TEST BANK FOR te te
Hamric teand teHanson's teAdvanced tePractice teNursing te6th
Edition teby teMary teFran teTracy, teEileen teT. teO'Grady
te
Table teof teContents
Part teI: teHistorical teand teDevelopmental teAspects teof teAdvanced tePractice
Nursing teChapter te1: teHighlights tefrom tethe teHistory teof teAdvanced tePractice
te
Nursing tein tethe teUnited teStates
te
Chapter te2: teConceptualizations teof teAdvanced tePractice
te Nursing teChapter te3: teA teDefinition teof teAdvanced tePractice
te Nursing teChapter te4: teRole teDevelopment teof tethe teAdvanced
Practice teNurse
te
Chapter te5: teEvolving teand teInnovative teOpportunities tefor teAdvanced tePractice
te Nursing
Chapter te6: teInternational teDevelopment teof teAdvanced tePractice teNursing teNEW
te more teglobal tefocus
Part teII: teCompetencies teof teAdvanced tePractice
Nursing teChapter te7: teDirect teClinical tePractice
te
Chapter te8: teCoaching teand
Guidance teChapter te9:
te
te Consultation
Chapter te10: teEvidence-Based tePractice teand teResearch
te Chapter te11: teLeadership
Chapter te12: teCollaboration teNEW teemphasis teon teinterprofessional tecollaborative
practice teChapter te13: teEthical teDecision teMaking
te
Part teIII: teAdvanced tePractice teRoles: teThe teOperational teDefinitions teof teAdvanced tePractice
Nursing teChapter te14: teThe teClinical teNurse teSpecialist
te
Chapter te15: teThe tePrimary teCare teNurse tePractitioner
te Chapter te16: teThe teAcute teCare teNurse tePractitioner
te Chapter te17: teThe teCertified teNurse-Midwife
Chapter te18: teThe teCertified teRegistered teNurse teAnesthetist
Part teIV: teCritical teElements tein teManaging teAdvanced teNursing tePractice teEnvironments
te Chapter te19: teBusiness tePlanning teand teReimbursement teMechanisms
Chapter te20: teMarketing teand teNegotiation
Chapter te21: teUnderstanding teRegulatory, teLegal, teand teCredentialing teRequirements
te Chapter te22: teHealth tePolicy teIssues tein teChanging teEnvironments
Chapter te23: teAn teIntegrative teReview teof teAPRN teOutcomes teand tePerformance teImprovement
Chapter te24: teUsing teOutcomes teand tePerformance teImprovement teData teto teEvaluate teand teImprove
tePractice
,Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition
te te te te te te te te
Chapter te1: teHighlights tefrom tethe teHistory teof teAdvanced tePractice teNursing tein tethe
te
United teStates
te
Multiple teChoice
1. In tewhich teyear tedid tethe teAmerican teAssociation teof teCollege teof teNursing te(AACN) teintroduced
tethe teDoctorate teof teNursing tePractice te(DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ANS: teB
The teAACN teintroduced tethe teDNP tedegree tein te2004 teto teprepare teadvanced tepractice tenurses te(APRNs)
teto temeet techallenges teand testandardize tepractice tebeyond temaster’s tedegree teprograms.
2. Which teof tethe tefollowing teis tethe tebest teexplanation tefor tethe tecreation teof tethe teDoctorate teof
teNursing tePractice te(DNP) tedegree?
a. To tecompete teagainst temaster’s tedegree teprograms
b. To teensure testandardized tecurriculum teensuring teindependent tepractice
c. To tevalidate teAPRN’s tefor tefinancial tereimbursement
d. To teaddress teincreasing tecurriculum terequirements teof temaster’s tedegree teprograms
ANS: teD
Although teall teanswers teare teinfluenced tebytethe teDNP tecore tecompetencies, tethe teDNP teprogram
tecreation tein te2004 teby tethe teAACN tewas tedesigned teto teaddress tecurriculum terequirements teof
temaster’s tedegree teprograms.
