TEST BANK FOR ADVANCED NURSING PRACTICE: ESSENTIALK
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Advanced Practice Nursing: Essential Knowledge for the Profession 3rd
NOWLEDGE
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FOR THE PROFESSION
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Edition
3rdDenisco
EDITION TestDENISCO
Bank
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TEST BANK
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Chapter1fIntroductionftofthefRolefoffAdvancedfPracticesfNursing
MultiplefChoice
1. InfwhichfyearfdidfthefAmericanfAssociationfoffCollegefoffNursingf(AACN)fintroducedfthefDo
ctoratefoffNursingfPracticef(DNP)?
a.fff 2006
b.fff2004
c.fff 2000
d.f 2002
T
AhNeSA
:fABCNfintroducedfthefDNPfdegreefinf2004ftofpreparefadvancedfpracticefnursesf(APRNs)ftofme
etfchallengesfandfstandardizefpracticefbeyondfmaster’sfdegreefprograms.
2. WhichfofftheffollowingfisfthefbestfexplanationfforfthefcreationfoffthefDoctoratefoffNursingfPra
cticef(DNP)fdegree?
a. Tofcompetefagainstfmaster’sfdegreefprograms
b. Tofensurefstandardizedfcurriculumfensuringfindependentfpractice
c. TofvalidatefAPRN’sfforffinancialfreimbursement
d. Tofaddressfincreasingfcurriculumfrequirementsfoffmaster’sfdegreefprograms
ANS:f D
AlthoughfallfanswersfarefinfluencedfbyfthefDNPfcorefcompetencies,fthefDNPfprogramfcreationfinf2004f
byfthefAACNfwasfdesignedftofaddressfcurriculumfrequirementsfoffmaster’sfdegreefprograms.
3. Whichfofftheffollowingfwasftheffirstfrecognizedfareafoffadvancedfpracticef nursing?
a. ClinicalfNursefSpecialist
b. Familyfnursefpractitioner
c. Pediatricfnursefpractitioner
d. CertifiedfRegisteredfNursefAnesthetist
,ANS:f D
Inf1931,fthefNationalfAssociationfoffNursefAnesthetistsf(NANA),frenamedfinf1939ftofthefAmericanf
AssociationfoffNursefAnesthetistsf(AANA)fwasftheffirstfrecognizedfgroupfpromotingfadvancedfnurs
ingfpractice.fAgathafHodginsffoundedfthefAANMfatfLakesidefHospitalfinfCleveland,fOhio.
4. WhichffactorfisfbroadlyfperceivedftofsolidifyfandfstandardizefthefrolefoffthefAPNsfoverftheflastf25fy
ears?
a. Lackfoffaccessftofhealthfcarefproviders
b. Standardizedfcurriculumfdevelopment
c. Paymentfforfservices
d. Societalfforces
ANS:f B
AsfthefevolutionfoffAdvancedfPracticefNursingfadvancesfspecificfspecialtiesfandfneedsfarefidentified
.fThroughfthefevolutionfofforganizationfandfstandardizationfthesefrolesfhavefsolidifiedfthefAPN’sfrol
efinftoday’sfhealthfcarefenvironment.
5. 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.
6. Inf1889,fDr.fWilliamfWorrallfMayofbuiltfandfopenedfSt.fMary’sfhospitalfinfRochester,fNY.fHefisfkn
ownfforfsomefoffthefearliestfrecruitmentfandfspecializedftrainingfoffnursesfinfwhichfofftheffollowin
gfroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchfandfstatistics
e. Familyfnursing
,ANS:f B
Inf1889,fDr.fWilliamfWorrallfMayofbeganfformallyftrainingfandfrecognizingfnursefanesthetists.fThisf
hasfbeenfregardedfasfthefearliestftrainingfinfnurse-providedfanesthesia.
7. Inf1893,fLillianfWaldfestablishedfthefHenryfStreetfSettlementf(HSS)fHousefforfwhichfpurpose?
a. Accessftofhealthfcarefoffruralfareas
b. Createfinner-cityfnursingfawareness
c. Providefthefdisadvantagedfaccessftof care
d. Establishfguidelinesfforfadvancedfnursingf roles
ANS:f C
ThefHHSfwasfestablishedftofprovidefnursingfservicesftofimmigrantsfandflow-
incomefpatientsfandftheirffamiliesfinfManhattan.fAsfresistanceftofnurse-
providedfcarefgrew,fstandingfordersfwerefdraftedffromfafgroupfoffLowerfEastfSidefphysiciansfthereb
yfcircumventingfthen-existingflegalframifications.
