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TEST BANK FOR ADVANCED PRACTICE NURSING: ESSENTIAL KNOWLEDGE OR THE PROFESSION 3RDEDITION DENISCO

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This comprehensive test bank for Advanced Practice Nursing: Essential Knowledge for the Profession (3rd Edition) by Susan M. DeNisco is an essential companion for students, educators, and exam prep professionals in advanced nursing programs. It includes over 190 pages of rigorously crafted multiple-choice, true/false, and scenario-based questions covering all textbook chapters. Each question is paired with verified correct answers and rationales, aligning with current APRN competencies, DNP standards, and evidence-based practice principles. Ideal for course exams, certification prep, and clinical knowledge reinforcement, this resource supports mastery of topics such as healthcare policy, leadership, informatics, ethics, and interprofessional collaboration.

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TEST BANK FOR ADVANCED PRACTICE NURSING: ESSENTIAL
KNOWLEDGE OR THE PROFESSION
3RDEDITION DENISCO

Chapter1 Introduction to the Role of Advanced Practices Nursing
Multiple Choice



1. In which year did the American Association of College of Nursing (AACN) introduced
theDoctorate of Nursing Practice (DNP)?
hi




a. 2006
b. 2004
c. 2000
d. 2002

T
AhNeSA
: ABCN introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to
hi



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?
hi




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 degreeprograms

ANS: D
Although all answers are influenced bythe DNP core competencies, the DNP program creation in2004
hi hi



bytheAACNwasdesigned to addresscurriculum requirementsofmaster’sdegreeprograms.
hi




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 Anesthetis

,NS: 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 factoris broadlyperceived to solidifyand standardize therole ofthe APNsover the last25
hi hi



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?
hi




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. Heis
hi



known for some of the earliest recruitment and specialized training of nurses in which of
thefollowing roles?
hi




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 theHenryStreet Settlement (HSS)Houseforwhichpurpose?
hi hi hi




a. Access to health care of rural areas
hi



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
andtheir families in Manhattan. As resistance to nurse-provided care grew, standing orders were
hi



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 whichtype ofadvanced nursing care?
hi hi hi




a. Pediatric care
b. Anesthesia
c. Midwifery
d. Surgical services

ANS: C
The original FNS provided nursing services and obstetric services to Appalachian residents.
Later working from standard orders developed from their medical advisory committee nurses
treated patients, made diagnoses, and dispensed medications.


9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with the
American College of Nurse-Midwives (ACNM) in 1969?

a. American Association of Nurse-Midwives (AANM)
b. American Nurses Association (ANA)
c. Association for National Nurse-Midwifery(ANNM)
d. Council of Nursing Midwifery(ANM)

ANS: A
The American College of Nurse-Midwives (ACNM) formed under the leadership of
MaryBreckenridge in 1941 to provide nurse-midwife development and collaboration for midwife

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