3. Which teof tethe tefollowing tewas tethe tefirst terecognized tearea teof teadvanced tepractice tenursing?
a. Clinical teNurse teSpecialist
b. Family tenurse tepractitioner
c. Pediatric tenurse tepractitioner
d. Certified teRegistered teNurse teAnesthetist
ANS: teD
In te1931, tethe teNational teAssociation teof teNurse teAnesthetists te(NANA), terenamed tein te1939 teto tethe
teAmerican teAssociation teof teNurse teAnesthetists te(AANA) tewas tethe tefirst terecognized tegroup
tepromoting teadvanced tenursing tepractice. teAgatha teHodgins tefounded tethe teAANM teat teLakeside
teHospital tein teCleveland, teOhio.
4. Which tefactor teis tebroadly teperceived teto tesolidify teand testandardize tethe terole teof tethe teAPNs teover tethe
telast te25 teyears?
, a. Lack teof teaccess teto tehealth tecare teproviders
b. Standardized tecurriculum tedevelopment
c. Payment tefor teservices
d. Societal teforces
ANS: teB
As tethe teevolution teof teAdvanced tePractice teNursing teadvances tespecific tespecialties teand teneeds teare
teidentified. teThrough tethe teevolution teof teorganization teand testandardization tethese teroles tehave
tesolidified tethe teAPN’s terole tein tetoday’s tehealth tecare teenvironment.
5. During tethe teformation teof teearlyteAPN teroles tein teanesthesia, tewhich teof tethe tefollowing
teincreased tedemand tefor teaccess teto tehealth tecare?
a. Poverty
b. War
c. Rural teaccess teto tecare
d. Availability teof tetraining
ANS: teB
Earliest tedemand tefor tenursing-provided teanesthesia tespiked teduring teperiods teof tewar tewhen tenumbers
teof tephysicians tewere teinadequate. teThe teearliest terecords tedate teback teto tethe teAmerican teCivil teWar
tewith tethe teadministration teof techloroform. teDuring teWorld teWar teI tein te1917 temore tethan te1000 tenurses,
tesome tetrained teanesthetists, tetraveled teinto tebattle. teOther tefactors tesuch teas teneed tefor terural tehealth
tecare tecame telater tein tethe tevalidation teand teneed tefor teAPNs.
6. In te1889, teDr. teWilliam teWorrall teMayo tebuilt teand teopened teSt. teMary’s tehospital tein teRochester,
teNY. teHe teis teknown t e for tesome t e of t e the teearliest terecruitment teand tespecialized tetraining teof
tenurses tein tewhich teof tethe tefollowing teroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research teand testatistics
e. Family tenursing
ANS: teB
In te1889, teDr. teWilliam teWorrall teMayo tebegan teformally tetraining teand terecognizing tenurse teanesthetists.
teThis tehas tebeen teregarded teas tethe teearliest tetraining tein tenurse-provided teanesthesia.
7. In te1893, teLillian teWald teestablished tethe teHenry teStreet teSettlement te(HSS) teHouse tefor tewhich
tepurpose?
a. Access teto tehealth tecare teof terural teareas
b. Create teinner-city tenursing teawareness
c. Provide tethe tedisadvantaged teaccess teto tecare
, d. Establish teguidelines tefor teadvanced tenursing teroles
ANS: teC
The teHHS tewas teestablished teto teprovide tenursing teservices teto teimmigrants teand telow-income tepatients
teand tetheir tefamilies tein teManhattan. teAs teresistance teto tenurse-provided tecare tegrew, testanding teorders
tewere tedrafted tefrom tea tegroup teof teLower teEast teSide tephysicians tethereby tecircumventing tethen-
existing telegal teramifications.
