www.PlusBay.Plus
,v& Tableof Contents
v&
Chapter 01 History and Evolution of Advanced Practice Nursing
v& v& v& v& v& v& v& v& 1
Chapter 02 Conceptualizations of Advanced Practice Nursing
v& v& v& v& x% v& 5
Chapter 03 A Definition of Advanced Practice Nursing
v& v& v& v& v& v& v& 9
Chapter 04 Role Development of the Advanced Practice Nurse
v& v& v& v& v& v& v& v& 13
Chapter 05 International Development of Advanced Practice Nursing
v& v& v& v& v& v& v& 19
Chapter 06 Direct Clinical Practice
v& v& v& v& 22
Chapter 07 Guidance and Coaching
v& v& v& v& 30
Chapter 08 Evidence-Based Practice
v& v& v& 35
Chapter 09 Leadership
v& v& 40
Chapter 10 Collaboration
v& v& 44
Chapter 11 Ethical Practice
v& v& v& 51
Chapter v& 12v& The Clinical Nurse Specialist
v& v& v& 57
Chapter v& 13v& The Primary Care Nurse Practitioner
v& v& v& v& 61
Chapter v& 14v& The Acute Care Nurse Practitioner
v& v& v& v& 65
Chapter v& 15
v& The Certified Nurse-Midwife
v& v& 69
Chapter 16 The Certified Registered Nurse Anesthetist
v& v& v& v& v& v& 74
Chapter 17 Maximizing APRN Power and Influencing Policy
v& v& v& v& v& v& v& 78
Chapter 18 Marketing Yourself as an APRN Contracting and Negotiation
v& v& v& v& v& v& v& v& v& 82
Chapter 19 Reimbursement and Payment for APRN Services
v& v& v& v& v& v& v& 88
Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements
v& v& v& v& v& v& v& 94
Chapter 21 APRN Outcomes and Performance Improvement Research
v& v& v& v& v& v& v& 97
Chapter 22 Future Technologies Influencing APRN Practice
v& v& v& v& v& v& 100
Chapter 23 Using Healthcare Information Technology to Evaluate and Improve
v& v& v& v& v& v& v& v& v&
Performance and Patient Outcomes
v& x% v& 104
www.PlusBay.Plus
,_ _ Test Bank -
v& v& v& v&
Hamricv&andv&Hanson’sv&Advancedv&Practicev&Nursing:v&Anv&Integrativev&Approach,v&7thv&Editionv&(Tracy,v&2023)
v&
Chapter 01: History and Evolution of Advanced Practice Nursing
v& v& v& v& v& v& v& v&
Tracy & O’Grady: Hamric & Hanson’s Advanced Practice Nursing, 7th Edition
v& v& v& v& v& v& v& v& v& v&
MULTIPLE CHOICE v&
1. Which of the following is the best explanation for the creation of the Doctorate of
v& v& v& v& zv & v& v& v& v& v& v& v& v& v& v&
Nursin g Practice (DNP) degree?
v& v& v& v&
a. To validate APRN’s for financial reimbursement
v& v& v& v& v&
b. To address increasing curriculum requirements of master’s degree programs
v& v& v& v& v& v& v& v&
c. To compete against master’s degree programs
v& v& v& v& v&
d. To ensure standardized curriculum ensuring independent practice
x% v& v& x% v& v&
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program
v& v& v& v& v& v& v& v& v& v& v& v& v&
creat i on in 2004 by the American Association of Colleges of Nursing (AACN) w
v& v & v& v& v& v& v& v& v& v& v& v& v& v&
as designed to a ddress curriculum requirements of master’s degree programs.
v& v& v& v& v& v& v& v& v& v&
2. Which of the following was the first recognized area of advanced practice nursing?
v& v& v& v& v& v& v& v& v& v& v& v&
a. Clinical Nurse Specialist v& v&
b. Certified Registered Nurse Anesthetist v& zv& v&
c. Family Nurse practitioner v& v&
d. Pediatric Nurse practitioner v& v&
ANS: B
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to t
v& v& v& v& v& v& v& v& v& v& v& v& v&
he A merican Association of NurseWA
v& v&
WnWe.stT
heBtiS
stM
s.
