C157ntestnbank.nAdvancednPracticenNursing:nEssentialnKnowledgenforn
henProfessionn3rdnEditionnDenisconTestnBank
AdvancednPracticenNursing:nEssentialnKnowledgenfornthenProfessio
nn3rdnEditionnDenisconTestnBank
Chapter1nIntroductionntonthenRolenofnAdvancednPracticesnNursing
MultiplenChoice
1. InnwhichnyearndidnthenAmericannAssociationnofnCollegenofnNursingn(AACN)nintrod
ucednthenDoctoratenofnNursingnPracticen(DNP)?
a.nnn2006
b.nnn2004
c.nnn2000
d.n 2002
T
AhNeSA
:nABCNnintroducednthenDNPndegreeninn2004ntonpreparenadvancednpracticennursesn(AP
RNs)ntonmeetnchallengesnandnstandardizenpracticenbeyondnmaster’sndegreenprograms.
2. WhichnofnthenfollowingnisnthenbestnexplanationnfornthencreationnofnthenDoctoratenof
nNursingnPracticen(DNP)ndegree?
a. Toncompetenagainstnmaster’sndegreenprograms
b. Tonensurenstandardizedncurriculumnensuringnindependentnpractice
c. TonvalidatenAPRN’snfornfinancialnreimbursement
d. Tonaddressnincreasingncurriculumnrequirementsnofnmaster’sndegreenprograms
ANS:n D
AlthoughnallnanswersnareninfluencednbynthenDNPncorencompetencies,nthenDNPnprogramncreatio
nninn2004nbynthenAACNnwasndesignedntonaddressncurriculumnrequirementsnofnmaster’sndegreenp
rograms.
3. Whichnofnthenfollowingnwasnthenfirstnrecognizednareanofnadvancednpracticennursing?
a. ClinicalnNursenSpecialist
b. Familynnursenpractitioner
c. Pediatricnnursenpractitioner
d. CertifiednRegisterednNursenAnesthetist
,C157ntestnbank.nAdvancednPracticenNursing:nEssentialnKnowledgenforn
henProfessionn3rdnEditionnDenisconTestnBank
ANS:n D
Inn1931,nthenNationalnAssociationnofnNursenAnesthetistsn(NANA),nrenamedninn1939ntonth
enAmericannAssociationnofnNursenAnesthetistsn(AANA)nwasnthenfirstnrecognizedngroupnpr
omotingnadvancednnursingnpractice.nAgathanHodginsnfoundednthenAANMnatnLakesidenHos
pitalninnCleveland,nOhio.
4. WhichnfactornisnbroadlynperceivedntonsolidifynandnstandardizenthenrolenofnthenAPNsnov
ernthenlastn25nyears?
a. Lacknofnaccessntonhealthncarenproviders
b. Standardizedncurriculumndevelopment
c. Paymentnfornservices
d. Societalnforces
ANS:n B
AsnthenevolutionnofnAdvancednPracticenNursingnadvancesnspecificnspecialtiesnandnneedsnar
enidentified.nThroughnthenevolutionnofnorganizationnandnstandardizationnthesenrolesnhavens
olidifiednthenAPN’snroleninntoday’snhealthncarenenvironment.
5. DuringnthenformationnofnearlynAPNnrolesninnanesthesia,nwhichnofnthenfollowingni
ncreasedndemandnfornaccessntonhealthncare?
a. Poverty
b. War
c. Ruralnaccessntoncare
d. Availabilitynofntraining
ANS:n B
Earliestndemandnfornnursing-
providednanesthesianspikednduringnperiodsnofnwarnwhennnumbersnofnphysiciansnwereninade
quate.nThenearliestnrecordsndatenbackntonthenAmericannCivilnWarnwithnthenadministrationn
ofnchloroform.nDuringnWorldnWarnIninn1917nmorenthann1000nnurses,nsomentrainednanesth
etists,ntravelednintonbattle.nOthernfactorsnsuchnasnneednfornruralnhealthncarencamenlaterninn
thenvalidationnandnneednfornAPNs.
6. Inn1889,nDr.nWilliamnWorrallnMayonbuiltnandnopenednSt.nMary’snhospitalninnRochester,
nNY.nHenisnknownnfornsomenofnthenearliestnrecruitmentnandnspecializedntrainingnofnnurs
esninnwhichnofnthenfollowingnroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchnandnstatistics
e. Familynnursing
,C157ntestnbank.nAdvancednPracticenNursing:nEssentialnKnowledgenforn
henProfessionn3rdnEditionnDenisconTestnBank
ANS:n B
Inn1889,nDr.nWilliamnWorrallnMayonbegannformallyntrainingnandnrecognizingnnursenanesth
etists.nThisnhasnbeennregardednasnthenearliestntrainingninnnurse-providednanesthesia.
