Chapter 01 History and Evolution of Advanced Practice Nursing
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Chapter02 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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Hamric andgxHanson’sgxAdvancedgxPracticegxNursing:gxAngxIntegrativegxApproach,gx7thgxEditiongx(Tracy,gx2023)
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Chapter 01: History and Evolution of Advanced Practice Nursing
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Tracy & O’Grady: Hamric & Hanson’s AdvancedPractice Nursing, 7th Edition
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MULTIPLE CHOICE gx
1. Which of the following is the best explanation for the creation of the Doctorate of Nur
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sin g 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
Although all answers are influenced by the DNP core competencies, the DNP program crea
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t i on in 2004 by the American Association of Colleges of Nursing (AACN) was de
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signed to a ddress curriculum requirements of master’s degree programs.
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2. Whichof the following was the first recognized area of advanced practice nursing?
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a. Clinical Nurse Specialist gx gx
b. Certified Registered Nurse Anesthetist gx gx gx
c. Family Nurse practitioner gx gx
d. Pediatric Nurse practitioner gx gx
ANS: B
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the A
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merican Association of NurseWA WnWe.stT
heBtiS
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s.
(AWA
SNA) was the first recognized group gx gx zx g x gx gx gx gx
promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
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Hospital in Cleveland, Ohio. gx gx gx
3. Which factor is broadly perceived to solidify and standardize the role of the APNs over th
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e l ast 25 years?gx gx gx gx
a. Societal forces gx
b. Lack of access to health care providers xp gx gx gx gx gx
c. Payment for services gx gx
d. Standardizedcurriculum development gx
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and needs
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are i dentified. Through the evolution of organization and standardization these roles hav
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e soli dif ied 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 increas
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e d demand for access to health care?
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a. War
b. Poverty
c. Rural access to care gx gx gx
d. Availabilityoftraining g
x ANS: A
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Earliest demand for nursing-
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provided anesthesia spiked during periods of war when numbers of physicians were inad
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eq u ate. The earliest records date back to the American Civil War with the a
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dministratio n o f chl oroform. During World War I in 1917 more than 1000 nurses, some
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trained anesthe tis ts, trav eled into battle. Other factors such as need for rural health care
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came later in the v a lidation a nd need for APNs.
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5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, N
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Y. He is known for some of the earliest recruitment and specialized training of nurses in w
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hi ch of the following roles?
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a. Obstetrics
b. Anesthesia
c. Family nursing gx
d. Pediatrics
e. Research and statistics gx gx
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anest
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he ti sts. This has been regarded as the earliest training in nurse-
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provided anesthesia. g x
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for whic
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h primary purpose?
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a. Access to health care of rural areas gx gx gx xp gx gx
b. Provide the disadvantaged access to care gx gx gx gx gx
c. Establish guidelines for advanced nursing roles xp xp gx gx gx
d. Create inner-city nursing awareness gx gx g x
ANS: B WWW.TBSM.WS
The HHS was established to provide nursing services to immigrants and low-
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income patients and their families in Manhattan. As resistance to nurse- gx gx gx gx gx gx gx gx gx
provided care grew, standing orders were drafted from a group of Lower East Side physic
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ia n s thereby circumventing
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then-existing legal ramifications. gx gx
7. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenrid
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g e initially provided Appalachia with which type of advanced nursing care?
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a. Surgical services gx
b. Pediatric care gx
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachian
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r e sidents. Later working from standard orders developed from their medical advisory
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com mitt ee nurses treated patients, made diagnoses, and dispensed medications.
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8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged wit
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h the American College of Nurse-Midwives (ACNM) in 1969
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a. Association forNational Nurse-Midwifery (ANNM) gx gx gx gx
b. American Association of Nurse-Midwives (AANM) gx gx gx gx
c. American Nurses Association (ANA) gx xp xp
d. Council of Nursing Midwifery (ANM) gx gx gx gx
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