AN INTEGRATIVE APPROACH 7TH EDITION BY MARY FRAN TRACY,
EILEEN T. O'GRADY, SUSANNE J. PHILLIPS|| COMPLETE GUIDE WITH
VERIFIED QUESTIONS & WELL DETAILED SOLUTIONS WITH
RATIONALES|| VERIDFIED CHAPTERS 1- 23|| A+ GRADE
,Table of Contents
PART I HISTORICAL AND DEVELOPMENTAL ASPECTS OF ADVANCED PRACTICE NURSING ....................... 3
Chapter 01: History And Evolution Of Advanced Practice Nursing .......................................................... 3
Chapter 02: Conceptualizations Of Advanced Practice Nursing ............................................................... 8
Chapter 03: A Definition Of Advanced Practice Nursing ........................................................................ 14
Chapter 04: Role Development Of The Advanced Practice Nurse .......................................................... 18
Chapter 05: International Development Of Advanced Practice Nursing ................................................ 27
PART II COMPETENCIES OF ADVANCED PRACTICE NURSING ................................................................... 31
Chapter 06: Direct Clinical Practice......................................................................................................... 31
Chapter 07: Guidance And Coaching ...................................................................................................... 43
Chapter 08: Evidence-Based Practice ..................................................................................................... 49
Chapter 09: Leadership ........................................................................................................................... 55
Chapter 10: Collaboration ....................................................................................................................... 61
Chapter 11: Ethical Practice .................................................................................................................... 71
PART III ADVANCED PRACTICE ROLES: THE OPERATIONAL DEFINITIONS OF ADVANCED PRACTICE
NURSING ..................................................................................................................................................... 78
Chapter 12: The Clinical Nurse Specialist ................................................................................................ 78
Chapter 13: The Primary Care Nurse Practitioner .................................................................................. 84
Chapter 14: The Acute Care Nurse Practitioner ..................................................................................... 90
Chapter 15: The Certified Nurse-Midwife............................................................................................... 96
Chapter 16: The Certified Registered Nurse Anesthetist ...................................................................... 102
PART IV CRITICAL ELEMENTS IN MANAGING ADVANCED PRACTICE NURSING ENVIRONMENTS ......... 106
Chapter 17: Maximizing APRN Power And Influencing Policy .............................................................. 106
Chapter 18: Marketing Yourself As An APRN: Contracting And Negotiation ....................................... 112
Chapter 19: Reimbursement And Payment For APRN Services ............................................................ 120
Chapter 20: Understanding Regulatory, Legal, And Credentialing Requirements ............................... 128
Chapter 21: APRN Outcomes And Performance Improvement Research ............................................ 132
Chapter 22: Future Technologies Influencing APRN Practice ............................................................... 135
Chapter 23: Using Healthcare Information Technology To Evaluate And Improve Performance And
Patient Outcomes ................................................................................................................................. 141
,PART I HISTORICAL AND DEVELOPMENTAL ASPECTS OF ADVANCED
PRACTICE NURSING
Chapter 01: History And Evolution Of Advanced Practice Nursing
Tracy & O’Grady: Hamric & Hanson’s Advanced Practice Nursing, 7th Edition
MULTIPLE CHOICE
1. Which Of The Following Is The Best Explanation For The Creation Of The Doctorate Of Nursing
Practice (DNP) Degree?
A. To Validate APRN’s For Financial Reimbursement
B. To Address Increasing Curriculum Requirements Of Master’s Degree Programs
C. To Compete Against Master’s Degree Programs
D. To Ensure Standardized Curriculum Ensuring Independent Practice
CORRECT ANS>>> B
Although All Answers Are Influenced By The DNP Core Competencies, The DNP Program Creation In
2004 By The American Association Of Colleges Of Nursing (AACN) Was Designed To Address Curriculum
Requirements Of Master’s Degree Programs.
2. Which Of The Following Was The First Recognized Area Of Advanced Practice Nursing?
A. Clinical Nurse Specialist
B. Certified Registered Nurse Anesthetist
C. Family Nurse Practitioner
D. Pediatric Nurse Practitioner
CORRECT ANS>>> B
In 1931, The National Association Of Nurse Anesthetists (NANA), Renamed In 1939 To The
American Association Of Nurse Anesthetists. (AWASNA) Was The First Recognized Group Promoting
Advanced Nursing Practice. Agatha Hodgins Founded The AANM At Lakeside
Hospital In Cleveland, Ohio.
, 3. Which Factor Is Broadly Perceived To Solidify And Standardize The Role Of The Apns Over The
Last 25 Years?
A. Societal Forces
B. Lack Of Access To Health Care Providers
C. Payment For Services
D. Standardized Curriculum Development
CORRECT ANS>>> D
As The Evolution Of Advanced Practice Nursing Advances Specific Specialties And Needs Are Identified.
Through The Evolution Of Organization And Standardization These Roles Have Solidified The APN’s Role
In Today’s Health Care Environment.
4. During The Formation Of Early APN Roles In Anesthesia, Which Of The Following Increased
Demand For Access To Health Care?
A. War
B. Poverty
C. Rural Access To Care
D. Availability Of Training
CORRECT ANS>>> A
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 Factors Such As Need For Rural Health Care Came Later In The
Validation And Need For Apns.
5. 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. Obstetrics
B. Anesthesia
C. Family Nursing
D. Pediatrics