7. Inn1893,nLilliannWaldnestablishednthenHenrynStreetnSettlementn(HSS)nHousenfornwhichnpurpose?
a. Accessntonhealthncarenofnruralnareas
b. Createninner-citynnursingnawareness
c. Providenthendisadvantagednaccessntoncare
d. Establishnguidelinesnfornadvancednnursingnroles
ANS:n C
ThenHHSnwasnestablishedntonprovidennursingnservicesntonimmigrantsnandnlow-
incomenpatientsnandntheirnfamiliesninnManhattan.nAsnresistancentonnurse-
providedncarengrew,nstandingnordersnwerendraftednfromnangroupnofnLowernEastnSidenphysi
ciansntherebyncircumventingnthen-existingnlegalnramifications.
8. ThenFrontiernNursingnServicen(FNS)nfoundedninnKentuckyninn1925nbynMarynBreckenri
dgeninitiallynprovidednAppalachianwithnnursingnresourcesnandnwhichntypenofnadvancednn
ursingncare?
a. Pediatricncare
b. Anesthesia
c. Midwifery
d. Surgicalnservices
ANS:n C
ThenoriginalnFNSnprovidednnursingnservicesnandnobstetricnservicesntonAppalachiannresident
s.nLaternworkingnfromnstandardnordersndevelopednfromntheirnmedicalnadvisoryncommitteenn
ursesntreatednpatients,nmadendiagnoses,nandndispensednmedications.
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)nformednundernthenleadershipnofnMarynBreckenridgeninn1941ntonprovide
nnurse-midwifendevelopmentnandncollaborationnfornmidwife
, C157ntestnbank.nAdvancednPracticenNursing:nEssentialnKnowledgenforn
henProfessionn3rdnEditionnDenisconTestnBank
development.nInn1955,nthenAmericannCollegenofnNurse-
Midwivesnwasnformednandnthentwonorganizationsnmergedninn1969nafternthendeathnofnMary
nBreckenridge.
10. InnanlandmarknrulingnbynthenSupremenCourtnasnanresultnofnChalmers-
Francesnv.nNelson,n1936,nwhatnlegalnprecedentnwasnestablished?
a. Nursenanesthesianwasnallowednundernthennursenpracticenact
b. Nursenanesthesianscopenofnpracticenincludednanesthesia
c. Nursenanesthesianwasnlegal,nifnundernguidancenofnansupervisingnphysician
d. Onlyntrainednnursingnprofessionalsncouldnadministernanesthesianindependently
ANS:n C
ThenlandmarkndecisionnfromnthenChalmers-
Francesnv.nNelsonncasensetnnationalnprecedentnfornthenadvancednnursingnpracticenrole.nItnp
rovedntonbenthenbasisnfornotherncasesnovernthenfollowingnfewndecadesnandnestablishednthat
ntrainednnursesncouldnlegallynprovidenanesthesiancarenundernsupervisionnofnanphysician.
11. Thenfirstnknownnestablishmentnofnthennursenpractitionernrolenoccurredninn1965natntheU
niversitynofnColorado.nInnwhichnareanofntrainingndidnthisnrolenspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:n A
Thenestablishmentnofnthenfirstnpediatricnnursenpractitionernprogramnwasninn1965natnthenUn
iversitynofnColorado.nLorettanFord,nRNnandnHenrynSilver,nMDnprovidednan4-
monthncoursentoncertifiednregisterednnursesntonprovideneducationnonnmanagingnchildhoodnh
ealthnproblems.
12. ThenDNPnprogramncurriculumnoutlinednwhichnofnthenfollowingnclinicalnrequirement
sninnanneffortntonstandardizentraining?
a. 1000nsupervisednclinicalnhoursnandn200nunsupervisednclinicalnhours
b. 1000nsupervisednclinicalnhours
c. 900nsupervisednclinicalnhours
d. 800nsupervisednclinicalnhoursnandn200nunsupervisednclinicalnhours
ANS:n B
Inn2004,nthenAACNnoutlinednthenDNPncurriculumninnanneffortntonstandardizenandnrelievenc
hallengesnofnmaster’sndegreenprograms.nThisnincludesnanstandardizedncurriculumnrequiringn
1000nsupervisednclinicalnhours.
