Test Bank For Ham's Primary Care Geriatrics A Case-Based Approach 6th Edition By Richard Ham ( ) 9780323089364 Chapter 1-54 Complete Questions and Answers A+.pdf

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TEST BANK FOR Hamric and Hanson's Advanced Pra
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ctice Nursing 6th Edition by Mary Fran Tracy, Eileen T.
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m O'Grady

Chapter 1: Highlights from the History of Advanced Practice Nursin
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g in the United States Test Bank
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Multiple Choice m




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


ANS: B m



The AACN introduced the DNP degree in 2004 to prepare advanced practice nurses (
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APRNs) to meet challenges and standardize practice beyond master’s degree program
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s.




2. Which of the following is the best explanation for the creation of th
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e Doctorate of Nursing Practice (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 m



Although all answers are influenced by the DNP core competencies, the DNP progr
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am creation in 2004 by the AACN was designed to address curriculum requiremen
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ts of master’s degree programs.
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3. Which of the following was the first recognized area of advanced practic
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e nursing?
m




a. Clinical Nurse Specialist m m



b. Family nurse practitioner m m



c. Pediatric nurse practitioner m m



d. Certified Registered Nurse Anesthetist
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ANS: D
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In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 193
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9 to the American Association of Nurse Anesthetists (AANA) was the first recogni
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zed group promoting advanced nursing practice. Agatha Hodgins founded the AA
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NM at Lakeside Hospital in Cleveland, Ohio.
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4. Which factor is broadly perceived to solidify and standardize the role of th
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e APNs over the last 25 years?
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a. Lack of access to health care providers
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b. Standardized curriculum development m m



c. Payment for services m m



d. Societal forces m




ANS: B m



As the evolution of Advanced Practice Nursing advances specific specialties and n
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eeds are identified. Through the evolution of organization and standardization thes
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e roles have solidified the 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 th
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e following increased demand for access to health care?
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a. Poverty
m b. War
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c. Rural access to care d.
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Availability of training m m




ANS: B m



Earliest demand for nursing-
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provided anesthesia spiked during periods of war when numbers of physicians were
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inadequate. The earliest records date back to the American Civil War with the ad
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ministration of chloroform. During World War I in 1917 more than 1000 nurses, som
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e trained anesthetists, traveled into battle. Other factors such as need for rural health c
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are came later in the validation and need for APNs.
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6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in
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Rochester, NY. He is known for some m m m m m



of the earliest recruitment and specialized
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training of nurses in which of the following roles?
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a. Pediatrics m



b.Anesthesia
c. Obstetrics
d. Research and statistics m m



e. Family nursing m



ANS: B
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In 1889, Dr. William Worrall Mayo began formally training and recognizing nu
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rse anesthetists. This has been regarded as the earliest training in nurse-
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m provided anesthesia. m




7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House fo
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r which purpose?
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a. Access to health care of rural areas
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b. Create inner-city nursing awareness
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c. Provide the disadvantaged access to care
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d. Establish guidelines for advanced nursing roles
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ANS: C m



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
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m physicians thereby circumventing then-existing legal ramifications.
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