,TableofContents
Chapter 01 History and Evolution of Advanced Practice Nursing
u5 u5 u5 u5 u 5 u5 u5 u5 1
Chapter02ConceptualizationsofAdvanced Practice Nursing u5 u5 u 5 u5 5
Chapter 03 A Definition of Advanced Practice Nursing
u5 u5 u5 u5 u5 u 5 u 5 9
Chapter 04 Role Development of the Advanced Practice Nurse
u5 u5 u5 u5 u5 u5 u5 u5 13
Chapter05 International Development of Advanced Practice Nursing
u5 u5 gx u5 u5 u5 19
Chapter 06 Direct Clinical Practice
u5 u5 u5 u5 22
Chapter 07 Guidance and Coaching
u5 u5 u5 u 5 30
Chapter 08 Evidence-Based Practice
u5 u5 u5 35
Chapter 09 Leadership
u5 u 5 40
Chapter 10 Collaboration
u5 u 5 44
Chapter 11 Ethical Practice
u5 u5 u 5 51
Chapter 12 The Clinical Nurse Specialist
u5 u5 u5 u5 u5 57
Chapter 13 The Primary Care Nurse Practitioner
u5 u5 u5 u 5 u5 u 5 61
Chapter 14 The Acute Care Nurse Practitioner
u5 u5 u5 u5 u5 u 5 65
Chapter 15 The Certified Nurse-Midwife
u5 u5 u5 u5 69
Chapter 16 The Certified Registered Nurse Anesthetist
u5 u5 gx u5 u 5 u5 74
Chapter17 Maximizing APRN Power and Influencing Policy
u5 u5 u5 u5 u5 u 5 78
Chapter18 Marketing Yourself as an APRN Contracting and Negotiation
u5 u5 u 5 u5 u5 u5 u 5 u5 82
Chapter19 Reimbursement and Payment for APRN Services
u5 u 5 u5 u5 u5 u 5 88
Chapter20 Understanding Regulatory, Legal, and Credentialing Requirements
u5 x u 5 u5 u5 u 5 94
Chapter21 APRN Outcomes and Performance Improvement Research
u5 u5 u5 u5 u5 u5 97
Chapter 22 FutureTechnologies Influencing APRN Practice
u5 u5 u5 u5 u5 u5 100
Chapter23 Using Healthcare Information Technology to Evaluateand Improve
u5 u5 u5 u5 u5 u5 u5 u 5
Performance and Patient Outcomes
u5 u5 u 5 104
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,_ _Test Bank -
u5 gx u5
Chapter 01: History and Evolution of Advanced Practice Nursing
u5 u5 u5 gx u5 u 5 u5 u5
Tracy & O’Grady: Hamric & Hanson’s AdvancedPractice Nursing, 7th Edition
u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
MULTIPLE CHOICE u5
1. Which of the following is u5 u5 u5 u5 z
the best explanation for the creation of the Doctorate of Nur u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
sin g Practice (DNP) degree?
u5 u5 u5 u5
a. To validate APRN’s forfinancial reimbursement
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b. To address increasing curriculum requirements of master’s degree programs
xp u5 u5 u5 u5 u5 u5 u5
c. To compete against master’s degree programs
u5 u5 xp u 5 gx
d. To ensurestandardized curriculum ensuring independent practice
gx u5 u5 u5 u5 u5
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program crea t
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
i on in 2004 by the American Association of Colleges of Nursing (AACN) was de sig
u5 u 5 u5 u5 u 5 u5 u5 u5 u 5 u5 u 5 u5 u 5 u5 u5 u5
ned to a ddress curriculum requirements of master’s degree programs.
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2. Whichofthe following was the first recognized area of advanced practice nursing? gx xp u5 u5 u5 u5 gx u5 xp u 5
a. Clinical Nurse Specialist u5 u5
b. Certified Registered NurseAnesthetist u5 u5 u5
c. Family Nurse practitioner u5 u5
d. Pediatric Nurse practitioner u5 u5
ANS: B
In 1931, theNational Association ofNurse Anesthetists (NANA), renamed in 1939 to the A
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
merican Association of NurseWAWnWe.stT
heBtiS
stM
s.
