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ADVANCED PRACTICE NURSING ESSENTIALS FOR ROLE DEVELOPMENT 4TH EDITION JOEL TEST BANK
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CHAPTER1: ANSWERS AND RATIONALES 1.Which change represents the primary impetus for the end of the era of the female lay healer? 1.Perception of health promotion as an obligation 2.Development of a clinical nurse specialist position statement 3.Foundation of the American Association of Nurse-M...

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  • 1 de febrero de 2025
  • 169
  • 2024/2025
  • Examen
  • Preguntas y respuestas

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  • joel
  • advanced practice nursing
  • role development
  • clinical decision making
  • evidence based practice
  • healthcare leadership
  • policy and advocacy
  • scope of practice
  • nursing education
  • healthcare systems

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ADVANCED PRACTICE
NURSING ESSENTIALS
FOR ROLE
DEVELOPMENT 4TH
EDITION JOEL TEST
BANK
{RATIONALE}




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CHAPTER1:
ANSWERS AND RATIONALES

1. Which change represents the primary impetus for the end of the era of the
female lay healer?
1. Perception of health promotion as an obligation
2. Development of a clinical nurse specialist position statement
3. Foundation of the American Association of Nurse-Midwives
4. Emergence of a medical establishment

Page: 4
Feedback
1. This is incorrect. Lay healers traditionally viewed their role as being a
function of their community obligations; however, the emerging medical
establishment viewed healing as a commodity. The emergence of a
male medical establishment represents the primary impetus for the end
of the era
of the female lay healer.
2. This is incorrect. The American Nurses Association (ANA) position
statement on educational requirements for the clinical nurse specialist
(CNS) was developed in 1965; the ANA’s position statement on the role
of the CNS was issued in 1976. The emergence of a male medical
establishment represents
the primary impetus for the end of the era of the female lay healer.
3. This is incorrect. The American Association of Nurse-Midwives (AANM)
was founded in 1928. The emergence of a male medical establishment
represents
the primary impetus for the end of the era of the female lay healer.
4. This is correct. The emergence of a male medical establishment
represents the primary impetus for the end of the era of the female lay
healer. Whereas lay healers viewed their role as being a function of
their community obligations, the emerging medical establishment
viewed healing as a commodity. The era of the female lay healer
began and ended in the 19th century. The American Association of
Nurse-Midwives (AANM) was founded in 1928. The American Nurses
Association (ANA) position statement on educational requirements for
the clinical nurse specialist (CNS) was developed in 1965; the ANA’s
position statement on the role of the CNS was issued in
1976.


2. The beginning of modern nursing is traditionally considered to have begun with
which event?
1. Establishment of the first school of nursing
2. Incorporation of midwifery by the lay healer
3. Establishment of the Frontier Nursing Service (FNS)
4. Creation of the American Association of Nurse-Midwives (AANM)




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Answer: 1
Pages: 4–5
Feedback
1. This is correct. Traditionally, modern nursing is considered to have
begun in 1873, when the first three U.S. training schools for nurses
opened. The role of the lay healer as a midwife is documented to have
occurred in the 19th century, before the establishment of schools of
nursing. The Frontier Nursing Service (FNS), which provided nurse-
midwifery services, was established in 1925. In 1928, the Kentucky
State Association of Midwives, which was an outgrowth of the FNS,
became the American Association of Nurse-Midwives
(AANM).
2. This is incorrect. The role of the lay healer as a midwife is documented
to have occurred in the 19th century, before the establishment of
schools of nursing. Traditionally, modern nursing is considered to have
begun in 1873,
when the first three U.S. training schools for nurses opened.
3. This is incorrect. The Frontier Nursing Service (FNS), which provided
nurse- midwifery services, was established in 1925. Traditionally,
modern nursing is considered to have begun in 1873, when the first three
U.S. training schools
for nurses opened.
4. This is incorrect. In 1928, the Kentucky State Association of Midwives,
which was an outgrowth of the FNS, became the American Association
of Nurse- Midwives (AANM). Modern nursing is considered to have
begun in 1873, at
which time the first three U.S. training schools for nurses opened.



3. In 1910, which factors most significantly influenced the midwifery profession?
Select all that apply.
1. Strict licensing requirements
2. Negative public perception
3. Dedicated funding for training
4. Poor maternal-child outcomes
5. Mandatory professional supervision

Answer: 2, 4
Pages: 6–7
Feedback
1. This is incorrect. In 1910, the midwifery profession was significantly
influenced by poor maternal-child outcomes and a public perception as
unprofessional. Though legislation ultimately was passed to tighten
requirements related to licensing and supervision of midwives, in the
early 20th century, midwives were largely unregulated and generally
perceived as
unprofessional.




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2. This is correct. In 1910, the midwifery profession was significantly
influenced by poor maternal-child outcomes and a public perception as
unprofessional. At that time, approximately 50% of all U.S. births were
reportedly attended by midwives. However, especially with regard to
perinatal health indicators, the national population’s general health was
poor. Unfavorable outcomes among both mothers and infants were
attributed to midwives who, at that time, were largely unregulated and
generally perceived as unprofessional. Poor maternal-child outcomes,
negative perceptions of midwives, obstetricians’ targeted efforts to take
control of the birthing process, and a movement away from home births
prompted major changes. Legislation was passed to tighten
requirements related to licensing and supervision of midwives. One
aim of the Sheppard-Towner Maternity and Infancy Act involved
allotting funds to
train public health nurses in midwifery; however, the bill lapsed in 1929.
3. This is incorrect. Goals of the Sheppard-Towner Maternity and Infancy
Act included allocating funds to train public health nurses in midwifery,
but the bill lapsed in 1929. In 1910, poor maternal-child outcomes and
a public perception as unprofessional significantly influenced the
midwifery
profession.
4. This is correct. In 1910, the midwifery profession was significantly
influenced by poor maternal-child outcomes and a public perception as
unprofessional. At that time, approximately 50% of all U.S. births were
reportedly attended by midwives. However, especially with regard to
perinatal health indicators, the national population’s general health was
poor. Unfavorable outcomes among both mothers and infants were
attributed to midwives who, at that time, were largely unregulated and
generally perceived as unprofessional. Poor maternal-child outcomes,
negative perceptions of midwives, obstetricians’ targeted efforts to take
control of the birthing process, and a movement away from home births
prompted major changes. Legislation was passed to tighten
requirements related to licensing and supervision of midwives. One
aim of the Sheppard-Towner Maternity and Infancy Act involved
allotting funds to
train public health nurses in midwifery; however, the bill lapsed in 1929.
5. This is incorrect. In 1910, the midwifery profession was largely
unregulated. Factors that influenced the profession included poor
maternal-child outcomes
and a public perception as unprofessional.



4. Which advanced practice nursing role is unique in that the practitioners
view their role as comprising a combination of two distinct disciplines?
1. Nurse practitioner
2. Certified registered nurse anesthetist
3. Clinical nurse specialist
4. Certified nurse-midwife




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