8. The teFrontier teNursing teService te(FNS) tefounded tein teKentucky tein te1925 teby teMary
teBreckenridge teinitially teprovided teAppalachia tewith tenursing teresources teand tewhich tetype teof
teadvanced tenursing tecare?
a. Pediatric tecare
b. Anesthesia
c. Midwifery
d. Surgical teservices
ANS: teC
The teoriginal teFNS teprovided tenursing teservices teand teobstetric teservices teto teAppalachian teresidents.
teLater teworking tefrom testandard teorders tedeveloped tefrom tetheir temedical teadvisory tecommittee
tenurses tetreated tepatients, temade tediagnoses, teand tedispensed temedications.
9. Which teorganization tefounded tein te1941 teunder teMary teBreckenridge’s teleadership temerged tewith
tethe teAmerican teCollege teof teNurse-Midwives te(ACNM) tein te1969?
a. American teAssociation teof teNurse-Midwives te(AANM)
b. American teNurses teAssociation te(ANA)
c. Association tefor teNational teNurse-Midwifery te(ANNM)
d. Council teof teNursing teMidwifery te(ANM)
ANS: teA
The teAmerican teCollege teof teNurse-Midwives te(ACNM) teformed teunder tethe teleadership teof teMary
teBreckenridge tein te1941 teto teprovide tenurse-midwife tedevelopment teand tecollaboration tefor temidwife
development. teIn te1955, tethe teAmerican teCollege teof teNurse-Midwives tewas teformed teand tethe tetwo
teorganizations temerged tein te1969 teafter tethe tedeath teof teMary teBreckenridge.
10. In tea telandmark teruling teby tethe teSupreme teCourt teas tea teresult teof teChalmers-Frances tev. teNelson,
te1936, tewhat telegal teprecedent tewas teestablished?
a. Nurse teanesthesia tewas teallowed teunder tethe tenurse tepractice teact
b. Nurse teanesthesia tescope teof tepractice teincluded teanesthesia
c. Nurse teanesthesia tewas telegal, teif teunder teguidance teof tea tesupervising
tephysician ted. teOnly tetrained tenursing teprofessionals tecould teadminister
teanesthesia teindependently
ANS: teC
Hamric teand teHanson's teAdvanced tePractice teNursing te6th
Edition teby teMary teFran teTracy, teEileen teT. teO'Grady
te
Table teof teContents
Part teI: teHistorical teand teDevelopmental teAspects teof teAdvanced tePractice
Nursing teChapter te1: teHighlights tefrom tethe teHistory teof teAdvanced tePractice
te
Nursing tein tethe teUnited teStates
te
Chapter te2: teConceptualizations teof teAdvanced tePractice
te Nursing teChapter te3: teA teDefinition teof teAdvanced tePractice
te Nursing teChapter te4: teRole teDevelopment teof tethe teAdvanced
Practice teNurse
te
Chapter te5: teEvolving teand teInnovative teOpportunities tefor teAdvanced tePractice
te Nursing
Chapter te6: teInternational teDevelopment teof teAdvanced tePractice teNursing teNEW
te more teglobal tefocus
Part teII: teCompetencies teof teAdvanced tePractice
Nursing teChapter te7: teDirect teClinical tePractice
te
Chapter te8: teCoaching teand
Guidance teChapter te9:
te
te Consultation
Chapter te10: teEvidence-Based tePractice teand teResearch
te Chapter te11: teLeadership
Chapter te12: teCollaboration teNEW teemphasis teon teinterprofessional tecollaborative
practice teChapter te13: teEthical teDecision teMaking
te
Part teIII: teAdvanced tePractice teRoles: teThe teOperational teDefinitions teof teAdvanced tePractice
Nursing teChapter te14: teThe teClinical teNurse teSpecialist
te
Chapter te15: teThe tePrimary teCare teNurse tePractitioner
te Chapter te16: teThe teAcute teCare teNurse tePractitioner
te Chapter te17: teThe teCertified teNurse-Midwife
Chapter te18: teThe teCertified teRegistered teNurse teAnesthetist
Part teIV: teCritical teElements tein teManaging teAdvanced teNursing tePractice teEnvironments
te Chapter te19: teBusiness tePlanning teand teReimbursement teMechanisms
Chapter te20: teMarketing teand teNegotiation