(AWA
SNA)u5 u5 u5 zx
was the first recognized group p u5 u5 u5 u5 u5
romoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
gx u5 xu 5 u5 u5 u5 u5 xp u5 u5 u5
Hospital in Cleveland, Ohio. u5 u5 u5
3. Which factor is broadly perceived to solidify and standardize the role of the APNs over th
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
e l ast 25 years? u5 u5 u5 u5
a. Societal forces u5
b. Lack of access to health care providers u5 u5 u5 u 5 u5 u5
c. Payment forservices u5 u5
d. Standardizedcurriculum development u 5
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and need
u 5 u5 u 5 u5 u5 u5 u 5 u 5 u5 u 5 u 5
s are i dentified. Through the evolution of organization and standardization these roles
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
hav e soli dif ied the APN’s role in today’s health care environment.
u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
4. During theformation of early APN roles in anesthesia, which ofthe following increas e
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u
d demand for access to health care?
5 u5 u5 u5 u5 u5 u5
a. War
b. Poverty
c. Ruralaccess to care u 5 u5
d. Availabilityoftraining g
u 5 ANS: A u 5
1| u5 P a g e
www.PlusBay.Plus
, _ _Test Bank -
u5 gx u5
Earliest demand for nursing- u 5 u 5 u 5
provided anesthesia spiked during periods of war when numbers of physicians were inad
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5 eq u ate. The earliest records date back to the American Civil War w
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ith the a dministratio n o f chl oroform. During World War I in 1917 more than 1000
u 5 u 5 u 5 u5 u 5 u5 u5 u5 u5 u5 xu 5 u5 u5 u5 u5 u5 u5 u5
nurses, some trained anesthe tis ts, trav eled into battle. Other factors such as need for rural
u5 u 5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
health care came later in the v a lidation a nd need for APNs.
u5 u5 u5 u 5 u 5 u5 u 5 u 5 u5 u 5 u 5 u 5 u 5 u 5
5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, N
u 5 u 5 u5 u 5 u 5 u 5 u 5 u 5 u 5 u5 u 5 u5 u5 u 5
Y. He is known forsomeof the earliest recruitment and specialized training of nurses in w hi
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
ch of the following roles?
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a. Obstetrics
b. Anesthesia
c. Family nursing u5
d. Pediatrics
e. Research and statistics gx gx
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anest
u5 u5 u5 u5 u5 u5 u5 u5 u5 u 5 u5 u5 u5
he ti sts. This has been regarded as the earliest training in nurse-
u5
provided anesthesia.
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) Houseforwhic
u5 u5 u5 xu 5 u5 u5 u5 u5 u5 u5 u5 u5
h primary purpose?
u5 u5
a. Access to health care of rural areas u5 u5 u5 u5 u5 u5
b. Provide the disadvantaged access to care u5 u5 u5 u5 u5
c. Establish guidelines for advanced nursing roles u5 u5 u5 u5 u 5
d. Createinner-city nursing awareness u5 u5 u 5
ANS: B WWW.TBSM.WS
The HHS was established to provide nursing services to immigrants and low-
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
income patients and their families in Manhattan. As resistance to nurse- u5 u5 u5 u5 u5 u5 u5 u5 u5
provided caregrew, standing orders were drafted from a group of Lower East Side physic
u5 u5 u5 u5 u5 u5 u 5 u5 u5 u5 u5 u5 u5 u5 u
ia n s thereby circumventing
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then-existing legal ramifications. u5 u5
7. TheFrontier Nursing Service(FNS) founded in Kentucky in 1925 by Mary Breckenrid g
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e initially provided Appalachia with which type of advanced nursing care?
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
a. Surgical services u5
b. Pediatric care u5
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachian r
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
e sidents. Later working from standard orders developed from their medical advisory co
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
m mitt ee nurses treated patients, made diagnoses, and dispensed medications.
