TEST BANK FOR Hamricvand Hanson's Advanced Practice Nursing 6thEditionv by Mary Fran Tracy, Eileen T.O' Grady

TEST BANK FOR
v v




HamricvandvHanson'svAdvancedvPracticevNursingv6thvEditionv
byvMaryvFranvTracy,vEileenvT.vO'Grady


TablevofvContents
PartvI:vHistoricalvandvDevelopmentalvAspectsvofvAdvancedvPracticevNursing
Chapterv1:vHighlightsvfromvthevHistoryvofvAdvancedvPracticevNursingvinvth
v


evUnitedvStates
Chapterv2:vConceptualizationsvofvAdvancedvPracticevNursingv
Chapterv3:vAvDefinitionvofvAdvancedvPracticevNursingvChapt
erv4:vRolevDevelopmentvofvthevAdvancedvPracticevNurse
Chapterv5:vEvolvingvandvInnovativevOpportunitiesvforvAdvancedvPracticevNursi
ng
Chapterv6:vInternationalvDevelopmentvofvAdvancedvPracticevNursingvNEWvmor
evglobalvfocus
PartvII:vCompetenciesvofvAdvancedvPracticevNursing
Chapterv7:vDirectvClinicalvPractice
v


Chapterv8:vCoachingvandvGuidance
Chapterv9:vConsultation
v


Chapterv10:vEvidence-
BasedvPracticevandvResearchvChapterv11:vLeadershi
p
Chapterv12:vCollaborationvNEWvemphasisvonvinterprofessionalvcollaborativevpractice
Chapterv13:vEthicalvDecisionvMaking
v


PartvIII:vAdvancedvPracticevRoles:vThevOperationalvDefinitionsvofvAdvancedvPracticevNursingv
Chapterv14:vThevClinicalvNursevSpecialist
Chapterv15:vThevPrimaryvCarevNursevPractitionervCh
apterv16:vThevAcutevCarevNursevPractitionervChapte
rv17:vThevCertifiedvNurse-Midwife
Chapterv18:vThevCertifiedvRegisteredvNursevAnesthetist
PartvIV:vCriticalvElementsvinvManagingvAdvancedvNursingvPracticevEnvironmentsvC
hapterv19:vBusinessvPlanningvandvReimbursementvMechanisms
Chapterv20:vMarketingvandvNegotiation
Chapterv21:vUnderstandingvRegulatory,vLegal,vandvCredentialingvRequirementsvChapte
rv22:vHealthvPolicyvIssuesvinvChangingvEnvironments
Chapterv23:vAnvIntegrativevReviewvofvAPRNvOutcomesvandvPerformancevImprovement
Chapterv24:vUsingvOutcomesvandvPerformancevImprovementvDatavtovEvaluatevandvImprovevPractic
e

,Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition Chapt
v v v v v v v v v

erv1:vHighlightsvfromvthevHistoryvofvAdvancedvPracticevNursingvinvthevUnitedvStates

MultiplevChoice


1. InvwhichvyearvdidvthevAmericanvAssociationvofvCollegevofvNursingv(AACN)vintroducedvthev
DoctoratevofvNursingvPracticev(DNP)?

a. 2006
b. 2004
c. 2000
d. 2002

ANS:vB
ThevAACNvintroducedvthevDNPvdegreevinv2004vtovpreparevadvancedvpracticevnursesv(APRNs)vtovmee
tvchallengesvandvstandardizevpracticevbeyondvmaster’svdegreevprograms.


2. WhichvofvthevfollowingvisvthevbestvexplanationvforvthevcreationvofvthevDoctoratevofvNursingvP
racticev(DNP)vdegree?

a. Tovcompetevagainstvmaster’svdegreevprograms
b. Tovensurevstandardizedvcurriculumvensuringvindependentvpractice
c. TovvalidatevAPRN’svforvfinancialvreimbursement
d. Tovaddressvincreasingvcurriculumvrequirementsvofvmaster’svdegreevprograms

ANS:vD
AlthoughvallvanswersvarevinfluencedvbyvthevDNPvcorevcompetencies,vthevDNPvprogramvcreationvinv2
004vbyvthevAACNvwasvdesignedvtovaddressvcurriculumvrequirementsvofvmaster’svdegreevprograms.


3. Whichvofvthevfollowingvwasvthevfirstvrecognizedvareavofvadvancedvpracticevnursing?

a. ClinicalvNursevSpecialist
b. Familyvnursevpractitioner
c. Pediatricvnursevpractitioner
d. CertifiedvRegisteredvNursevAnesthetist

ANS:vD
Inv1931,vthevNationalvAssociationvofvNursevAnesthetistsv(NANA),vrenamedvinv1939vtovthevAmerica
nvAssociationvofvNursevAnesthetistsv(AANA)vwasvthevfirstvrecognizedvgroupvpromotingvadvancedvn
ursingvpractice.vAgathavHodginsvfoundedvthevAANMvatvLakesidevHospitalvinvCleveland,vOhio.


