintroducedbtheb
DoctoratebofbNursingbPracticeb(DNP)?
a.bbb 2006
b.bbb2004
c.bbb 2000
d.b 2002
T
AhNeSA
:bABCNbintroducedbthebDNPbdegreebinb2004btobpreparebadvancedbpracticebnursesb(APRNs)btob
meetbchallengesbandbstandardizebpracticebbeyondbmaster’sbdegreebprograms.
2. WhichbofbthebfollowingbisbthebbestbexplanationbforbthebcreationbofbthebDoctoratebofbNursingbP
racticeb(DNP)bdegree?
a. Tobcompetebagainstbmaster’sbdegreeb programs
b. Tobensurebstandardizedbcurriculumbensuringbindependentbpractice
c. TobvalidatebAPRN’sbforbfinancialbreimbursement
d. Tobaddressbincreasingbcurriculumbrequirementsbofbmaster’sbdegreebprograms
ANS:b D
AlthoughballbanswersbarebinfluencedbbybthebDNPbcorebcompetencies,bthebDNPbprogrambcreationbinb2004b
bybthebAACNbwasbdesignedbtobaddressbcurriculumbrequirementsbofbmaster’sbdegreebprograms.
3. Whichbofbthebfollowingbwasbthebfirstbrecognizedbareabofbadvancedbpracticeb nursing?
a. ClinicalbNursebSpecialist
b. Familybnursebpractitioner
c. Pediatricbnursebpractitioner
d. CertifiedbRegisteredbNursebAnesthetis
, Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
b b b b b b b b b
ition Denisco Test Bank
b b b
NS:b D
Inb1931,bthebNationalbAssociationbofbNursebAnesthetistsb(NANA),brenamedbinb1939btobthebAmerica
nbAssociationbofbNursebAnesthetistsb(AANA)bwasbthebfirstbrecognizedbgroupbpromotingbadvancedb
nursingbpractice.bAgathabHodginsbfoundedbthebAANMbatbLakesidebHospitalbinbCleveland,bOhio.
4. WhichbfactorbisbbroadlybperceivedbtobsolidifybandbstandardizebthebrolebofbthebAPNsboverbtheblastb2
5byears?
a. Lackbofbaccessbtobhealthbcarebproviders
b. Standardizedbcurriculumbdevelopment
c. Paymentbforbservices
d. Societalbforces
ANS:b B
AsbthebevolutionbofbAdvancedbPracticebNursingbadvancesbspecificbspecialtiesbandbneedsbarebidentifi
ed.bThroughbthebevolutionbofborganizationbandbstandardizationbthesebrolesbhavebsolidifiedbthebAPN’
sbrolebinbtoday’sbhealthbcarebenvironment.
5. DuringbthebformationbofbearlybAPNbrolesbinbanesthesia,bwhichbofbthebfollowingbincreasedbd
emandbforbaccessbtobhealthb care?
a. Poverty
b. War
c. Ruralbaccessbtobcare
d. Availabilitybofbtraining
ANS:b B
Earliestbdemandbforbnursing-
providedbanesthesiabspikedbduringbperiodsbofbwarbwhenbnumbersbofbphysiciansbwerebinadequate.bT
hebearliestbrecordsbdatebbackbtobthebAmericanbCivilbWarbwithbthebadministrationbofbchloroform.bDur
ingbWorldbWarbIbinb1917bmorebthanb1000bnurses,bsomebtrainedbanesthetists,btraveledbintobbattle.bOt
herbfactorsbsuchbasbneedbforbruralbhealthbcarebcameblaterbinbthebvalidationbandbneedbforbAPNs.
6. Inb1889,bDr.bWilliambWorrallbMayobbuiltbandbopenedbSt.bMary’sbhospitalbinbRochester,bNY.bHebis
bknownbforbsomebofbthebearliestbrecruitment bandbspecializedbtrainingbofbnursesbinbwhichbofbthebfoll
owingbroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchbandbstatistics
e. Familybnursing
,Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
b b b b b b b b b
ition Denisco Test Bank
b b b
ANS:b B
Inb1889,bDr.bWilliambWorrallbMayobbeganbformallybtrainingbandbrecognizingbnursebanesthetists.bT
hisbhasbbeenbregardedbasbthebearliestbtrainingbinbnurse-providedbanesthesia.