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8. Which organization founded in 1941 underMary Breckenridge’s leadership merged wit
xp gx gx gx u5 u5 gx gx u5 u5
h the American College of Nurse-Midwives (ACNM) in 1969
u5 u5 u5 u5 u5 u5 u5 u5
a. Association forNational Nurse-Midwifery (ANNM) u5 u5 u5
b. American Association of Nurse-Midwives (AANM) u5 u5 u5 u5
c. American Nurses Association (ANA) u5 u5 xp
d. Council of Nursing Midwifery (ANM) u5 u5 u5 u5
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Chapter 01 History and Evolution of Advanced Practice Nursing
u5 u5 u5 u5 u 5 u5 u5 u5 1
Chapter02ConceptualizationsofAdvanced Practice Nursing u5 u5 u 5 u5 5
Chapter 03 A Definition of Advanced Practice Nursing
u5 u5 u5 u5 u5 u 5 u 5 9
Chapter 04 Role Development of the Advanced Practice Nurse
u5 u5 u5 u5 u5 u5 u5 u5 13
Chapter05 International Development of Advanced Practice Nursing
u5 u5 gx u5 u5 u5 19
Chapter 06 Direct Clinical Practice
u5 u5 u5 u5 22
Chapter 07 Guidance and Coaching
u5 u5 u5 u 5 30
Chapter 08 Evidence-Based Practice
u5 u5 u5 35
Chapter 09 Leadership
u5 u 5 40
Chapter 10 Collaboration
u5 u 5 44
Chapter 11 Ethical Practice
u5 u5 u 5 51
Chapter 12 The Clinical Nurse Specialist
u5 u5 u5 u5 u5 57
Chapter 13 The Primary Care Nurse Practitioner
u5 u5 u5 u 5 u5 u 5 61
Chapter 14 The Acute Care Nurse Practitioner
u5 u5 u5 u5 u5 u 5 65
Chapter 15 The Certified Nurse-Midwife
u5 u5 u5 u5 69
Chapter 16 The Certified Registered Nurse Anesthetist
u5 u5 gx u5 u 5 u5 74
Chapter17 Maximizing APRN Power and Influencing Policy
u5 u5 u5 u5 u5 u 5 78
Chapter18 Marketing Yourself as an APRN Contracting and Negotiation
u5 u5 u 5 u5 u5 u5 u 5 u5 82
Chapter19 Reimbursement and Payment for APRN Services
u5 u 5 u5 u5 u5 u 5 88
Chapter20 Understanding Regulatory, Legal, and Credentialing Requirements
u5 x u 5 u5 u5 u 5 94
Chapter21 APRN Outcomes and Performance Improvement Research
u5 u5 u5 u5 u5 u5 97
Chapter 22 FutureTechnologies Influencing APRN Practice
u5 u5 u5 u5 u5 u5 100
Chapter23 Using Healthcare Information Technology to Evaluateand Improve
u5 u5 u5 u5 u5 u5 u5 u 5
Performance and Patient Outcomes
u5 u5 u 5 104
www.PlusBay.Plus
,_ _Test Bank -
u5 gx u5
Chapter 01: History and Evolution of Advanced Practice Nursing
u5 u5 u5 gx u5 u 5 u5 u5
Tracy & O’Grady: Hamric & Hanson’s AdvancedPractice Nursing, 7th Edition
u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
MULTIPLE CHOICE u5
1. Which of the following is u5 u5 u5 u5 z
the best explanation for the creation of the Doctorate of Nur u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
sin g Practice (DNP) degree?
u5 u5 u5 u5
a. To validate APRN’s forfinancial reimbursement
u5 u5 u5 u5 u5
b. To address increasing curriculum requirements of master’s degree programs
xp u5 u5 u5 u5 u5 u5 u5
c. To compete against master’s degree programs
u5 u5 xp u 5 gx
d. To ensurestandardized curriculum ensuring independent practice
gx u5 u5 u5 u5 u5
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program crea t
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
i on in 2004 by the American Association of Colleges of Nursing (AACN) was de sig
u5 u 5 u5 u5 u 5 u5 u5 u5 u 5 u5 u 5 u5 u 5 u5 u5 u5
ned to a ddress curriculum requirements of master’s degree programs.
u5 u5 u5 u5 u5 u5 u5 u5 u5
2. Whichofthe following was the first recognized area of advanced practice nursing? gx xp u5 u5 u5 u5 gx u5 xp u 5
a. Clinical Nurse Specialist u5 u5
b. Certified Registered NurseAnesthetist u5 u5 u5
c. Family Nurse practitioner u5 u5
d. Pediatric Nurse practitioner u5 u5
ANS: B
In 1931, theNational Association ofNurse Anesthetists (NANA), renamed in 1939 to the A
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
merican Association of NurseWAWnWe.stT
heBtiS
stM
s.