4. WhichvfactorvisvbroadlyvperceivedvtovsolidifyvandvstandardizevthevrolevofvthevAPNsvovervthevlastv2
5vyears?

, a. Lackvofvaccessvtovhealthvcarevproviders
b. Standardizedvcurriculumvdevelopment
c. Paymentvforvservices
d. Societalvforces

ANS:vB
AsvthevevolutionvofvAdvancedvPracticevNursingvadvancesvspecificvspecialtiesvandvneedsvarevidentifi
ed.vThroughvthevevolutionvofvorganizationvandvstandardizationvthesevrolesvhavevsolidifiedvthevAPN’
svrolevinvtoday’svhealthvcarevenvironment.


5. DuringvthevformationvofvearlyvAPNvrolesvinvanesthesia,vwhichvofvthevfollowingvincreasedvd
emandvforvaccessvtovhealthvcare?

a. Poverty
b. War
c. Ruralvaccessvtovcare
d. Availabilityvofvtraining

ANS:vB
Earliestvdemandvforvnursing-
providedvanesthesiavspikedvduringvperiodsvofvwarvwhenvnumbersvofvphysiciansvwerevinadequate.vTh
evearliestvrecordsvdatevbackvtovthevAmericanvCivilvWarvwithvthevadministrationvofvchloroform.vDuri
ngvWorldvWarvIvinv1917vmorevthanv1000vnurses,vsomevtrainedvanesthetists,vtraveledvintovbattle.vOthe
rvfactorsvsuchvasvneedvforvruralvhealthvcarevcamevlatervinvthevvalidationvandvneedvforvAPNs.


6. Inv1889,vDr.vWilliamvWorrallvMayovbuiltvandvopenedvSt.vMary’svhospitalvinvRochester,vNY.vHevi
svknownv forvsomev ofv thevearliestvrecruitmentvandvspecializedvtrainingvofvnursesvinvwhichvofvthev
followingvroles?

a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Researchvandvstatistics
e. Familyvnursing


ANS:vB
Inv1889,vDr.vWilliamvWorrallvMayovbeganvformallyvtrainingvandvrecognizingvnursevanesthetists.vThi
svhasvbeenvregardedvasvthevearliestvtrainingvinvnurse-providedvanesthesia.


7. Inv1893,vLillianvWaldvestablishedvthevHenryvStreetvSettlementv(HSS)vHousevforvwhichvpurpose?

a. Accessvtovhealthvcarevofvruralvareas
b. Createvinner-cityvnursingvawareness
c. Providevthevdisadvantagedvaccessvtovcare

, d. Establishvguidelinesvforvadvancedvnursingvroles

ANS:vC
ThevHHSvwasvestablishedvtovprovidevnursingvservicesvtovimmigrantsvandvlow-
incomevpatientsvandvtheirvfamiliesvinvManhattan.vAsvresistancevtovnurse-
providedvcarevgrew,vstandingvordersvwerevdraftedvfromvavgroupvofvLowervEastvSidevphysiciansvthere
byvcircumventingvthen-existingvlegalvramifications.


8. ThevFrontiervNursingvServicev(FNS)vfoundedvinvKentuckyvinv1925vbyvMaryvBreckenridgevi
nitiallyvprovidedvAppalachiavwithvnursingvresourcesvandvwhichvtypevofvadvancedvnursingvc
are?

a. Pediatricvcare
b. Anesthesia
c. Midwifery
d. Surgicalvservices

ANS:vC
ThevoriginalvFNSvprovidedvnursingvservicesvandvobstetricvservicesvtovAppalachianvresidents.vLaterv
workingvfromvstandardvordersvdevelopedvfromvtheirvmedicalvadvisoryvcommitteevnursesvtreatedvpati
ents,vmadevdiagnoses,vandvdispensedvmedications.


9. Whichvorganizationvfoundedvinv1941vundervMaryvBreckenridge’svleadershipvmergedvwithvthev
AmericanvCollegevofvNurse-Midwivesv(ACNM)vinv1969?

a. AmericanvAssociationvofvNurse-Midwivesv(AANM)
b. AmericanvNursesvAssociationv(ANA)
c. AssociationvforvNationalvNurse-Midwiferyv(ANNM)
d. CouncilvofvNursingvMidwiferyv(ANM)
ANS:vA
ThevAmericanvCollegevofvNurse-
Midwivesv(ACNM)vformedvundervthevleadershipvofvMaryvBreckenridgevinv1941vtovprovidevnurse-
midwifevdevelopmentvandvcollaborationvforvmidwife

development.vInv1955,vthevAmericanvCollegevofvNurse-
Midwivesvwasvformedvandvthevtwovorganizationsvmergedvinv1969vaftervthevdeathvofvMaryvBreckenrid
ge.


10. InvavlandmarkvrulingvbyvthevSupremevCourtvasvavresultvofvChalmers-
Francesvv.vNelson,v1936,vwhatvlegalvprecedentvwasvestablished?

a. Nursevanesthesiavwasvallowedvundervthevnursevpracticevact
b. Nursevanesthesiavscopevofvpracticevincludedvanesthesia
c. Nursevanesthesiavwasvlegal,vifvundervguidancevofvavsupervisingvphysicianvd.v
Onlyvtrainedvnursingvprofessionalsvcouldvadministervanesthesiavindependently