Test Bank — Hamric & Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition — Mary Fran Tracy, Eileen T. O’Grady & Susanne J. Phillips — ISBN 9780323777117 — Latest Update 2025/2026 — (All Chapters Covered 1–23)

Hamric & Hanson’s
Advanced Practice Nursing
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7th Edition
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TEST BANK
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Mary Fran Tracy
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Comprehensive Test Bank for Instructors
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and Students
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© Mary Fran Tracy. All rights reserved. Reproduction or distribution without permission is

prohibited.
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©MEDCONNOISSEUR

, Test Bank for Hamric & Hanson's Advanced Practice Nursing (7th Edition)
Authors: Mary Fran Tracy, Eileen T. O'Grady, Susanne J. Phillips
ISBN-13: 9780323777117
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Part I: Perspectives on Advanced Practice Nursing

1. History and Evolution of Advanced Practice Nursing
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2. Conceptualizations of Advanced Practice Nursing
3. A Definition of Advanced Practice Nursing
4. Role Development of the Advanced Practice Nurse
5. International Development of Advanced Practice Nursing
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Part II: Competencies of Advanced Practice Nursing

6. Direct Clinical Practice
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7. Guidance and Coaching
8. Evidence-Based Practice
9. Leadership
10.Collaboration
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11.Ethical Practice

Part III: Advanced Practice Roles: The Operational Definitions

12.The Clinical Nurse Specialist
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13.The Primary Care Nurse Practitioner
14.The Acute Care Nurse Practitioner
15.The Certified Nurse-Midwife
16.The Certified Registered Nurse Anesthetist
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Part IV: Critical Elements in Managing Advanced Practice Nursing
Environments

17.Maximizing APRN Power and Influencing Policy
18.Marketing Yourself as an APRN: Contracting and Negotiation
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19.Reimbursement and Payment for APRN Services
20.Understanding Regulatory, Legal, and Credentialing Requirements
21.APRN Outcomes and Performance Improvement Research
22.Future Technologies Influencing APRN Practice
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23.Using Healthcare Information Technology to Evaluate and Improve
Performance and Patient Outcomes




©MEDCONNOISSEUR

, _ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
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Chapter 01: History and Evolution of Advanced Practice Nursing
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Tracy & O’Grady: Hamric & Hanson’s Advanced Practice Nursing, 7th Edition
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MULTIPLE CHOICE 2p




1. Which of the following is the best explanation for the creation of the Doctorate of Nursi
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ST
ng Practice (DNP) degree?
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a. To validate APRN’s for financial reimbursement
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b. To address increasing curriculum requirements of master’s degree programs
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c. To compete against master’s degree programs
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d. To ensure standardized curriculum ensuring independent practice
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ANS: B 2p2p


Although all answers are influenced by the DNP core competencies, the DNP program cr
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eation in 2004 by the American Association of Colleges of Nursing (AACN) was design
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ed to address curriculum requirements of master’s degree programs.
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2. Which of the following was the first recognized area of advanced practice nursing?
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a. Clinical Nurse Specialist 2p 2p


b. Certified Registered Nurse Anesthetist 2p 2p 2p


c. Family Nurse practitioner 2p 2p
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d. Pediatric Nurse practitioner 2p 2p




ANS: B 2p2p


In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the
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pAmerican Association of NurseWAWnWe.stT
heBtiSstM
2p s.(AWA
SNA) was the first recognized group 2p 2p 2p 2p 2p 2p 2p 2p
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promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
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Hospital in Cleveland, Ohio. 2p 2p 2p




3. Which factor is broadly perceived to solidify and standardize the role of the APNs over t
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he last 25 years?
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a. Societal forces 2p


b. Lack of access to health care providers
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c. Payment for services 2p 2p


d. Standardized curriculum development 2p 2p




ANS: D
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As the evolution of Advanced Practice Nursing advances specific specialties and needs ar
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e identified. Through the evolution of organization and standardization these roles have s
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olidified the APN’s role in today’s health care environment.
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4. During the formation of early APN roles in anesthesia, which of the following increas
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ed demand for access to health care?
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a. War
b. Poverty
c. Rural access to care 2p 2p 2p


d. Availability of training 2p 2p
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2p ANS: A 2 p




1 | P a g e
2p 2p 2p 2p 2p

, _ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
2p 2p 2p 2p 2p 2p 2p 2p 2p 2p 2p 2p 2p 2p 2p




Earliest demand for nursing- 2p 2p 2p


provided anesthesia spiked during periods of war when numbers of physicians were inad
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equate. The earliest records date back to the American Civil War with the administration
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of chloroform. During World War I in 1917 more than 1000 nurses, some trained anesth
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etists, traveled into battle. Other factors such as need for rural health care came later in t
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he validation and need for APNs.
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5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, N
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Y. He is known for some of the earliest recruitment and specialized training of nurses in
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which of the following roles?
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a. Obstetrics
b. Anesthesia
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c. Family nursing 2p


d. Pediatrics
e. Research and statistics 2p 2p




ANS: B 2p2p


In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anest
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hetists. This has been regarded as the earliest training in nurse-provided anesthesia.
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6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for whi
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ch primary purpose?
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a. