Advanced Practice Nursing:
Essential Knowledge for the
Profession 3rd Edition Denisco
Test Bank
Contents
Chapter 1 Introduction to the Role of Advanced Practices Nursing…………………………………………………………………2
Chapter 2 The Nurse Practitioner: Historical Perspective on the Art and Science of Nurse Practitionering ………….6
Chapter 3 Overview of the Doctor of Nursing Practice Degree……………………………………………………………………..14
Chapter4 Emerging Roles for the DNP Nurse Educator………………………………………………………………………………..17
Chapter 5 Influencing and Leading Change in the Complex Health Environment : The Role of the Advanced
Practice Nurse………………………………………………………………………………………………………………………………………..24
Chapter 6 Interprofessional Collaboration for Improving Patient and Population Health Knowledge………………..30
Chapter 7 An Overview of U.S. Healthcare Delivery…………………………………………………………………………………….33
Chapter 8 Beliefs, Values, and Health………………………………………………………………………………………………………..42
Chapter 9 The Healthcare Interdisciplinary Context: A Focus on the Microsystem Concept …………………………….48
Chapter10 Microeconomics in the Hospital Firm: Competition, Regulation, the Profit Motive, and Patient Care .52
Chapter 11 Government Regulation: Parallel and Powerful …………………………………………………………………………57
Chapter12 Factors Influencing the Application and Diffusion of CQI in Health Care………………………………………..62
Chapter13 Patient Safety Movement: The Progress and the Work That Remains …………………………………………..67
Chapter14 Accelerating Patient Safety Improvement………………………………………………………………………………….72
Chapter15 Health Information Technology………………………………………………………………………………………………..77
Chapter16 The Electronic Health Record and Clinical Informatics…………………………………………………………………82
Chapter17 IOM Core Competency: Utilize Informatics………………………………………………………………………………..86
Chapter18 The Evolution of Nursing Science………………………………………………………………………………………………91
Chapter19 Theory-Based Advanced Nursing Practice ………………………………………………………………………………….95
Chapter 20 Research: How Health Care Advances…………………………………………………………………………………….100
Chapter21 Evidence-Based Practice ………………………………………………………………………………………………………..106
Chapter22 Clinical Scholarship and Evidence-Based Practice ……………………………………………………………………..113
ANS: B
Chapter 23 Birth of Transcultural Nursing to Current Theories and Conceptual Models for Cultural Diversity….116
Chapter24 Global Diversity…………………………………………………………………………………………………………………….118
Chapter25 Health Services for Special Populations……………………………………………………………………………………125
Chapter 26 Introduction to Ethics……………………………………………………………………………………………………………145
Chapter 27 Advanced Practice Nursing: The Nurse—Patient Relationships and General Ethical Concerns……….155
Chapter 28 Leadership and Role Transition for the Advanced Practice Nurse……………………………………………….170
Chapter29 Managing Personal Resources: Time and Stress Management……………………………………………………176
Chapter 30 Role Transition: Strategies for Success in the Marketplace………………………………………………………..187
Chapter 1 Introduction to the Role of Advanced Practices Nursing
Multiple Choice
- In which year did the American Association of College of Nursing (AACN) introduced the
Doctorate of Nursing Practice (DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
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. - 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. - 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
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.
- 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. - 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. - 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
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists.
This has been regarded as the earliest training in nurse-provided anesthesia.
- In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose?
a. Access to health care of rural areas
b. Create inner-city nursing awareness
c. Provide the disadvantaged access to care
d. Establish guidelines for advanced nursing roles
ANS: C
The HHS was established to provide nursing services to immigrants and low-income patients and
their families in Manhattan. As resistance to nurse-provided care grew, standing orders were
drafted from a group of Lower East Side physicians thereby circumventing then-existing legal
ramifications. - The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge
initially provided Appalachia with nursing resources and which type of advanced nursing care?
a. Pediatric care
b. Anesthesia
c. Midwifery
d. Surgical services
ANS: C
The original FNS provided nursing services and obstetric services to Appalachian residents. Later
working from standard orders developed from their medical advisory committee nurses treated
patients, made diagnoses, and dispensed medications. - Which organization founded in 1941 under Mary Breckenridge’s leadership merged with the
American 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: A
The American College of Nurse-Midwives (ACNM) formed under the leadership of Mary
Breckenridge in 1941 to provide nurse-midwife development and collaboration for midwife