8. ThefFrontierfNursingfServicef(FNS)ffoundedfinfKentuckyfinf1925fbyfMaryfBreckenridgefinitiall
yfprovidedfAppalachiafwithfnursingfresourcesfandfwhichftypefoffadvancedfnursingfcare?
a. Pediatricfcare
b. Anesthesia
c. Midwifery
d. Surgicalfservices
ANS:f C
TheforiginalfFNSfprovidedfnursingfservicesfandfobstetricfservicesftofAppalachianfresidents.fLaterfwo
rkingffromfstandardfordersfdevelopedffromftheirfmedicalfadvisoryfcommitteefnursesftreatedfpatients,
fmadefdiagnoses, fandfdispensedf medications.
9. Whichforganizationffoundedfinf1941funderfMaryfBreckenridge’sfleadershipfmergedfwithfthe
AmericanfCollegefoffNurse-Midwivesf(ACNM)finf1969?
a. AmericanfAssociationfoffNurse-Midwivesf(AANM)
b. AmericanfNursesfAssociationf(ANA)
c. AssociationfforfNationalfNurse-Midwiferyf(ANNM)
d. CouncilfoffNursingfMidwiferyf(ANM)
ANS:f A
ThefAmericanfCollegefoffNurse-
Midwivesf(ACNM)fformedfunderfthefleadershipfoffMaryfBreckenridgefinf1941ftofprovidefnurse-
midwifefdevelopmentfandfcollaborationfforfmidwife
, development.fInf1955,fthefAmericanfCollegefoffNurse-
Midwivesfwasfformedfandftheftwoforganizationsfmergedfinf1969fafterfthefdeathfoffMaryfBreckenridg
e.
10. InfaflandmarkfrulingfbyfthefSupremefCourtfasfafresultfoffChalmers-
Francesfv.fNelson,f1936,fwhatflegalfprecedentfwasf established?
a. Nursefanesthesiafwasfallowedfunderfthefnursefpracticefact
b. Nursefanesthesiafscopefoffpracticefincludedfanesthesia
c. Nursefanesthesiafwasflegal,fiffunderfguidancefoffafsupervisingf physician
d. Onlyftrainedfnursingfprofessionalsfcouldfadministerfanesthesiafindependently
ANS:f C
TheflandmarkfdecisionffromfthefChalmers-
Francesfv.fNelsonfcasefsetfnationalfprecedentfforfthefadvancedfnursingfpracticefrole.fItfprovedftofbefth
efbasisfforfotherfcasesfoverftheffollowingffewfdecadesfandfestablishedfthatftrainedfnursesfcouldflegallyf
providefanesthesiafcarefunderfsupervisionfoffafphysician.
11. Theffirstfknownfestablishmentfoffthefnursefpractitionerfrolefoccurredfinf1965fatftheUniversityfoff
Colorado.fInfwhichfareafofftrainingfdidfthisfrolefspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:f A
Thefestablishmentfofftheffirstfpediatricfnursefpractitionerfprogramfwasfinf1965fatfthefUniversityfoffC
olorado.fLorettafFord,fRNfandfHenryfSilver,fMDfprovidedfaf4-
monthfcourseftofcertifiedfregisteredfnursesftofprovidefeducationfonfmanagingfchildhoodfhealthfprobl
ems.
12. ThefDNPfprogramfcurriculumfoutlinedfwhichfofftheffollowingfclinicalfrequirementsfinfanfeff
ortftofstandardizeftraining?
a. 1000fsupervisedfclinicalfhoursfandf200funsupervisedfclinicalfhours
b. 1000fsupervisedfclinicalfhours
c. 900fsupervisedfclinicalfhours
d. 800fsupervisedfclinicalfhoursfandf200funsupervisedfclinicalfhours
ANS:f B
Inf2004,fthefAACNfoutlinedfthefDNPfcurriculumfinfanfeffortftofstandardizefandfrelievefchallengesfoffm
aster’sfdegreefprograms.fThisfincludesfafstandardizedfcurriculumfrequiringf1000fsupervisedfclinicalf
hours.
