Hamric’.and’.Hanson's’.Advanced’.Practice’.Nursing’.6th’.Editio
n’.by’.Mary’.Fran’.Tracy,’.Eileen’.T.’.O'Grady
Table’.of’.Contents
Part‟.I:‟.Historical‟.and‟.Developmental‟.Aspects‟.of‟.Advanced‟.Practice‟.Nursi
ng‟.Chapter‟.1:‟.Highlights‟.from‟.the‟.History‟.of‟.Advanced‟.Practice‟.Nursing‟
.in‟.the‟.United‟.States
Chapter‟.2:‟.Conceptualizations‟.of‟.Advanced‟.Practice‟.Nursing‟.
Chapter‟ . 3:‟ . A‟ . Definition‟ . of‟ . Advanced‟ . Practice‟ . Nursin
g‟.Chapter‟.4:‟.Role‟ . Development‟.of‟.the‟.Advanced‟ . Practice‟.
Nurse
Chapter‟.5:‟.Evolving‟.and‟.Innovative‟.Opportunities‟.for‟.Advanced‟.Practice‟
. Nursing
Chapter‟.6:‟.International‟.Development‟.of‟.Advanced‟.Practice‟.Nursing‟.NEW
‟ . more‟.global‟.focus
Part‟.II:‟.Competencies‟.of‟.Advanced‟.Practice‟.Nursing‟.
Chapter‟.7:‟.Direct‟.Clinical‟.Practice
Chapter‟.8:‟.Coaching‟.and‟.Guidance‟.Ch
apter‟.9:‟.Consultation
Chapter‟.10:‟.Evidence-
Based‟.Practice‟.and‟.Research‟.Chapter‟.11:‟.Leadership
Chapter‟. 13:‟ . Ethical‟ . Decision‟ . Making
Part‟.III:‟ . Advanced‟ . Practice‟.Roles:‟ . The‟ . Operational‟ . Definitions‟ . of‟.Advanced‟.Practice‟.N
ursing‟.Chapter‟.14:‟.The‟.Clinical‟.Nurse‟.Specialist
Chapter‟.15:‟.The‟.Primary‟.Care‟.Nurse‟.Practition
er‟.Chapter‟.16:‟.The‟.Acute‟.Care‟.Nurse‟.Practitio
ner‟.Chapter‟.17:‟.The‟.Certified‟.Nurse-Midwife
Chapter‟. 18:‟. The‟. Certified‟. Registered‟ . Nurse‟ . Anesthetist
Part‟.IV:‟.Critical‟.Elements‟.in‟.Managing‟.Advanced‟.Nursing‟.Practice‟.Environments
‟ . Chapter‟.19:‟ . Business‟.Planning‟ . and‟ . Reimbursement‟ . Mechanisms
Chapter‟. 20:‟. Marketing‟. and‟. Negotiation
Chapter‟.21:‟.Understanding‟.Regulatory,‟.Legal,‟.and‟.Credentialing‟.Requirements‟.Ch
apter‟.22:‟.Health‟.Policy‟.Issues‟.in‟.Changing‟.Environments
Chapter‟.23:‟.An‟.Integrative‟.Review‟.of‟.APRN‟.Outcomes‟.and‟.Performance‟.Improvement
Chapter‟.24:‟.Using‟.Outcomes‟.and‟.Performance‟.Improvement‟.Data‟.to‟.Evaluate‟.and‟.Improve‟.P
ractice
,Tracy:’. Hamric’. &’. Hanson's’.Advanced’. Practice’. Nursing,’ . t6h’.Edition’.Ch
apter’.1:’.Highlights’.from’.the’.History’.of’.Advanced’.Practice’.Nursing’.in’.the’.United’.
States
Multiple’.Choice
1. In‟.which‟.year‟.did‟.the‟.American‟.Association‟.of‟.College‟.of‟.Nursing‟.(AACN)‟.introduced‟
.the‟.Doctorate‟.of‟.Nursing‟.Practice‟.(DNP)?
a. 2006
b. 2004
c. 2000
d. 2002
ANS:‟.B
The‟.AACN‟.introduced‟.the‟.DNP‟.degree‟.in‟.2004‟.to‟.prepare‟.advanced‟.practice‟.nurses‟.(APRNs)‟.
to‟.meet‟.challenges‟.and‟.standardize‟.practice‟.beyond‟.master‟s‟.degree‟.programs.
2. Which‟.of‟.the‟.following‟.is‟.the‟.best‟.explanation‟.for‟.the‟.creation‟.of‟.the‟.Doctorate‟.of‟.Nur
sing‟.Practice‟.(DNP)‟.degree?
a. To‟.compete‟.against‟.master‟s‟.degree‟.programs
b. To‟.ensure‟.standardized‟.curriculum‟.ensuring‟.independent‟.practice
c. To‟.validate‟.APRN‟s‟.for‟.financial‟.reimbursement
d. To‟.address‟.increasing‟.curriculum‟.requirements‟.of‟.master‟s‟.degree‟.programs
ANS:‟.D
Although‟.all‟.answers‟.are‟.influenced‟.by‟.the‟.DNP‟.core‟.competencies,‟.the‟.DNP‟.program‟.creatio
n‟.in‟.2004‟.by‟.the‟.AACN‟.was‟.designed‟.to‟.address‟.curriculum‟.requirements‟.of‟.master‟s‟.degre
e‟.programs.
