C157 test bank. Advanced Practice Nursing: Essential Knowledge for the Prof
n n n n n n n n n n
sion 3rdEdition Denisco Test Bank
n n n n n
Advanced Practice Nursing: Essential Knowledge for the Profession 3rdE
n n n n n n n n n
dition Denisco Test Bank
n n n
Chapter1nIntroductionntonthenRolenofnAdvancednPracticesnNursing
MultiplenChoice
1. InnwhichnyearndidnthenAmericannAssociationnofnCollegenofnNursingn(AACN)nintroducednthen
DoctoratenofnNursingnPracticen(DNP)?
a.nnn 2006
b.nnn 2004
c.nnn 2000
d.n 2002
T
AhNeSA
:nABCNnintroducednthenDNPndegreeninn2004ntonpreparenadvancednpracticennursesn(APRNs)nton
meetnchallengesnandnstandardizenpracticenbeyondnmaster’sndegreenprograms.
2. WhichnofnthenfollowingnisnthenbestnexplanationnfornthencreationnofnthenDoctoratenofnNursingnP
racticen(DNP)ndegree?
a. Toncompetenagainstnmaster’sndegreen programs
b. Tonensurenstandardizedncurriculumnensuringnindependentn practice
c. TonvalidatenAPRN’snfornfinancialn reimbursement
d. Tonaddressnincreasingncurriculumnrequirementsnofnmaster’sndegreenprograms
ANS:n D
AlthoughnallnanswersnareninfluencednbynthenDNPncorencompetencies,nthenDNPnprogramncreationninn2004n
bynthenAACNnwasndesignedntonaddressncurriculumnrequirementsnofnmaster’sndegreenprograms.
3. Whichnofnthenfollowingnwasnthenfirstnrecognizednareanofnadvancednpracticen nursing?
a. ClinicalnNursenSpecialist
b. Familynnursenpractitioner
c. Pediatricnnursenpractitioner
d. CertifiednRegisterednNursenAnesthetist
,C157 test bank. Advanced Practice Nursing: Essential Knowledge for the Prof
n n n n n n n n n n
sion 3rdEdition Denisco Test Bank
n n n n n
ANS:n D
Inn1931,nthenNationalnAssociationnofnNursenAnesthetistsn(NANA),nrenamedninn1939ntonthenAmerica
nnAssociationnofnNursenAnesthetistsn(AANA)nwasnthenfirstnrecognizedngroupnpromotingnadvancedn
nursingnpractice.nAgathanHodginsnfoundednthenAANMnatnLakesidenHospitalninnCleveland,nOhio.
4. WhichnfactornisnbroadlynperceivedntonsolidifynandnstandardizenthenrolenofnthenAPNsnovernthenlastn2
5nyears?
a. Lacknofnaccessntonhealthncarenproviders
b. Standardizedncurriculumndevelopment
c. Paymentnforn services
d. Societalnforces
ANS:n B
AsnthenevolutionnofnAdvancednPracticenNursingnadvancesnspecificnspecialtiesnandnneedsnarenidentifi
ed.nThroughnthenevolutionnofnorganizationnandnstandardizationnthesenrolesnhavensolidifiednthenAPN’
snroleninntoday’snhealthncarenenvironment.
5. DuringnthenformationnofnearlynAPNnrolesninnanesthesia,nwhichnofnthenfollowingnincreasednd
emandnfornaccessnton healthn care?
a. Poverty
b. War
c. Ruralnaccessntoncare
d. Availabilitynofntraining
ANS:n B
Earliestndemandnfornnursing-
providednanesthesianspikednduringnperiodsnofnwarnwhennnumbersnofnphysiciansnwereninadequate.nT
henearliestnrecordsndatenbackntonthenAmericannCivilnWarnwithnthenadministrationnofnchloroform.nDur
ingnWorldnWarnIninn1917nmorenthann1000nnurses,nsomentrainednanesthetists,ntravelednintonbattle.nOt
hernfactorsnsuchnasnneednfornruralnhealthncarencamenlaterninnthenvalidationnandnneednfornAPNs.
6. Inn1889,nDr.nWilliamnWorrallnMayonbuiltnandnopenednSt.nMary’snhospitalninnRochester,nNY.nHenis
nknownnfornsomenofnthenearliestnrecruitmentnandnspecializedntrainingnofnnursesninnwhichnofnthenfoll
owingnroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchnandnstatistics
e. Familynnursing
,C157 test bank. Advanced Practice Nursing: Essential Knowledge for the Prof
n n n n n n n n n n
sion 3rdEdition Denisco Test Bank
n n n n n
ANS:n B
Inn1889,nDr.nWilliamnWorrallnMayonbegannformallyntrainingnandnrecognizingnnursenanesthetists.nT
hisnhasnbeennregardednasnthenearliestntrainingninnnurse-providednanesthesia.
