,Advanced-Practice-Nursing:-Essential-Knowledge-for-the-Profession-5th-
Edition-Denisco-Test-Bank
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
ThNeSA
A :- 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
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.
,4. Which-factor-is-broadly-perceived-to-solidify-and-standardize-the-role-of-the-APNs-over-the-last-
25-years?
a. Lack-of-access-to-health-care-providers
b. Standardized-curriculum-development
c. Payment-for-services
d. Societal-forces
ANS:- B
As-the-evolution-of-Advanced-Practice-Nursing-advances-specific-specialties-and-needs-are-
identified.-Through-the-evolution-of-organization-and-standardization-these-roles-have-solidified-
the-APN’s-role-in-today’s-health-care-environment.
5. During-the-formation-of-early-APN-roles-in-anesthesia,-which-of-the-following-increased-
demand-for-access-to-health-care?
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?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research-and-statistics
e. Family-nursing
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.
7. In-1893,-Lillian-Wald-established-the-Henry-Street-Settlement-(HSS)-House-for-which-purpose?
a. Access-to-health-care-of-rural-areas
b. Create-inner-city-nursing-awareness
c. Provide-the-disadvantaged-access-to- care
d. Establish-guidelines-for-advanced-nursing- roles
ANS:- C
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-
initiallyprovided-Appalachia-with-nursing-resources-and-which-type-of-advanced-nursing-care?
a. Pediatric-care
b. Anesthesia
c. Midwifery
d. Surgical-services
ANS:- C
The-original-FNS-provided-nursing-services-and-obstetric-services-to-Appalachian-residents.-Later-
working-from-standard-orders-developed-from-their-medical-advisory-committee-nurses-treated-
patients,-made-diagnoses,-and-dispensed-medications.
9. Which-organization-founded-in-1941-under-Mary-Breckenridge’s-leadership-merged-with-the-
American-College-of-Nurse-Midwives-(ACNM)-in-1969?
a. American-Association-of-Nurse-Midwives-(AANM)
b. American-Nurses-Association-(ANA)
c. Association-for-National-Nurse-Midwifery-(ANNM)
d. Council-of-Nursing-Midwifery-(ANM)
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-
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
c. Nurse-anesthesia-was-legal,-if-under-guidance-of-a-supervising-physician
d. Only-trained-nursing-professionals-could-administer-anesthesia-independently
ANS:- C
The-landmark-decision-from-the-Chalmers-Frances-v.-Nelson-case-set-national-precedent-for-the-
advanced-nursing-practice-role.-It-proved-to-be-the-basis-for-other-cases-over-the-following-few-
decades-and-established-that-trained-nurses-could-legally-provide-anesthesia-care-under-supervision-
of-a-physician.
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. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:- A
The-establishment-of-the-first-pediatric-nurse-practitioner-program-was-in-1965-at-the-University-of-
Colorado.- Loretta- Ford,- RN- and- Henry- Silver,- MD- provided- a- 4-month- course- to- certified
Edition-Denisco-Test-Bank
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
ThNeSA
A :- 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
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.
,4. Which-factor-is-broadly-perceived-to-solidify-and-standardize-the-role-of-the-APNs-over-the-last-
25-years?
a. Lack-of-access-to-health-care-providers
b. Standardized-curriculum-development
c. Payment-for-services
d. Societal-forces
ANS:- B
As-the-evolution-of-Advanced-Practice-Nursing-advances-specific-specialties-and-needs-are-
identified.-Through-the-evolution-of-organization-and-standardization-these-roles-have-solidified-
the-APN’s-role-in-today’s-health-care-environment.
5. During-the-formation-of-early-APN-roles-in-anesthesia,-which-of-the-following-increased-
demand-for-access-to-health-care?
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?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research-and-statistics
e. Family-nursing
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.
7. In-1893,-Lillian-Wald-established-the-Henry-Street-Settlement-(HSS)-House-for-which-purpose?
a. Access-to-health-care-of-rural-areas
b. Create-inner-city-nursing-awareness
c. Provide-the-disadvantaged-access-to- care
d. Establish-guidelines-for-advanced-nursing- roles
ANS:- C
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-
initiallyprovided-Appalachia-with-nursing-resources-and-which-type-of-advanced-nursing-care?
a. Pediatric-care
b. Anesthesia
c. Midwifery
d. Surgical-services
ANS:- C
The-original-FNS-provided-nursing-services-and-obstetric-services-to-Appalachian-residents.-Later-
working-from-standard-orders-developed-from-their-medical-advisory-committee-nurses-treated-
patients,-made-diagnoses,-and-dispensed-medications.
9. Which-organization-founded-in-1941-under-Mary-Breckenridge’s-leadership-merged-with-the-
American-College-of-Nurse-Midwives-(ACNM)-in-1969?
a. American-Association-of-Nurse-Midwives-(AANM)
b. American-Nurses-Association-(ANA)
c. Association-for-National-Nurse-Midwifery-(ANNM)
d. Council-of-Nursing-Midwifery-(ANM)
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-
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
c. Nurse-anesthesia-was-legal,-if-under-guidance-of-a-supervising-physician
d. Only-trained-nursing-professionals-could-administer-anesthesia-independently
ANS:- C
The-landmark-decision-from-the-Chalmers-Frances-v.-Nelson-case-set-national-precedent-for-the-
advanced-nursing-practice-role.-It-proved-to-be-the-basis-for-other-cases-over-the-following-few-
decades-and-established-that-trained-nurses-could-legally-provide-anesthesia-care-under-supervision-
of-a-physician.
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. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:- A
The-establishment-of-the-first-pediatric-nurse-practitioner-program-was-in-1965-at-the-University-of-
Colorado.- Loretta- Ford,- RN- and- Henry- Silver,- MD- provided- a- 4-month- course- to- certified
