Exam (elaborations) TEST BANK ADVANCED PRACTICE NURSING ESSENTIAL KNOWLEDGE FOR THE PROFESSION 3RD EDITION DENISCO

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Chapter1 Introduction to the Role of Advanced Practices Nursing
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Multiple Choice ss




1. In which year did the American Association of College of Nursing (AACN) introduced t
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heDoctorate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002

A
ThNeSA:m ABCN introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs )
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to meet challenges and standardize practice beyond master’s degree programs.
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2. Which of the following is the best explanation for the creation of the Doctorate of
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Nurs ingPractice (DNP) degree?
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a. To compete against master’s degree programs
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b. To ensure standardized curriculum ensuring independent practice
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c. To validate APRN’s for financial reimbursement
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d. To address increasing curriculum requirements of master’s degree programs
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ANS: D s s



Although all answers are influenced by the DNP core competencies, the DNP program creation in2
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004 by the AACN was designed to address curriculum requirements of master’s degree programs.
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3. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical Nurse Specialist ss ss



b. Family nurse practitioner ss ss



c. Pediatric nurse practitioner ss ss



d. Certified Registered Nurse Anesthetis s s s s ss

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NS: D s s



In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the Am
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erican Association of Nurse Anesthetists (AANA) was the first recognized group promoting ad
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vanced nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital in Clevela
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nd, Ohio.
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4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the l
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ast25 years? ss s ss




a. Lack of access to health care providers
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b. Standardized curriculum development s s ss



c. Payment for services s s ss



d. Societal forces ss




ANS: B s s



As the evolution of Advanced Practice Nursing advances specific specialties and needs are ide
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ntified. Through the evolution of organization and standardization these roles have solidified t
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he APN’s role in today’s health care environment.
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5. During the formation of early APN roles in anesthesia, which of the following increas
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ed demand for access to health care?
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a. Poverty
b. War
c. Rural access to care ss ss ss



d. Availability of training ss ss




ANS: B s s



Earliest demand for nursing- ss s s ss



provided anesthesia spiked during periods of war when numbers of physicians were inadequate
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. The earliest records date back to the American Civil War with the administration of chlorofo
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rm. During World War I in 1917 more than 1000 nurses, some trained anesthetists, traveled
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in to battle. Other factors such as need for rural health care came later in the validation and
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need for APNs.
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6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY.
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Heis known for some of the earliest recruitment and specialized training of nurses in which
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of thefollowing roles? ss ss ss




a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics ss ss

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e. Family nursing
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