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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.
https://www.stuvia.com/user/angelinas
, 8. ThexFrontierxNursingxServicex(FNS)xfoundedxinxKentuckyxinx1925xbyxMaryxBreckenrid
gexinitiallyxprovidedxAppalachiaxwithxnursingxresourcesxandxwhichxtypexofxadvancedxnu
rsingxcare?
a. Pediatricxcare
b. Anesthesia
c. Midwifery
d. Surgicalxservices
ANS:x C
ThexoriginalxFNSxprovidedxnursingxservicesxandxobstetricxservicesxtoxAppalachianxresidents.xLa
terxworkingxfromxstandardxordersxdevelopedxfromxtheirxmedicalxadvisoryxcommitteexnursesxtrea
tedxpatients,xmadexdiagnoses,xandxdispensedxmedications.
9. Whichxorganizationxfoundedxinx1941xunderxMaryxBreckenridge’sxleadershipxmergedxwithxt
hexAmericanxCollegexofxNurse-Midwivesx(ACNM)xinx1969?
a. AmericanxAssociationxofxNurse-Midwivesx(AANM)
b. AmericanxNursesxAssociationx(ANA)
c. AssociationxforxNationalxNurse-Midwiferyx(ANNM)
d. CouncilxofxNursingxMidwiferyx(ANM)
ANS:x A
ThexAmericanxCollegexofxNurse-
Midwivesx(ACNM)xformedxunderxthexleadershipxofxMaryxBreckenridgexinx1941xtoxprovidexnurs
e-midwifexdevelopmentxandxcollaborationxforxmidwife
development.x Inx 1955,x thex Americanx Collegex ofx Nurse-
Midwivesx wasx formedx andx thex twoxorganizationsxmergedxinx1969xafterxthexdeathxofxMaryxBr
eckenridge.
10. InxaxlandmarkxrulingxbyxthexSupremexCourtxasxaxresultxofxChalmers-
Francesxv.xNelson,x1936,xwhatxlegalxprecedentxwasxestablished?
a. Nursexanesthesiaxwasxallowedxunderxthexnursexpracticex act
b. Nursexanesthesiaxscopexofxpracticexincludedxanesthesia
c. Nursexanesthesiaxwasxlegal,xifxunderxguidancexofxaxsupervisingxphysician
d. Onlyxtrainedxnursingxprofessionalsxcouldxadministerxanesthesiaxindependently
ANS:x C
ThexlandmarkxdecisionxfromxthexChalmers-
Francesxv.xNelsonxcasexsetxnationalxprecedentxforxthexadvancedxnursingxpracticexrole.xItxprovedx
toxbexthexbasisxforxotherxcasesxoverxthexfollowingxfewxdecadesxandxestablishedxthatxtrainedxnurs
esxcouldxlegallyxprovidexanesthesiaxcarexunderxsupervisionxofxaxphysician.
11. Thexfirstxknownxestablishmentxofxthexnursexpractitionerxrolexoccurredxinx1965xatxtheUnivers
ityxofxColorado.xInxwhichxareaxofxtrainingxdidxthisxrolexspecialize?
a. Pediatrics
b. Geriatrics
Want to earn $1.236
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extra pr year?
https://www.stuvia.com/user/angelinas
, 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
https://www.stuvia.com/user/angelinas
, 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.
https://www.stuvia.com/user/angelinas
, 8. ThexFrontierxNursingxServicex(FNS)xfoundedxinxKentuckyxinx1925xbyxMaryxBreckenrid
gexinitiallyxprovidedxAppalachiaxwithxnursingxresourcesxandxwhichxtypexofxadvancedxnu
rsingxcare?
a. Pediatricxcare
b. Anesthesia
c. Midwifery
d. Surgicalxservices
ANS:x C
ThexoriginalxFNSxprovidedxnursingxservicesxandxobstetricxservicesxtoxAppalachianxresidents.xLa
terxworkingxfromxstandardxordersxdevelopedxfromxtheirxmedicalxadvisoryxcommitteexnursesxtrea
tedxpatients,xmadexdiagnoses,xandxdispensedxmedications.
9. Whichxorganizationxfoundedxinx1941xunderxMaryxBreckenridge’sxleadershipxmergedxwithxt
hexAmericanxCollegexofxNurse-Midwivesx(ACNM)xinx1969?
a. AmericanxAssociationxofxNurse-Midwivesx(AANM)
b. AmericanxNursesxAssociationx(ANA)
c. AssociationxforxNationalxNurse-Midwiferyx(ANNM)
d. CouncilxofxNursingxMidwiferyx(ANM)
ANS:x A
ThexAmericanxCollegexofxNurse-
Midwivesx(ACNM)xformedxunderxthexleadershipxofxMaryxBreckenridgexinx1941xtoxprovidexnurs
e-midwifexdevelopmentxandxcollaborationxforxmidwife
development.x Inx 1955,x thex Americanx Collegex ofx Nurse-
Midwivesx wasx formedx andx thex twoxorganizationsxmergedxinx1969xafterxthexdeathxofxMaryxBr
eckenridge.
10. InxaxlandmarkxrulingxbyxthexSupremexCourtxasxaxresultxofxChalmers-
Francesxv.xNelson,x1936,xwhatxlegalxprecedentxwasxestablished?
a. Nursexanesthesiaxwasxallowedxunderxthexnursexpracticex act
b. Nursexanesthesiaxscopexofxpracticexincludedxanesthesia
c. Nursexanesthesiaxwasxlegal,xifxunderxguidancexofxaxsupervisingxphysician
d. Onlyxtrainedxnursingxprofessionalsxcouldxadministerxanesthesiaxindependently
ANS:x C
ThexlandmarkxdecisionxfromxthexChalmers-
Francesxv.xNelsonxcasexsetxnationalxprecedentxforxthexadvancedxnursingxpracticexrole.xItxprovedx
toxbexthexbasisxforxotherxcasesxoverxthexfollowingxfewxdecadesxandxestablishedxthatxtrainedxnurs
esxcouldxlegallyxprovidexanesthesiaxcarexunderxsupervisionxofxaxphysician.
11. Thexfirstxknownxestablishmentxofxthexnursexpractitionerxrolexoccurredxinx1965xatxtheUnivers
ityxofxColorado.xInxwhichxareaxofxtrainingxdidxthisxrolexspecialize?
a. Pediatrics
b. Geriatrics
Want to earn $1.236
https://www.stuvia.com/user/angelinas
extra pr year?
