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Chapter1 Introduction to the Role of Advanced Practices Nursing
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Multiple Choice e
1. In which year did the American Association of College of Nursing
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(AACN) introduced theDoctorate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002
T
AhNeSA
: ABC N introduced the DNP degree in 2004 to prepare advanced practice nurses
e e e e e e e e e e e e
(APRNs) to meet challenges and standardize practice beyond master’s degree programs.
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2. Which of the following is the best explanation for the creation of the Doctorate
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of NursingPractice (DNP) degree?
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a. To e compete against master’s degree programs e e e e
b. To e ensure standardized curriculum ensuring independent practice
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c. To e validate APRN’s for financial reimbursement e e e e
d. To e address increasing curriculum requirements of master’s degree programs
e e e e e e e
ANS: D
Although all answers are influenced by the DNP core competencies, the DNP program
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ecreation in2004 by the AACN was designed to address curriculum requirements of master’s
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edegree programs.
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3. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical Nurse Specialist e e
b. Family nurse practitioner e e
c. Pediatric nurse practitioner e e
d. Certified Registered Nurse Anesthetis e e e
, AdvancedhPracticehNursing: hEssentialhKnowledgehorhthehProfession e
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NS: D
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in
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e1939 to the American Association of Nurse Anesthetists (AANA) was the first recognized
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group promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
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eHospital in Cleveland, Ohio. e e e
4. Which factor is broadly perceived to solidify and standardize the role of the APNs
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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 e e
c. Payment for services e e
d. Societal forces e
ANS: B e e
As the evolution of Advanced Practice Nursing advances specific specialties and
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eneeds are identified. Through the evolution of organization and standardization these roles have
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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 the
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following increaseddemand for access to health care?
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a. Poverty
b. War
c. Rural access to care e e e
d. Availability of training e e
ANS: B e e
Earliest demand for nursing-provided anesthesia spiked during periods of war when
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enumbers of physicians were inadequate. The earliest records date back to the
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American Civil War with the administration of chloroform. During World War
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I in 1917 more than 1000 nurses, some trained anesthetists, traveled into
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battle. Other factors such as need for rural health care came later in the
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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 of the earliest recruitment and
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specialized training of nurses in which of thefollowing roles?
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a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics e e
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