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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.
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, 8. The |Frontier |Nursing |Service |(FNS) |founded |in |Kentucky |in |1925 |by |Mary |Breckenridge
|initially |provided |Appalachia |with |nursing |resources |and |which |type |of |advanced |nursing
|care?
a. Pediatric |care
b. Anesthesia
c. Midwifery
d. Surgical |services
ANS: | C
The |original |FNS |provided |nursing |services |and |obstetric |services |to |Appalachian |residents. |Later
|working |from |standard |orders |developed |from |their |medical |advisory |committee |nurses |treated
|patients, |made |diagnoses, |and |dispensed |medications.
9. Which |organization |founded |in |1941 |under |Mary |Breckenridge’s |leadership |merged |with |the
|American |College |of |Nurse-Midwives |(ACNM) |in |1969?
a. American |Association |of |Nurse-Midwives |(AANM)
b. American |Nurses |Association |(ANA)
c. Association |for |National |Nurse-Midwifery|(ANNM)
d. Council |of |Nursing |Midwifery|(ANM)
ANS: | A
The |American |College |of |Nurse-Midwives |(ACNM) |formed |under |the |leadership |of |Mary
|Breckenridge |in |1941 |to |provide |nurse-midwife |development |and |collaboration |for |midwife
development. | In | 1955, | the | American | College | of | Nurse-Midwives | was | formed | and | the
| two |organizations |merged |in |1969 |after |the |death |of |Mary |Breckenridge.
10. In |a |landmark |ruling |by|the |Supreme |Court |as |a |result |of |Chalmers-Frances |v. |Nelson, |1936,
|what |legal |precedent |was |established?
a. Nurse |anesthesia |was |allowed |under |the |nurse |practice |act
b. Nurse |anesthesia |scope |of |practice |included |anesthesia
c. Nurse |anesthesia |was |legal, |if |under |guidance |of |a |supervising |physician
d. Only|trained |nursing |professionals |could |administer |anesthesia |independently
ANS: | C
The |landmark |decision |from |the |Chalmers-Frances |v. |Nelson |case |set |national |precedent |for |the
|advanced |nursing |practice |role. | It |proved |to |be |the |basis |for |other |cases |over |the |following |few
|decades |and |established |that |trained |nurses |could |legally |provide |anesthesia |care |under |supervision |of
|a |physician.
11. The |first |known |establishment |of |the |nurse |practitioner |role |occurred |in |1965 |at |theUniversity |of
|Colorado. |In |which |area |of |training |did |this |role |specialize?
a. Pediatrics
b. Geriatrics
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