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NSG 3039 Hamric and Hanson's Advanced Practice Nursing 6th Edition New Update 2024
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NSG 3039 Hamric and Hanson's Advanced Practice Nursing 6th Edition New Update 2024
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NSG 3039 Hamric and Hanson's AdvancedPractice Nursing 6th Edition New Update
2024
,Chapter 1: Highlights from the History of Advanced Practice
Nursing in the United States 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
b. 2004
c. 2000
d. 2002
ANS: B
The 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?
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 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?
a. Clinical Nurse Specialist
b. Family nurse practitioner
c. Pediatric nurse practitioner
d. 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?
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 increased demand for access to health care?
, 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. He is known for some of the earliest recruitment and
specialized training of nurses in which of the following roles?
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 the Henry Street Settlement (HSS) House
for which purpose?
a.Access to health care of rural areas
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 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?
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 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?
a. Nurse anesthesia was allowed under the nurse practice act
b. Nurse anesthesia scope of practice included anesthesia
c. Nurse anesthesia was legal, if under guidance of a supervising
physician d. Only trained nursing professionals could
administer anesthesia independently
ANS: C
The landmark decision from the Chalmers-Frances v. Nelson case set 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 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?
, a. Pediatrics
b. Geriatrics
c. Midwifery
d.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?
a. 1000 supervised clinical hours and 200 unsupervised clinical hours
b. 1000 supervised clinical
hours c. 900 supervised clinical
hours
d. 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?
a. Idaho
b. Oklahoma
c. South Dakota
d. Maryland
ANS: A
Idaho Governor Cecil Andrus signed HB 46 and HB 207 into law on February 11,
,1971. This amended the states’ nurse practice act making it the first state to
officially recognize diagnosis and treatment of specialty nurses. The recognition of
the ability to diagnose and treat overcame an initial hurdle toward independent
nursing practice.
14. The American Nursing Association (ANA) defines which requirement for
the designation of a clinical nurse specialist in any specialty?
a. Specialty training certificate
b. Successful completion of certification examination
c. Masters or doctoral degree
d. 1000 hours relevant supervised training
e. Two or more years of clinically relevant experience
ANS: C
,In 1980, the ANA specifically outlined criteria for the acknowledgment of clinical
nurse specialist training programs. At that time they required graduate level training
to become an expert in a relevant specialty area of nursing. Additionally, they must
meet any requirements set forth by the specific professional society.
Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition
, Chapter 2: Conceptualizations of Advanced
Practice Nursing Test Bank
Multiple Choice
15. Which of the following is the primary mission of the
National Organization of Nurse Practitioner Faculties
(NONPF)?
a. Provide leadership in promoting quality NP education
b. NP Faculty training program assistance
c. Provide financial assistance to NP students
d. Lobbying legislature on behalf of NPs
ANS: A
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