f f f f f f f
Advanced Practice Nursing: Essential Knowledge for the Profession 3rd
NOWLEDGE
f f f f f f f f
FOR THE PROFESSION
f f
Edition
3rdDenisco
EDITION TestDENISCO
Bank
f
f
TEST BANK
f
f
f
f
f f
Chapter1fIntroductionftofthefRolefoffAdvancedfPracticesfNursing
MultiplefChoice
1. InfwhichfyearfdidfthefAmericanfAssociationfoffCollegefoffNursingf(AACN)fintroducedfthefDo
ctoratefoffNursingfPracticef(DNP)?
a.fff 2006
b.fff2004
c.fff 2000
d.f 2002
T
AhNeSA
:fABCNfintroducedfthefDNPfdegreefinf2004ftofpreparefadvancedfpracticefnursesf(APRNs)ftofme
etfchallengesfandfstandardizefpracticefbeyondfmaster’sfdegreefprograms.
2. WhichfofftheffollowingfisfthefbestfexplanationfforfthefcreationfoffthefDoctoratefoffNursingfPra
cticef(DNP)fdegree?
a. Tofcompetefagainstfmaster’sfdegreefprograms
b. Tofensurefstandardizedfcurriculumfensuringfindependentfpractice
c. TofvalidatefAPRN’sfforffinancialfreimbursement
d. Tofaddressfincreasingfcurriculumfrequirementsfoffmaster’sfdegreefprograms
ANS:f D
AlthoughfallfanswersfarefinfluencedfbyfthefDNPfcorefcompetencies,fthefDNPfprogramfcreationfinf2004f
byfthefAACNfwasfdesignedftofaddressfcurriculumfrequirementsfoffmaster’sfdegreefprograms.
3. Whichfofftheffollowingfwasftheffirstfrecognizedfareafoffadvancedfpracticef nursing?
a. ClinicalfNursefSpecialist
b. Familyfnursefpractitioner
c. Pediatricfnursefpractitioner
d. CertifiedfRegisteredfNursefAnesthetist
,ANS:f D
Inf1931,fthefNationalfAssociationfoffNursefAnesthetistsf(NANA),frenamedfinf1939ftofthefAmericanf
AssociationfoffNursefAnesthetistsf(AANA)fwasftheffirstfrecognizedfgroupfpromotingfadvancedfnurs
ingfpractice.fAgathafHodginsffoundedfthefAANMfatfLakesidefHospitalfinfCleveland,fOhio.
4. WhichffactorfisfbroadlyfperceivedftofsolidifyfandfstandardizefthefrolefoffthefAPNsfoverftheflastf25fy
ears?
a. Lackfoffaccessftofhealthfcarefproviders
b. Standardizedfcurriculumfdevelopment
c. Paymentfforfservices
d. Societalfforces
ANS:f B
AsfthefevolutionfoffAdvancedfPracticefNursingfadvancesfspecificfspecialtiesfandfneedsfarefidentified
.fThroughfthefevolutionfofforganizationfandfstandardizationfthesefrolesfhavefsolidifiedfthefAPN’sfrol
efinftoday’sfhealthfcarefenvironment.
5. 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.
6. Inf1889,fDr.fWilliamfWorrallfMayofbuiltfandfopenedfSt.fMary’sfhospitalfinfRochester,fNY.fHefisfkn
ownfforfsomefoffthefearliestfrecruitmentfandfspecializedftrainingfoffnursesfinfwhichfofftheffollowin
gfroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchfandfstatistics
e. Familyfnursing
,ANS:f B
Inf1889,fDr.fWilliamfWorrallfMayofbeganfformallyftrainingfandfrecognizingfnursefanesthetists.fThisf
hasfbeenfregardedfasfthefearliestftrainingfinfnurse-providedfanesthesia.
7. Inf1893,fLillianfWaldfestablishedfthefHenryfStreetfSettlementf(HSS)fHousefforfwhichfpurpose?
a. Accessftofhealthfcarefoffruralfareas
b. Createfinner-cityfnursingfawareness
c. Providefthefdisadvantagedfaccessftof care
d. Establishfguidelinesfforfadvancedfnursingf roles
ANS:f C
ThefHHSfwasfestablishedftofprovidefnursingfservicesftofimmigrantsfandflow-
incomefpatientsfandftheirffamiliesfinfManhattan.fAsfresistanceftofnurse-
providedfcarefgrew,fstandingfordersfwerefdraftedffromfafgroupfoffLowerfEastfSidefphysiciansfthereb
yfcircumventingfthen-existingflegalframifications.
