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NURSING: ESSSENTIAL KNOWLED
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GE FOR THE PROFESSION 5th EDITI
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ONDENISCO
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Advanced Practice Nursing: Essential Knowledge for the Profession 5thE
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Chapter1bIntroductionbtobthebRolebofbAdvancedbPracticesbNursing
MultiplebChoice
1. Inbwhichb yearbdidbthebAmericanbAssociationbofbCollegebofbNursingb(AACN)bintroducedbtheb
DoctoratebofbNursingbPracticeb(DNP)?
a.bbb2006
b.bbb2004
c.bbb2000
d.b 2002
T
AhNeSA
:bABCNbintroducedbthebDNPbdegreebinb2004btobpreparebadvancedbpracticebnursesb(APRNs)btobmee
tbchallengesbandbstandardizebpracticebbeyondbmaster’sbdegreebprograms.
2. WhichbofbthebfollowingbisbthebbestbexplanationbforbthebcreationbofbthebDoctoratebofbNursingbP
racticeb(DNP)bdegree?
a. Tobcompetebagainstbmaster’sbdegreebprograms
b. Tobensurebstandardizedbcurriculumbensuringbindependentbpractice
c. TobvalidatebAPRN’sbforbfinancialbreimbursement
d. Tobaddressbincreasingbcurriculumbrequirementsbofbmaster’sbdegreebprograms
ANS:b D
AlthoughballbanswersbarebinfluencedbbybthebDNPbcorebcompetencies,bthebDNPbprogrambcreationbinb200
4bbythebAACNbwasbdesignedbtobaddressbcurriculumbrequirementsbofbmaster’sbdegreebprograms.
3. Whichbofbthebfollowingbwasbthebfirstbrecognizedbareabofbadvancedbpracticeb nursing?
a. ClinicalbNursebSpecialist
b. Familybnursebpractitioner
c. Pediatricbnursebpractitioner
d. CertifiedbRegisteredbNursebAnesthetist
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ANS:b D
Inb1931,bthebNationalbAssociationbofbNursebAnesthetistsb(NANA),brenamedbinb1939btobthebAmerica
nbAssociationbofbNursebAnesthetistsb(AANA)bwasbthebfirstbrecognizedbgroupbpromotingbadvancedb
nursingbpractice.bAgathabHodginsbfoundedbthebAANMbatbLakesidebHospitalbinbCleveland,bOhio.
4. WhichbfactorbisbbroadlybperceivedbtobsolidifybandbstandardizebthebrolebofbthebAPNsboverbtheblastb2
5byears?
a. Lackbofbaccessbtobhealthbcarebproviders
b. Standardizedbcurriculumbdevelopment
c. Paymentbforbservices
d. Societalbforces
ANS:b B
AsbthebevolutionbofbAdvancedbPracticebNursingbadvancesbspecificbspecialtiesbandbneedsbarebidentifi
ed.bThroughbthebevolutionbofborganizationbandbstandardizationbthesebrolesbhavebsolidifiedbthebAPN’
sbrolebinbtoday’sbhealthbcarebenvironment.
5. DuringbthebformationbofbearlybAPNbrolesbinbanesthesia,bwhichbofbthebfollowingbincreasedbd
emandbforbaccessbtobhealthbcare?
a. Poverty
b. War
c. Ruralbaccessbtobcare
d. Availabilitybofbtraining
ANS:b B
Earliestbdemandbforbnursing-
providedbanesthesiabspikedbduringbperiodsbofbwarbwhenbnumbersbofbphysiciansbwerebinadequate.bT
hebearliestbrecordsbdatebbackbtobthebAmericanbCivilbWarbwithbthebadministrationbofbchloroform.bDur
ingbWorldbWarbIbinb1917bmorebthanb1000bnurses,bsomebtrainedbanesthetists,btraveledbintobbattle.bOth
erbfactorsbsuchbasbneedbforbruralbhealthbcarebcameblaterbinbthebvalidationbandbneedbforbAPNs.
6. Inb1889,bDr.bWilliambWorrallbMayobbuiltbandbopenedbSt.bMary’sbhospitalbinbRochester,bNY.bHebis
bknownbforbsomebofbthebearliestbrecruitmentbandbspecializedbtrainingbofbnursesbinbwhichbofbthebfoll
owingbroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchbandbstatistics
e. Familybnursing
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ANS:b B
Inb1889,bDr.bWilliambWorrallbMayobbeganbformallybtrainingbandbrecognizingbnursebanesthetists.bT
hisbhasbbeenbregardedbasbthebearliestbtrainingbinbnurse-providedbanesthesia.
7. Inb1893,bLillianbWaldbestablishedbthebHenrybStreetbSettlementb(HSS)bHousebforbwhichbpurpose?
a. Accessbtobhealthbcarebofbruralbareas
b. Createbinner-citybnursingbawareness
c. Providebthebdisadvantagedbaccessbtob care
d. Establishbguidelinesbforbadvancedbnursingb roles
ANS:b C
ThebHHSbwasbestablishedbtobprovidebnursingbservicesbtobimmigrantsbandblow-
incomebpatientsbandbtheirbfamiliesbinbManhattan.bAsbresistancebtobnurse-
providedbcarebgrew,bstandingbordersbwerebdraftedbfrombabgroupbofbLowerbEastbSidebphysiciansbther
ebybcircumventingbthen-existingblegalbramifications.
8. ThebFrontierbNursingbServiceb(FNS)bfoundedbinbKentuckybinb1925bbybMarybBreckenridgebiniti
allyprovidedbAppalachiabwithbnursingbresourcesbandbwhichbtypebofbadvancedbnursingbcare?
a. Pediatricbcare
b. Anesthesia
c. Midwifery
d. Surgicalbservices
ANS:b C
TheboriginalbFNSbprovidedbnursingbservicesbandbobstetricbservicesbtobAppalachianbresidents.bLaterb
workingbfrombstandardbordersbdevelopedbfrombtheirbmedicalbadvisorybcommitteebnursesbtreatedbpat
ients,bmadebdiagnoses,bandbdispensedb medications.
9. Whichborganizationbfoundedbinb1941bunderbMarybBreckenridge’sbleadershipbmergedbwithbtheb
AmericanbCollegebofbNurse-Midwivesb(ACNM)binb1969?
a. AmericanbAssociationbofbNurse-Midwivesb(AANM)
b. AmericanbNursesbAssociationb(ANA)
c. AssociationbforbNationalbNurse-Midwiferyb(ANNM)
d. CouncilbofbNursingbMidwiferyb(ANM)
ANS:b A
ThebAmericanbCollegebofbNurse-
Midwivesb(ACNM)bformedbunderbthebleadershipbofbMarybBreckenridgebinb1941btobprovidebnurse-
midwifebdevelopmentbandbcollaborationbforbmidwife