(AWA
SNA) was the first recognized grou
v& v& v& zx v & v& v& v& v&
p
promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
v& v& x% v& v& v& v& v& v& v&
Hospital in Cleveland, Ohio.
v& v& v&
3. Which factor is broadly perceived to solidify and standardize the role of the APNs ov
v& v& v& v& v& v& v& v& v& v& v& v& v& v&
er the l ast 25 years?
v& xv & v& v& v&
a. Societal forces v&
b. Lack of access to health care providers
v& v& v& zv& v& v&
c. Payment for services v& v&
d. Standardizedcurriculum development v&
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and nee
v& v& v& v& v& v& v& v& v& v& v&
ds are i dentified. Through the evolution of organization and standardization these role
v& v& v& v& v& v& v& v& v& v& v& v&
s have soli dif ied the APN’s role in today’s health care environment.
v& v& v& v& zv & v& v& v& v& v& v& v&
4. During the formation of early APN roles in anesthesia, which of the following inc
v& v& v& v& v& v& v& v& v& v& v& v& v&
rease d demand for access to health care?
v& v& v& v& v& v& v&
a. War
b. Poverty
c. Rural access to care v& v& v&
d. Availabilityoftraining xv
& ANS: v & A
1| P a g ev & v & v & v &
www.PlusBay.Plus
, _ _ Test Bank -
v& v& v& v&
Hamricv&andv&Hanson’sv&Advancedv&Practicev&Nursing:v&Anv&Integrativev&Approach,v&7thv&Editionv&(Tracy,v&2023)
v&
Earliest demand for nursing-
v& v& v&
provided anesthesia spiked during periods of war when numbers of physicians were in
v& v& v& v& v& v& v& v& v& v& v& v&
adeq u ate. The earliest records date back to the American Civil War with the ad
v& v& v& v& v& v& v& v& v& v& v& v& v& v& v&
ministration o f chl oroform. During World War I in 1917 more than 1000 nurses, so
v& v& v& v& v& v& v& v& v& v& v& v& v& v& v&
me trained anesthetis ts, trav eled into battle. Other factors such as need for rural healt
v& v& v& v& v& v& v& v& v& v& v& v& v& v& v&
h care came later in the va lidation a nd need for APNs.
v& v& v& v& v& v& v& v& v& v& v& v&
5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, N
v& v& v& v& v& v& v& v& v& v& v& v& v& v&
Y. He is known for some of the earliest recruitment and specialized training of nurses
v& v& v& v& v& v& v& v& v& v& v& v& v& v& v&
in w hich of the following roles?
v& v& v& v& v& v&
a. Obstetrics
b. Anesthesia
c. Family nursing v&
d. Pediatrics
e. Research and statistics v& v&
ANS: B v & v &
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse an
v& v& v& v& v& v& v& v& v& zv & v& v&
esthe ti sts. This has been regarded as the earliest training in nurse-
v& v & v& v& v & v & v & v & v & v & v & v &
provided anesthesia. v &
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for
v& v& v& v& v& v& v& v& v& v& v& v&
whic h primary purpose?
v& v& v&
a. Access to health care of rural areas v& v& v& v& v& v&
b. Provide the disadvantaged access to care v& v& v& v& v&
c. Establish guidelines for advanced nursing roles v& v& v& v& v&
d. Create inner-city nursing awareness v& v& v&
ANS: B v & v & WWW.TBSM.WS
The HHS was established to provide nursing services to immigrants and low-
v& v& v& v& v& v& v& v& v& v& v&
income patients and their families in Manhattan. As resistance to nurse-
v& v& v& v& v& v& v& v& v&
provided care grew, standing orders were drafted from a group of Lower East Side ph
v& v& v& v& v& v& zv & v& v& v& v& v& v& v&
ysicia n s thereby circumventing
v& v& v& v&
then-existing legal ramifications. v& v&
7. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Brecke
v& v& v& v& v& zv & v& v& v& v& v& v&
nridg e initially provided Appalachia with which type of advanced nursing care?
v& v& v& v & v& v & v& v& v& v & v&
a. Surgical services v&
b. Pediatric care v&
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachi
v& v& v& v& v& v& v& v& v& v& v& v&
an r e sidents. Later working from standard orders developed from their medical advi
v& v& v& v& v& v& v& v& v& v& v& v& v&
sory com mitt ee nurses treated patients, made diagnoses, and dispensed medications.