Chapter te21: teUnderstanding teRegulatory, teLegal, teand teCredentialing teRequirements
te Chapter te22: teHealth tePolicy teIssues tein teChanging teEnvironments
Chapter te23: teAn teIntegrative teReview teof teAPRN teOutcomes teand tePerformance teImprovement
Chapter te24: teUsing teOutcomes teand tePerformance teImprovement teData teto teEvaluate teand teImprove
tePractice
,Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition
te te te te te te te te
Chapter te1: teHighlights tefrom tethe teHistory teof teAdvanced tePractice teNursing tein tethe
te
United teStates
te
Multiple teChoice
1. In tewhich teyear tedid tethe teAmerican teAssociation teof teCollege teof teNursing te(AACN) teintroduced
tethe teDoctorate teof teNursing tePractice te(DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ANS: teB
The teAACN teintroduced tethe teDNP tedegree tein te2004 teto teprepare teadvanced tepractice tenurses te(APRNs)
teto temeet techallenges teand testandardize tepractice tebeyond temaster’s tedegree teprograms.
2. Which teof tethe tefollowing teis tethe tebest teexplanation tefor tethe tecreation teof tethe teDoctorate teof
teNursing tePractice te(DNP) tedegree?
a. To tecompete teagainst temaster’s tedegree teprograms
b. To teensure testandardized tecurriculum teensuring teindependent tepractice
c. To tevalidate teAPRN’s tefor tefinancial tereimbursement
d. To teaddress teincreasing tecurriculum terequirements teof temaster’s tedegree teprograms
ANS: teD
Although teall teanswers teare teinfluenced tebytethe teDNP tecore tecompetencies, tethe teDNP teprogram
tecreation tein te2004 teby tethe teAACN tewas tedesigned teto teaddress tecurriculum terequirements teof
temaster’s tedegree teprograms.
3. Which teof tethe tefollowing tewas tethe tefirst terecognized tearea teof teadvanced tepractice tenursing?
a. Clinical teNurse teSpecialist
b. Family tenurse tepractitioner
c. Pediatric tenurse tepractitioner
d. Certified teRegistered teNurse teAnesthetist
ANS: teD
In te1931, tethe teNational teAssociation teof teNurse teAnesthetists te(NANA), terenamed tein te1939 teto tethe
teAmerican teAssociation teof teNurse teAnesthetists te(AANA) tewas tethe tefirst terecognized tegroup
tepromoting teadvanced tenursing tepractice. teAgatha teHodgins tefounded tethe teAANM teat teLakeside
teHospital tein teCleveland, teOhio.
4. Which tefactor teis tebroadly teperceived teto tesolidify teand testandardize tethe terole teof tethe teAPNs teover tethe
telast te25 teyears?
, a. Lack teof teaccess teto tehealth tecare teproviders
b. Standardized tecurriculum tedevelopment
c. Payment tefor teservices
d. Societal teforces
ANS: teB
As tethe teevolution teof teAdvanced tePractice teNursing teadvances tespecific tespecialties teand teneeds teare
teidentified. teThrough tethe teevolution teof teorganization teand testandardization tethese teroles tehave
tesolidified tethe teAPN’s terole tein tetoday’s tehealth tecare teenvironment.
5. During tethe teformation teof teearlyteAPN teroles tein teanesthesia, tewhich teof tethe tefollowing
teincreased tedemand tefor teaccess teto tehealth tecare?
a. Poverty
b. War
c. Rural teaccess teto tecare
d. Availability teof tetraining
ANS: teB
Earliest tedemand tefor tenursing-provided teanesthesia tespiked teduring teperiods teof tewar tewhen tenumbers
teof tephysicians tewere teinadequate. teThe teearliest terecords tedate teback teto tethe teAmerican teCivil teWar
tewith tethe teadministration teof techloroform. teDuring teWorld teWar teI tein te1917 temore tethan te1000 tenurses,
tesome tetrained teanesthetists, tetraveled teinto tebattle. teOther tefactors tesuch teas teneed tefor terural tehealth
tecare tecame telater tein tethe tevalidation teand teneed tefor teAPNs.