8. ThefFrontierfNursingfServicef(FNS)ffoundedfinfKentuckyfinf1925fbyfMaryfBreckenridgefinitiall
yfprovidedfAppalachiafwithfnursingfresourcesfandfwhichftypefoffadvancedfnursingfcare?
a. Pediatricfcare
b. Anesthesia
c. Midwifery
d. Surgicalfservices
ANS:f C
TheforiginalfFNSfprovidedfnursingfservicesfandfobstetricfservicesftofAppalachianfresidents.fLaterfwo
rkingffromfstandardfordersfdevelopedffromftheirfmedicalfadvisoryfcommitteefnursesftreatedfpatients,
fmadefdiagnoses, fandfdispensedf medications.
9. Whichforganizationffoundedfinf1941funderfMaryfBreckenridge’sfleadershipfmergedfwithfthe
AmericanfCollegefoffNurse-Midwivesf(ACNM)finf1969?
a. AmericanfAssociationfoffNurse-Midwivesf(AANM)
b. AmericanfNursesfAssociationf(ANA)
c. AssociationfforfNationalfNurse-Midwiferyf(ANNM)
d. CouncilfoffNursingfMidwiferyf(ANM)
ANS:f A
ThefAmericanfCollegefoffNurse-
Midwivesf(ACNM)fformedfunderfthefleadershipfoffMaryfBreckenridgefinf1941ftofprovidefnurse-
midwifefdevelopmentfandfcollaborationfforfmidwife
, development.fInf1955,fthefAmericanfCollegefoffNurse-
Midwivesfwasfformedfandftheftwoforganizationsfmergedfinf1969fafterfthefdeathfoffMaryfBreckenridg
e.
10. InfaflandmarkfrulingfbyfthefSupremefCourtfasfafresultfoffChalmers-
Francesfv.fNelson,f1936,fwhatflegalfprecedentfwasf established?
a. Nursefanesthesiafwasfallowedfunderfthefnursefpracticefact
b. Nursefanesthesiafscopefoffpracticefincludedfanesthesia
c. Nursefanesthesiafwasflegal,fiffunderfguidancefoffafsupervisingf physician
d. Onlyftrainedfnursingfprofessionalsfcouldfadministerfanesthesiafindependently
ANS:f C
TheflandmarkfdecisionffromfthefChalmers-
Francesfv.fNelsonfcasefsetfnationalfprecedentfforfthefadvancedfnursingfpracticefrole.fItfprovedftofbefth
efbasisfforfotherfcasesfoverftheffollowingffewfdecadesfandfestablishedfthatftrainedfnursesfcouldflegallyf
providefanesthesiafcarefunderfsupervisionfoffafphysician.
11. Theffirstfknownfestablishmentfoffthefnursefpractitionerfrolefoccurredfinf1965fatftheUniversityfoff
Colorado.fInfwhichfareafofftrainingfdidfthisfrolefspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:f A
Thefestablishmentfofftheffirstfpediatricfnursefpractitionerfprogramfwasfinf1965fatfthefUniversityfoffC
olorado.fLorettafFord,fRNfandfHenryfSilver,fMDfprovidedfaf4-
monthfcourseftofcertifiedfregisteredfnursesftofprovidefeducationfonfmanagingfchildhoodfhealthfprobl
ems.
12. ThefDNPfprogramfcurriculumfoutlinedfwhichfofftheffollowingfclinicalfrequirementsfinfanfeff
ortftofstandardizeftraining?
a. 1000fsupervisedfclinicalfhoursfandf200funsupervisedfclinicalfhours
b. 1000fsupervisedfclinicalfhours
c. 900fsupervisedfclinicalfhours
d. 800fsupervisedfclinicalfhoursfandf200funsupervisedfclinicalfhours
ANS:f B
Inf2004,fthefAACNfoutlinedfthefDNPfcurriculumfinfanfeffortftofstandardizefandfrelievefchallengesfoffm
aster’sfdegreefprograms.fThisfincludesfafstandardizedfcurriculumfrequiringf1000fsupervisedfclinicalf
hours.
