Advanced Practice Nursing: Essential Knowledge or the Profession 3rd Edition Denisco Test Bank

Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
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ition Denisco Test Bank
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Chapter1xIntroductionxtoxthexRolexofxAdvancedxPracticesxNursing
MultiplexChoice



1. InxwhichxyearxdidxthexAmericanxAssociationxofxCollegexofxNursingx(AACN)xintroducedxthex
DoctoratexofxNursingxPracticex(DNP)?

a.xxx 2006
b.xxx 2004
c.xxx 2000
d.x 2002

T
AhNeSA
:xABCNxintroducedxthexDNPxdegreexinx2004xtoxpreparexadvancedxpracticexnursesx(APRNs)xtox
meetxchallengesxandxstandardizexpracticexbeyondxmaster’sxdegreexprograms.


2. WhichxofxthexfollowingxisxthexbestxexplanationxforxthexcreationxofxthexDoctoratexofxNursingxP
racticex(DNP)xdegree?

a. Toxcompetexagainstxmaster’sxdegreex programs
b. Toxensurexstandardizedxcurriculumxensuringxindependentx practice
c. ToxvalidatexAPRN’sxforxfinancialxreimbursement
d. Toxaddressxincreasingxcurriculumxrequirementsxofxmaster’sxdegreexprograms

ANS:x D
AlthoughxallxanswersxarexinfluencedxbyxthexDNPxcorexcompetencies,xthexDNPxprogramxcreationxinx2004x
byxthexAACNxwasxdesignedxtoxaddressxcurriculumxrequirementsxofxmaster’sxdegreexprograms.


3. Whichxofxthexfollowingxwasxthexfirstxrecognizedxareaxofxadvancedxpracticex nursing?

a. ClinicalxNursexSpecialist
b. Familyxnursexpractitioner
c. Pediatricxnursexpractitioner
d. CertifiedxRegisteredxNursexAnesthetis

, Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
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ition Denisco Test Bank
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NS:x D
Inx1931,xthexNationalxAssociationxofxNursexAnesthetistsx(NANA),xrenamedxinx1939xtoxthexAmerica
nxAssociationxofxNursexAnesthetistsx(AANA)xwasxthexfirstxrecognizedxgroupxpromotingxadvancedx
nursingxpractice.xAgathaxHodginsxfoundedxthexAANMxatxLakesidexHospitalxinxCleveland,xOhio.


4. WhichxfactorxisxbroadlyxperceivedxtoxsolidifyxandxstandardizexthexrolexofxthexAPNsxoverxthexlastx2
5xyears?

a. Lackxofxaccessxtoxhealthxcarexproviders
b. Standardizedxcurriculumxdevelopment
c. Paymentxforxservices
d. Societalxforces

ANS:x B
AsxthexevolutionxofxAdvancedxPracticexNursingxadvancesxspecificxspecialtiesxandxneedsxarexidentifi
ed.xThroughxthexevolutionxofxorganizationxandxstandardizationxthesexrolesxhavexsolidifiedxthexAPN’
sxrolexinxtoday’sxhealthxcarexenvironment.


5. DuringxthexformationxofxearlyxAPNxrolesxinxanesthesia,xwhichxofxthexfollowingxincreasedxd
emandxforxaccessxtoxhealthx care?

a. Poverty
b. War
c. Ruralxaccessxtoxcare
d. Availabilityxofxtraining

ANS:x B
Earliestxdemandxforxnursing-
providedxanesthesiaxspikedxduringxperiodsxofxwarxwhenxnumbersxofxphysiciansxwerexinadequate.xT
hexearliestxrecordsxdatexbackxtoxthexAmericanxCivilxWarxwithxthexadministrationxofxchloroform.xDur
ingxWorldxWarxIxinx1917xmorexthanx1000xnurses,xsomextrainedxanesthetists,xtraveledxintoxbattle.xOt
herxfactorsxsuchxasxneedxforxruralxhealthxcarexcamexlaterxinxthexvalidationxandxneedxforxAPNs.


6. Inx1889,xDr.xWilliamxWorrallxMayoxbuiltxandxopenedxSt.xMary’sxhospitalxinxRochester,xNY.xHexis
xknownxforxsomexofxthexearliestxrecruitmentxandxspecializedxtrainingxofxnursesxinxwhichxofxthexfoll

owingxroles?

a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchxandxstatistics
e. Familyxnursing

,Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
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ition Denisco Test Bank
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ANS:x B
Inx1889,xDr.xWilliamxWorrallxMayoxbeganxformallyxtrainingxandxrecognizingxnursexanesthetists.xT
hisxhasxbeenxregardedxasxthexearliestxtrainingxinxnurse-providedxanesthesia.


