Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bank (2023)

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1. In which year did the American Association of College of Nursing (AACN) introduced theDoctorate of Nursing Practice (DNP)?a. 2006b. 2004c. 2000d. 2002TAhNeSA: ABCN introduced the DNP de... gree in 2004 to prepare advanced practice nurses (APRNs) tomeet challenges and standardize practice beyond master’s degree programs.2. Which of the following is the best explanation for the creation of the Doctorate of NursingPractice (DNP) degree?a. To compete against master’s degree programsb. To ensure standardized curriculum ensuring independent practicec. To validate APRN’s for financial reimbursementd. To address increasing curriculum requirements of master’s degree programsANS: DAlthough all answers are influenced by the DNP core competencies, the DNP program creation in2004 bythe AACN was designed to address curriculum requirements of master’s degree programs.3. Which of the following was the first recognized area of advanced practice nursing?a. Clinical Nurse Specialistb. Family nurse practitionerc. Pediatric nurse practitionerd. Certified Registered Nurse AnesthetistAdvanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test BankANS: DIn 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to theAmerican Association of Nurse Anesthetists (AANA) was the first recognized group promotingadvanced nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital inCleveland, Ohio.4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the last25 years?a. Lack of access to health care providersb. Standardized curriculum developmentc. Payment for servicesd. Societal forcesANS: BAs the evolution of Advanced Practice Nursing advances specific specialties and needs areidentified. Through the evolution of organization and standardization these roles have solidifiedthe APN’s role in today’s health care environment.5. During the formation of early APN roles in anesthesia, which of the following increaseddemand for access to health care?a. Povertyb. Warc. Rural access to cared. Availability of trainingANS: BEarliest demand for nursing-provided anesthesia spiked during periods of war when numbers ofphysicians were inadequate. The earliest records date back to the American Civil War with theadministration of chloroform. During World War I in 1917 more than 1000 nurses, some trainedanesthetists, traveled into battle. Other factors such as need for rural health care came later in thevalidation and need for APNs.6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY. Heis known for some of the earliest recruitment and specialized training of nurses in which of thefollowing roles?a. Pediatricsb. Anesthesiac. Obstetricsd. Research and statisticse. Family nursingAdvanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test BankANS: BIn 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.This has been regarded as the earliest training in nurse-provided anesthesia.7. In 1893, Lillian Wald established the HenryStreet Settlement (HSS) House for which purpose?a. Access to health care of rural areasb. Create inner-city nursing awarenessc. Provide the disadvantaged access to cared. Establish guidelines for advanced nursing rolesANS: CThe HHS was established to provide nursing services to immigrants and low-income patients andtheir families in Manhattan. As resistance to nurse-provided care grew, standing orders weredrafted from a group of Lower East Side physicians thereby circumventing then-existing legalramifications.8. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridgeinitiallyprovided Appalachia with nursing resources and which type of advanced nursing care?a. Pediatric careb. Anesthesiac. Midwiferyd. Surgical servicesANS: CThe original FNS provided nursing services and obstetric services to Appalachian residents. Laterworking from standard orders developed from their medical advisory committee nurses treatedpatients, made diagnoses, and dispensed medications.9. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with theAmerican College of Nurse-Midwives (ACNM) in 1969?a. American Association of Nurse-Midwives (AANM)b. American Nurses Association (ANA)c. Association for National Nurse-Midwifery (ANNM)d. Council of Nursing Midwifery (ANM)ANS: AThe American College of Nurse-Midwives (ACNM) formed under the leadership of MaryBreckenridge in 1941 to provide nurse-midwife development and collaboration for midwifeAdvanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bankdevelopment. In 1955, the American College of Nurse-Midwives was formed and the twoorganizations merged in 1969 after the death of Mary Breckenridge.10. In a landmark ruling by the Supreme Court as a result of Chalmers-Frances v. Nelson, 1936,what legal precedent was established?a. Nurse anesthesia was allowed under the nurse practice actb. Nurse anesthesia scope of practice included anesthesiac. Nurse anesthesia was legal, if under guidance of a supervising physiciand. Only trained nursing professionals could administer anesthesia independentlyANS: CThe landmark decision from the Chalmers-Frances v. Nelson case set national precedent for theadvanced nursing practice role. It proved to be the basis for other cases over the following fewdecades and established that trained nurses could legally provide anesthesia care under supervisionof a physician.11. The first known establishment of the nurse practitioner role occurred in 1965 at theUniversityof Colorado. In which area of training did this role specialize?a. Pediatricsb. Geriatricsc. Midwiferyd. AnesthesiaANS: AThe establishment of the first pediatric nurse practitioner program was in 1965 at the Universityof Colorado. Loretta Ford, RN and Henry Silver, MD provided a 4-month course to certifiedregistered nurses to provide education on managing childhood health problems.12. The DNP program curriculum outlined which of the following clinical requirements in aneffort to standardize training?a. 1000 supervised clinical hours and 200 unsupervised clinical hoursb. 1000 supervised clinical hoursc. 900 supervised clinical hoursd. 800 supervised clinical hours and 200 unsupervised clinical hoursANS: BIn 2004, the AACN outlined the DNP curriculum in an effort to standardize and relieve challengesof master’s degree programs. This includes a standardized curriculum requiring 1000 supervisedclinical hours.Advanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test Bank13. Which state became the first to recognize diagnosis and treatment as part of thescope of practice of specialty nurses?a. Idahob. Oklahomac. South Dakotad. MarylandANS: AIdaho Governor Cecil Andrus signed HB 46 and HB 207 into law on February 11,1971. This amended the states’ nurse practice act making it the first state to officiallyrecognize diagnosis and treatment of specialty nurses. The recognition of the abilityto diagnose and treat overcame an initial hurdle toward independent nursing practice.14. The American Nursing Association (ANA) defines which requirement for thedesignation of a clinical nurse specialist in any specialty?a. Specialty training certificateb. Successful completion of certification examinationc. Masters or doctoral degreed. 1000 hours relevant supervised traininge. Two or more years of clinically relevant experienceANS: CIn 1980, the ANA specifically outlined criteria for the acknowledgment of clinicalnurse specialist training programs. At that time they required graduate level trainingto become an expert in a relevant specialty area of nursing. Additionally, they mustmeet any requirements set forth by the specific professional society.Chapter2 The Nurse Practitioner: Historical Perspective on the Art and Science ofNursePractitionering1. Which of the following is the primary mission of the National Organization of NursePractitioner Faculties (NONPF)?a. Provide leadership in promoting quality NP educationb. NP Faculty training program assistancec. Provide financial assistance to NP studentsd. Lobbying legislature on behalf of NPsAdvanced Practice Nursing: Essential Knowledge for the Profession 3rd Edition Denisco Test BankANS: AThe NONPF’s primary mission is to provide leadership in promoting quality NP education. Theorganization has published domains and core competencies for primary care and these serve as aframework for NP education and practice[Show More]

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