TEST BANK FOR HAMRIC AND HANSON'S ADVANCED
PRACTICE NURSING 6TH EDITION TRACY O'GRADY
All Chapters 1-24
2023-2024
Chapter 13: Ethical Decision Making
Part III: Advanced Practice Roles: The Operational Definitions of Advanced Practice
NursingChapter 14: The Clinical Nurse Specialist
Chapter 15: The Primary Care Nurse
PractitionerChapter 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
EnvironmentsChapter 19: Business Planning and Reimbursement Mechanisms
Chapter 20: Marketing and Negotiation
Chapter 21: Understanding Regulatory, Legal, and Credentialing
RequirementsChapter 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 ImprovePractice
Tracy: Hamric & Hanson's Advanced Practice Nursing, t6h
Edition Chapter 1: Highlights from the History of Advanced Practice
Nursing in the UnitedStates
Multiple Choice
• In which year did the American Association of College of Nursing (AACN)
introduced theDoctorate 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) tomeet challenges and standardize practice beyond master’s degree programs.
• Which of the following is the best explanation for the creation of the Doctorate
of NursingPractice (DNP) degree?
• To compete against master’s degree programs
• To ensure standardized curriculum ensuring independent practice
• To validate APRN’s for financial reimbursement
• 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 in2004 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?
• Clinical Nurse Specialist
• Family nurse practitioner
• Pediatric nurse practitioner
• 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 promotingadvanced 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?
• Lack of access to health care providers
• Standardized curriculum development
• Payment for services
• 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
increaseddemand for access to health care?
• Poverty
• War
• Rural access to care
• Availability of training
ANS: B
Earliest demand for nursing-provided anesthesia spiked during periods of war when
numbers ofphysicians 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 trainedanesthetists, 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. Heis known for some of the earliest recruitment and specialized
training of nurses in which of the following roles?
• Pediatrics
• Anesthesia
• Obstetrics
• Research and statistics
• 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?
• Access to health care of rural areas
• Create inner-city nursing awareness
• Provide the disadvantaged access to care
• 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 legalramifications.
• The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary
Breckenridge initially provided Appalachia with nursing resources and which
type of advanced nursingcare?
• Pediatric care
• Anesthesia
• Midwifery
• 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 theAmerican College of Nurse-Midwives (ACNM) in 1969?
• American Association of Nurse-Midwives (AANM)
• American Nurses Association (ANA)
• Association for National Nurse-Midwifery (ANNM)
• 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
development. In 1955, the American College of Nurse-Midwives was formed
and the twoorganizations merged in 1969 after the death of Mary Breckenridge.
• In a landmark ruling by the Supreme Court as a result of Chalmers-Frances v.
Nelson, 1936,what legal precedent was established?
• Nurse anesthesia was allowed under the nurse practice act
• Nurse anesthesia scope of practice included anesthesia
PRACTICE NURSING 6TH EDITION TRACY O'GRADY
All Chapters 1-24
2023-2024
Chapter 13: Ethical Decision Making
Part III: Advanced Practice Roles: The Operational Definitions of Advanced Practice
NursingChapter 14: The Clinical Nurse Specialist
Chapter 15: The Primary Care Nurse
PractitionerChapter 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
EnvironmentsChapter 19: Business Planning and Reimbursement Mechanisms
Chapter 20: Marketing and Negotiation
Chapter 21: Understanding Regulatory, Legal, and Credentialing
RequirementsChapter 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 ImprovePractice
Tracy: Hamric & Hanson's Advanced Practice Nursing, t6h
Edition Chapter 1: Highlights from the History of Advanced Practice
Nursing in the UnitedStates
Multiple Choice
• In which year did the American Association of College of Nursing (AACN)
introduced theDoctorate 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) tomeet challenges and standardize practice beyond master’s degree programs.
• Which of the following is the best explanation for the creation of the Doctorate
of NursingPractice (DNP) degree?
• To compete against master’s degree programs
• To ensure standardized curriculum ensuring independent practice
• To validate APRN’s for financial reimbursement
• 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 in2004 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?
• Clinical Nurse Specialist
• Family nurse practitioner
• Pediatric nurse practitioner
• 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 promotingadvanced 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?
• Lack of access to health care providers
• Standardized curriculum development
• Payment for services
• 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
increaseddemand for access to health care?
• Poverty
• War
• Rural access to care
• Availability of training
ANS: B
Earliest demand for nursing-provided anesthesia spiked during periods of war when
numbers ofphysicians 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 trainedanesthetists, 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. Heis known for some of the earliest recruitment and specialized
training of nurses in which of the following roles?
• Pediatrics
• Anesthesia
• Obstetrics
• Research and statistics
• 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?
• Access to health care of rural areas
• Create inner-city nursing awareness
• Provide the disadvantaged access to care
• 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 legalramifications.
• The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary
Breckenridge initially provided Appalachia with nursing resources and which
type of advanced nursingcare?
• Pediatric care
• Anesthesia
• Midwifery
• 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 theAmerican College of Nurse-Midwives (ACNM) in 1969?
• American Association of Nurse-Midwives (AANM)
• American Nurses Association (ANA)
• Association for National Nurse-Midwifery (ANNM)
• 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
development. In 1955, the American College of Nurse-Midwives was formed
and the twoorganizations merged in 1969 after the death of Mary Breckenridge.
• In a landmark ruling by the Supreme Court as a result of Chalmers-Frances v.
Nelson, 1936,what legal precedent was established?
• Nurse anesthesia was allowed under the nurse practice act
• Nurse anesthesia scope of practice included anesthesia
