Chapter 1, 5e: Introduction to the Role of Advanced
Practices Nursing
MULTIPLE CHOICE
1. In which year did the American Association of College of Nursing (AACN)
ST
introduced the Doctorate of Nursing Practice (DNP)?
a. 2006
U
b. 2004
c. 2000
VI
d. 2002
A
ANS: B
Introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet
challenges and standardize practice beyond master’s degree programs.
AP
2. Which of the following is the best explanation for the creation of the Doctorate of
Nursing Practice (DNP) degree?
PR
a. To compete against master’s degree programs
b. To ensure standardized curriculum ensuring independent practice
OV
c. To validate APRN’s for financial reimbursement
d. To address increasing curriculum requirements of master’s degree programs
ANS: D
ED
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.
ST
4. Which factor is broadly perceived to solidify and standardize the role of the APNs over
U
the last 25 years?
VI
a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
A
d. Societal forces
AP
ANS: B
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
PR
identified. Through the evolution of organization and standardization these roles have
solidified the APN’s role in today’s health care environment.
OV
5. During the formation of early APN roles in anesthesia, which of the following
increased demand for access to health care?
ED
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?
ST
a. Pediatrics
b. Anesthesia
U
c. Obstetrics
d. Research and statistics
VI
e. Family nursing
A
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.
AP
7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
PR
a. Access to health care of rural areas
b. Create inner-city nursing awareness
OV
c. Provide the disadvantaged access to care
d. Establish guidelines for advanced nursing roles
ANS: C
ED
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
ST
c. Midwifery
d. Surgical services
U
ANS: C
The original FNS provided nursing services and obstetric services to Appalachian residents.
VI
Later working from standard orders developed from their medical advisory committee nurses
treated patients, made diagnoses, and dispensed medications.
A
9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged
AP
with the American College of Nurse-Midwives (ACNM) in 1969?
a. American Association of Nurse-Midwives (AANM)
PR
b. American Nurses Association (ANA)
c. Association for National Nurse-Midwifery (ANNM)
d. Council of Nursing Midwifery (ANM)
OV
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
ED
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
Practices Nursing
MULTIPLE CHOICE
1. In which year did the American Association of College of Nursing (AACN)
ST
introduced the Doctorate of Nursing Practice (DNP)?
a. 2006
U
b. 2004
c. 2000
VI
d. 2002
A
ANS: B
Introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet
challenges and standardize practice beyond master’s degree programs.
AP
2. Which of the following is the best explanation for the creation of the Doctorate of
Nursing Practice (DNP) degree?
PR
a. To compete against master’s degree programs
b. To ensure standardized curriculum ensuring independent practice
OV
c. To validate APRN’s for financial reimbursement
d. To address increasing curriculum requirements of master’s degree programs
ANS: D
ED
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.
ST
4. Which factor is broadly perceived to solidify and standardize the role of the APNs over
U
the last 25 years?
VI
a. Lack of access to health care providers
b. Standardized curriculum development
c. Payment for services
A
d. Societal forces
AP
ANS: B
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
PR
identified. Through the evolution of organization and standardization these roles have
solidified the APN’s role in today’s health care environment.
OV
5. During the formation of early APN roles in anesthesia, which of the following
increased demand for access to health care?
ED
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?
ST
a. Pediatrics
b. Anesthesia
U
c. Obstetrics
d. Research and statistics
VI
e. Family nursing
A
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.
AP
7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
PR
a. Access to health care of rural areas
b. Create inner-city nursing awareness
OV
c. Provide the disadvantaged access to care
d. Establish guidelines for advanced nursing roles
ANS: C
ED
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
ST
c. Midwifery
d. Surgical services
U
ANS: C
The original FNS provided nursing services and obstetric services to Appalachian residents.
VI
Later working from standard orders developed from their medical advisory committee nurses
treated patients, made diagnoses, and dispensed medications.
A
9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged
AP
with the American College of Nurse-Midwives (ACNM) in 1969?
a. American Association of Nurse-Midwives (AANM)
PR
b. American Nurses Association (ANA)
c. Association for National Nurse-Midwifery (ANNM)
d. Council of Nursing Midwifery (ANM)
OV
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
ED
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
