HaMRIC aND HaNSON'S ADVaNCED PRaCTICE NURSING
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7TH EDITION m m
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,Table of Contents
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Chapter 01 History and Evolution of Advanced Practice Nursing
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Chapter 02 Conceptualizations of Advanced Practice Nursing
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Chapter 03 A Definition of Advanced Practice Nursing
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Chapter 04 Role Development of the Advanced Practice Nurse
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Chapter 05 International Development of Advanced Practice Nursing
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Chapter 06 Direct Clinical Practice
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Chapter 07 Guidance and Coaching
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Chapter 08 Evidence-Based Practice
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Chapter 09 Leadership
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Chapter 10 Collaboration
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Chapter 11 Ethical Practice
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Chapter 12 The Clinical Nurse Specialist
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Chapter 13 The Primary Care Nurse Practitioner
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Chapter 14 The Acute Care Nurse Practitioner
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Chapter 15 The Certified Nurse-Midwife
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Chapter 16 The Certified Registered Nurse Anesthetist
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Chapter 17 Maximizing APRN Power and Influencing Policy
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Chapter 18 Marketing Yourself as an APRN Contracting and Negotiation
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Chapter 19 Reimbursement and Payment for APRN Services
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Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements
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Chapter 21 APRN Outcomes and Performance Improvement Research
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Chapter 22 Future Technologies Influencing APRN Practice
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Chapter 23 Using Healthcare Information Technology to Evaluate and Improve
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Performance and Patient Outcomes
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,_ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
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Chapter 01: History and Evolution of Advanced Practice Nursing
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Tracy & O’Grady: Hamric & Hanson’s Advanced Practice Nursing, 7th Edition
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MULTIPLE CHOICE m
1. Which of the following is the best explanation for the creation of the Doctorate of Nursing
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Practice (DNP) degree?
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a. To validate APRN’s for financial reimbursement
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b. To address increasing curriculum requirements of master’s degree programs
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c. To compete against master’s degree programs
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d. To ensure standardized curriculum ensuring independent practice
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ANS: B m m
Although all answers are influenced by the DNP core competencies, the DNP program
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creation in 2004 by the American Association of Colleges of Nursing (AACN) was
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designed to address curriculum requirements of master’s degree programs.
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2. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical Nurse Specialist m m
b. Certified Registered Nurse Anesthetist m m m
c. Family Nurse practitioner m m
d. Pediatric Nurse practitioner m m
ANS: B m m
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
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mAmerican Association of NurseWA WnWe.stT
heBtiSstM
m s.(AWA
SNA) was the first recognized group m m m m m m m m
promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
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Hospital in Cleveland, Ohio. m m m
3. Which factor is broadly perceived to solidify and standardize the role of the APNs over the
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last 25 years?
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a. Societal forces m
b. Lack of access to health care providers
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c. Payment for services m m
d. Standardized curriculum development m m
ANS: D m m
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
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identified. Through the evolution of organization and standardization these roles have
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solidified the APN’s role in today’s health care environment.
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4. During the formation of early APN roles in anesthesia, which of the following increased
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demand for access to health care?
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a. War
b. Poverty
c. Rural access to care m m m
d. Availability of training m m
m ANS: A m
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, _ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
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Earliest demand for nursing-provided anesthesia spiked during periods of war when
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numbers of physicians were inadequate. The earliest records date back to the American
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Civil War with the administration of chloroform. During World War I in 1917 more than
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1000 nurses, some trained anesthetists, traveled into battle. Other factors such as need for
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rural health care came later in the validation and need for APNs.
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5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY.
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He is known for some of the earliest recruitment and specialized training of nurses in which
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of the following roles?
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a. Obstetrics
b. Anesthesia
c. Family nursing m
d. Pediatrics
e. Research and statistics m m
ANS: B m m
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse
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manesthetists. This has been regarded as the earliest training in nurse-provided anesthesia.
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6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which
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primary purpose?
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a. Access to health care of rural areas m m m m m m
b. Provide the disadvantaged access to care m m m m m
c. Establish guidelines for advanced nursing roles m m m m m
d. Create inner-city nursing awareness m m m
ANS: B m m
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The HHS was established to provide nursing services to immigrants and low-income
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mpatients and their families in Manhattan. As resistance to nurse-provided care grew,
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mstanding orders were drafted from a group of Lower East Side physicians thereby
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mcircumventing
then-existing legal ramifications. m m
7. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridge
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initially provided Appalachia with which type of advanced nursing care?
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a. Surgical services m
b. Pediatric care m
c. Anesthesia
d. Midwifery
ANS: D m m
The original FNS provided midwifery in addition to other nursing services to Appalachian
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residents. Later working from standard orders developed from their medical advisory
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committee nurses treated patients, made diagnoses, and dispensed medications.
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8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged with
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the American College of Nurse-Midwives (ACNM) in 1969
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a. Association for National Nurse-Midwifery (ANNM) m m m m
b. American Association of Nurse-Midwives (AANM) m m m m
c. American Nurses Association (ANA) m m m
d. Council of Nursing Midwifery (ANM) m m m m
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