h h h h h h h h h h
sion 3rdEdition Denisco Test Bank
h h h h h
Advanced Practice Nursing: Essential Knowledge for the Profession 3rdE
h h h h h h h h h
dition Denisco Test Bank
h h h
Chapter1hIntroductionhtohthehRolehofhAdvancedhPracticeshNursing
MultiplehChoice
1. InhwhichhyearhdidhthehAmericanhAssociationhofhCollegehofhNursingh(AACN)hintroducedhtheh
DoctoratehofhNursinghPracticeh(DNP)?
a.hhh 2006
b.hhh 2004
c.hhh 2000
d.h 2002
T
AhNeSA
:hABCNhintroducedhthehDNPhdegreehinh2004htohpreparehadvancedhpracticehnursesh(APRNs)htoh
meethchallengeshandhstandardizehpracticehbeyondhmaster’shdegreehprograms.
2. WhichhofhthehfollowinghishthehbesthexplanationhforhthehcreationhofhthehDoctoratehofhNursinghP
racticeh(DNP)hdegree?
a. Tohcompetehagainsthmaster’shdegreeh programs
b. Tohensurehstandardizedhcurriculumhensuringhindependenth practice
c. TohvalidatehAPRN’shforhfinancialh reimbursement
d. Tohaddresshincreasinghcurriculumhrequirementshofhmaster’shdegreehprograms
ANS:h D
AlthoughhallhanswersharehinfluencedhbyhthehDNPhcorehcompetencies,hthehDNPhprogramhcreationhinh2004h
byhthehAACNhwashdesignedhtohaddresshcurriculumhrequirementshofhmaster’shdegreehprograms.
3. Whichhofhthehfollowinghwashthehfirsthrecognizedhareahofhadvancedhpracticeh nursing?
a. ClinicalhNursehSpecialist
b. Familyhnursehpractitioner
c. Pediatrichnursehpractitioner
d. CertifiedhRegisteredhNursehAnesthetist
,C157 test bank. Advanced Practice Nursing: Essential Knowledge for the Profe
h h h h h h h h h h
sion 3rdEdition Denisco Test Bank
h h h h h
ANS:h D
Inh1931,hthehNationalhAssociationhofhNursehAnesthetistsh(NANA),hrenamedhinh1939htohthehAmerica
nhAssociationhofhNursehAnesthetistsh(AANA)hwashthehfirsthrecognizedhgrouphpromotinghadvancedh
nursinghpractice.hAgathahHodginshfoundedhthehAANMhathLakesidehHospitalhinhCleveland,hOhio.
4. WhichhfactorhishbroadlyhperceivedhtohsolidifyhandhstandardizehthehrolehofhthehAPNshoverhthehlasth2
5hyears?
a. Lackhofhaccesshtohhealthhcarehproviders
b. Standardizedhcurriculumhdevelopment
c. Paymenthforh services
d. Societalhforces
ANS:h B
AshthehevolutionhofhAdvancedhPracticehNursinghadvanceshspecifichspecialtieshandhneedsharehidentifi
ed.hThroughhthehevolutionhofhorganizationhandhstandardizationhthesehroleshhavehsolidifiedhthehAPN’
shrolehinhtoday’shhealthhcarehenvironment.
5. DuringhthehformationhofhearlyhAPNhroleshinhanesthesia,hwhichhofhthehfollowinghincreasedhd
emandhforhaccesshtoh healthh care?
a. Poverty
b. War
c. Ruralhaccesshtohcare
d. Availabilityhofhtraining
ANS:h B
Earliesthdemandhforhnursing-
providedhanesthesiahspikedhduringhperiodshofhwarhwhenhnumbershofhphysicianshwerehinadequate.hT
hehearliesthrecordshdatehbackhtohthehAmericanhCivilhWarhwithhthehadministrationhofhchloroform.hDur
inghWorldhWarhIhinh1917hmorehthanh1000hnurses,hsomehtrainedhanesthetists,htraveledhintohbattle.hOt
herhfactorshsuchhashneedhforhruralhhealthhcarehcamehlaterhinhthehvalidationhandhneedhforhAPNs.
6. Inh1889,hDr.hWilliamhWorrallhMayohbuilthandhopenedhSt.hMary’shhospitalhinhRochester,hNY.hHehis
hknownhforhsomehofhthehearliesthrecruitmenthandhspecializedhtraininghofhnurseshinhwhichhofhthehfoll
owinghroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchhandhstatistics
e. Familyhnursing
,C157 test bank. Advanced Practice Nursing: Essential Knowledge for the Profe
h h h h h h h h h h
sion 3rdEdition Denisco Test Bank
h h h h h
ANS:h B
Inh1889,hDr.hWilliamhWorrallhMayohbeganhformallyhtraininghandhrecognizinghnursehanesthetists.hT
hishhashbeenhregardedhashthehearliesthtraininghinhnurse-providedhanesthesia.
