Chapter 1: Highlights from the History of Advanced Practice Nursingin t
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he United States Test Bank
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Multiple Choice l
1. In which year did the American Association of College of Nursing (AACN)intr
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oduced the Doctorate of Nursing Practice (DNP)? l l l l l l
a. 2006 l
b. 2004 l
c. 2000 l
d. 2002 l
ANS: B l
The AACN introduced the DNP degree in 2004 to prepare advanced practice nurses(AP
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RNs) to meet challenges and standardize practice beyond master’s degree programs.
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2. Which of the following is the best explanation for the creation of theDoc
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torate of Nursing Practice (DNP) degree? l l l l l
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 l
Although all answers are influenced by the DNP core competencies, the DNPprogram cr
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eation in 2004 by the AACN was designed to address curriculum requirements of master
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’s degree programs.
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3. Which of the following was the first recognized area of advanced practicenurs
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ing?
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a.Clinical Nurse Specialist
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b.Family nurse practitioner
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c.Pediatric nurse practitioner
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d.Certified Registered Nurse Anesthetist
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ANS: D l
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939to th
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e American Association of Nurse Anesthetists (AANA) was the first recognized group
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promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
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Hospital in Cleveland, Ohio. l l l
4. Which factor is broadly perceived to solidify and standardize the role of theAP
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Ns over the last 25 years?
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a.Lack of access to health care providers
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b.Standardized curriculum development
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c.Payment for services
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d.Societal forces
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ANS: B l
As the evolution of Advanced Practice Nursing advances specific specialties and needs
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are identified. Through the evolution of organization and standardization these roles hav
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e 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 thefoll
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owing increased demand for access to health care?l l l l l l l
a.Poverty
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b.War
c. Rural access to care d.A
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vailability of training l l
ANS: B l
Earliest demand for nursing- l l l
provided anesthesia spiked during periods of war whennumbers of physicians were inad
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equate. The earliest records date back to theAmerican Civil War with the administration
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, l of chloroform. During World War I in
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