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
T
AhNeSA
: ABC N 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 bythe 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
, Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bank Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bank
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 ANS: B
advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital in In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.
Cleveland, Ohio. This has been regarded as the earliest training in nurse-provided anesthesia.
4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the last 7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
25 years?
a. Access to health care of rural areas
a. Lack of access to health care providers b. Create inner-city nursing awareness
b. Standardized curriculum development c. Provide the disadvantaged access to care
c. Payment for services d. Establish guidelines for advanced nursing roles
d. Societal forces
ANS: C
ANS: B The HHS was established to provide nursing services to immigrants and low-income patients and
As the evolution of Advanced Practice Nursing advances specific specialties and needs are their families in Manhattan. As resistance to nurse-provided care grew, standing orders were
identified. Through the evolution of organization and standardization these roles have solidified drafted from a group of Lower East Side physicians thereby circumventing then-existing legal
the APN’s role in today’s health care environment. ramifications.
5. During the formation of early APN roles in anesthesia, which of the following increased 8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge
demand for access to health care? initiallyprovided Appalachia with nursing resources and which type of advanced nursing care?
a. Poverty a. Pediatric care
b. War b. Anesthesia
c. Rural access to care c. Midwifery
d. Availability of training d. Surgical services
ANS: B ANS: C
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers of The original FNS provided nursing services and obstetric services to Appalachian residents. Later
physicians were inadequate. The earliest records date back to the American Civil War with the working from standard orders developed from their medical advisory committee nurses treated
administration of chloroform. During World War I in 1917 more than 1000 nurses, some trained patients, made diagnoses, and dispensed medications.
anesthetists, traveled into battle. Other factors such as need for rural health care came later in the
validation and need for APNs.
9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with the
American College of Nurse-Midwives (ACNM) in 1969?
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 a. American Association of Nurse-Midwives (AANM)
following roles? b. American Nurses Association (ANA)
c. Association for National Nurse-Midwifery (ANNM)
a. Pediatrics d. Council of Nursing Midwifery (ANM)
b. Anesthesia
c. Obstetrics ANS: A
d. Research and statistics The American College of Nurse-Midwives (ACNM) formed under the leadership of Mary
e. Family nursing Breckenridge in 1941 to provide nurse-midwife development and collaboration for midwife
, Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bank Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bank
development. In 1955, the American College of Nurse-Midwives was formed and the two
organizations merged in 1969 after the death of Mary Breckenridge.
13. Whichastateabecameatheafirstatoarecognizeadiagnosisaandatreatmentaasapartaofatheasc
opeaofapracticeaofaspecialtyanurses?
10. In a landmark ruling by the Supreme Court as a result of Chalmers-Frances v. Nelson, 1936,
what legal precedent was established? a. Idaho
b. Oklahoma
a. Nurse anesthesia was allowed under the nurse practice act c. SouthaDakota
b. Nurse anesthesia scope of practice included anesthesia d. Maryland
c. Nurse anesthesia was legal, if under guidance of a supervising physician
d. Only trained nursing professionals could administer anesthesia independently ANS:a A
IdahoaGovernoraCecilaAndrusasignedaHBa46aandaHBa207aintoalawaonaFebruarya11,a19
ANS: C 71.aThisaamendedatheastates’anurseapracticeaactamakingaitatheafirstastateatoaofficiallyareco
The landmark decision from the Chalmers-Frances v. Nelson case set national precedent for the gnizeadiagnosisaandatreatmentaofaspecialtyanurses.aThearecognitionaofatheaabilityatoadia
advanced nursing practice role. It proved to be the basis for other cases over the following few gnoseaandatreataovercameaanainitialahurdleatowardaindependentanursingapractice.
decades and established that trained nurses could legally provide anesthesia care under supervision
of a physician.
14. TheaAmericanaNursingaAssociationa(ANA)adefinesawhicharequirementaforathead
esignationaofaaaclinicalanurseaspecialistainaanyaspecialty?
11. 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. Specialtyatrainingacertificate
b. Successfulacompletionaofacertificationaexamination
a. Pediatrics c. Mastersaoradoctoraladegree
b. Geriatrics d. 1000ahoursarelevantasuperviseda training
c. Midwifery e. Twoaoramorea yearsaofaclinicallyarelevantaexperience
d. Anesthesia
ANS:a C
ANS: A Ina1980,atheaANAaspecificallyaoutlinedacriteriaaforatheaacknowledgmentaofaclinicalanu
The establishment of the first pediatric nurse practitioner program was in 1965 at the University rseaspecialistatrainingaprograms.aAtathatatimeatheyarequiredagraduatealevelatrainingatoab
of Colorado. Loretta Ford, RN and Henry Silver, MD provided a 4-month course to certified ecomeaanaexpertainaaarelevantaspecialtyaareaaofanursing.aAdditionally,atheyamustameeta
registered nurses to provide education on managing childhood health problems. anyarequirementsasetaforthabyatheaspecificaprofessionalasociety.
Chapter2aTheaNurseaPractitioner:aHistoricalaPerspectiveaonatheaArtaandaScienceaofaaNursePracti
12. The DNP program curriculum outlined which of the following clinical requirements in an tionering
effort to standardize training?
