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,Chapter 1: Introduction to the Role of Advanced Practices Nursing
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DeNisco: Advanced Practice Nursing: Essential Knowledge for the Profession 5th Edition
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Multiple Choice vj




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


ANS: B vj




Introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet challenges
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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 N
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ursingPractice (DNP) degree? vj vj




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 v j




Although all answers are influenced by the DNP core competencies, the DNP program creatio
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n in 2004 bythe AACN was designed to address curriculum requirements of master’s degree p
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rograms.


3. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical Nurse Specialist vj vj




b. Family nurse practitioner vj vj




c. Pediatric nurse practitioner vj vj




d. Certified Registered Nurse vj vj

,AnesthetistANS: D v j




In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to th
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e American Association of Nurse Anesthetists (AANA) was the first recognized g
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roup promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakesi
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de Hospital in Cleveland, Ohio.
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4. Which factor is broadlyperceived to solidify and standardize the role ofthe APNs over the
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last25 years? vj




a. Lack of access to health care providers vj vj vj vj vj vj




b. Standardized curriculum development vj vj




c. Payment for services vj vj




d. Societal forces vj




ANS: B v j




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 in
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creaseddemand for access to health care? vj vj vj vj vj




a. Poverty
b. War
c. Rural access to care vj vj vj




d. Availability of training vj vj




ANS: B v j




Earliest demand for nursing- vj vj vj




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 int
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o battle. Other factors such as need for rural health care came later in the validation and need fo
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r 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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He is known for some of the earliest recruitment and specialized training of nurses in which
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of thefollowing roles?
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a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics vj vj




e. Family nursing vj




ANS: B v j




In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.Thi
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s has been regarded as the earliest training in nurse-provided anesthesia.
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7. In 1893, Lillian Wald established the HenryStreet Settlement (HSS) House for which purpose?
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a. Access to health care of rural areas vj vj vj vj vj vj




b. Create inner-city nursing awareness vj vj vj




c. Provide the disadvantaged access to care vj vj vj vj vj




d. Establish guidelines for advanced nursing roles vj vj vj vj vj




ANS: C v j




The HHS was established to provide nursing services to immigrants and low-
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income patients and their families in Manhattan. As resistance to nurse-
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provided care grew, standing orders were drafted from a group of Lower East Side physicians t
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hereby circumventing then- existing legal ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenr
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idge initiallyprovided Appalachia with nursing resources and which type of
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