7. Inn1893,nLilliannWaldnestablishednthenHenrynStreetnSettlementn(HSS)nHousenfornwhichnpurpose?
a. Accessntonhealthncarenofnruralnareas
b. Createninner-citynnursingnawareness
c. Providenthendisadvantagednaccessnton care
d. Establishnguidelinesnfornadvancednnursingn roles
ANS:n C
ThenHHSnwasnestablishedntonprovidennursingnservicesntonimmigrantsnandnlow-
incomenpatientsnandntheirnfamiliesninnManhattan.nAsnresistancentonnurse-
providedncarengrew,nstandingnordersnwerendraftednfromnangroupnofnLowernEastnSidenphysiciansnther
ebyncircumventingnthen-existingnlegalnramifications.
8. ThenFrontiernNursingnServicen(FNS)nfoundedninnKentuckyninn1925nbynMarynBreckenridgeniniti
allynprovidednAppalachianwithnnursingnresourcesnandnwhichntypenofnadvancednnursingncare?
a. Pediatricncare
b. Anesthesia
c. Midwifery
d. Surgicalnservices
ANS:n C
ThenoriginalnFNSnprovidednnursingnservicesnandnobstetricnservicesntonAppalachiannresidents.nLatern
workingnfromnstandardnordersndevelopednfromntheirnmedicalnadvisoryncommitteennursesntreatednpat
ients,nmadendiagnoses,nandndispensedn medications.
9. Whichnorganizationnfoundedninn1941nundernMarynBreckenridge’snleadershipnmergednwithnthe
AmericannCollegenofnNurse-Midwivesn(ACNM)ninn1969?
a. AmericannAssociationnofnNurse-Midwivesn(AANM)
b. AmericannNursesnAssociationn(ANA)
c. AssociationnfornNationalnNurse-Midwiferyn(ANNM)
d. CouncilnofnNursingnMidwiferyn(ANM)
ANS:n A
ThenAmericannCollegenofnNurse-
Midwivesn(ACNM)nformednundernthenleadershipnofnMarynBreckenridgeninn1941ntonprovidennurse-
midwifendevelopmentnandncollaborationnfornmidwife
, C157 test bank. Advanced Practice Nursing: Essential Knowledge for the Prof
n n n n n n n n n n
sion 3rdEdition Denisco Test Bank
n n n n n
development.nInn1955,nthenAmericannCollegenofnNurse-
Midwivesnwasnformednandnthentwonorganizationsnmergedninn1969nafternthendeathnofnMarynBreckenri
dge.
10. InnanlandmarknrulingnbynthenSupremenCourtnasnanresultnofnChalmers-
Francesnv.nNelson,n1936,nwhatnlegalnprecedentnwasn established?
a. Nursenanesthesianwasnallowednundernthennursenpracticen act
b. Nursenanesthesianscopenofnpracticenincludednanesthesia
c. Nursenanesthesianwasnlegal,nifnundernguidancenofnansupervisingn physician
d. Onlyntrainednnursingnprofessionalsncouldnadministernanesthesian independently
ANS:n C
ThenlandmarkndecisionnfromnthenChalmers-
Francesnv.nNelsonncasensetnnationalnprecedentnfornthenadvancednnursingnpracticenrole.nItnprovedntonb
enthenbasisnfornotherncasesnovernthenfollowingnfewndecadesnandnestablishednthatntrainednnursesncouldnl
egallynprovidenanesthesiancarenundernsupervisionnofnanphysician.
11. Thenfirstnknownnestablishmentnofnthennursenpractitionernrolenoccurredninn1965natntheUniversityno
fnColorado.nInnwhichnareanofntrainingndidnthisnrolenspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:n A
Thenestablishmentnofnthenfirstnpediatricnnursenpractitionernprogramnwasninn1965natnthenUniversitynofn
Colorado.nLorettanFord,nRNnandnHenrynSilver,nMDnprovidednan4-
monthncoursentoncertifiednregisterednnursesntonprovideneducationnonnmanagingnchildhoodnhealthnpro
blems.
