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TEST BANK FOR ADVANCED PRACTICE NURSING: ESSSENTIAL KNOWLEDGE FOR THE PROFESSION 5th EDITION DENISCO

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TEST BANK FOR ADVANCED PRACTICE NURSING: ESSSENTIAL KNOWLEDGE FOR THE PROFESSION 5th EDITION DENISCO TEST BANK FOR ADVANCED PRACTICE NURSING: ESSSENTIAL KNOWLEDGE FOR THE PROFESSION 5th EDITION DENISCO TEST BANK FOR ADVANCED PRACTICE NURSING: ESSSENTIAL KNOWLEDGE FOR THE PROFESSION 5th EDITION DE...

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5th edition
test bank for advanced practice nursing
advanced practice nursing esssentia
esssential knowledge for the profession 5th

Institution ADVANCED PRACTICE NURSING: ESSSENTIALS
Course ADVANCED PRACTICE NURSING: ESSSENTIALS

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Advanced Practice Nursing: Essential Knowledge for the Profession 5th
Edition Denisco Test Bank

Chapter1 Introduction to the Role of Advanced Practices Nursing

TEST BANK
Multiple Choice

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

a. 2006

FOR T
AhNeSA
b.
c.
d.
2004
2000
2002

: ABCN introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to
meet challenges and standardize practice beyond master’s degree programs.

ADVANCED PRACTICE 2. Which of the following is the best explanation for the creation of the Doctorate of Nursing

NURSING: ESSSENTIAL Practice (DNP) degree?

a. To compete against master’s degree programs

KNOWLEDGE FOR THE
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

PROFESSION 5th EDITION ANS: D
Although all answers are influenced by the DNP core competencies, the DNP program creation in

DENISCO
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?

a. Clinical Nurse Specialist
b. Family nurse practitioner
c. Pediatric nurse practitioner
d. Certified Registered Nurse Anesthetist

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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 ANS: B
advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital in In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.
Cleveland, Ohio. This has been regarded as the earliest training in nurse-provided anesthesia.

4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the last 7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
25 years?
a. Access to health care of rural areas
a. Lack of access to health care providers b. Create inner-city nursing awareness
b. Standardized curriculum development c. Provide the disadvantaged access to care
c. Payment for services d. Establish guidelines for advanced nursing roles
d. Societal forces
ANS: C
ANS: B The HHS was established to provide nursing services to immigrants and low-income patients and
As the evolution of Advanced Practice Nursing advances specific specialties and needs are their families in Manhattan. As resistance to nurse-provided care grew, standing orders were
identified. Through the evolution of organization and standardization these roles have solidified drafted from a group of Lower East Side physicians thereby circumventing then-existing legal
the APN’s role in today’s health care environment. ramifications.

5. During the formation of early APN roles in anesthesia, which of the following increased 8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge
demand for access to health care? initially provided Appalachia with nursing resources and which type of advanced nursing care?

a. Poverty a. Pediatric care
b. War b. Anesthesia
c. Rural access to care c. Midwifery
d. Availability of training d. Surgical services

ANS: B ANS: C
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers of The original FNS provided nursing services and obstetric services to Appalachian residents. Later
physicians were inadequate. The earliest records date back to the American Civil War with the working from standard orders developed from their medical advisory committee nurses treated
administration of chloroform. During World War I in 1917 more than 1000 nurses, some trained patients, made diagnoses, and dispensed medications.
anesthetists, traveled into battle. Other factors such as need for rural health care came later in the
validation and need for APNs.
9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with the
American College of Nurse-Midwives (ACNM) in 1969?
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 a. American Association of Nurse-Midwives (AANM)
following roles? b. American Nurses Association (ANA)
c. Association for National Nurse-Midwifery (ANNM)
a. Pediatrics d. Council of Nursing Midwifery (ANM)
b. Anesthesia
c. Obstetrics ANS: A
d. Research and statistics The American College of Nurse-Midwives (ACNM) formed under the leadership of Mary
e. Family nursing Breckenridge in 1941 to provide nurse-midwife development and collaboration for midwife