henProfessionn3rdnEditionnDenisconTestnBank
AdvancednPracticenNursing:nEssentialnKnowledgenfornthenProfessio
nn3rdnEditionnDenisconTestnBank
Chapter1nIntroductionntonthenRolenofnAdvancednPracticesnNursing
MultiplenChoice
1. InnwhichnyearndidnthenAmericannAssociationnofnCollegenofnNursingn(AACN)nintrod
ucednthenDoctoratenofnNursingnPracticen(DNP)?
a.nnn2006
b.nnn2004
c.nnn2000
d.n 2002
T
AhNeSA
:nABCNnintroducednthenDNPndegreeninn2004ntonpreparenadvancednpracticennursesn(AP
RNs)ntonmeetnchallengesnandnstandardizenpracticenbeyondnmaster’sndegreenprograms.
2. WhichnofnthenfollowingnisnthenbestnexplanationnfornthencreationnofnthenDoctoratenof
nNursingnPracticen(DNP)ndegree?
a. Toncompetenagainstnmaster’sndegreenprograms
b. Tonensurenstandardizedncurriculumnensuringnindependentnpractice
c. TonvalidatenAPRN’snfornfinancialnreimbursement
d. Tonaddressnincreasingncurriculumnrequirementsnofnmaster’sndegreenprograms
ANS:n D
AlthoughnallnanswersnareninfluencednbynthenDNPncorencompetencies,nthenDNPnprogramncreatio
nninn2004nbynthenAACNnwasndesignedntonaddressncurriculumnrequirementsnofnmaster’sndegreenp
rograms.
3. Whichnofnthenfollowingnwasnthenfirstnrecognizednareanofnadvancednpracticennursing?
a. ClinicalnNursenSpecialist
b. Familynnursenpractitioner
c. Pediatricnnursenpractitioner
d. CertifiednRegisterednNursenAnesthetist
,C157ntestnbank.nAdvancednPracticenNursing:nEssentialnKnowledgenforn
henProfessionn3rdnEditionnDenisconTestnBank
ANS:n D
Inn1931,nthenNationalnAssociationnofnNursenAnesthetistsn(NANA),nrenamedninn1939ntonth
enAmericannAssociationnofnNursenAnesthetistsn(AANA)nwasnthenfirstnrecognizedngroupnpr
omotingnadvancednnursingnpractice.nAgathanHodginsnfoundednthenAANMnatnLakesidenHos
pitalninnCleveland,nOhio.
4. WhichnfactornisnbroadlynperceivedntonsolidifynandnstandardizenthenrolenofnthenAPNsnov
ernthenlastn25nyears?
a. Lacknofnaccessntonhealthncarenproviders
b. Standardizedncurriculumndevelopment
c. Paymentnfornservices
d. Societalnforces
ANS:n B
AsnthenevolutionnofnAdvancednPracticenNursingnadvancesnspecificnspecialtiesnandnneedsnar
enidentified.nThroughnthenevolutionnofnorganizationnandnstandardizationnthesenrolesnhavens
olidifiednthenAPN’snroleninntoday’snhealthncarenenvironment.
5. DuringnthenformationnofnearlynAPNnrolesninnanesthesia,nwhichnofnthenfollowingni
ncreasedndemandnfornaccessntonhealthncare?
a. Poverty
b. War
c. Ruralnaccessntoncare
d. Availabilitynofntraining
ANS:n B
Earliestndemandnfornnursing-
providednanesthesianspikednduringnperiodsnofnwarnwhennnumbersnofnphysiciansnwereninade
quate.nThenearliestnrecordsndatenbackntonthenAmericannCivilnWarnwithnthenadministrationn
ofnchloroform.nDuringnWorldnWarnIninn1917nmorenthann1000nnurses,nsomentrainednanesth
etists,ntravelednintonbattle.nOthernfactorsnsuchnasnneednfornruralnhealthncarencamenlaterninn
thenvalidationnandnneednfornAPNs.
6. Inn1889,nDr.nWilliamnWorrallnMayonbuiltnandnopenednSt.nMary’snhospitalninnRochester,
nNY.nHenisnknownnfornsomenofnthenearliestnrecruitmentnandnspecializedntrainingnofnnurs
esninnwhichnofnthenfollowingnroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchnandnstatistics
e. Familynnursing
,C157ntestnbank.nAdvancednPracticenNursing:nEssentialnKnowledgenforn
henProfessionn3rdnEditionnDenisconTestnBank
ANS:n B
Inn1889,nDr.nWilliamnWorrallnMayonbegannformallyntrainingnandnrecognizingnnursenanesth
etists.nThisnhasnbeennregardednasnthenearliestntrainingninnnurse-providednanesthesia.