1. WhichaofatheafollowingaisatheaprimaryamissionaofatheaNationalaOrganizationaofaNurseaP
a. 1000 supervised clinical hours and 200 unsupervised clinical hours ractitioneraFacultiesa(NONPF)?
b. 1000 supervised clinical hours
c. 900 supervised clinical hours a. ProvidealeadershipainapromotingaqualityaNPa education
d. 800 supervised clinical hours and 200 unsupervised clinical hours b. NPaFacultyatrainingaprogramaassistance
c. ProvideafinancialaassistanceatoaNPa students
ANS: B d. LobbyingalegislatureaonabehalfaofaNPs
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.
, Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bank Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bank
CalkinsamodelaofaAdvancedaNursingaPracticeawasatheafirstatoaexplicitlyadistinguishaexperiencealevel
saofaadvancedapractitionersaforanurseaadministratorsatoadifferentiateaadvancedapracticeanursingafromao
ANS:a A theralevelsaofaclinicalapractice.
TheaNONPF’saprimaryamissionaisatoaprovidealeadershipainapromotingaqualityaNPaeducation.aTheaor
ganizationahasapublishedadomainsaandacoreacompetenciesaforaprimaryacareaandatheseaserveaasaaafram
eworkaforaNPaeducationaandapractice. 5. Theacircularaandacontinuousathreadsaofadirectacomprehensiveapatientacare,asupportaofasystems,ae
ducation,aresearch,aandapublicationaandaprofessionalaleadershipamakeaupatheafiveadomainsaofawh
ichaadvancedanursingaconceptualamodel?
2. Aamodelaofacompetenciesathataareaencompassedaaroundathreeaspheresaofainfluenceaknownaasap
atient,anursesaandanursingapractice,aandaorganizationaandainfluenceaisaknownaas? a. StrongaMemorialaHospital’saModelaofaAdvancedaNursingaPractice
b. Calkin’samodelaofa AdvancedaNursingaPractice
a. NACNSaModelaofa clinicalanurseaspecialistacompetencies c. NACNSaClinicalaNurseaSpecialistsaModel
b. Fenton’saandaBrykczynski’saExpertaPractice d. Fenton’saandaBrykczynski’saExpertaPractice
c. Calkin’samodelaofa AdvancedaNursingaPractice e. Shuler’saModelaofaNPaPractice
d. Shuler’saModelaofaNPaPractice
ANS:a A
ANS:a A Directaandaindirectaactivitiesaacrossafiveadomainsaincluding:adirectacomprehensiveapatientacare,asup
TheaNACNS’sainitiala2008astatementawasarevisedaina2004.aTheastatementaoutlinedacompetenciesath portaofasystems,aeducation,aresearch,aandapublicationaandaprofessionalaleadershipamakeaupatheaStron
ataalignedatoaeachaofatheathreeaspheresaofainfluence:apatient,anursesaandanursingapractice,aandaorganiz gaMemorialaHospital’saModelaofaAdvancedaPracticeaNursing.
ationaandainfluence.
6. TexasaChildren’saHospitalaTransformationalaAdvancedaProfessionalaPracticea(TAPP)aAPRNa
3. BuildingauponaBenner’sasevenadomainsaofaexpertanursingapractice,awhichaconceptualamodelaa Modelaaddedawhataunifyingaconceptualastrand?
ddsaanaadditionaladomaina“Theaconsultingaroleaofatheanurse”?
a. Ethics
a. Calkin’samodelaofa AdvancedaNursingaPractice b. Culture
b. Fenton’saandaBrykczynski’saExpertaPractice c. Informatics
c. StrongaMemorialaHospital’saModelaofaAdvancedaNursingaPractice d. Education
d. Shuler’saModelaofaNPaPractice
e. NACNSaClinicalaNurseaSpecialistsaModel ANS:a A
TheaTAPPamodelaaddedatwoaadditionaladomains:aqualityaandasafety,aandacredentialingaandaregulato
ANS:a B ryapractice,atoatheaStrongamodel.aItaadditionallyaaddedaprofessionalaethicsaasaaaunifyingaconceptualas
Fenton’saandaBrykczynski’saExpertaPracticeaDomainsaofatheaCNSaandaNPaexpandedaonaBenner’sase trand.
venadomainsaaddingaconsultationaprovidedabyaCNS’satoaotheranursesaandamanagementaofahealthaanda
illnessainaambulatoryacareasettings.
7. Poghosyan,aBoyd,aandaClarkea(2016)aproposedaaacomprehensiveaconceptualamodelaincludingath
reeafactors:ascopeaofapracticearegulations,ainstitutionalapolicies,aandapracticeaenvironments.aWh
4. Whichamodelaofaconceptualapracticeawasatheafirstatoaexplicitlyadistinguishatheaexperiencealevelaof atawasatheiraprimaryapurpose?
aadvancedapractitioners?
a. ToadiscouragearoleaambiguityaamongaCNSa providers
a. Calkin’samodelaofa AdvancedaNursingaPractice b. Toaenhanceapatientaeducationaprovidedabyathea APRN
b. Shuler’saModelaofaNPaPractice c. ToamaximizeaNPaContributionsatoaprimaryacare
c. NACNSaClinicalaNurseaSpecialistsaModel d. ToaprovideaeducationalapracticeaguidelinesatoaenhanceaNPaeducationa
d. StrongaMemorialaHospital’saModelaofaAdvancedaNursingaPractice
e. Fenton’saandaBrykczynski’saExpertaPracticea ANS:a C
ANS:a A