Rationales
CHAPTER1:
ANSWERS AND RATIONALES
1. Which change represents the primary impetus for the end of
the era of the female lay healer?
1. Perception of health promotion as an obligation
2. Development of a clinical nurse specialist position statement
3. Foundation of the American Association of Nurse-Midwives
4. Emergence of a medical establishment
Page: 4
Feedback
1. This is incorrect. Lay healers traditionally viewed their
role as being a function of their community obligations;
however, the emerging medical establishment viewed
healing as a commodity. The emergence of a male
medical establishment represents the primary impetus
2. This is incorrect. The American Nurses Association
for the end of the era of the female lay healer.
(ANA) position statement on educational requirements
for the clinical nurse specialist (CNS) was developed in
1965; the ANA’s position statement on the role of the
CNS was issued in 1976. The emergence of a male
3. This is incorrect. The American Association of Nurse-
medical establishment represents the primary impetus
Midwives (AANM) was founded in 1928. The emergence
for the end of the era of the female lay healer.
of a male medical establishment represents the primary
4. This is correct.
impetus The of
for the end emergence
the era ofof a male
the femalemedical
lay healer.
establishment represents the primary impetus for the
end of the era of the female lay healer. Whereas lay
healers viewed their role as being a function of their
community obligations, the emerging medical
establishment viewed healing as a commodity. The era
of the female lay healer began and ended in the 19th
century. The American Association of Nurse-Midwives
(AANM) was founded in 1928. The American Nurses
Association (ANA) position statement on educational
requirements for the clinical nurse specialist (CNS) was
2. Thedeveloped
beginning of inmodern nursing
1965; the ANA’sisposition
traditionally considered
statement on theto
have begun
role ofwith
the which
CNS was event?
issued in 1976.
1. Establishment of the first school of nursing
,2. Incorporation of midwifery by the lay healer
3. Establishment of the Frontier Nursing Service (FNS)
,4. Creation of the American Association of Nurse-Midwives (AANM)
, Answer : 1
Pages: 4–5
Feedback
1. This is correct. Traditionally, modern nursing is
considered to have begun in 1873, when the first three
U.S. training schools for nurses opened. The role of the
lay healer as a midwife is documented to have occurred
in the 19th century, before the establishment of schools
of nursing. The Frontier Nursing Service (FNS), which
provided nurse-midwifery services, was established in
2. 1925.isInincorrect.
This 1928, theThe
Kentucky
role of State Association
the lay healer as aof
Midwives,
midwife is which was antooutgrowth
documented of thein
have occurred FNS,
the became
19th
the American
century, beforeAssociation
the establishment
of Nurse-Midwives
of schools of(AANM).
nursing. Traditionally, modern nursing is considered to
3. This is incorrect. The Frontier Nursing Service (FNS),
have begun in 1873, when the first three U.S. training
which provided nurse- midwifery services, was
schools for nurses opened.
established in 1925. Traditionally, modern nursing is
considered to have begun in 1873, when the first three
4. This is incorrect. In 1928, the Kentucky State
U.S. training schools for nurses opened.
Association of Midwives, which was an outgrowth of
the FNS, became the American Association of Nurse-
Midwives (AANM). Modern nursing is considered to have
begun in 1873, at which time the first three U.S. training
schools for nurses opened.
3. In 1910, which factors most significantly influenced the
midwifery profession? Select all that apply.
1. Strict licensing requirements
2. Negative public perception
3. Dedicated funding for training
4. Poor maternal-child outcomes
5. Mandatory professional supervision
Answer : 2, 4
Pages: 6–7
Feedback
1. This is incorrect. In 1910, the midwifery profession was
significantly influenced by poor maternal-child
outcomes and a public perception as unprofessional.
Though legislation ultimately was passed to tighten
requirements related to licensing and supervision of
midwives, in the early 20th century, midwives were
largely unregulated and generally perceived as
unprofessional.