7. Inn1893,nLilliannWaldnestablishednthenHenrynStreetnSettlementn(HSS)nHousenfornwhichnpurpose?
a. Accessntonhealthncarenofnruralnareas
b. Createninner-citynnursingnawareness
c. Providenthendisadvantagednaccessntoncare
d. Establishnguidelinesnfornadvancednnursingnroles
ANS:n C
ThenHHSnwasnestablishedntonprovidennursingnservicesntonimmigrantsnandnlow-
incomenpatientsnandntheirnfamiliesninnManhattan.nAsnresistancentonnurse-
providedncarengrew,nstandingnordersnwerendraftednfromnangroupnofnLowernEastnSidenphysi
ciansntherebyncircumventingnthen-existingnlegalnramifications.
8. ThenFrontiernNursingnServicen(FNS)nfoundedninnKentuckyninn1925nbynMarynBreckenri
dgeninitiallynprovidednAppalachianwithnnursingnresourcesnandnwhichntypenofnadvancednn
ursingncare?
a. Pediatricncare
b. Anesthesia
c. Midwifery
d. Surgicalnservices
ANS:n C
ThenoriginalnFNSnprovidednnursingnservicesnandnobstetricnservicesntonAppalachiannresident
s.nLaternworkingnfromnstandardnordersndevelopednfromntheirnmedicalnadvisoryncommitteenn
ursesntreatednpatients,nmadendiagnoses,nandndispensednmedications.
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)nformednundernthenleadershipnofnMarynBreckenridgeninn1941ntonprovide
nnurse-midwifendevelopmentnandncollaborationnfornmidwife
, C157ntestnbank.nAdvancednPracticenNursing:nEssentialnKnowledgenforn
henProfessionn3rdnEditionnDenisconTestnBank
development.nInn1955,nthenAmericannCollegenofnNurse-
Midwivesnwasnformednandnthentwonorganizationsnmergedninn1969nafternthendeathnofnMary
nBreckenridge.
10. InnanlandmarknrulingnbynthenSupremenCourtnasnanresultnofnChalmers-
Francesnv.nNelson,n1936,nwhatnlegalnprecedentnwasnestablished?
a. Nursenanesthesianwasnallowednundernthennursenpracticenact
b. Nursenanesthesianscopenofnpracticenincludednanesthesia
c. Nursenanesthesianwasnlegal,nifnundernguidancenofnansupervisingnphysician
d. Onlyntrainednnursingnprofessionalsncouldnadministernanesthesianindependently
ANS:n C
ThenlandmarkndecisionnfromnthenChalmers-
Francesnv.nNelsonncasensetnnationalnprecedentnfornthenadvancednnursingnpracticenrole.nItnp
rovedntonbenthenbasisnfornotherncasesnovernthenfollowingnfewndecadesnandnestablishednthat
ntrainednnursesncouldnlegallynprovidenanesthesiancarenundernsupervisionnofnanphysician.
11. Thenfirstnknownnestablishmentnofnthennursenpractitionernrolenoccurredninn1965natntheU
niversitynofnColorado.nInnwhichnareanofntrainingndidnthisnrolenspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:n A
Thenestablishmentnofnthenfirstnpediatricnnursenpractitionernprogramnwasninn1965natnthenUn
iversitynofnColorado.nLorettanFord,nRNnandnHenrynSilver,nMDnprovidednan4-
monthncoursentoncertifiednregisterednnursesntonprovideneducationnonnmanagingnchildhoodnh
ealthnproblems.
12. ThenDNPnprogramncurriculumnoutlinednwhichnofnthenfollowingnclinicalnrequirement
sninnanneffortntonstandardizentraining?
a. 1000nsupervisednclinicalnhoursnandn200nunsupervisednclinicalnhours
b. 1000nsupervisednclinicalnhours
c. 900nsupervisednclinicalnhours
d. 800nsupervisednclinicalnhoursnandn200nunsupervisednclinicalnhours
ANS:n B
Inn2004,nthenAACNnoutlinednthenDNPncurriculumninnanneffortntonstandardizenandnrelievenc
hallengesnofnmaster’sndegreenprograms.nThisnincludesnanstandardizedncurriculumnrequiringn
1000nsupervisednclinicalnhours.
