Test Bank for Hamric & Hanson’s Advanced Practice Nursing: An Integrative Approach 7th Edition Tracy, O’Grady, Phillips | All Chapters (1–23) | 2025 Version | Comprehensive, Research-Based & Competency-Ready

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Table of Contents

Part I: Historical and Developmental Aspects of Advanced Practice Nursing
1. History and Evolution of Advanced Practice Nursing
2. Conceptualizations of Advanced Practice Nursing
3. A Definition of Advanced Practice Nursing
4. Role Development of the Advanced Practice Nurse
5. International Development of Advanced Practice Nursing
Part II: Competencies of Advanced Practice Nursing
6. Direct Clinical Practice
7. Guidance and Coaching
8. Evidence-Based Practice
9. Leadership
10.Collaboration
11.Ethical Practice
Part III: Advanced Practice Roles: The Operational Definitions of Advanced
Practice Nursing
12.The Clinical Nurse Specialist
13.The Primary Care Nurse Practitioner
14.The Acute Care Nurse Practitioner
15.The Certified Nurse-Midwife
16.The Certified Registered Nurse Anesthetist
Part IV: Critical Elements in Managing Advanced Practice Nursing
Environments
17.Maximizing APRN Power and Influencing Policy
18.Marketing Yourself as an APRN: Contracting and Negotiation
19.Reimbursement and Payment for APRN Services
20.Understanding Regulatory, Legal, and Credentialing Requirements
21.APRN Outcomes and Performance Improvement Research
22.Future Technologies Influencing APRN Practice
23.Using Healthcare Information Technology to Evaluate and Improve
Performance and Patient Outcomes

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Chapter 1: History and Evolution of
Advanced Practice Nursing

Question 1:
A nursing student is reviewing the history of advanced practice nursing (APN).
Which event marked the beginning of formal recognition of advanced practice
roles in nursing?
A) The establishment of the Nurse Practitioner role in the 1960s
B) The creation of the American Association of Colleges of Nursing (AACN) in
1972
C) The publication of the Nightingale Pledge in 1893
D) The introduction of the BSN degree in 1950

✅Correct Answer: A) The establishment of the Nurse Practitioner role in the
1960s
Rationale: The development of the Nurse Practitioner (NP) role in the 1960s was a
pivotal moment in the formal recognition of advanced practice roles. This
development was influenced by a need for healthcare providers in underserved
areas and was one of the first steps in advancing nursing practice.
DIF: Understanding
TOP: Historical Foundations
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment –
Management of Care

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Question 2:
Which historical nursing figure is most associated with the formalization of
advanced practice nursing roles?
A) Florence Nightingale
B) Virginia Henderson
C) Loretta Ford
D) Jean Watson

✅Correct Answer: C) Loretta Ford
Rationale: Loretta Ford is recognized as a key figure in the establishment of the
nurse practitioner role. She co-founded the first NP program with Dr. Henry Silver
in the 1960s, which laid the foundation for the role's development.
DIF: Understanding
TOP: Historical Foundations
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment –
Management of Care




Question 3:
Which of the following best describes the role of nurse practitioners (NPs) in the
early 1970s?
A) Providing advanced diagnostic testing and treatment exclusively for adult
patients
B) Practicing under the direct supervision of a physician, with limited autonomy
C) Providing healthcare in a variety of settings, including rural areas, with an
emphasis on preventive care