TEST BANK FOR
Hamric and Hanson's Advanced Practice Nursing 6th Edition
by Mary Fran Tracy, Eileen T. O'Grady
Table of Contents
Part I: Historical and Developmental Aspects of Advanced Practice Nursing
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 Nursing
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
Chapter 9: Consultation
Chapter 10: Evidence-Based Practice and Research
Chapter 11: Leadership
Chapter 12: Collaboration NEW emphasis on interprofessional collaborative practice
Chapter 13: Ethical Decision Making
Part III: Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing
Chapter 14: The Clinical Nurse Specialist
Chapter 15: The Primary Care Nurse Practitioner
Chapter 16: The Acute Care Nurse Practitioner
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
Chapter 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
Practice
,Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition
Chapter 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 Nursing
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 creation in
2004 by the AACN was designed to address curriculum requirements of master’s degree
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
American Association of Nurse Anesthetists (AANA) was the first recognized group promoting
advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital in
Cleveland, 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 needs are
identified. Through the evolution of organization and standardization these roles have 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 increased
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 factors 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
, d. Establish Bguidelines Bfor Badvanced Bnursing Broles
ANS: BC
The BHHS Bwas Bestablished Bto Bprovide Bnursing Bservices Bto Bimmigrants Band Blow-income Bpatients
Band Btheir Bfamilies Bin BManhattan. BAs Bresistance Bto Bnurse-provided Bcare Bgrew, Bstanding Borders
Bwere Bdrafted Bfrom Ba Bgroup Bof BLower BEast BSide Bphysicians Bthereby Bcircumventing Bthen-
existing Blegal Bramifications.
8. The BFrontier BNursing BService B(FNS) Bfounded Bin BKentucky Bin B1925 Bby BMary
BBreckenridge Binitially Bprovided BAppalachia Bwith Bnursing Bresources Band Bwhich Btype Bof
Badvanced Bnursing Bcare?
a. Pediatric Bcare
b. Anesthesia
c. Midwifery
d. Surgical Bservices
ANS: BC
The Boriginal BFNS Bprovided Bnursing Bservices Band Bobstetric Bservices Bto BAppalachian Bresidents.
BLater Bworking Bfrom Bstandard Borders Bdeveloped Bfrom Btheir Bmedical Badvisory Bcommittee Bnurses
Btreated Bpatients, Bmade Bdiagnoses, Band Bdispensed Bmedications.
9. Which Borganization Bfounded Bin B1941 Bunder BMary BBreckenridge’s Bleadership Bmerged Bwith
Bthe BAmerican BCollege Bof BNurse-Midwives B(ACNM) Bin B1969?
a. American BAssociation Bof BNurse-Midwives B(AANM)
b. American BNurses BAssociation B(ANA)
c. Association Bfor BNational BNurse-Midwifery B(ANNM)
d. Council Bof BNursing BMidwifery B(ANM)
ANS: BA
The BAmerican BCollege Bof BNurse-Midwives B(ACNM) Bformed Bunder Bthe Bleadership Bof BMary
BBreckenridge Bin B1941 Bto Bprovide Bnurse-midwife Bdevelopment Band Bcollaboration Bfor Bmidwife
development. BIn B1955, Bthe BAmerican BCollege Bof BNurse-Midwives Bwas Bformed Band Bthe Btwo
Borganizations Bmerged Bin B1969 Bafter Bthe Bdeath Bof BMary BBreckenridge.
10. In Ba Blandmark Bruling Bby Bthe BSupreme BCourt Bas Ba Bresult Bof BChalmers-Frances Bv. BNelson,
B1936, Bwhat Blegal Bprecedent Bwas Bestablished?