7. Inx1893,xLillianxWaldxestablishedxthexHenryxStreetxSettlementx(HSS)xHousexforxwhichxpurpose?

a. Accessxtoxhealthxcarexofxruralxareas
b. Createxinner-cityxnursingxawareness
c. Providexthexdisadvantagedxaccessxtox care
d. Establishxguidelinesxforxadvancedxnursingx roles

ANS:x C
ThexHHSxwasxestablishedxtoxprovidexnursingxservicesxtoximmigrantsxandxlow-
incomexpatientsxandxtheirxfamiliesxinxManhattan.xAsxresistancextoxnurse-
providedxcarexgrew,xstandingxordersxwerexdraftedxfromxaxgroupxofxLowerxEastxSidexphysiciansxther
ebyxcircumventingxthen-existingxlegalxramifications.


8. ThexFrontierxNursingxServicex(FNS)xfoundedxinxKentuckyxinx1925xbyxMaryxBreckenridgexiniti
allyxprovidedxAppalachiaxwithxnursingxresourcesxandxwhichxtypexofxadvancedxnursingxcare?

a. Pediatricxcare
b. Anesthesia
c. Midwifery
d. Surgicalxservices

ANS:x C
ThexoriginalxFNSxprovidedxnursingxservicesxandxobstetricxservicesxtoxAppalachianxresidents.xLaterx
workingxfromxstandardxordersxdevelopedxfromxtheirxmedicalxadvisoryxcommitteexnursesxtreatedxpat
ients,xmadexdiagnoses,xandxdispensedx medications.


9. Whichxorganizationxfoundedxinx1941xunderxMaryxBreckenridge’sxleadershipxmergedxwithxthe
AmericanxCollegexofxNurse-Midwivesx(ACNM)xinx1969?

a. AmericanxAssociationxofxNurse-Midwivesx(AANM)
b. AmericanxNursesxAssociationx(ANA)
c. AssociationxforxNationalxNurse-Midwiferyx(ANNM)
d. CouncilxofxNursingxMidwiferyx(ANM)

ANS:x A
ThexAmericanxCollegexofxNurse-
Midwivesx(ACNM)xformedxunderxthexleadershipxofxMaryxBreckenridgexinx1941xtoxprovidexnurse-
midwifexdevelopmentxandxcollaborationxforxmidwife

, Advanced Practice Nursing: Essential Knowledge or the Profession 3rdEd
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ition Denisco Test Bank
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development.xInx1955,xthexAmericanxCollegexofxNurse-
Midwivesxwasxformedxandxthextwoxorganizationsxmergedxinx1969xafterxthexdeathxofxMaryxBreckenri
dge.


10. InxaxlandmarkxrulingxbyxthexSupremexCourtxasxaxresultxofxChalmers-
Francesxv.xNelson,x1936,xwhatxlegalxprecedentxwasx established?

a. Nursexanesthesiaxwasxallowedxunderxthexnursexpracticex act
b. Nursexanesthesiaxscopexofxpracticexincludedxanesthesia
c. Nursexanesthesiaxwasxlegal,xifxunderxguidancexofxaxsupervisingx physician
d. Onlyxtrainedxnursingxprofessionalsxcouldxadministerxanesthesiax independently

ANS:x C
ThexlandmarkxdecisionxfromxthexChalmers-
Francesxv.xNelsonxcasexsetxnationalxprecedentxforxthexadvancedxnursingxpracticexrole.xItxprovedxtoxb
exthexbasisxforxotherxcasesxoverxthexfollowingxfewxdecadesxandxestablishedxthatxtrainedxnursesxcouldxl
egallyxprovidexanesthesiaxcarexunderxsupervisionxofxaxphysician.


11. Thexfirstxknownxestablishmentxofxthexnursexpractitionerxrolexoccurredxinx1965xatxtheUniversityxo
fxColorado.xInxwhichxareaxofxtrainingxdidxthisxrolexspecialize?

a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia

ANS:x A
Thexestablishmentxofxthexfirstxpediatricxnursexpractitionerxprogramxwasxinx1965xatxthexUniversityxofx
Colorado.xLorettaxFord,xRNxandxHenryxSilver,xMDxprovidedxax4-
monthxcoursextoxcertifiedxregisteredxnursesxtoxprovidexeducationxonxmanagingxchildhoodxhealthxpro
blems.


12. ThexDNPxprogramxcurriculumxoutlinedxwhichxofxthexfollowingxclinicalxrequirementsxinxanxe
ffortxtoxstandardizextraining?

a. 1000xsupervisedxclinicalxhoursxandx200xunsupervisedxclinicalxhours
b. 1000xsupervisedxclinicalxhours
c. 900xsupervisedxclinicalxhours
d. 800xsupervisedxclinicalxhoursxandx200xunsupervisedxclinicalxhours

ANS:x B
Inx2004,xthexAACNxoutlinedxthexDNPxcurriculumxinxanxeffortxtoxstandardizexandxrelievexchallengesxo
fxmaster’sxdegreexprograms.xThisxincludesxaxstandardizedxcurriculumxrequiringx1000xsupervisedxcli