3. Which‟.of‟.the‟.following‟.was‟.the‟.first‟.recognized‟.area‟.of‟.advanced‟.practice‟.nursing?
a. Clinical‟.Nurse‟.Specialist
b. Family‟.nurse‟.practitioner
c. Pediatric‟.nurse‟.practitioner
d. Certified‟.Registered‟.Nurse‟.Anesthetist
ANS:‟.D
In‟.1931,‟.the‟.National‟.Association‟.of‟.Nurse‟.Anesthetists‟.(NANA),‟.renamed‟.in‟.1939‟.to‟.the‟.A
merican‟.Association‟.of‟.Nurse‟.Anesthetists‟.(AANA)‟.was‟.the‟.first‟.recognized‟.group‟.promoting‟
.advanced‟.nursing‟.practice.‟.Agatha‟.Hodgins‟.founded‟.the‟.AANM‟.at‟.Lakeside‟.Hospital‟.in‟ . Cl
eveland,‟.Ohio.
4. Which‟.factor‟.is‟.broadly‟.perceived‟.to‟.solidify‟.and‟.standardize‟.the‟.role‟.of‟.the‟.APNs‟.over‟.the
‟.last‟.25‟.years?
, a. Lack‟.of‟.access‟.to‟.health‟.care‟.providers
b. Standardized‟.curriculum‟.development
c. Payment‟.for‟.services
d. Societal‟.forces
ANS:‟.B
As‟ . the‟ . evolution‟ . of‟ . Advanced‟ . Practice‟ . Nursing‟ . advances‟ . specific‟ . specialties‟ . and‟ . ne
eds‟ . are‟.identified.‟.Through‟.the‟.evolution‟.of‟.organization‟.and‟.standardization‟.these‟.roles‟.hav
e‟.solidified‟.the‟.APN‟s‟.role‟.in‟.today‟s‟.health‟.care‟.environment.
5. During‟.the‟.formation‟.of‟.early‟.APN‟.roles‟.in‟.anesthesia,‟.which‟.of‟.the‟.following‟.increa
sed‟.demand‟.for‟.access‟.to‟.health‟.care?
a. Poverty
b. War
c. Rural‟.access‟.to‟.care
d. Availability‟.of‟.training
ANS:‟.B
Earliest‟.demand‟.for‟.nursing-
provided‟.anesthesia‟.spiked‟.during‟.periods‟.of‟.war‟.when‟.numbers‟.of‟.physicians‟.were‟.inadequate.‟.The
‟.earliest‟.records‟.date‟.back‟.to‟.the‟.American‟.Civil‟.War‟.with‟.the‟.administration‟.of‟.chloroform.‟.During
‟.World‟.War‟.I‟.in‟.1917‟.more‟.than‟.1000‟.nurses,‟.some‟.trained‟.anesthetists,‟.traveled‟.into‟.battle.‟.Other‟.f
actors‟.such‟.as‟.need‟.for‟.rural‟.health‟.care‟.came‟.later‟.in‟.the‟.validation‟.and‟.need‟.for‟.APNs.
6. In‟.1889,‟.Dr.‟.William‟.Worrall‟.Mayo‟.built‟.and‟.opened‟.St.‟.Mary‟s‟.hospital‟.in‟.Rochester,‟.NY
.‟.He‟.is‟.known‟.for‟.some‟.of‟.the‟.earliest‟.recruitment‟.and‟.specialized‟.training‟.of‟.nurses‟.in‟.
which‟.of‟.the‟.following‟.roles?
a. Pediatrics
b. Anesthesia
c. Obstetrics
d. Research‟.and‟.statistics
e. Family‟.nursing
ANS:‟.B
In‟.1889,‟.Dr.‟.William‟.Worrall‟.Mayo‟.began‟.formally‟.training‟.and‟.recognizing‟.nurse‟.anesthetists
.‟.This‟.has‟.been‟.regarded‟.as‟.the‟.earliest‟.training‟.in‟.nurse-provided‟.anesthesia.
7. In‟.1893,‟.Lillian‟.Wald‟.established‟.the‟.Henry‟.Street‟.Settlement‟.(HSS)‟.House‟.for‟.which‟.purpose?
a. Access‟.to‟.health‟.care‟.of‟.rural‟.areas
b. Create‟.inner-city‟.nursing‟.awareness
c. Provide‟.the‟.disadvantaged‟.access‟.to‟.care