7. Inb1893,bLillianbWaldbestablishedbthebHenrybStreetbSettlementb(HSS)bHousebforbwhichbpurpose?
a. Accessbtobhealthbcarebofbruralbareas
b. Createbinner-citybnursingbawareness
c. Providebthebdisadvantagedbaccessbtob care
d. Establishbguidelinesbforbadvancedbnursingb roles
ANS:b C
ThebHHSbwasbestablishedbtobprovidebnursingbservicesbtobimmigrantsbandblow-
incomebpatientsbandbtheirbfamiliesbinbManhattan.bAsbresistancebtobnurse-
providedbcarebgrew,bstandingbordersbwerebdraftedbfrombabgroupbofbLowerbEastbSidebphysiciansbther
ebybcircumventingbthen-existingblegalbramifications.
8. ThebFrontierbNursingbServiceb(FNS)bfoundedbinbKentuckybinb1925bbybMarybBreckenridgebiniti
allybprovidedbAppalachiabwithbnursingbresourcesbandbwhichbtypebofbadvancedbnursingbcare?
a. Pediatricbcare
b. Anesthesia
c. Midwifery
d. Surgicalbservices
ANS:b C
TheboriginalbFNSbprovidedbnursingbservicesbandbobstetricbservicesbtobAppalachianbresidents.bLaterb
workingbfrombstandardbordersbdevelopedbfrombtheirbmedicalbadvisorybcommitteebnursesbtreatedbpat
ients,bmadebdiagnoses,bandbdispensedb medications.
9. Whichborganizationbfoundedbinb1941bunderbMarybBreckenridge’sbleadershipbmergedbwithbthe
AmericanbCollegebofbNurse-Midwivesb(ACNM)binb1969?
a. AmericanbAssociationbofbNurse-Midwivesb(AANM)
b. AmericanbNursesbAssociationb(ANA)
c. AssociationbforbNationalbNurse-Midwiferyb(ANNM)
d. CouncilbofbNursingbMidwiferyb(ANM)
ANS:b A
ThebAmericanbCollegebofbNurse-
Midwivesb(ACNM)bformedbunderbthebleadershipbofbMarybBreckenridgebinb1941btobprovidebnurse-
midwifebdevelopmentbandbcollaborationbforbmidwife
, Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
b b b b b b b b b
ition Denisco Test Bank
b b b
development.bInb1955,bthebAmericanbCollegebofbNurse-
Midwivesbwasbformedbandbthebtwoborganizationsbmergedbinb1969bafterbthebdeathbofbMarybBreckenri
dge.
10. InbablandmarkbrulingbbybthebSupremebCourtbasbabresultbofbChalmers-
Francesbv.bNelson,b1936,bwhatblegalbprecedentbwasb established?
a. Nursebanesthesiabwasballowedbunderbthebnursebpracticebact
b. Nursebanesthesiabscopebofbpracticebincludedbanesthesia
c. Nursebanesthesiabwasblegal,bifbunderbguidancebofbabsupervisingb physician
d. Onlybtrainedbnursingbprofessionalsbcouldbadministerbanesthesiabindependently
ANS:b C
TheblandmarkbdecisionbfrombthebChalmers-
Francesbv.bNelsonbcasebsetbnationalbprecedentbforbthebadvancedbnursingbpracticebrole.bItbprovedbtobb
ebthebbasisbforbotherbcasesboverbthebfollowingbfewbdecadesbandbestablishedbthatbtrainedbnursesbcouldbl
egallybprovidebanesthesiabcarebunderbsupervisionbofbabphysician.
11. Thebfirstbknownbestablishmentbofbthebnursebpractitionerbroleboccurredbinb1965batbtheUniversitybo
fbColorado.bInbwhichbareabofbtrainingbdidbthisbrolebspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:b A
Thebestablishmentbofbthebfirstbpediatricbnursebpractitionerbprogrambwasbinb1965batbthebUniversitybofb
Colorado.bLorettabFord,bRNbandbHenrybSilver,bMDbprovidedbab4-
monthbcoursebtobcertifiedbregisteredbnursesbtobprovidebeducationbonbmanagingbchildhoodbhealthbpro
blems.
12. ThebDNPbprogrambcurriculumboutlinedbwhichbofbthebfollowingbclinicalbrequirementsbinbanbe
ffortbtobstandardizebtraining?
a. 1000bsupervisedbclinicalbhoursbandb200bunsupervisedbclinicalbhours
b. 1000bsupervisedbclinicalbhours
c. 900bsupervisedbclinicalbhours
d. 800bsupervisedbclinicalbhoursbandb200bunsupervisedbclinicalbhours
ANS:b B
Inb2004,bthebAACNboutlinedbthebDNPbcurriculumbinbanbeffortbtobstandardizebandbrelievebchallengesbo
fbmaster’sbdegreebprograms.bThisbincludesbabstandardizedbcurriculumbrequiringb1000bsupervisedbcli
