ADVANCED PRACTICE NURSING: ESSENTIAL KNOWLEDGE
FOR THE PROFESSION 5TH EDITION DENISCO’S TEST
BANK/ALL CHAPTERS 1-30
,CHAPTER:1 Introduction to the Role of Advanced Practices Nursing
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
ACCURATE ANSWER:-C
Hypothesis:->>>introduced the DNP degree in 2004 to prepare advanced practice nurse
practitioners (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
ACCURATE ANSWER:-D
Hypothesis:->>>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. 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
ACCURATE ANSWER:-B
Hypothesis:->>>Earliest demand for nursing-provided anesthesia spiked during periods of war when numbe
of
,professionals 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 nurse practitioners,
some trained anesthetists, traveled into battle. Other factors such as need for rural health care
came later in the validation and need for APNs.
4. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge
initiallyprovided Appalachia with nursing resources and which type of advanced nursing care?
a. Pediatric care
b. Anesthesia
c. Midwifery
d. Surgical services
ACCURATE ANSWER:-C
Hypothesis:->>>The original FNS provided nursing services and obstetric services to
Appalachian residents. Later working from standard orders developed from their medical
advisory committee nurse practitioners treated hospital patients, made diagnoses, and dispensed
medications.
5. 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. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ACCURATE ANSWER:-A
Hypothesis:->>>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 nurse practitioners to provide education on managing childhood
health problems.
6. The American Nursing Association (ANA) defines which requirement for the
designation of a clinical nurse practitioner 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
ACCURATE ANSWER:-C
Hypothesis:->>>In 1980, the ANA specifically outlined criteria for the
acknowledgment of clinical nurse practitioner 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.
7. 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
ACCURATE ANSWER:-B
Hypothesis:->>>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.
8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with the
American College of Nurse practitioner-Midwives (ACNM) in 1969?
a. American Association of Nurse practitioner-Midwives (AANM)
b. American Nurse practitioners Association (ANA)
c. Association for National Nurse practitioner-Midwifery (ANNM)
d. Council of Nursing Midwifery (ANM)
ACCURATE ANSWER:-A
Hypothesis:->>>The American College of Nurse practitioner-Midwives (ACNM) formed under
the leadership of Mary Breckenridge in 1941 to provide nurse practitioner-midwife development
and collaboration for midwife development. In 1955, the American College of Nurse
practitioner-Midwives was formed and the two organizations merged in 1969 after the death of
Mary Breckenridge.
9. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s health center in Rochester,
NY. He is known for some of the earliest recruitment and specialized training of nurse
practitioners in which of the following roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics
e. Family nursing
ACCURATE ANSWER:-B
Hypothesis:->>>In 1889, Dr. William Worrall Mayo began formally training and recognizing
nurse practitioner anesthetists. This has been regarded as the earliest training in nurse
practitioner-provided anesthesia.
10. Which of the following was the first recognized area of advanced practice nursing?
a. Clinical Nurse practitioner Specialist
b. Family nurse practitioner practitioner
c. Pediatric nurse practitioner practitioner
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