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Chapter1fIntroductionftofthefRolefoffAdvancedfPracticesfNursing
MultiplefChoice
• InfwhichfyearfdidfthefAmericanfAssociationfoffCollegefoffNursingf(AACN)fintroducedfthefDo
ctoratefoffNursingfPracticef(DNP)?
a.fff 2006
b.fff2004
c.fff 2000
d.f 2002
T
AhNeSA
:fABCNfintroducedfthefDNPfdegreefinf2004ftofpreparefadvancedfpracticefnursesf(APRNs)ftofme
etfchallengesfandfstandardizefpracticefbeyondfmaster’sfdegreefprograms.
• WhichfofftheffollowingfisfthefbestfexplanationfforfthefcreationfoffthefDoctoratefoffNursingfPra
cticef(DNP)fdegree?
a. Tofcompetefagainstfmaster’sfdegreefprograms
b. Tofensurefstandardizedfcurriculumfensuringfindependentfpractice
c. TofvalidatefAPRN’sfforffinancialfreimbursement
d. Tofaddressfincreasingfcurriculumfrequirementsfoffmaster’sfdegreefprograms
ANS:f D
AlthoughfallfanswersfarefinfluencedfbyfthefDNPfcorefcompetencies,fthefDNPfprogramfcreationfinf2004fbyft
hefAACNfwasfdesignedftofaddressfcurriculumfrequirementsfoffmaster’sfdegreefprograms.
• ThefDNPfprogramfcurriculumfoutlinedfwhichfofftheffollowingfclinicalfrequirementsfinfanfeff
ortftofstandardizeftraining?
a. 1000fsupervisedfclinicalfhoursfandf200funsupervisedfclinicalfhours
b. 1000fsupervisedfclinicalfhours
c. 900fsupervisedfclinicalfhours
d. 800fsupervisedfclinicalfhoursfandf200funsupervisedfclinicalfhours
ANS:f B
Inf2004,fthefAACNfoutlinedfthefDNPfcurriculumfinfanfeffortftofstandardizefandfrelievefchallengesfoffm
aster’sfdegreefprograms.fThisfincludesfafstandardizedfcurriculumfrequiringf1000fsupervisedfclinicalf
hours.
• Whichfstatefbecameftheffirstftofrecognizefdiagnosisfandftreatmentfasfpartfoffthefsco
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pefoffpracticefoffspecialtyfnurses?
a. Idaho
b. Oklahoma
c. SouthfDakota
d. Maryland
ANS:f A
IdahofGovernorfCecilfAndrusfsignedfHBf46fandfHBf207fintoflawfonfFebruaryf11,f1971
.fThisfamendedfthefstates’fnursefpracticefactfmakingfitftheffirstfstateftofofficiallyfrecogniz
efdiagnosisfandftreatmentfoffspecialtyfnurses.fThefrecognitionfoffthefabilityftofdiagnosef
andftreatfovercamefanfinitialfhurdleftowardfindependentfnursingfpractice.
• ThefAmericanfNursingfAssociationf(ANA)fdefinesfwhichfrequirementfforfthefde
signationfoffafclinicalfnursefspecialistfinfanyfspecialty?
a. Specialtyftrainingfcertificate
b. Successfulfcompletionfoffcertificationfexamination
c. Mastersforfdoctoralfdegree
d. 1000fhoursfrelevantfsupervisedf training
e. Twoforfmorefyearsfoffclinicallyfrelevantfexperience
ANS:f C
Inf1980,fthefANAfspecificallyfoutlinedfcriteriafforfthefacknowledgmentfoffclinicalfnur
sefspecialistftrainingfprograms.fAtfthatftimeftheyfrequiredfgraduateflevelftrainingftofbec
omefanfexpertfinfafrelevantfspecialtyfareafoffnursing.fAdditionally,ftheyfmustfmeetfanyf
requirementsfsetfforthfbyfthefspecificfprofessionalfsociety.
• Whichfofftheffollowingfwasftheffirstfrecognizedfareafoffadvancedfpracticef nursing?
a. ClinicalfNursefSpecialist
b. Familyfnursefpractitioner
c. Pediatricfnursefpractitioner
d. CertifiedfRegisteredfNursefAnesthetist
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ANS:f D
Inf1931,fthefNationalfAssociationfoffNursefAnesthetistsf(NANA),frenamedfinf1939ftofthefAmericanf
AssociationfoffNursefAnesthetistsf(AANA)fwasftheffirstfrecognizedfgroupfpromotingfadvancedfnurs
ingfpractice.fAgathafHodginsffoundedfthefAANMfatfLakesidefHospitalfinfCleveland,fOhio.
• WhichffactorfisfbroadlyfperceivedftofsolidifyfandfstandardizefthefrolefoffthefAPNsfoverftheflastf25fy
ears?
a. Lackfoffaccessftofhealthfcarefproviders
b. Standardizedfcurriculumfdevelopment
c. Paymentfforfservices
d. Societalfforces
ANS:f B
AsfthefevolutionfoffAdvancedfPracticefNursingfadvancesfspecificfspecialtiesfandfneedsfarefidentified
.fThroughfthefevolutionfofforganizationfandfstandardizationfthesefrolesfhavefsolidifiedfthefAPN’sfrol
efinftoday’sfhealthfcarefenvironment.
• DuringfthefformationfoffearlyfAPNfrolesfinfanesthesia,fwhichfofftheffollowingfincreasedfde
mandfforfaccessftofhealthf care?
a. Poverty
b. War
c. Ruralfaccessftofcare
d. Availabilityfofftraining
ANS:f B
Earliestfdemandfforfnursing-
providedfanesthesiafspikedfduringfperiodsfoffwarfwhenfnumbersfoffphysiciansfwerefinadequate.fThef
earliestfrecordsfdatefbackftofthefAmericanfCivilfWarfwithfthefadministrationfoffchloroform.fDuringf
WorldfWarfIfinf1917fmorefthanf1000fnurses,fsomeftrainedfanesthetists,ftraveledfintofbattle.fOtherffact
orsfsuchfasfneedfforfruralfhealthfcarefcameflaterfinfthefvalidationfandfneedfforfAPNs.
• Inf1889,fDr.fWilliamfWorrallfMayofbuiltfandfopenedfSt.fMary’sfhospitalfinfRochester,fNY.fHefisfkn
ownfforfsomefoffthefearliestfrecruitmentfandfspecializedftrainingfoffnursesfinfwhichfofftheffollowin
gfroles?
a. Pediatrics
b. Anesthesia
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c. Obstetrics
d. Researchfandfstatistics
e. Familyfnursing
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