a. Nurse Banesthesia Bwas Ballowed Bunder Bthe Bnurse Bpractice Bact
b. Nurse Banesthesia Bscope Bof Bpractice Bincluded Banesthesia
c. Nurse Banesthesia Bwas Blegal, Bif Bunder Bguidance Bof Ba Bsupervising
Bphysician Bd. BOnly Btrained Bnursing Bprofessionals Bcould Badminister
Banesthesia Bindependently
ANS: BC
Hamric and Hanson's Advanced Practice Nursing 6th Edition
by Mary Fran Tracy, Eileen T. O'Grady
Table of Contents
Part I: Historical and Developmental Aspects of Advanced Practice Nursing
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 Nursing
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
Chapter 9: Consultation
Chapter 10: Evidence-Based Practice and Research
Chapter 11: Leadership
Chapter 12: Collaboration NEW emphasis on interprofessional collaborative practice
Chapter 13: Ethical Decision Making
Part III: Advanced Practice Roles: The Operational Definitions of Advanced Practice Nursing
Chapter 14: The Clinical Nurse Specialist
Chapter 15: The Primary Care Nurse Practitioner
Chapter 16: The Acute Care Nurse Practitioner
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
Chapter 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
Practice
,Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition
Chapter 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 Nursing
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 creation in
2004 by the AACN was designed to address curriculum requirements of master’s degree
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
American Association of Nurse Anesthetists (AANA) was the first recognized group promoting
advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside Hospital in
Cleveland, 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 needs are
identified. Through the evolution of organization and standardization these roles have 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 increased
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 factors 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
, d. Establish Bguidelines Bfor Badvanced Bnursing Broles
ANS: BC
The BHHS Bwas Bestablished Bto Bprovide Bnursing Bservices Bto Bimmigrants Band Blow-income Bpatients
Band Btheir Bfamilies Bin BManhattan. BAs Bresistance Bto Bnurse-provided Bcare Bgrew, Bstanding Borders
Bwere Bdrafted Bfrom Ba Bgroup Bof BLower BEast BSide Bphysicians Bthereby Bcircumventing Bthen-
existing Blegal Bramifications.
8. The BFrontier BNursing BService B(FNS) Bfounded Bin BKentucky Bin B1925 Bby BMary
BBreckenridge Binitially Bprovided BAppalachia Bwith Bnursing Bresources Band Bwhich Btype Bof
Badvanced Bnursing Bcare?
a. Pediatric Bcare
b. Anesthesia
c. Midwifery
d. Surgical Bservices
ANS: BC
The Boriginal BFNS Bprovided Bnursing Bservices Band Bobstetric Bservices Bto BAppalachian Bresidents.
BLater Bworking Bfrom Bstandard Borders Bdeveloped Bfrom Btheir Bmedical Badvisory Bcommittee Bnurses
Btreated Bpatients, Bmade Bdiagnoses, Band Bdispensed Bmedications.
9. Which Borganization Bfounded Bin B1941 Bunder BMary BBreckenridge’s Bleadership Bmerged Bwith
Bthe BAmerican BCollege Bof BNurse-Midwives B(ACNM) Bin B1969?
a. American BAssociation Bof BNurse-Midwives B(AANM)
b. American BNurses BAssociation B(ANA)
c. Association Bfor BNational BNurse-Midwifery B(ANNM)
d. Council Bof BNursing BMidwifery B(ANM)
ANS: BA
The BAmerican BCollege Bof BNurse-Midwives B(ACNM) Bformed Bunder Bthe Bleadership Bof BMary
BBreckenridge Bin B1941 Bto Bprovide Bnurse-midwife Bdevelopment Band Bcollaboration Bfor Bmidwife
development. BIn B1955, Bthe BAmerican BCollege Bof BNurse-Midwives Bwas Bformed Band Bthe Btwo
Borganizations Bmerged Bin B1969 Bafter Bthe Bdeath Bof BMary BBreckenridge.
10. In Ba Blandmark Bruling Bby Bthe BSupreme BCourt Bas Ba Bresult Bof BChalmers-Frances Bv. BNelson,
B1936, Bwhat Blegal Bprecedent Bwas Bestablished?
a. Nurse Banesthesia Bwas Ballowed Bunder Bthe Bnurse Bpractice Bact
b. Nurse Banesthesia Bscope Bof Bpractice Bincluded Banesthesia
c. Nurse Banesthesia Bwas Blegal, Bif Bunder Bguidance Bof Ba Bsupervising
Bphysician Bd. BOnly Btrained Bnursing Bprofessionals Bcould Badminister
Banesthesia Bindependently
ANS: BC
