,TableofContents
Chapter 01 History and Evolution of Advanced Practice Nursing
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Chapter02ConceptualizationsofAdvanced PracticeNursing jg jg j g jg 5
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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Chapter05 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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Chapter08 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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Chapter17 Maximizing APRN Power and Influencing Policy
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Chapter18 Marketing Yourself as an APRN Contracting and Negotiation
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Chapter19 Reimbursement and Payment for APRN Services
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Chapter20 Understanding Regulatory, Legal, and Credentialing Requirements
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Chapter21 APRN Outcomes and Performance Improvement Research
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Chapter 22 FutureTechnologies Influencing APRN Practice
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Chapter23 Using Healthcare Information Technology to Evaluateand Improve
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Performance and Patient Outcomes
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www.PlusBay.Plus
,_ _Test Bank -
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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 jg
1. Which of the following is jg jg jg jg z
the best explanation for the creation of the Doctorate of Nur si
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n g Practice (DNP) degree?
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a. To validate APRN’s forfinancial 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 ensurestandardized curriculum ensuring independent practice
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ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program crea t i
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gon in 2004 by the American Association of Colleges of Nursing (AACN) was de signed
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to a ddress curriculum requirements of master’s degree programs.
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2. Whichofthe following was the firstrecognized area of advanced practice nursing? gx xp jg jg jg jg gx jg xp j g
a. Clinical NurseSpecialist jg jg
b. Certified Registered NurseAnesthetist jg jg jg
c. Family Nurse practitioner jg jg
d. Pediatric Nurse practitioner jg jg
ANS: B
In 1931, theNational Association ofNurseAnesthetists (NANA), renamed in 1939 to the A
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
merican Association of NurseWAWnWe.stT
heBtiS
stM
s.
(AWA
SNA) jg jg jg zx
was the first recognized group pr jg jg jg jg jg
omoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside H
gx jg xj g jg jg jg jg xp jg jg jg
ospital in Cleveland, Ohio. jg jg jg
3. Which factor is broadly perceived to solidify and standardize the role of the APNs over th e l
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ast 25 years? jg jg
a. Societal forces jg
b. Lack of access to health care providers jg jg j g j g jg jg
c. Payment forservices jg jg
d. Standardizedcurriculum development j g
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 ha
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v e soli dif ied the APN’s role in today’s health care environment.
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4. During theformation of early APN roles in anesthesia,which ofthe following increas e d
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demand for access to health care?
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a. War
b. Poverty
c. Ruralaccess to care j g jg
d. Availabilityoftraining g
j g ANS: A j g
1|
jg P a g e
www.PlusBay.Plus
, _ _Test Bank -
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Earliest demand for nursing- j g j g j g
provided anesthesia spiked during periods of war when numbers of physicians were inad e
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q u ate. The earliest records date back to the American Civil War with
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g the a dministratio n o f chl oroform. During World War I in 1917 more than 1000 nurses
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, some trained anesthe tis ts, trav eled into battle. Other factors such as need for rural health c
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are 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 forsomeof the earliest recruitment and specialized training of nurses in w hi c
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h of the following roles?
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a. Obstetrics
b. Anesthesia
c. Family nursing jg
d. Pediatrics
e. Research and statistics gx gx
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anest h
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e ti sts. This has been regarded as the earliest training in nurse-
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provided anesthesia.
6. In 1893, Lillian Wald established theHenry Street Settlement (HSS)Houseforwhic h
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primary purpose? jg
a. Access to health care of rural areas jg jg jg jg jg jg
b. Providethedisadvantaged access to care jg jg jg jg jg
c. Establish guidelines for advanced nursing roles jg jg jg jg j g
d. Createinner-city nursing awareness jg jg j g
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- jg jg jg jg jg jg jg jg jg
provided caregrew, standing orders were drafted from a group of Lower East Side physic i
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a n s thereby circumventing
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then-existing legal ramifications. jg jg
7. TheFrontierNursing Service(FNS) founded in Kentucky in 1925 byMary Breckenrid g
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e initially provided Appalachia with which type of advanced nursing care?
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a. Surgical services jg
b. Pediatric care jg
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachian r e
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sidents. Later working from standard orders developed from their medical advisory com m
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itt ee nurses treated patients, made diagnoses, and dispensed medications.
