m m
HamricmandmHanson'smAdvancedmPracticemNursingm6thmEditi
onmbymMarymFranmTracy,mEileenmT.mO'Grady
TablemofmContents
PartmI:mHistoricalmandmDevelopmentalmAspectsmofmAdvancedmPracticemNurs
ingmChapterm1:mHighlightsmfrommthemHistorymofmAdvancedmPracticemNursin
gminmthemUnitedmStates
Chapterm2:mConceptualizationsmofmAdvancedmPracticemNursi
ngmChapterm3:mAmDefinitionmofmAdvancedmPracticemNursingm
Chapterm4:mRolemDevelopmentmofmthemAdvancedmPracticemNu
rse
Chapterm5:mEvolvingmandmInnovativemOpportunitiesmformAdvancedmPracticemNu
rsing
Chapterm6:mInternationalmDevelopmentmofmAdvancedmPracticemNursingmN
EWmmoremglobalmfocus
PartmII:mCompetenciesmofmAdvancedmPracticemNursi
ngmChapterm7:mDirectmClinicalmPractice
Chapterm8:mCoachingmandmGuidan
cemChapterm9:mConsultation
Chapterm10:mEvidence-
BasedmPracticemandmResearchmChapterm11:mLeaders
hip
Chapterm12:mCollaborationmNEWmemphasismonminterprofessionalmcollaborativempracticemCha
pterm13:mEthicalmDecisionmMaking
PartmIII:mAdvancedmPracticemRoles:mThemOperationalmDefinitionsmofmAdvancedmPracticemNursingmCh
apterm14:mThemClinicalmNursemSpecialist
Chapterm15:mThemPrimarymCaremNursemPractition
ermChapterm16:mThemAcutemCaremNursemPractitio
nermChapterm17:mThemCertifiedmNurse-Midwife
Chapterm18:mThemCertifiedmRegisteredmNursemAnesthetist
PartmIV:mCriticalmElementsminmManagingmAdvancedmNursingmPracticemEnvironme
ntsmChapterm19:mBusinessmPlanningmandmReimbursementmMechanisms
Chapterm20:mMarketingmandmNegotiation
Chapterm21:mUnderstandingmRegulatory,mLegal,mandmCredentialingmRequirementsmC
hapterm22:mHealthmPolicymIssuesminmChangingmEnvironments
Chapterm23:mAnmIntegrativemReviewmofmAPRNmOutcomesmandmPerformancemImprovement
Chapterm24:mUsingmOutcomesmandmPerformancemImprovementmDatamtomEvaluatemandmImpro
vemPractice
,Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition Chapt
m m m m m m m m m
erm1:mHighlightsmfrommthemHistorymofmAdvancedmPracticemNursingminmthemUnitedmSta
tes
MultiplemChoice
1. InmwhichmyearmdidmthemAmericanmAssociationmofmCollegemofmNursingm(AACN)mintroducedmt
hemDoctoratemofmNursingmPracticem(DNP)?
a.m2006
b.m2004
c.m2000
d.m2002
ANS:mB
ThemAACNmintroducedmthemDNPmdegreeminm2004mtompreparemadvancedmpracticemnursesm(APRNs)mtom
meetmchallengesmandmstandardizempracticembeyondmmaster’smdegreemprograms.
2. WhichmofmthemfollowingmismthembestmexplanationmformthemcreationmofmthemDoctoratemofmNurs
ingmPracticem(DNP)mdegree?
a. Tomcompetemagainstmmaster’smdegreemprograms
b. Tomensuremstandardizedmcurriculummensuringmindependentmpractice
c. TomvalidatemAPRN’smformfinancialmreimbursement
d. Tomaddressmincreasingmcurriculummrequirementsmofmmaster’smdegreemprograms
ANS:mD
AlthoughmallmanswersmareminfluencedmbymthemDNPmcoremcompetencies,mthemDNPmprogrammcreation
2004mbymthemAACNmwasmdesignedmtomaddressmcurriculummrequirementsmofmmaster’smdegreempr
minm
ograms.
3. Whichmofmthemfollowingmwasmthemfirstmrecognizedmareamofmadvancedmpracticemnursing?
a. ClinicalmNursemSpecialist
b. Familymnursempractitioner
c. Pediatricmnursempractitioner
d. CertifiedmRegisteredmNursemAnesthetist
ANS:mD
Inm1931,mthemNationalmAssociationmofmNursemAnesthetistsm(NANA),mrenamedminm1939mtomthemAme
ricanmAssociationmofmNursemAnesthetistsm(AANA)mwasmthemfirstmrecognizedmgroupmpromotingmadv
ancedmnursingmpractice.mAgathamHodginsmfoundedmthemAANMmatmLakesidemHospitalminmCleveland
,mOhio.
4. WhichmfactormismbroadlymperceivedmtomsolidifymandmstandardizemthemrolemofmthemAPNsmovermthem
lastm25myears?
, a. Lackmofmaccessmtomhealthmcaremproviders
b. Standardizedmcurriculummdevelopment
c. Paymentmformservices
d. Societalmforces
ANS:mB
AsmthemevolutionmofmAdvancedmPracticemNursingmadvancesmspecificmspecialtiesmandmneedsmaremide
ntified.mThroughmthemevolutionmofmorganizationmandmstandardizationmthesemrolesmhavemsolidifiedmth
emAPN’smroleminmtoday’smhealthmcaremenvironment.
5. DuringmthemformationmofmearlymAPNmrolesminmanesthesia,mwhichmofmthemfollowingmincreas
edmdemandmformaccessmtomhealthmcare?
a. Poverty
b. War
c. Ruralmaccessmtomcare
d. Availabilitymofmtraining
ANS:mB
Earliestmdemandmformnursing-
providedmanesthesiamspikedmduringmperiodsmofmwarmwhenmnumbersmofmphysiciansmwereminadequate.
mThemearliestmrecordsmdatembackmtomthemAmericanmCivilmWarmwithmthemadministrationmofmchlorofor
m.mDuringmWorldmWarmIminm1917mmoremthanm1000mnurses,msomemtrainedmanesthetists,mtraveledminto
mbattle.mOthermfactorsmsuchmasmneedmformruralmhealthmcaremcamemlaterminmthemvalidationmandmneedmfo
rmAPNs.
6. Inm1889,mDr.mWilliammWorrallmMayombuiltmandmopenedmSt.mMary’smhospitalminmRochester,mNY.m
Hemismknownmformsomemofm themearliestmrecruitmentmandmspecializedmtrainingmofmnursesminmwhic
hmofmthemfollowingmroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchmandmstatistics
e. Familymnursing
ANS:mB
Inm1889,mDr.mWilliammWorrallmMayombeganmformallymtrainingmandmrecognizingmnursemanesthetists.m
Thismhasmbeenmregardedmasmthemearliestmtrainingminmnurse-providedmanesthesia.
7. Inm1893,mLillianmWaldmestablishedmthemHenrymStreetmSettlementm(HSS)mHousemformwhichmpurpose
?
a. Accessmtomhealthmcaremofmruralmareas
b. Createminner-citymnursingmawareness
, c. Providemthemdisadvantagedmaccessmtomcare