v& v& v& v& v& v& v& v& v& v& v&
8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged
v& v& v& v& v& v& v& v& v& x%
wit h the American College of Nurse-Midwives (ACNM) in 1969
v& v& v& v& v& v& v& v& v&
a. Association for National Nurse-Midwifery (ANNM) v& v& v& v&
b. American Association of Nurse-Midwives (AANM) v& v& v& v&
c. American Nurses Association (ANA) v& v& v&
d. Council of Nursing Midwifery (ANM) v& v& v& v&
www.PlusBay.Plus
,v& Tableof Contents
v&
Chapter 01 History and Evolution of Advanced Practice Nursing
v& v& v& v& v& v& v& v& 1
Chapter 02 Conceptualizations of Advanced Practice Nursing
v& v& v& v& x% v& 5
Chapter 03 A Definition of Advanced Practice Nursing
v& v& v& v& v& v& v& 9
Chapter 04 Role Development of the Advanced Practice Nurse
v& v& v& v& v& v& v& v& 13
Chapter 05 International Development of Advanced Practice Nursing
v& v& v& v& v& v& v& 19
Chapter 06 Direct Clinical Practice
v& v& v& v& 22
Chapter 07 Guidance and Coaching
v& v& v& v& 30
Chapter 08 Evidence-Based Practice
v& v& v& 35
Chapter 09 Leadership
v& v& 40
Chapter 10 Collaboration
v& v& 44
Chapter 11 Ethical Practice
v& v& v& 51
Chapter v& 12v& The Clinical Nurse Specialist
v& v& v& 57
Chapter v& 13v& The Primary Care Nurse Practitioner
v& v& v& v& 61
Chapter v& 14v& The Acute Care Nurse Practitioner
v& v& v& v& 65
Chapter v& 15
v& The Certified Nurse-Midwife
v& v& 69
Chapter 16 The Certified Registered Nurse Anesthetist
v& v& v& v& v& v& 74
Chapter 17 Maximizing APRN Power and Influencing Policy
v& v& v& v& v& v& v& 78
Chapter 18 Marketing Yourself as an APRN Contracting and Negotiation
v& v& v& v& v& v& v& v& v& 82
Chapter 19 Reimbursement and Payment for APRN Services
v& v& v& v& v& v& v& 88
Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements
v& v& v& v& v& v& v& 94
Chapter 21 APRN Outcomes and Performance Improvement Research
v& v& v& v& v& v& v& 97
Chapter 22 Future Technologies Influencing APRN Practice
v& v& v& v& v& v& 100
Chapter 23 Using Healthcare Information Technology to Evaluate and Improve
v& v& v& v& v& v& v& v& v&
Performance and Patient Outcomes
v& x% v& 104
www.PlusBay.Plus
,_ _ Test Bank -
v& v& v& v&
Hamricv&andv&Hanson’sv&Advancedv&Practicev&Nursing:v&Anv&Integrativev&Approach,v&7thv&Editionv&(Tracy,v&2023)
v&
Chapter 01: History and Evolution of Advanced Practice Nursing
v& v& v& v& v& v& v& v&
Tracy & O’Grady: Hamric & Hanson’s Advanced Practice Nursing, 7th Edition
v& v& v& v& v& v& v& v& v& v&
MULTIPLE CHOICE v&
1. Which of the following is the best explanation for the creation of the Doctorate of
v& v& v& v& zv & v& v& v& v& v& v& v& v& v& v&
Nursin g Practice (DNP) degree?
v& v& v& v&
a. To validate APRN’s for financial reimbursement
v& v& v& v& v&
b. To address increasing curriculum requirements of master’s degree programs
v& v& v& v& v& v& v& v&
c. To compete against master’s degree programs
v& v& v& v& v&
d. To ensure standardized curriculum ensuring independent practice
x% v& v& x% v& v&
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program
v& v& v& v& v& v& v& v& v& v& v& v& v&
creat i on in 2004 by the American Association of Colleges of Nursing (AACN) w
v& v & v& v& v& v& v& v& v& v& v& v& v& v&
as designed to a ddress curriculum requirements of master’s degree programs.
v& v& v& v& v& v& v& v& v& v&
2. Which of the following was the first recognized area of advanced practice nursing?
v& v& v& v& v& v& v& v& v& v& v& v&
a. Clinical Nurse Specialist v& v&
b. Certified Registered Nurse Anesthetist v& zv& v&
c. Family Nurse practitioner v& v&
d. Pediatric Nurse practitioner v& v&
ANS: B
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to t
v& v& v& v& v& v& v& v& v& v& v& v& v&
he A merican Association of NurseWA
v& v&
WnWe.stT
heBtiS
stM
s.