7. Inh1893,hLillianhWaldhestablishedhthehHenryhStreethSettlementh(HSS)hHousehforhwhichhpurpose?
a. Accesshtohhealthhcarehofhruralhareas
b. Createhinner-cityhnursinghawareness
c. Providehthehdisadvantagedhaccesshtoh care
d. Establishhguidelineshforhadvancedhnursingh roles
ANS:h C
ThehHHShwashestablishedhtohprovidehnursinghserviceshtohimmigrantshandhlow-
incomehpatientshandhtheirhfamilieshinhManhattan.hAshresistancehtohnurse-
providedhcarehgrew,hstandinghordershwerehdraftedhfromhahgrouphofhLowerhEasthSidehphysicianshther
ebyhcircumventinghthen-existinghlegalhramifications.
8. ThehFrontierhNursinghServiceh(FNS)hfoundedhinhKentuckyhinh1925hbyhMaryhBreckenridgehiniti
allyhprovidedhAppalachiahwithhnursinghresourceshandhwhichhtypehofhadvancedhnursinghcare?
a. Pediatrichcare
b. Anesthesia
c. Midwifery
d. Surgicalhservices
ANS:h C
ThehoriginalhFNShprovidedhnursinghserviceshandhobstetrichserviceshtohAppalachianhresidents.hLaterh
workinghfromhstandardhordershdevelopedhfromhtheirhmedicalhadvisoryhcommitteehnurseshtreatedhpat
ients,hmadehdiagnoses,handhdispensedh medications.
9. Whichhorganizationhfoundedhinh1941hunderhMaryhBreckenridge’shleadershiphmergedhwithhthe
AmericanhCollegehofhNurse-Midwivesh(ACNM)hinh1969?
a. AmericanhAssociationhofhNurse-Midwivesh(AANM)
b. AmericanhNurseshAssociationh(ANA)
c. AssociationhforhNationalhNurse-Midwiferyh(ANNM)
d. CouncilhofhNursinghMidwiferyh(ANM)
ANS:h A
ThehAmericanhCollegehofhNurse-
Midwivesh(ACNM)hformedhunderhthehleadershiphofhMaryhBreckenridgehinh1941htohprovidehnurse-
midwifehdevelopmenthandhcollaborationhforhmidwife
, C157 test bank. Advanced Practice Nursing: Essential Knowledge for the Profe
h h h h h h h h h h
sion 3rdEdition Denisco Test Bank
h h h h h
development.hInh1955,hthehAmericanhCollegehofhNurse-
Midwiveshwashformedhandhthehtwohorganizationshmergedhinh1969hafterhthehdeathhofhMaryhBreckenri
dge.
10. InhahlandmarkhrulinghbyhthehSupremehCourthashahresulthofhChalmers-
Franceshv.hNelson,h1936,hwhathlegalhprecedenthwash established?
a. Nursehanesthesiahwashallowedhunderhthehnursehpracticeh act
b. Nursehanesthesiahscopehofhpracticehincludedhanesthesia
c. Nursehanesthesiahwashlegal,hifhunderhguidancehofhahsupervisingh physician
d. Onlyhtrainedhnursinghprofessionalshcouldhadministerhanesthesiah independently
ANS:h C
ThehlandmarkhdecisionhfromhthehChalmers-
Franceshv.hNelsonhcasehsethnationalhprecedenthforhthehadvancedhnursinghpracticehrole.hIthprovedhtohb
ehthehbasishforhotherhcaseshoverhthehfollowinghfewhdecadeshandhestablishedhthathtrainedhnurseshcouldhl
egallyhprovidehanesthesiahcarehunderhsupervisionhofhahphysician.
11. Thehfirsthknownhestablishmenthofhthehnursehpractitionerhrolehoccurredhinh1965haththeUniversityho
fhColorado.hInhwhichhareahofhtraininghdidhthishrolehspecialize?
a. Pediatrics
b. Geriatrics
c. Midwifery
d. Anesthesia
ANS:h A
Thehestablishmenthofhthehfirsthpediatrichnursehpractitionerhprogramhwashinh1965haththehUniversityhofh
Colorado.hLorettahFord,hRNhandhHenryhSilver,hMDhprovidedhah4-
monthhcoursehtohcertifiedhregisteredhnurseshtohprovideheducationhonhmanaginghchildhoodhhealthhpro
blems.
12. ThehDNPhprogramhcurriculumhoutlinedhwhichhofhthehfollowinghclinicalhrequirementshinhanhe
fforthtohstandardizehtraining?
a. 1000hsupervisedhclinicalhhourshandh200hunsupervisedhclinicalhhours
b. 1000hsupervisedhclinicalhhours
c. 900hsupervisedhclinicalhhours
d. 800hsupervisedhclinicalhhourshandh200hunsupervisedhclinicalhhours
ANS:h B
Inh2004,hthehAACNhoutlinedhthehDNPhcurriculumhinhanhefforthtohstandardizehandhrelievehchallengesho
fhmaster’shdegreehprograms.hThishincludeshahstandardizedhcurriculumhrequiringh1000hsupervisedhcli
nicalhhours.