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ADVANCED PRACTICE NURSING ESSENTIAL KNOWLEDGE FOR THE PROFESSION 3RD EDITION DENISCO

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ADVANCED PRACTICE NURSING ESSENTIAL KNOWLEDGE FOR THE PROFESSION 3RD EDITION DENISCO 3. A national specialty committee is formed for a specific nursing specialty. This is an example of what stage of evolution of advanced practice nursing? a. Stage II: specialty organizes b. Stage I: specialty begins c. Stage IV: specialty matures d. Stage III: specialty standardizes ANS: A As national organizations form around specific specialties they are considered to be in stage II of the evolution of advanced practice nursing. 54. Two organizations are formed for a specific advanced practice nursing specialty. As interest in the specialty grows, legislation is required to govern aspects of care. To answer this call, the organizations must meet what stage of evolution of advanced practice nursing? a. Stage I: specialty begins b. Stage IV: specialty matures c. Stage III: specialty standardizes d. Stage II: specialty organization ANS: C As pressures mount for standardization, often for curriculum development or legislative pressure, standardization of practice must be obtained. This is often a difficult and lengthy process of stage III of the evolution of advanced practice nursing. 55. Hospitalist practice by advanced practice nurses are in significant need. What stage of development is hospitalist practice? a. Specialty standardizes b. Specialty begins c. Specialty matures and grows interprofessionally d. Specialty organizes ANS: B Hospitalist practice is a relatively new field for advanced practice nursing and has yet to be organized. Hospitalist practice is a stage I specialty. 56. Which ofthe following specialties is classified asstage II, organized but yet to be standardized? a. Wound and Ostomy Nursing b. Interventional Pain Specialist c. Advanced Diabetes Manager d. Clinical Transplant Coordinator ANS: D The clinical transplant coordinator is currently a stage II specialty as it organizes and begins plans for standardization of care. Wound and Ostomy nursing and Interventional Pain Practice are both stage III specialties. Advanced Diabetes manager and Genetics Advanced Practice are stage IV specialties. 57. As first addressed in 1985 at Surgeon General’s workshop on Violence and Public Health, the need for which specialty began? a. CRNA b. Forensic Nursing c. Public Health Nursing d. Wound and Ostomy Nursing ANS: B The need for Forensic Nursing specialty was first addressed in 1985 at Surgeon General’s workshop on Violence and Public Health. 58. Wound and Ostomy nursing, through the WOCNS, offers four levels of care providers. This organization is currently in what stage of evolution of advanced practice nursing? a. Specialty organizes b. Specialty begins c. Specialty standardizes d. Specialty matures and grows interprofessionally ANS: C The WOCNS offers four levels of WOC specialty nurse training and has been developing curricula and education that are offered in postbaccalaureate and some graduate-level programs. 59. Although not required for practice, the AAPM offers a credentialing examination requiring at least 2 years of pain management experience prior to examination for Interventional Pain Practice. This organization’s efforts to standardize care classify as what stage of evolution of advanced practice nursing? a. Stage I b. Stage II c. Stage IV d. Stage III ANS: D The AAPM offers two credentialing examinations: diplomate and fellow. This allows for initial standardization of practice in chronic pain management and paves for care as the organization begins to mature along with the Interventional Pain Specialist specialty. 60. What specialty hastwo levels of certification available, focused on the management of diabetes and prescribing medications? a. Diabetes and Wellness Specialty b. Endocrine Specialty c. Advanced Diabetes Manager d. Diabetes Clinical Specialist ANS: C The American Association of Diabetes Education (AADE) offers two levels for the specialty of Advanced Diabetes Manager: Certified Diabetes Educator (CDE) and Board Certified Advanced Diabetes Manager (BC-ADM). Specifically, the BC-ADM focuses less on education and moreon the management of diabetes and prescribing of medications. 61. A father and mother have been identified as carriers of cystic fibrosis, a genetic disease. Their primary care provider suggests they obtain genetic counseling prior to starting a family. Which provider is the best for this couple? a. Pediatric nurse practitioner b. Pediatric Physician c. Genetics Specialty RN d. Genetics advanced practice nurse ANS: D The Genetics advanced practice nurse is a specialty that requires a graduate degree. This stage IV specialty ensures specialized training in genetics. These practitioners offer genetic counseling, case management, consultation, and evaluation of patients and their families. An RN would only offer information or identify the need for referral to a genetics specialist. A Pediatric nurse practitioner or Pediatric physician would likely not have specialized training in genetic counseling. Chapter6 Interprofessional Collaboration for Improving Patient and Population Health Knowledge Multiple Choi

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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



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
: 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.


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
initially provided 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

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