12. ThenDNPnprogramncurriculumnoutlinednwhichnofnthenfollowingnclinicalnrequirementsninnanne
ffortntonstandardizentraining?
a. 1000nsupervisednclinicalnhoursnandn200nunsupervisednclinicalnhours
b. 1000nsupervisednclinicalnhours
c. 900nsupervisednclinicalnhours
d. 800nsupervisednclinicalnhoursnandn200nunsupervisednclinicalnhours
ANS:n B
Inn2004,nthenAACNnoutlinednthenDNPncurriculumninnanneffortntonstandardizenandnrelievenchallengesno
fnmaster’sndegreenprograms.nThisnincludesnanstandardizedncurriculumnrequiringn1000nsupervisedncli
nicalnhours.
n n n n n n n n n n
sion 3rdEdition Denisco Test Bank
n n n n n
Advanced Practice Nursing: Essential Knowledge for the Profession 3rdE
n n n n n n n n n
dition Denisco Test Bank
n n n
Chapter1nIntroductionntonthenRolenofnAdvancednPracticesnNursing
MultiplenChoice
1. InnwhichnyearndidnthenAmericannAssociationnofnCollegenofnNursingn(AACN)nintroducednthen
DoctoratenofnNursingnPracticen(DNP)?
a.nnn 2006
b.nnn 2004
c.nnn 2000
d.n 2002
T
AhNeSA
:nABCNnintroducednthenDNPndegreeninn2004ntonpreparenadvancednpracticennursesn(APRNs)nton
meetnchallengesnandnstandardizenpracticenbeyondnmaster’sndegreenprograms.
2. WhichnofnthenfollowingnisnthenbestnexplanationnfornthencreationnofnthenDoctoratenofnNursingnP
racticen(DNP)ndegree?
a. Toncompetenagainstnmaster’sndegreen programs
b. Tonensurenstandardizedncurriculumnensuringnindependentn practice
c. TonvalidatenAPRN’snfornfinancialn reimbursement
d. Tonaddressnincreasingncurriculumnrequirementsnofnmaster’sndegreenprograms
ANS:n D
AlthoughnallnanswersnareninfluencednbynthenDNPncorencompetencies,nthenDNPnprogramncreationninn2004n
bynthenAACNnwasndesignedntonaddressncurriculumnrequirementsnofnmaster’sndegreenprograms.
3. Whichnofnthenfollowingnwasnthenfirstnrecognizednareanofnadvancednpracticen nursing?
a. ClinicalnNursenSpecialist
b. Familynnursenpractitioner
c. Pediatricnnursenpractitioner
d. CertifiednRegisterednNursenAnesthetist
,C157 test bank. Advanced Practice Nursing: Essential Knowledge for the Prof
n n n n n n n n n n
sion 3rdEdition Denisco Test Bank
n n n n n
ANS:n D
Inn1931,nthenNationalnAssociationnofnNursenAnesthetistsn(NANA),nrenamedninn1939ntonthenAmerica
nnAssociationnofnNursenAnesthetistsn(AANA)nwasnthenfirstnrecognizedngroupnpromotingnadvancedn
nursingnpractice.nAgathanHodginsnfoundednthenAANMnatnLakesidenHospitalninnCleveland,nOhio.
4. WhichnfactornisnbroadlynperceivedntonsolidifynandnstandardizenthenrolenofnthenAPNsnovernthenlastn2
5nyears?
a. Lacknofnaccessntonhealthncarenproviders
b. Standardizedncurriculumndevelopment
c. Paymentnforn services
d. Societalnforces
ANS:n B
AsnthenevolutionnofnAdvancednPracticenNursingnadvancesnspecificnspecialtiesnandnneedsnarenidentifi
ed.nThroughnthenevolutionnofnorganizationnandnstandardizationnthesenrolesnhavensolidifiednthenAPN’
snroleninntoday’snhealthncarenenvironment.
5. DuringnthenformationnofnearlynAPNnrolesninnanesthesia,nwhichnofnthenfollowingnincreasednd
emandnfornaccessnton healthn care?
a. Poverty
b. War
c. Ruralnaccessntoncare
d. Availabilitynofntraining
ANS:n B
Earliestndemandnfornnursing-
providednanesthesianspikednduringnperiodsnofnwarnwhennnumbersnofnphysiciansnwereninadequate.nT
henearliestnrecordsndatenbackntonthenAmericannCivilnWarnwithnthenadministrationnofnchloroform.nDur
ingnWorldnWarnIninn1917nmorenthann1000nnurses,nsomentrainednanesthetists,ntravelednintonbattle.nOt
hernfactorsnsuchnasnneednfornruralnhealthncarencamenlaterninnthenvalidationnandnneednfornAPNs.
6. Inn1889,nDr.nWilliamnWorrallnMayonbuiltnandnopenednSt.nMary’snhospitalninnRochester,nNY.nHenis
nknownnfornsomenofnthenearliestnrecruitmentnandnspecializedntrainingnofnnursesninnwhichnofnthenfoll
owingnroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchnandnstatistics
e. Familynnursing
,C157 test bank. Advanced Practice Nursing: Essential Knowledge for the Prof
n n n n n n n n n n
sion 3rdEdition Denisco Test Bank
n n n n n
ANS:n B
Inn1889,nDr.nWilliamnWorrallnMayonbegannformallyntrainingnandnrecognizingnnursenanesthetists.nT
hisnhasnbeennregardednasnthenearliestntrainingninnnurse-providednanesthesia.
