HAMRIC AND HANSON'S ADVANCED PRACTICE NURSING
7TH EDITION
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,TableofContents
Chapter01HistoryandEvolutionofAdvancedPracticeNursing 1
Chapter02ConceptualizationsofAdvancedPracticeNursing 5
Chapter03ADefinitionofAdvancedPracticeNursing 9
Chapter04RoleDevelopmentoftheAdvancedPracticeNurse 13
Chapter05InternationalDevelopmentofAdvancedPracticeNursing 19
Chapter06DirectClinicalPractice 22
Chapter07GuidanceandCoaching 30
Chapter08Evidence-BasedPractice 35
Chapter09Leadership 40
Chapter10Collaboration 44
Chapter11EthicalPractice 51
Chapter12TheClinicalNurseSpecialist 57
Chapter13ThePrimaryCareNursePractitioner 61
Chapter14TheAcuteCareNursePractitioner 65
Chapter15TheCertifiedNurse-Midwife 69
Chapter16TheCertifiedRegisteredNurseAnesthetist 74
Chapter17MaximizingAPRNPowerandInfluencingPolicy 78
Chapter18MarketingYourselfasanAPRNContractingandNegotiation 82
Chapter19ReimbursementandPaymentforAPRNServices 88
Chapter20UnderstandingRegulatory,Legal,andCredentialingRequirements 94
Chapter21APRNOutcomesandPerformanceImprovementResearch 97
Chapter22FutureTechnologiesInfluencingAPRNPractice 100
Chapter23UsingHealthcareInformationTechnologytoEvaluateandImprove
PerformanceandPatientOutcomes 104
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,_ _ TestBank-HamricandHanson’sAdvancedPracticeNursing:AnIntegrativeApproach,7thEdition(Tracy,2023)
Chapter01:HistoryandEvolutionofAdvancedPracticeNursing
Tracy&O’Grady:Hamric&Hanson’sAdvancedPracticeNursing,7thEdition
MULTIPLECHOICE
1. WhichofthefollowingisthebestexplanationforthecreationoftheDoctorateofNursingPractice(
DNP)degree?
a. TovalidateAPRN’sforfinancialreimbursement
b. Toaddressincreasingcurriculumrequirementsofmaster’sdegreeprograms
c. Tocompeteagainstmaster’sdegreeprograms
d. Toensurestandardizedcurriculumensuringindependentpractice
ANS:B
AlthoughallanswersareinfluencedbytheDNPcorecompetencies,theDNPprogramcreationin20
04bytheAmericanAssociationofCollegesofNursing(AACN)wasdesignedtoaddresscurriculu
mrequirementsofmaster’sdegreeprograms.
2. Whichofthefollowingwasthefirstrecognizedareaofadvancedpracticenursing?
a. ClinicalNurseSpecialist
b. CertifiedRegisteredNurseAnesthetist
c. FamilyNursepractitioner
d. PediatricNursepractitioner
ANS:B
In1931,theNationalAssociationofNurseAnesthetists(NANA),renamedin1939totheAmerican
AssociationofNurseWA
WnWe.stT
heBtiSstM
s.
(AWA
SNA)wasthefirstrecognizedgroup
promotingadvancednursingpractice.AgathaHodginsfoundedtheAANMatLakeside
HospitalinCleveland,Ohio.
3. WhichfactorisbroadlyperceivedtosolidifyandstandardizetheroleoftheAPNsoverthelast25ye
ars?
a. Societalforces
b. Lackofaccesstohealthcareproviders
c. Paymentforservices
d. Standardizedcurriculumdevelopment
ANS:D
AstheevolutionofAdvancedPracticeNursingadvancesspecificspecialtiesandneedsareidentifie
d.ThroughtheevolutionoforganizationandstandardizationtheseroleshavesolidifiedtheAPN’sr
oleintoday’shealthcareenvironment.
4. DuringtheformationofearlyAPNrolesinanesthesia,whichofthefollowingincreaseddemand
foraccesstohealthcare?
a. War
b. Poverty
c. Ruralaccesstocare
d. Availabilityoftraining
ANS:A
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, _ _ TestBank-HamricandHanson’sAdvancedPracticeNursing:AnIntegrativeApproach,7thEdition(Tracy,2023)
Earliestdemandfornursing-
providedanesthesiaspikedduringperiodsofwarwhennumbersofphysicianswereinadequate.Th
eearliestrecordsdatebacktotheAmericanCivilWarwiththeadministrationofchloroform.During
WorldWarIin1917morethan1000nurses,sometrainedanesthetists,traveledintobattle.Otherfact
orssuchasneedforruralhealthcarecamelaterinthevalidationandneedforAPNs.
5. In1889,Dr.WilliamWorrallMayobuiltandopenedSt.Mary’shospitalinRochester,NY.Heiskno
wnforsomeoftheearliestrecruitmentandspecializedtrainingofnursesinwhichofthefollowingrol
es?
a. Obstetrics
b. Anesthesia
c. Familynursing
d. Pediatrics
e. Researchandstatistics
ANS:B
In1889,Dr.WilliamWorrallMayobeganformallytrainingandrecognizingnurseanesthetists.Thi
shasbeenregardedastheearliesttraininginnurse-providedanesthesia.
6. In1893,LillianWaldestablishedtheHenryStreetSettlement(HSS)Houseforwhichprimar
ypurpose?
a. Accesstohealthcareofruralareas
b. Providethedisadvantagedaccesstocare
c. Establishguidelinesforadvancednursingroles
d. Createinner-citynursingawareness
ANS:B WWW.TBSM.WS
TheHHSwasestablishedtoprovidenursingservicestoimmigrantsandlow-
incomepatientsandtheirfamiliesinManhattan.Asresistancetonurse-
providedcaregrew,standingordersweredraftedfromagroupofLowerEastSidephysiciansthereby
circumventing
then-existinglegalramifications.
7. TheFrontierNursingService(FNS)foundedinKentuckyin1925byMaryBreckenridgeinitiall
yprovidedAppalachiawithwhichtypeofadvancednursingcare?
a. Surgicalservices
b. Pediatriccare
c. Anesthesia
d. Midwifery
ANS:D
TheoriginalFNSprovidedmidwiferyinadditiontoothernursingservicestoAppalachianresidents
.Laterworkingfromstandardordersdevelopedfromtheirmedicaladvisorycommitteenursestreat
edpatients,madediagnoses,anddispensedmedications.
8. Whichorganizationfoundedin1941underMaryBreckenridge’sleadershipmergedwiththeA
mericanCollegeofNurse-Midwives(ACNM)in1969
a. AssociationforNationalNurse-Midwifery(ANNM)
b. AmericanAssociationofNurse-Midwives(AANM)
c. AmericanNursesAssociation(ANA)
d. CouncilofNursingMidwifery(ANM)
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