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development. In 1955, the American College of Nurse-Midwives was formed and the two
organizations merged in 1969 after the death of Mary Breckenridge.
13. Which state became the first to recognize diagnosis and treatment as part of the
scope of practice of specialty nurses?
10. In a landmark ruling by the Supreme Court as a result of Chalmers-Frances v. Nelson, 1936,
what legal precedent was established? a. Idaho
b. Oklahoma
a. Nurse anesthesia was allowed under the nurse practice act c. South Dakota
b. Nurse anesthesia scope of practice included anesthesia d. Maryland
c. Nurse anesthesia was legal, if under guidance of a supervising physician
d. Only trained nursing professionals could administer anesthesia independently ANS: A
Idaho Governor Cecil Andrus signed HB 46 and HB 207 into law on February 11,
ANS: C 1971. This amended the states’ nurse practice act making it the first state to officially
The landmark decision from the Chalmers-Frances v. Nelson case set national precedent for the recognize diagnosis and treatment of specialty nurses. The recognition of the ability
advanced nursing practice role. It proved to be the basis for other cases over the following few to diagnose and treat overcame an initial hurdle toward independent nursing practice.
decades and established that trained nurses could legally provide anesthesia care under supervision
of a physician.
14. The American Nursing Association (ANA) defines which requirement for the
designation of a clinical nurse specialist in any specialty?
11. The first known establishment of the nurse practitioner role occurred in 1965 at theUniversity
of Colorado. In which area of training did this role specialize? a. Specialty training certificate
b. Successful completion of certification examination
a. Pediatrics c. Masters or doctoral degree
b. Geriatrics d. 1000 hours relevant supervised training
c. Midwifery e. Two or more years of clinically relevant experience
d. Anesthesia
ANS: C
ANS: A In 1980, the ANA specifically outlined criteria for the acknowledgment of clinical
The establishment of the first pediatric nurse practitioner program was in 1965 at the University nurse specialist training programs. At that time they required graduate level training
of Colorado. Loretta Ford, RN and Henry Silver, MD provided a 4-month course to certified to become an expert in a relevant specialty area of nursing. Additionally, they must
registered nurses to provide education on managing childhood health problems. meet any requirements set forth by the specific professional society.

Chapter2 The Nurse Practitioner: Historical Perspective on the Art and Science of Nurse
12. The DNP program curriculum outlined which of the following clinical requirements in an Practitionering
effort to standardize training?
1. Which of the following is the primary mission of the National Organization of Nurse
a. 1000 supervised clinical hours and 200 unsupervised clinical hours Practitioner Faculties (NONPF)?
b. 1000 supervised clinical hours
c. 900 supervised clinical hours a. Provide leadership in promoting quality NP education
d. 800 supervised clinical hours and 200 unsupervised clinical hours b. NP Faculty training program assistance
c. Provide financial assistance to NP students
ANS: B d. Lobbying legislature on behalf of NPs
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.

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Calkins model of Advanced Nursing Practice was the first to explicitly distinguish experience
levels of advanced practitioners for nurse administrators to differentiate advanced practice nursing
ANS: A from other levels of clinical practice.
The NONPF’s primary mission is to provide leadership in promoting quality NP education. The
organization has published domains and core competencies for primary care and these serve as a
framework for NP education and practice. 5. The circular and continuous threads of direct comprehensive patient care, support of systems,
education, research, and publication and professional leadership make up the five domains of
which advanced nursing conceptual model?
2. A model of competencies that are encompassed around three spheres of influence known as
patient, nurses and nursing practice, and organization and influence is known as? a. Strong Memorial Hospital’s Model of Advanced Nursing Practice
b. Calkin’s model of Advanced Nursing Practice
a. NACNS Model of clinical nurse specialist competencies c. NACNS Clinical Nurse Specialists Model
b. Fenton’s and Brykczynski’s Expert Practice d. Fenton’s and Brykczynski’s Expert Practice
c. Calkin’s model of Advanced Nursing Practice e. Shuler’s Model of NP Practice
d. Shuler’s Model of NP Practice
ANS: A
ANS: A Direct and indirect activities across five domains including: direct comprehensive patient care,
The NACNS’s initial 2008 statement was revised in 2004. The statement outlined competencies support of systems, education, research, and publication and professional leadership make up the
that aligned to each of the three spheres of influence: patient, nurses and nursing practice, and Strong Memorial Hospital’s Model of Advanced Practice Nursing.
organization and influence.

6. Texas Children’s Hospital Transformational Advanced Professional Practice (TAPP) APRN
3. Building upon Benner’s seven domains of expert nursing practice, which conceptual model Model added what unifying conceptual strand?
adds an additional domain “The consulting role of the nurse”?
a. Ethics
a. Calkin’s model of Advanced Nursing Practice b. Culture
b. Fenton’s and Brykczynski’s Expert Practice c. Informatics
c. Strong Memorial Hospital’s Model of Advanced Nursing Practice d. Education
d. Shuler’s Model of NP Practice
e. NACNS Clinical Nurse Specialists Model ANS: A
The TAPP model added two additional domains: quality and safety, and credentialing and
ANS: B regulatory practice, to the Strong model. It additionally added professional ethics as a unifying
Fenton’s and Brykczynski’s Expert Practice Domains of the CNS and NP expanded on Benner’s conceptual strand.
seven domains adding consultation provided by CNS’s to other nurses and management of health
and illness in ambulatory care settings.
7. Poghosyan, Boyd, and Clarke (2016) proposed a comprehensive conceptual model including
three factors: scope of practice regulations, institutional policies, and practice environments.
4. Which model of conceptual practice was the first to explicitly distinguish the experience level What was their primary purpose?
of advanced practitioners?
a. To discourage role ambiguity among CNS providers
a. Calkin’s model of Advanced Nursing Practice b. To enhance patient education provided by the APRN
b. Shuler’s Model of NP Practice c. To maximize NP Contributions to primary care
c. NACNS Clinical Nurse Specialists Model d. To provide educational practice guidelines to enhance NP education
d. Strong Memorial Hospital’s Model of Advanced Nursing Practice
e. Fenton’s and Brykczynski’s Expert Practice ANS: C

ANS: A

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