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8. Which organization founded in 1941underMary 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) jg jg jg
b. American Association of Nurse-Midwives (AANM) jg jg jg jg
c. American Nurses Association (ANA) jg jg xp
d. Council of Nursing Midwifery (ANM) jg jg jg jg
www.PlusBay.Plus
Chapter 01 History and Evolution of Advanced Practice Nursing
jg jg jg jg j g jg jg jg 1
Chapter02ConceptualizationsofAdvanced PracticeNursing jg jg j g jg 5
Chapter 03 A Definition of Advanced Practice Nursing
jg jg jg jg jg j g j g 9
Chapter 04 Role Development of the Advanced Practice Nurse
jg jg jg jg jg jg jg jg 13
Chapter05 International Development of Advanced Practice Nursing
jg jg gx jg jg jg 19
Chapter 06 Direct Clinical Practice
jg jg jg jg 22
Chapter 07 Guidance and Coaching
jg jg jg j g 30
Chapter08 Evidence-Based Practice
jg jg jg 35
Chapter 09 Leadership
jg j g 40
Chapter 10 Collaboration
jg j g 44
Chapter 11 Ethical Practice
jg jg j g 51
Chapter 12 The Clinical Nurse Specialist
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Chapter 13 The Primary Care Nurse Practitioner
jg jg jg j g jg j g 61
Chapter 14 The Acute Care Nurse Practitioner
jg jg jg jg jg j g 65
Chapter 15 The Certified Nurse-Midwife
jg jg jg jg 69
Chapter 16 The Certified Registered Nurse Anesthetist
jg jg gx jg j g jg 74
Chapter17 Maximizing APRN Power and Influencing Policy
jg jg jg jg jg j g 78
Chapter18 Marketing Yourself as an APRN Contracting and Negotiation
jg jg j g jg jg jg j g j g 82
Chapter19 Reimbursement and Payment for APRN Services
jg j g jg jg jg j g 88
Chapter20 Understanding Regulatory, Legal, and Credentialing Requirements
jg x j g jg jg j g 94
Chapter21 APRN Outcomes and Performance Improvement Research
jg jg jg jg jg jg 97
Chapter 22 FutureTechnologies Influencing APRN Practice
jg jg jg jg jg jg 100
Chapter23 Using Healthcare Information Technology to Evaluateand Improve
jg jg jg jg j g jg jg j g
Performance and Patient Outcomes
jg jg j g 104
www.PlusBay.Plus
,_ _Test Bank -
jg gx jg
Chapter 01: History and Evolution of Advanced Practice Nursing
jg jg jg gx jg j g jg jg
Tracy & O’Grady: Hamric & Hanson’s AdvancedPractice Nursing, 7th Edition
jg j g j g j g j g j g j g j g j g
MULTIPLE CHOICE jg
1. Which of the following is jg jg jg jg z
the best explanation for the creation of the Doctorate of Nur si
jg jg jg jg jg jg jg jg jg jg jg
n g Practice (DNP) degree?
jg jg jg jg
a. To validate APRN’s forfinancial reimbursement
jg jg jg jg jg
b. To address increasing curriculum requirements of master’s degree programs
xp jg jg jg jg jg jg jg
c. To compete against master’s degree programs
jg jg xp j g gx
d. To ensurestandardized curriculum ensuring independent practice
gx jg jg jg jg jg
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program crea t i
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg j
gon in 2004 by the American Association of Colleges of Nursing (AACN) was de signed
jg jg j g jg jg jg j g jg j g jg j g jg jg jg jg
to a ddress curriculum requirements of master’s degree programs.
jg jg jg jg jg jg jg jg
2. Whichofthe following was the firstrecognized area of advanced practice nursing? gx xp jg jg jg jg gx jg xp j g
a. Clinical NurseSpecialist jg jg
b. Certified Registered NurseAnesthetist jg jg jg
c. Family Nurse practitioner jg jg
d. Pediatric Nurse practitioner jg jg
ANS: B
In 1931, theNational Association ofNurseAnesthetists (NANA), renamed in 1939 to the A
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
merican Association of NurseWAWnWe.stT
heBtiS
stM
s.