6. In te1889, teDr. teWilliam teWorrall teMayo tebuilt teand teopened teSt. teMary’s tehospital tein teRochester,
teNY. teHe teis teknown t e for tesome t e of t e the teearliest terecruitment teand tespecialized tetraining teof
tenurses tein tewhich teof tethe tefollowing teroles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research teand testatistics
e. Family tenursing
ANS: teB
In te1889, teDr. teWilliam teWorrall teMayo tebegan teformally tetraining teand terecognizing tenurse teanesthetists.
teThis tehas tebeen teregarded teas tethe teearliest tetraining tein tenurse-provided teanesthesia.
7. In te1893, teLillian teWald teestablished tethe teHenry teStreet teSettlement te(HSS) teHouse tefor tewhich
tepurpose?
a. Access teto tehealth tecare teof terural teareas
b. Create teinner-city tenursing teawareness
c. Provide tethe tedisadvantaged teaccess teto tecare
, d. Establish teguidelines tefor teadvanced tenursing teroles
ANS: teC
The teHHS tewas teestablished teto teprovide tenursing teservices teto teimmigrants teand telow-income tepatients
teand tetheir tefamilies tein teManhattan. teAs teresistance teto tenurse-provided tecare tegrew, testanding teorders
tewere tedrafted tefrom tea tegroup teof teLower teEast teSide tephysicians tethereby tecircumventing tethen-
existing telegal teramifications.
8. The teFrontier teNursing teService te(FNS) tefounded tein teKentucky tein te1925 teby teMary
teBreckenridge teinitially teprovided teAppalachia tewith tenursing teresources teand tewhich tetype teof
teadvanced tenursing tecare?
a. Pediatric tecare
b. Anesthesia
c. Midwifery
d. Surgical teservices
ANS: teC
The teoriginal teFNS teprovided tenursing teservices teand teobstetric teservices teto teAppalachian teresidents.
teLater teworking tefrom testandard teorders tedeveloped tefrom tetheir temedical teadvisory tecommittee
tenurses tetreated tepatients, temade tediagnoses, teand tedispensed temedications.
9. Which teorganization tefounded tein te1941 teunder teMary teBreckenridge’s teleadership temerged tewith
tethe teAmerican teCollege teof teNurse-Midwives te(ACNM) tein te1969?
a. American teAssociation teof teNurse-Midwives te(AANM)
b. American teNurses teAssociation te(ANA)
c. Association tefor teNational teNurse-Midwifery te(ANNM)
d. Council teof teNursing teMidwifery te(ANM)
ANS: teA
The teAmerican teCollege teof teNurse-Midwives te(ACNM) teformed teunder tethe teleadership teof teMary
teBreckenridge tein te1941 teto teprovide tenurse-midwife tedevelopment teand tecollaboration tefor temidwife
development. teIn te1955, tethe teAmerican teCollege teof teNurse-Midwives tewas teformed teand tethe tetwo
teorganizations temerged tein te1969 teafter tethe tedeath teof teMary teBreckenridge.
10. In tea telandmark teruling teby tethe teSupreme teCourt teas tea teresult teof teChalmers-Frances tev. teNelson,
te1936, tewhat telegal teprecedent tewas teestablished?
a. Nurse teanesthesia tewas teallowed teunder tethe tenurse tepractice teact
b. Nurse teanesthesia tescope teof tepractice teincluded teanesthesia
c. Nurse teanesthesia tewas telegal, teif teunder teguidance teof tea tesupervising
tephysician ted. teOnly tetrained tenursing teprofessionals tecould teadminister
teanesthesia teindependently
ANS: teC