(AWA
SNA)u5 u5 u5 zx
was the first recognized group p u5 u5 u5 u5 u5
romoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
gx u5 xu 5 u5 u5 u5 u5 xp u5 u5 u5
Hospital in Cleveland, Ohio. u5 u5 u5
3. Which factor is broadly perceived to solidify and standardize the role of the APNs over th
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
e l ast 25 years? u5 u5 u5 u5
a. Societal forces u5
b. Lack of access to health care providers u5 u5 u5 u 5 u5 u5
c. Payment forservices u5 u5
d. Standardizedcurriculum development u 5
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and need
u 5 u5 u 5 u5 u5 u5 u 5 u 5 u5 u 5 u 5
s are i dentified. Through the evolution of organization and standardization these roles
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
hav e soli dif ied the APN’s role in today’s health care environment.
u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
4. During theformation of early APN roles in anesthesia, which ofthe following increas e
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u
d demand for access to health care?
5 u5 u5 u5 u5 u5 u5
a. War
b. Poverty
c. Ruralaccess to care u 5 u5
d. Availabilityoftraining g
u 5 ANS: A u 5
1| u5 P a g e
www.PlusBay.Plus
, _ _Test Bank -
u5 gx u5
Earliest demand for nursing- u 5 u 5 u 5
provided anesthesia spiked during periods of war when numbers of physicians were inad
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u
5 eq u ate. The earliest records date back to the American Civil War w
u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
ith the a dministratio n o f chl oroform. During World War I in 1917 more than 1000
u 5 u 5 u 5 u5 u 5 u5 u5 u5 u5 u5 xu 5 u5 u5 u5 u5 u5 u5 u5
nurses, some trained anesthe tis ts, trav eled into battle. Other factors such as need for rural
u5 u 5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
health care came later in the v a lidation a nd need for APNs.
u5 u5 u5 u 5 u 5 u5 u 5 u 5 u5 u 5 u 5 u 5 u 5 u 5
5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, N
u 5 u 5 u5 u 5 u 5 u 5 u 5 u 5 u 5 u5 u 5 u5 u5 u 5
Y. He is known forsomeof the earliest recruitment and specialized training of nurses in w hi
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
ch of the following roles?
u5 u5 u5 u5 u5
a. Obstetrics
b. Anesthesia
c. Family nursing u5
d. Pediatrics
e. Research and statistics gx gx
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anest
u5 u5 u5 u5 u5 u5 u5 u5 u5 u 5 u5 u5 u5
he ti sts. This has been regarded as the earliest training in nurse-
u5
provided anesthesia.
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) Houseforwhic
u5 u5 u5 xu 5 u5 u5 u5 u5 u5 u5 u5 u5
h primary purpose?
u5 u5
a. Access to health care of rural areas u5 u5 u5 u5 u5 u5
b. Provide the disadvantaged access to care u5 u5 u5 u5 u5
c. Establish guidelines for advanced nursing roles u5 u5 u5 u5 u 5
d. Createinner-city nursing awareness u5 u5 u 5
ANS: B WWW.TBSM.WS
The HHS was established to provide nursing services to immigrants and low-
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
income patients and their families in Manhattan. As resistance to nurse- u5 u5 u5 u5 u5 u5 u5 u5 u5
provided caregrew, standing orders were drafted from a group of Lower East Side physic
u5 u5 u5 u5 u5 u5 u 5 u5 u5 u5 u5 u5 u5 u5 u
ia n s thereby circumventing
5 u5 u5 u5 u5
then-existing legal ramifications. u5 u5
7. TheFrontier Nursing Service(FNS) founded in Kentucky in 1925 by Mary Breckenrid g
u5 u5 u5 u5 u5 u 5 u5 u5 u5 u5 u5 u5 u5
e initially provided Appalachia with which type of advanced nursing care?
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
a. Surgical services u5
b. Pediatric care u5
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachian r
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
e sidents. Later working from standard orders developed from their medical advisory co
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
m mitt ee nurses treated patients, made diagnoses, and dispensed medications.
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
8. Which organization founded in 1941 underMary Breckenridge’s leadership merged wit
xp gx gx gx u5 u5 gx gx u5 u5
h the American College of Nurse-Midwives (ACNM) in 1969
u5 u5 u5 u5 u5 u5 u5 u5
a. Association forNational Nurse-Midwifery (ANNM) u5 u5 u5
b. American Association of Nurse-Midwives (AANM) u5 u5 u5 u5
c. American Nurses Association (ANA) u5 u5 xp
d. Council of Nursing Midwifery (ANM) u5 u5 u5 u5
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