(AWA
SNA) was the first recognized grou
v& v& v& zx v & v& v& v& v&
p
promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
v& v& x% v& v& v& v& v& v& v&
Hospital in Cleveland, Ohio.
v& v& v&
3. Which factor is broadly perceived to solidify and standardize the role of the APNs ov
v& v& v& v& v& v& v& v& v& v& v& v& v& v&
er the l ast 25 years?
v& xv & v& v& v&
a. Societal forces v&
b. Lack of access to health care providers
v& v& v& zv& v& v&
c. Payment for services v& v&
d. Standardizedcurriculum development v&
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and nee
v& v& v& v& v& v& v& v& v& v& v&
ds are i dentified. Through the evolution of organization and standardization these role
v& v& v& v& v& v& v& v& v& v& v& v&
s have soli dif ied the APN’s role in today’s health care environment.
v& v& v& v& zv & v& v& v& v& v& v& v&
4. During the formation of early APN roles in anesthesia, which of the following inc
v& v& v& v& v& v& v& v& v& v& v& v& v&
rease d demand for access to health care?
v& v& v& v& v& v& v&
a. War
b. Poverty
c. Rural access to care v& v& v&
d. Availabilityoftraining xv
& ANS: v & A
1| P a g ev & v & v & v &
www.PlusBay.Plus
, _ _ Test Bank -
v& v& v& v&
Hamricv&andv&Hanson’sv&Advancedv&Practicev&Nursing:v&Anv&Integrativev&Approach,v&7thv&Editionv&(Tracy,v&2023)
v&
Earliest demand for nursing-
v& v& v&
provided anesthesia spiked during periods of war when numbers of physicians were in
v& v& v& v& v& v& v& v& v& v& v& v&
adeq u ate. The earliest records date back to the American Civil War with the ad
v& v& v& v& v& v& v& v& v& v& v& v& v& v& v&
ministration o f chl oroform. During World War I in 1917 more than 1000 nurses, so
v& v& v& v& v& v& v& v& v& v& v& v& v& v& v&
me trained anesthetis ts, trav eled into battle. Other factors such as need for rural healt
v& v& v& v& v& v& v& v& v& v& v& v& v& v& v&
h care came later in the va lidation a nd need for APNs.
v& v& v& v& v& v& v& v& v& v& v& v&
5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, N
v& v& v& v& v& v& v& v& v& v& v& v& v& v&
Y. He is known for some of the earliest recruitment and specialized training of nurses
v& v& v& v& v& v& v& v& v& v& v& v& v& v& v&
in w hich of the following roles?
v& v& v& v& v& v&
a. Obstetrics
b. Anesthesia
c. Family nursing v&
d. Pediatrics
e. Research and statistics v& v&
ANS: B v & v &
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse an
v& v& v& v& v& v& v& v& v& zv & v& v&
esthe ti sts. This has been regarded as the earliest training in nurse-
v& v & v& v& v & v & v & v & v & v & v & v &
provided anesthesia. v &
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for
v& v& v& v& v& v& v& v& v& v& v& v&
whic h primary purpose?
v& v& v&
a. Access to health care of rural areas v& v& v& v& v& v&
b. Provide the disadvantaged access to care v& v& v& v& v&
c. Establish guidelines for advanced nursing roles v& v& v& v& v&
d. Create inner-city nursing awareness v& v& v&
ANS: B v & v & WWW.TBSM.WS
The HHS was established to provide nursing services to immigrants and low-
v& v& v& v& v& v& v& v& v& v& v&
income patients and their families in Manhattan. As resistance to nurse-
v& v& v& v& v& v& v& v& v&
provided care grew, standing orders were drafted from a group of Lower East Side ph
v& v& v& v& v& v& zv & v& v& v& v& v& v& v&
ysicia n s thereby circumventing
v& v& v& v&
then-existing legal ramifications. v& v&
7. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Brecke
v& v& v& v& v& zv & v& v& v& v& v& v&
nridg e initially provided Appalachia with which type of advanced nursing care?
v& v& v& v & v& v & v& v& v& v & v&
a. Surgical services v&
b. Pediatric care v&
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachi
v& v& v& v& v& v& v& v& v& v& v& v&
an r e sidents. Later working from standard orders developed from their medical advi
v& v& v& v& v& v& v& v& v& v& v& v& v&
sory com mitt ee nurses treated patients, made diagnoses, and dispensed medications.
v& v& v& v& v& v& v& v& v& v& v&
8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged
v& v& v& v& v& v& v& v& v& x%
wit h the American College of Nurse-Midwives (ACNM) in 1969
v& v& v& v& v& v& v& v& v&
a. Association for National Nurse-Midwifery (ANNM) v& v& v& v&
b. American Association of Nurse-Midwives (AANM) v& v& v& v&
c. American Nurses Association (ANA) v& v& v&
d. Council of Nursing Midwifery (ANM) v& v& v& v&
www.PlusBay.Plus