(AWA
SNA) jg jg jg zx
was the first recognized group pr jg jg jg jg jg
omoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside H
gx jg xj g jg jg jg jg xp jg jg jg
ospital in Cleveland, Ohio. jg jg jg
3. Which factor is broadly perceived to solidify and standardize the role of the APNs over th e l
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
ast 25 years? jg jg
a. Societal forces jg
b. Lack of access to health care providers jg jg j g j g jg jg
c. Payment forservices jg jg
d. Standardizedcurriculum development j g
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and needs
j g jg j g jg jg jg j g j g jg j g j g jg
are i dentified. Through the evolution of organization and standardization these roles ha
jg jg jg jg jg jg jg jg jg jg jg jg
v e soli dif ied the APN’s role in today’s health care environment.
jg j g j g j g j g j g j g j g j g j g j g j g
4. During theformation of early APN roles in anesthesia,which ofthe following increas e d
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg j
demand for access to health care?
g jg jg jg jg jg
a. War
b. Poverty
c. Ruralaccess to care j g jg
d. Availabilityoftraining g
j g ANS: A j g
1|
jg P a g e
www.PlusBay.Plus
, _ _Test Bank -
jg gx jg
Earliest demand for nursing- j g j g j g
provided anesthesia spiked during periods of war when numbers of physicians were inad e
jg jg jg jg jg jg jg jg jg jg jg jg j g
q u ate. The earliest records date back to the American Civil War with
jg j g j g j g j g j g j g j g j g j g j g j g j g j
g the a dministratio n o f chl oroform. During World War I in 1917 more than 1000 nurses
j g j g jg j g jg jg jg jg jg xj g jg jg jg jg jg jg jg
, some trained anesthe tis ts, trav eled into battle. Other factors such as need for rural health c
jg j g jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
are came later in the v a lidation a nd need for APNs.
jg j g j g jg j g j g jg j g j g j g j g j g
5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, N
j g j g jg j g j g j g j g j g j g jg j g jg jg j g
Y. He is known forsomeof the earliest recruitment and specialized training of nurses in w hi c
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
h of the following roles?
jg jg jg jg
a. Obstetrics
b. Anesthesia
c. Family nursing jg
d. Pediatrics
e. Research and statistics gx gx
ANS: B
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anest h
jg jg jg jg jg jg jg jg jg j g jg jg jg
e ti sts. This has been regarded as the earliest training in nurse-
jg
provided anesthesia.
6. In 1893, Lillian Wald established theHenry Street Settlement (HSS)Houseforwhic h
jg jg jg xj g jg jg jg jg jg jg jg jg jg
primary purpose? jg
a. Access to health care of rural areas jg jg jg jg jg jg
b. Providethedisadvantaged access to care jg jg jg jg jg
c. Establish guidelines for advanced nursing roles jg jg jg jg j g
d. Createinner-city nursing awareness jg jg j g
ANS: B WWW.TBSM.WS
The HHS was established to provide nursing services to immigrants and low-
j g j g j g j g j g j g j g j g j g j g j g
income patients and their families in Manhattan. As resistance to nurse- jg jg jg jg jg jg jg jg jg
provided caregrew, standing orders were drafted from a group of Lower East Side physic i
jg jg jg jg jg jg j g jg jg jg jg jg jg jg jg
a n s thereby circumventing
jg jg jg jg
then-existing legal ramifications. jg jg
7. TheFrontierNursing Service(FNS) founded in Kentucky in 1925 byMary Breckenrid g
jg jg jg jg jg j g jg jg jg jg jg jg jg j g
e initially provided Appalachia with which type of advanced nursing care?
j g j g j g j g j g j g j g j g j g j g
a. Surgical services jg
b. Pediatric care jg
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachian r e
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
sidents. Later working from standard orders developed from their medical advisory com m
jg jg jg jg jg jg jg jg jg jg jg jg
itt ee nurses treated patients, made diagnoses, and dispensed medications.
jg jg jg jg jg jg jg jg jg
8. Which organization founded in 1941underMary Breckenridge’s leadership merged wit
xp gx gx gx jg jg gx gx jg jg
h the American College of Nurse-Midwives (ACNM) in 1969
jg jg jg jg jg jg jg jg
a. Association forNational Nurse-Midwifery (ANNM) jg jg jg
b. American Association of Nurse-Midwives (AANM) jg jg jg jg
c. American Nurses Association (ANA) jg jg xp
d. Council of Nursing Midwifery (ANM) jg jg jg jg
www.PlusBay.Plus