Chapter1 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
TAhNeSA: ABCN introduced the DNP d...
Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Ba
, Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Ba
Chapter1 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
TAhNeSA: ABCN 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.
, Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Ba
4. Which tfactor tis tbroadly tperceived tto tsolidify tand tstandardize tthe trole tof tthe tAPNs tover tthe
tlast t25 tyears? t
t
a. Lack tof taccess tto thealth tcare tproviders t
b. Standardized tcurriculum tdevelopment t
c. Payment tfor tservices t
d. Societal tforces t
t
ANS: tB t
As tthe tevolution tof tAdvanced tPractice tNursing tadvances tspecific tspecialties tand tneeds tare
tidentified. tThrough tthe tevolution tof torganization tand tstandardization tthese troles thave
tsolidified tthe tAPN’s trole tin ttoday’s thealth tcare tenvironment. t
t
t
5. During tthe tformation tof tearly tAPN troles tin tanesthesia, twhich tof tthe tfollowing tincreased
tdemand tfor taccess tto thealth tcare? t
t
a. Poverty t
b. War t
c. Rural taccess tto tcare t
d. Availability tof ttraining t
t
ANS: tB t
Earliest tdemand tfor tnursing-provided tanesthesia tspiked tduring tperiods tof twar twhen tnumbers
tof tphysicians twere tinadequate. tThe tearliest trecords tdate tback tto tthe tAmerican tCivil tWar twith
tthe tadministration tof tchloroform. tDuring tWorld tWar tI tin t1917 tmore tthan t1000 tnurses, tsome
ttrained tanesthetists, ttraveled tinto tbattle. tOther tfactors tsuch tas tneed tfor trural thealth tcare tcame
tlater tin tthe tvalidation tand tneed tfor tAPNs. t
t
t
6. In t1889, tDr. tWilliam tWorrall tMayo tbuilt tand topened tSt. tMary’s thospital tin tRochester, tNY.
tHe tis tknown tfor tsome tof tthe tearliest trecruitment tand tspecialized ttraining tof tnurses tin
twhich tof tthe tfollowing troles? t
t
a. Pediatrics t
b. Anesthesia t
c. Obstetrics t
d. Research tand tstatistics t
e. Family tnursing t
t
ANS: tB t
In t1889, tDr. tWilliam tWorrall tMayo tbegan tformally ttraining tand trecognizing tnurse tanesthetists.
tThis thas tbeen tregarded tas tthe tearliest ttraining tin tnurse-provided tanesthesia. t
t
t
7. In t1893, tLillian tWald testablished tthe tHenry tStreet tSettlement t(HSS) tHouse tfor twhich
tpurpose? t
t
a. Access tto thealth tcare tof trural tareas t
b. Create tinner-city tnursing tawareness t
c. Provide tthe tdisadvantaged taccess tto tcare t
d. Establish tguidelines tfor tadvanced tnursing troles t
, Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Ba
t
ANS: tC t
The tHHS twas testablished tto tprovide tnursing tservices tto timmigrants tand tlow-income tpatients
tand ttheir tfamilies tin tManhattan. tAs tresistance tto tnurse-provided tcare tgrew, tstanding torders
twere tdrafted tfrom ta tgroup tof tLower tEast tSide tphysicians tthereby tcircumventing tthen-existing
tlegal tramifications. t
t
t
8. The tFrontier tNursing tService t(FNS) tfounded tin tKentucky tin t1925 tby tMary tBreckenridge
tinitially tprovided tAppalachia twith tnursing tresources tand twhich ttype tof tadvanced tnursing
tcare? t
t
a. Pediatric tcare t
b. Anesthesia t
c. Midwifery t
d. Surgical tservices t
t
ANS: tC t
The toriginal tFNS tprovided tnursing tservices tand tobstetric tservices tto tAppalachian tresidents.
tLater tworking tfrom tstandard torders tdeveloped tfrom ttheir tmedical tadvisory tcommittee tnurses
ttreated tpatients, tmade tdiagnoses, tand tdispensed tmedications. t
t
t
9. Which torganization tfounded tin t1941 tunder tMary tBreckenridge’s tleadership tmerged twith
tthe tAmerican tCollege tof tNurse-Midwives t(ACNM) tin t1969? t
t
a. American tAssociation tof tNurse-Midwives t(AANM) t
b. American tNurses tAssociation t(ANA) t
c. Association tfor tNational tNurse-Midwifery t(ANNM) t
d. Council tof tNursing tMidwifery t(ANM) t
t
ANS: tA t
The tAmerican tCollege tof tNurse-Midwives t(ACNM) tformed tunder tthe tleadership tof tMary t
Breckenridge tin t1941 tto tprovide tnurse-midwife tdevelopment tand tcollaboration tfor tmidwife
tdevelopment. tIn t1955, tthe tAmerican tCollege tof tNurse-Midwives twas tformed tand tthe ttwo
torganizations tmerged tin t1969 tafter tthe tdeath tof tMary tBreckenridge. t
t
t
10. In ta tlandmark truling tby tthe tSupreme tCourt tas ta tresult tof tChalmers-Frances tv. tNelson,
t1936, twhat tlegal tprecedent twas testablished? t
t
a. Nurse tanesthesia twas tallowed tunder tthe tnurse tpractice tact t
b. Nurse tanesthesia tscope tof tpractice tincluded tanesthesia t
c. Nurse tanesthesia twas tlegal, tif tunder tguidance tof ta tsupervising tphysician t
d. Only ttrained tnursing tprofessionals tcould tadminister tanesthesia tindependently t
t
ANS: tC t
The tlandmark tdecision tfrom tthe tChalmers-Frances tv. tNelson tcase tset tnational tprecedent tfor
tthe tadvanced tnursing tpractice trole. tIt tproved tto tbe tthe tbasis tfor tother tcases tover tthe tfollowing
tfew tdecades tand testablished tthat ttrained tnurses tcould tlegally tprovide tanesthesia tcare tunder
tsupervision tof ta tphysician. t
t
t
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