TEST BANK FOR Hamric and Hanson-s Advanced Practice Nursing 6th Edition by Mary Fran Tracy-100% Top scores-

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Chapter 1: Highlights from the History of Advanced Practice Nursing in
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the United States Test Bank
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Multiple Choice b




1. In which year did the American Association of College of Nursing (AACN) i
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ntroduced the Doctorate of Nursing Practice (DNP)?
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a. 2006 b


b. 2004 b


c. 2000 b


d. 2002 b




ANS: B b


The AACN introduced the DNP degree in 2004 to prepare advanced practice nurses (
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APRNs) to meet challenges and standardize practice beyond master’s degree program
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s.


2. Which of the following is the best explanation for the creation of the D
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octorate of Nursing Practice (DNP) degree?
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a. To compete against master’s degree programs
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b. To ensure standardized curriculum ensuring independent practice
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c. To validate APRN’s for financial reimbursement
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d. To address increasing curriculum requirements of master’s degree programs
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ANS: D b


Although all answers are influenced by the DNP core competencies, the DNP p
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rogram creation in 2004 by the AACN was designed to address curriculum req
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uirements of master’s degree programs.
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3. Which of the following was the first recognized area of advanced practice n
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ursing?

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a. Clinical Nurse Specialist
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b. Family nurse practitioner
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c. Pediatric nurse practitioner
b b b


d. Certified Registered Nurse Anesthetist
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ANS: D b


In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to
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the American Association of Nurse Anesthetists (AANA) was the first recognized gr
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oup promoting advanced nursing practice. Agatha Hodgins founded the AANM at La
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keside Hospital in Cleveland, Ohio.
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4. Which factor is broadly perceived to solidify and standardize the role of the A
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PNs over the last 25 years? b b b b b




a. Lack of access to health care providers
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b. Standardized curriculum development
b b b


c. Payment for services
b b b


d. Societal forces
b b




ANS: B b


As the evolution of Advanced Practice Nursing advances specific specialties and nee
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ds are identified. Through the evolution of organization and standardization these role
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s have solidified the APN’s role in today’s health care environment.
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5. During the formation of early APN roles in anesthesia, which of the f
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ollowing increased demand for access to health care?b b b b b b b




a. Poverty
b


b. War b


c. Rural access to care
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d.Availability of training b b




ANS: B b


Earliest demand for nursing- b b b


provided anesthesia spiked during periods of war when numbers of physicians were i
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nadequate. The earliest records date back to the American Civil War with the adminis
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tration of chloroform. During World War I in 1917 more than 1000 nurses, some train
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ed anesthetists, traveled into battle. Other
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factors such as need for rural health care came later in the validation and need for APNs.
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6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochest
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er, NY. He is known for some of the earliest recruitment and specialized training o
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f nurses in which of the following roles?
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a. Pediatrics
b


b.Anesthesia
c. Obstetrics
b


d. Research and statistics
b b b


e. Family nursing
b b




ANS: B b


In 1889, Dr. William Worrall Mayo began formally training and recognizing n
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urse anesthetists. This has been regarded as the earliest training in nurse-
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bprovided anesthesia. b




7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for
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which purpose? b




a.Access to health care of rural areas b b b b b b


b. Create inner-city nursing awareness
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c. Provide the disadvantaged access to care
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d. Establish guidelines for advanced nursing roles
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ANS: C b


The HHS was established to provide nursing services to immigrants and low-
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income patients and their families in Manhattan. As resistance to nurse-
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provided care grew, standing orders were drafted from a group of Lower East Side ph
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ysicians thereby circumventing then-existing legal ramifications.
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8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary B
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reckenridge initially provided Appalachia with nursing resources and whic
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h type of advanced nursing care?
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a. Pediatric care
b b


b.Anesthesia

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c.Midwifery
b


d. Surgicalservices
b b b




ANS: C b