TEST BANK FOR ADVANCED PRACTICE NURSING ESSSENTIAL KNOWLEDGE FOR THE PROFESSION 3RD EDITION DENISCO

Advanced Practice Nursing: Essential Knowledge for the Profession 3rd 

Edition Denisco Test Bank

Chapter1 Introduction to the Role of Advanced Practices Nursing

Multiple Choice

1. In which year did the American Association of College of Nursing (AACN) introduced the

Doctorate of Nursing Practice  (DNP)?

The AACN introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to 

meet 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 Nursing

Practice (DNP) degree?

a. To compete against master’s degree  programs

b. To ensure standardized curriculum ensuring independent  practice

c. To validate APRN’s for financial  reimbursement

d. To address increasing curriculum requirements of master’s degree  programs

ANS:  D

Although  all  answers  are influenced by  the DNP core competencies, the  DNP program  creation in 

2004  by  the  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 Specialist

b. Family nurse practitioner

c. Pediatric nurse practitioner

d. Certified Registered Nurse Anesthetist

a. 2006

b. 2004

c. 2000

d. 2002

ANS:  B

ANS:  D

In  1931,  the  National  Association  of  Nurse  Anesthetists  (NANA),  renamed  in  1939  to  the 

American Association of Nurse Anesthetists (AANA) was the first recognized group promoting 

advanced  nursing  practice.  Agatha  Hodgins  founded  the  AANM  at  Lakeside  Hospital  in 

Cleveland, Ohio.

4.  Which  factor  is  broadly  perceived  to solidify  and  standardize  the  role  of  the APNs  over  the last 

25 years?

a.   Lack of access to health care  providers

b.  Standardized curriculum development

c.   Payment for  services

d.  Societal forces

ANS:  B

As  the  evolution  of  Advanced  Practice  Nursing  advances  specific  specialties  and  needs  are 

identified. Through the evolution of organization and standardization these roles have solidified 

the APN’s role in today’s health care environment.

5.  During the formation of early APN roles in anesthesia, which of the following increased 

demand for access to health  care?

a.   Poverty

b.  War

c.   Rural access to  care

d.  Availability of  training

ANS:  B

Earliest demand for  nursing-provided anesthesia spiked during periods of war when numbers of 

physicians were inadequate. The earliest records date back to the American Civil War with the 

administration of chloroform. During World War I in 1917 more than 1000 nurses, some trained 

anesthetists, traveled into battle. Other factors such as need for rural health care came later in the 

validation and need for APNs.

6.  In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in  Rochester, NY. He

is known for some of  the earliest recruitment and specialized training of  nurses in  which  of the 

following roles?

a.   Pediatrics

b.  Anesthesia

c.   Obstetrics

d.  Research and statistics

e.   Family nursing