7. Inn1893,nLilliannWaldnestablishednthenHenrynStreetnSettlementn(HSS)nHousenfornwhichnpurpose?
a. Accessntonhealthncarenofnruralnareas
b. Createninner-citynnursingnawareness
c. Providenthendisadvantagednaccessnton care
d. Establishnguidelinesnfornadvancednnursingn roles
ANS:n C
ThenHHSnwasnestablishedntonprovidennursingnservicesntonimmigrantsnandnlow-
incomenpatientsnandntheirnfamiliesninnManhattan.nAsnresistancentonnurse-
providedncarengrew,nstandingnordersnwerendraftednfromnangroupnofnLowernEastnSidenphysiciansnther
ebyncircumventingnthen-existingnlegalnramifications.
8. ThenFrontiernNursingnServicen(FNS)nfoundedninnKentuckyninn1925nbynMarynBreckenridgeniniti
allynprovidednAppalachianwithnnursingnresourcesnandnwhichntypenofnadvancednnursingncare?
a. Pediatricncare
b. Anesthesia
c. Midwifery
d. Surgicalnservices
ANS:n C
ThenoriginalnFNSnprovidednnursingnservicesnandnobstetricnservicesntonAppalachiannresidents.nLatern
workingnfromnstandardnordersndevelopednfromntheirnmedicalnadvisoryncommitteennursesntreatednpat
ients,nmadendiagnoses,nandndispensedn medications.
9. Whichnorganizationnfoundedninn1941nundernMarynBreckenridge’snleadershipnmergednwithnthe
AmericannCollegenofnNurse-Midwivesn(ACNM)ninn1969?
a. AmericannAssociationnofnNurse-Midwivesn(AANM)
b. AmericannNursesnAssociationn(ANA)
c. AssociationnfornNationalnNurse-Midwiferyn(ANNM)
d. CouncilnofnNursingnMidwiferyn(ANM)
ANS:n A
ThenAmericannCollegenofnNurse-
Midwivesn(ACNM)nformednundernthenleadershipnofnMarynBreckenridgeninn1941ntonprovidennurse-
midwifendevelopmentnandncollaborationnfornmidwife
, C157 test bank. Advanced Practice Nursing: Essential Knowledge for the Prof
n n n n n n n n n n
sion 3rdEdition Denisco Test Bank
n n n n n
development.nInn1955,nthenAmericannCollegenofnNurse-
Midwivesnwasnformednandnthentwonorganizationsnmergedninn1969nafternthendeathnofnMarynBreckenri
dge.
10. InnanlandmarknrulingnbynthenSupremenCourtnasnanresultnofnChalmers-
Francesnv.nNelson,n1936,nwhatnlegalnprecedentnwasn established?
a. Nursenanesthesianwasnallowednundernthennursenpracticen act
b. Nursenanesthesianscopenofnpracticenincludednanesthesia
c. Nursenanesthesianwasnlegal,nifnundernguidancenofnansupervisingn physician
d. Onlyntrainednnursingnprofessionalsncouldnadministernanesthesian independently
ANS:n C
ThenlandmarkndecisionnfromnthenChalmers-
Francesnv.nNelsonncasensetnnationalnprecedentnfornthenadvancednnursingnpracticenrole.nItnprovedntonb
enthenbasisnfornotherncasesnovernthenfollowingnfewndecadesnandnestablishednthatntrainednnursesncouldnl
egallynprovidenanesthesiancarenundernsupervisionnofnanphysician.
11. Thenfirstnknownnestablishmentnofnthennursenpractitionernrolenoccurredninn1965natntheUniversityno
fnColorado.nInnwhichnareanofntrainingndidnthisnrolenspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:n A
Thenestablishmentnofnthenfirstnpediatricnnursenpractitionernprogramnwasninn1965natnthenUniversitynofn
Colorado.nLorettanFord,nRNnandnHenrynSilver,nMDnprovidednan4-
monthncoursentoncertifiednregisterednnursesntonprovideneducationnonnmanagingnchildhoodnhealthnpro
blems.
12. ThenDNPnprogramncurriculumnoutlinednwhichnofnthenfollowingnclinicalnrequirementsninnanne
ffortntonstandardizentraining?
a. 1000nsupervisednclinicalnhoursnandn200nunsupervisednclinicalnhours
b. 1000nsupervisednclinicalnhours
c. 900nsupervisednclinicalnhours
d. 800nsupervisednclinicalnhoursnandn200nunsupervisednclinicalnhours
ANS:n B
Inn2004,nthenAACNnoutlinednthenDNPncurriculumninnanneffortntonstandardizenandnrelievenchallengesno
fnmaster’sndegreenprograms.nThisnincludesnanstandardizedncurriculumnrequiringn1000nsupervisedncli
nicalnhours.
