3. Which type of grant proposal does the advanced practice nurse (APN) submit when completing a
doctor of philosophy (PhD) residency?
1. Practice
2. Business
3. Research
4. Leadership
3. research
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
4. 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.
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)
1. 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).
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
2. & 4
In 1910, the midwifery profession was significantly influenced by 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
4. The role of the certified nurse-midwife (CNM) is unique in that the CNM views the practice role as
combining two disciplines: nursing and midwifery.
In the 19th century, which factors led to the administration of anesthesia by nurses? Select all that
apply.
1. Surgeon entitlement to collecting anesthesia fees
2. Collaborative practice between physician-anesthetists and nurses
3. Lack of recognition of anesthesiology as a medical specialty
4. Opposition to anesthesia administration by physicians
5. Formation of a national organization by nurse anesthetists
1&3
Because of a lack of recognition as a medical specialty and the surgeon's entitlement to collecting
anesthesia fees, other physicians had little to no interest in anesthesia administration
Which factor contributed to expansion of the role of the clinical nurse specialist (CNS) during the
1960s?
1. Increased numbers of practicing physicians
2. Tightening of female role definitions
3. Return of nurses from military conflict
4. Lack of medical specialization
3. return of nurse veterans from the Vietnam War who sought to increase their knowledge and skills,
and to work in advanced roles and nontraditional fields, such as anesthesia and trauma.
7. Differentiation between the role of the clinical nurse specialist (CNS) and the nurse practitioner (NP)
is primarily based on which premise?
. Designation as an advanced practice nurse
2. Diagnosis of patient health conditions