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