ADVANCED PRACTICE NURSING 6TH EDITION HAMRIC AND HANSON'S
|COMPLETE CHAPTERS 1-16
,Table of Contents
Chapter 1: Highlights From The History Of Advanced Practice NURSING
In The United States ............................................................................... 3
Chapter 2: Conceptualizations Of Advanced ........................................ 10
Chapter 3: A Definition Of Advanced Practice NURSING ..................... 17
Chapter 4: Role Development Of The Advanced Practice Nurse.......... 21
Chapter 5: Evolving And Innovative Opportunities For Advanced
Practice NURSING ................................................................................. 32
Chapter 6: International Development Of Advanced Practice NURSING
.............................................................................................................. 39
Chapter 7: Direct Clinical Practice ........................................................ 44
Chapter 8: Coaching And Guidance ...................................................... 57
Chapter 9:Consultation ........................................................................ 64
Chapter 10: Evidence-Based Practice And Research ............................ 71
Chapter 11: Leadership ........................................................................ 78
Chapter 12: Collaboration NEW Emphasis On Interprofessional
Collaborative Practice .......................................................................... 84
Chapter 13: Ethical Decision Making ................................................... 91
Chapter 14: The Clinical Nurse Specialist ............................................. 99
Chapter 15: The Primary Care Nurse Practitioner .............................. 106
Chapter 16: The Acute Care Nurse Practitioner ................................. 113
,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
ANSWER>>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
ANSWER>>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
ANSWER>>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
ANSWER>>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
ANSWER>>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
ANSWER>>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 Guidelines For Advanced NURSING Roles
ANSWER>>C
The HHS Was Established To Provide NURSING Services To Immigrants And Low- Income Patients And
Their Families In Manhattan. As Resistance To Nurse-Provided Care Grew, Standing Orders Were Drafted
From A Group Of Lower East Side Physicians Thereby Circumventing Then-Existing Legal Ramifications.
8. The Frontier NURSING Service (FNS) Founded In Kentucky In 1925 By Mary Breckenridge Initially
Provided Appalachia With NURSING Resources And Which Type Of Advanced NURSING Care?
, A. Pediatric Care
B. Anesthesia
C. Midwifery
D. Surgical Services
ANSWER>>C
The Original FNS Provided NURSING Services And Obstetric Services To Appalachian Residents. Later
Working From Standard Orders Developed From Their Medical Advisory Committee Nurses Treated
Patients, Made Diagnoses, And Dispensed Medications.
9. Which Organization Founded In 1941 Under Mary Breckenridge’s Leadership Merged With The
American College Of Nurse-Midwives (ACNM) In 1969?
A. American Association Of Nurse-Midwives (AANM)
B. American Nurses Association (ANA)
C. Association For National Nurse-Midwifery (ANNM)
D. Council Of NURSING Midwifery (ANM)
ANSWER>>A
The American College Of Nurse-Midwives (ACNM) Formed Under The Leadership Of Mary Breckenridge
In 1941 To Provide Nurse-Midwife Development And Collaboration For Midwife Development. In 1955,
The American College Of Nurse-Midwives Was Formed And The Two Organizations Merged In 1969
After The Death Of Mary Breckenridge.
10. In A Landmark Ruling By The Supreme Court As A Result Of Chalmers-Frances V. Nelson, 1936,
What Legal Precedent Was Established?
A. Nurse Anesthesia Was Allowed Under The Nurse Practice Act