TestBank b
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Hamric and Hanson's Advanced Practice Nursing 6th Edition by Mary Fran Tracy, Eileen T. O'Grady
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Table of Contents
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Part I: Historical and Developmental Aspects of Advanced Practice Nursing
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Chapter 1: Highlights from the History of Advanced Practice Nursing in the United States
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Chapter 2: Conceptualizations of Advanced Practice Nursing Chapter 3: A Definition of Advanced Practice
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b Nursing Chapter 4: Role Development of the Advanced Practice Nurse
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Chapter 5: Evolving and Innovative Opportunities for Advanced Practice Nursing
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Chapter 6: International Development of Advanced Practice Nursing NEW more global focus
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b Part II: Competencies of Advanced Practice Nursing Chapter 7: Direct Clinical Practice Chapter
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b 8: Coaching and Guidance Chapter 9: Consultation
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Chapter 10: Evidence-Based Practice and Research Chapter 11: Leadership
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Chapter 12: Collaboration NEW emphasis on interprofessional collaborative practice
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Chapter 13: Ethical Decision Making
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Part III: Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing
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b Chapter 14: The Clinical Nurse Specialist
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Chapter 15: The Primary Care Nurse Practitioner Chapter
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16: The Acute Care Nurse Practitioner Chapter 17: The
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b Certified Nurse-Midwife b
Chapter 18: The Certified Registered Nurse Anesthetist
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Part IV: Critical Elements in Managing Advanced Nursing Practice Environments
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b 19: Business Planning and Reimbursement Mechanisms
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Chapter 20: Marketing and Negotiation
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Chapter 21: UnderstandingRegulatory, Legal, and Credentialing Requirements Chapter 22:
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b Health Policy Issues in Changing Environments
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Multiple Choice b
1. In which year did the American Association ofCollege of Nursing (AACN) introduced the
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Doctorate of Nursing Practice (DNP)?
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a. 2006
b. 2004
c. 2000
d. 2002
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ANS: B b
The AACN introduced the DNP degree in 2004 to prepare advanced practice nurses (APRNs) to meet
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challenges and standardize practice beyond master’s degree programs.
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2. 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 compete against master’s degree programs
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b. To ensure standardized curriculum ensuring independent practice
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c. To validate APRN’s for financial reimbursement
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d. To address increasing curriculum requirements of master’s degree programs
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ANS: D b
Although all answers are influenced bythe DNP core competencies, the DNP program creation in 2004
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by the AACN was designed to address curriculum requirements of master’s degree programs.
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3. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical Nurse Specialist b b
b. Family nurse practitioner b b
c. Pediatric nurse practitioner b b
d. Certified Registered Nurse Anesthetist b b b
ANS: D b
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the American
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Association of Nurse Anesthetists (AANA) was the first recognized group promoting advanced
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nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital in Cleveland, Ohio.
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4. Which factor is broadly perceived to solidify and standardize the role of the APNs over the last 25 years ?
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a. Lack of access to health care providers b b b b b b
b. Standardized curriculum development b b
c. Payment for services b b
d. Societal forces b
ANS: B b
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 solidified the
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APN’s role in today’s health care environment.
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5. 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. Poverty
b. War
c. Rural access to care b b b
d. Availability of training b b
ANS: B b
Earliest demand for nursing-provided anesthesia spiked during periods of war when numbers of
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physicians were inadequate. The earliest records date back to the American Civil War with the
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administration of chloroform. During World War I in 1917 more than 1000 nurses, some trained
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anesthetists, traveled into battle. Other factors such as need for rural health care came later in the
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validation and need for APNs.
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6. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, NY. He is
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known for some of the earliest recruitment and specialized training of nurses in which of the following
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roles?
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a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research and statistics b b
e. Family nursing b
ANS: B b
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthetists. This
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has been regarded as the earliest training in nurse-provided anesthesia.
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7. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for which purpose
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