Deck 1: Advanced Practice Nursing: Doing What Has to Be Done

Question 1

Which change represents the primary impetus for the end of the era of the female lay healer?

A) Perception of health promotion as an obligation
B) Development of a clinical nurse specialist position statement
C) Foundation of the American Association of Nurse-Midwives
D) Emergence of a medical establishment

Answer 1

Emergence of a medical establishment

Question 2

The beginning of modern nursing is traditionally considered to have begun with which event?

A) Establishment of the first school of nursing
B) Incorporation of midwifery by the lay healer
C) Establishment of the Frontier Nursing Service (FNS)
D) Creation of the American Association of Nurse-Midwives (AANM)

Answer 2

Establishment of the first school of nursing

Question 3

In 1910, which factors most significantly influenced the midwifery profession? Select all that apply.

A) Strict licensing requirements
B) Negative public perception
C) Dedicated funding for training
D) Poor maternal-child outcomes
E) Mandatory professional supervision

Answer 3

Negative public perception
Poor maternal-child outcomes

Question 4

Which advanced practice nursing role is unique in that the practitioners view their role as comprising a combination of two distinct disciplines?

A) Nurse practitioner
B) Certified registered nurse anesthetist
C) Clinical nurse specialist
D) Certified nurse-midwife

Question 5

In the 19th century, which factors led to the administration of anesthesia by nurses? Select all that apply.

A) Surgeon entitlement to collecting anesthesia fees
B) Collaborative practice between physician-anesthetists and nurses
C) Lack of recognition of anesthesiology as a medical specialty
D) Opposition to anesthesia administration by physicians
E) Formation of a national organization by nurse anesthetists

Question 6

Which factor contributed to expansion of the role of the clinical nurse specialist (CNS) during the 1960s?

A) Increased numbers of practicing physicians
B) Tightening of female role definitions
C) Return of nurses from military conflict
D) Lack of medical specialization

Question 7

Differentiation between the role of the clinical nurse specialist (CNS) and the nurse practitioner (NP) is primarily based on which premise?

A) Designation as an advanced practice nurse
B) Diagnosis of patient health conditions
C) Nature of practice setting environments
D) Authority to prescribe medications

Question 8

The National Council of State Boards of Nursing's Consensus Model for Advanced Practice Registered Nurse (APRN) Regulation prompted gains related to which aspects of the role and function of the nurse practitioner (NP)? Select all that apply.

A) Legal authority
B) Reimbursement
C) Consumer recognition
D) Prescriptive privilege
E) Autonomy

Question 9

The doctor of nursing practice (DNP) degree was developed to support the achievement of which goal related to advanced practice nursing education?

A) Eliminating master's degree programs
B) Promoting excellence in clinical practice
C) Replacing doctor of philosophy programs
D) Emphasizing nursing research

Question 10

Among national nursing leaders, which argument serves as a basis for opposition to the requirement that advanced practice nurses (APNs) earn a doctor of nursing practice (DNP) degree?

A) Greater professionalization is needed among advanced practice nurses.
B) The number of graduate nursing programs should be limited.
C) Advanced practice nursing certification should not require a doctoral degree.
D) The need for care providers should be prioritized.