TEST BANK FOR ADVANCED PRACTICE NURSING 6TH EDITION
TEST BANK FOR HAMRIC AND HANSON-S ADVANCED PRACTICE NURSING 6TH EDITION BY MARY FRAN TRACY
Test Bank for Hamric and Hanson’s Advanced Practice Nursing An Integrative Approach 6th Edition by Mary Fran Tracy, Eileen T. O'Grady All Chapters 1-24 A+
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Test Bank for Hamric and Hanson's Advanced Practice Nursing
6th Edition Tracy O’Grady - All Chapters ( 1-24) A+
Table of Contents
Part I: Historical and Developmental Aspects of Advanced Practice Nursing
Chapter 1: Highlights from the History of Advanced Practice Nursing in the United
States
Chapter 2: Conceptualizations of Advanced Practice Nursing
Chapter 3: A Definition of Advanced Practice Nursing
Chapter 4: Role Development of the Advanced Practice Nurse
Chapter 5: Evolving and Innovative Opportunities for Advanced Practice Nursing
Chapter 6: International Development of Advanced Practice Nursing NEW more global
focus
Part II: Competencies of Advanced Practice Nursing
Chapter 7: Direct Clinical Practice
Chapter 8: Coaching and Guidance
Chapter 9: Consultation
Chapter 10: Evidence-Based Practice and Research
Chapter 11: Leadership
Chapter 12: Collaboration NEW emphasis on interprofessional collaborative practice
Chapter 13: Ethical Decision Making
Part III: Advanced Practice Roles: The Operational Definitions of Advanced Practice
Nursing
Chapter 14: The Clinical Nurse Specialist
Chapter 15: The Primary Care Nurse Practitioner
Chapter 16: The Acute Care Nurse Practitioner
Chapter 17: The Certified Nurse-Midwife
Chapter 18: The Certified Registered Nurse Anesthetist
Part IV: Critical Elements in Managing Advanced Nursing Practice Environments
Chapter 19: Business Planning and Reimbursement Mechanisms
Chapter 20: Marketing and Negotiation
Chapter 21: Understanding Regulatory, Legal, and Credentialing Requirements
Chapter 22: Health Policy Issues in Changing Environments
Chapter 23: An Integrative Review of APRN Outcomes and Performance Improvement
Chapter 24: Using Outcomes and Performance Improvement Data to Evaluate and
Improve Practice
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Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition
Chapter 1: Highlights from the History of Advanced Practice Nursing in the United
States
Multiple Choice
1. 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
ANS: B
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
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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 healthcare 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?
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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.
7. 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.
8. 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.
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