lOMoARcPSD|27582573
NSG 3039 Hamric and Hanson's Advanced PracticeNursing
6th Edition New Update 2023
Chapter 1: Highlights from the History of Advanced Practice Nursingin 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
, lOMoAR cPSD| 27582573
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 theAPNs
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
, lOMoAR cPSD| 27582573
factors such as need for rural health care came later in the validation and need forAPNs.
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
NSG 3039 Hamric and Hanson's Advanced PracticeNursing 6th Edition
New Update 2023
, lOMoAR cPSD| 27582573
d. Research and statistics
e. Family nursing
.
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizingnurse
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 forwhich
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
NSG 3039 Hamric and Hanson's Advanced PracticeNursing 6th Edition
New Update 2023