,Chapter 1: Introduction to the Role of Advanced Practices Nursing
DeNisco: Advanced Practice Nursing: Essential Knowledge for the Profession 5th Edition
Multiple Choice
1. In which year did the American Association of College of Nursing (AACN)
introduced theDoctorate 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
NursingPractice (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
,AnesthetistANS: 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 broadly perceived to solidify and standardize the role of the APNs over
the last25 years?
a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
d. Societal forces
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
increaseddemand 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 thefollowing 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 Henry Street 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.
8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary
Breckenridge initiallyprovided Appalachia with nursing resources and which type of
DeNisco: Advanced Practice Nursing: Essential Knowledge for the Profession 5th Edition
Multiple Choice
1. In which year did the American Association of College of Nursing (AACN)
introduced theDoctorate 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
NursingPractice (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
,AnesthetistANS: 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 broadly perceived to solidify and standardize the role of the APNs over
the last25 years?
a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
d. Societal forces
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
increaseddemand 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 thefollowing 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 Henry Street 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.
8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary
Breckenridge initiallyprovided Appalachia with nursing resources and which type of
