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Test Bank For Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition By Susan M. DeNisco, Anne M. Barker | All Chapters, Latest Edition| $11.50
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Test Bank For Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition By Susan M. DeNisco, Anne M. Barker | All Chapters, Latest Edition|

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TEST BANK FOR ADVANCED PRACTICE NURSING: ESSENTIAL KNOWLEDGE FOR THE PROFESSION 3RD EDITION DENISCO TEST BANK BY DENISCO DOWNLOAD TO SCORE A **Chapter 1: Introduction to the Role of Advanced Practice Nursing** **Multiple Choice** 1. In which year did the American Association of Colleges of...

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TEST BANK FOR ADVANCED PRACTICE NURSING:
ESSENTIAL KNOWLEDGE FOR THE PROFESSION
3RD EDITION DENISCO TEST BANK BY DENISCO
DOWNLOAD TO SCORE A
**Chapter 1: Introduction to the Role of Advanced Practice Nursing**

**Multiple Choice**

1. In which year did the American Association of Colleges of Nursing (AACN) introduce the
Doctorate of Nursing Practice (DNP)?

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

**ANS: B**
AACN 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?

To compete against master’s degree programs
To ensure standardized curriculum ensuring independent practice
To validate APRNs for financial reimbursement
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 by the 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?

Clinical Nurse Specialist
Family Nurse Practitioner
Pediatric Nurse Practitioner
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 broadly perceived to solidify and standardize the role of the APNs over the
last 25 years?

Lack of access to health care providers
Standardized curriculum development
Payment for services
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 increased
demand for access to health care?

Poverty
War
Rural access to care
Availability of training

**ANS: B**
The 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 the 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?

Pediatrics
Anesthesia
Obstetrics
Research and statistics
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?

Access to health care of rural areas
Create inner-city nursing awareness
Provide the disadvantaged access to care
Establish guidelines for advanced nursing roles

**ANS: C**
The HSS 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
initially provided Appalachia with nursing resources and which type of advanced nursing care?

Pediatric care
Anesthesia
Midwifery
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?

American Association of Nurse-Midwives (AANM)
American Nurses Association (ANA)
Association for National Nurse-Midwifery (ANNM)
Council of Nursing Midwifery (ANM)

**ANS: A**
The American College of Nurse-Midwives (ACNM) formed under the leadership of Mary
Breckenridge in 1941 to provide nurse-midwife development and collaboration for midwife
development. In 1955, the American College of Nurse-Midwives was formed, and the two
organizations merged in 1969 after the death of Mary Breckenridge.

, 10. In a landmark ruling by the Supreme Court as a result of Chalmers-Frances v. Nelson, 1936,
what legal precedent was established?

Nurse anesthesia was allowed under the nurse practice act
Nurse anesthesia scope of practice included anesthesia
Nurse anesthesia was legal, if under the guidance of a supervising physician
Only trained nursing professionals could administer anesthesia independently

**ANS: C**
The landmark decision from the Chalmers-Frances v. Nelson case set a national precedent
for the advanced nursing practice role. It proved to be the basis for other cases over the
following few decades and established that trained nurses could legally provide anesthesia care
under the supervision of a physician.

11. The first known establishment of the nurse practitioner role occurred in 1965 at the
University of Colorado. In which area of training did this role specialize?

Pediatrics
Geriatrics
Midwifery
Anesthesia

**ANS: A**
The establishment of the first pediatric nurse practitioner program was in 1965 at the
University of Colorado. Loretta Ford, RN and Henry Silver, MD provided a 4-month course to
certified registered nurses to provide education on managing childhood health problems.

12. The DNP program curriculum outlined which of the following clinical requirements in an
effort to standardize training?

1000 supervised clinical hours and 200 unsupervised clinical hours
1000 supervised clinical hours
900 supervised clinical hours
800 supervised clinical hours and 200 unsupervised clinical hours

**ANS: B**
In 2004, the AACN outlined the DNP curriculum in an effort to standardize and relieve
challenges of master’s degree programs. This includes a standardized curriculum requiring
1000 supervised clinical hours.

13. Which state became the first to recognize diagnosis and treatment as part of the scope of
practice of specialty nurses?

Idaho

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