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TEST BANK-History and Evolution of Advanced Practice Nursing||Tracy, O’Grady||Hamric and Hanson’s Advanced Practice Nursing 7th Edition$20.49
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TEST BANK-History and Evolution of Advanced Practice Nursing||Tracy,
O’Grady||Hamric and Hanson’s Advanced Practice Nursing 7 th Edition
,Table of Contents
Chapter 01 History and Evolution of Advanced Practice Nursing 1
Chapter 02 Conceptualizations of Advanced Practice Nursing 5
Chapter 03 A Definition of Advanced Practice Nursing 9
Chapter 04 Role Development of the Advanced Practice Professional nurse 13
Chapter 05 International Development of Advanced Practice Nursing 19
Chapter 06 Direct Clinical Practice 22
Chapter 07 Guidance and Coaching 30
Chapter 08 Evidence-Based Practice 35
Chapter 09 Leadership 40
Chapter 10 Collaboration 44
Chapter 11 Ethical Practice 51
Chapter 12 The Clinical Professional nurse Specialist 57
Chapter 13 The Primary Care Professional nurse Practitioner 61
Chapter 14 The Acute Care Professional nurse Practitioner 65
Chapter 15 The Certified Professional nurse-Midwife 69
Chapter 16 The Certified Registered Professional nurse Anesthetist 74
Chapter 17 Maximizing APRN Power and Influencing Policy 78
Chapter 18 Marketing Yourself as an APRN Contracting and Negotiation 82
Chapter 19 Reimbursement and Payment for APRN Services 88
Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements 94
Chapter 21 APRN Outcomes and Performance Improvement Research 97
Chapter 22 Future Technologies Influencing APRN Practice 100
Chapter 23 Using Healthcare Information Technology to Evaluate and Improve
Performance and Client Outcomes 104
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Chapter 01: History and Evolution of Advanced Practice Nursing
Tracy & O’Grady: Hamric & Hanson’s Advanced Practice Nursing, 7th Edition
MULTIPLE CHOICE
1. Which of the following is the best explanation for the creation of the Doctorate of Nursing
Practice (DNP) degree?
a. To validate APRN’s for financial reimbursement
b. To address increasing curriculum requirements of master’s degree programs
c. To compete against master’s degree programs
d. To ensure standardized curriculum ensuring independent practice
CORRECT ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program
creation in 2004 by the American Association of Colleges of Nursing (AACN) was
designed to address curriculum requirements of master’s degree programs.
2. Which of the following was the first recognized area of advanced practice nursing?
a. Clinical Professional nurse Specialist
b. Certified Registered Professional nurse Anesthetist
c. Family Professional nurse practitioner
d. Pediatric Professional nurse practitioner
CORRECT ANS: B
In 1931, the National Association of Professional nurse Anesthetists (NANA), renamed in
1939 to the
American Association of Professional nurse WAWnWe.stTheBtiSstMs .(AWASNA) was the first recognized
group promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
Hospital in Cleveland, Ohio.
3. Which factor is broadly perceived to solidify and standardize the role of the APNs over the
last 25 years?
a. Societal forces
b. Lack of access to health care providers
c. Payment for services
d. Standardized curriculum development
CORRECT ANS: D
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.
4. During the formation of early APN roles in anesthesia, which of the following increased
demand for access to health care?
a. War
b. Poverty
c. Rural access to care
d. Availability of training
CORRECT ANS: A
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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 professional 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.
5. 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 professional
nurses in whichof the following roles?
a. Obstetrics
b. Anesthesia
c. Family nursing
d. Pediatrics
e. Research and statistics
CORRECT ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing professional
nurse anesthetists. This has been regarded as the earliest training in professional nurse-
provided anesthesia.
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which
primary purpose?
a. Access to health care of rural areas
b. Provide the disadvantaged access to care
c. Establish guidelines for advanced nursing roles
d. Create inner-city nursing awareness
CORRE
CT ANS:
B
The HHS was established to provide nursing services to immigrants and low-income clients
and their families in Manhattan. As resistance to professional nurse-provided care grew,
standingorders were drafted from a group of Lower East Side physicians thereby
circumventing
then-existing legal ramifications.
7. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge
initially provided Appalachia with which type of advanced nursing care?
a. Surgical services
b. Pediatric care
c. Anesthesia
d. Midwifery
CORRECT ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachian
residents. Later working from standard orders developed from their medical advisory
committee professional nurses treated clients, made diagnoses, and dispensed
medications.
8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with
the American College of Professional nurse-Midwives (ACNM) in 1969
a. Association for National Professional nurse-Midwifery (ANNM)
b. American Association of Professional nurse-Midwives (AANM)
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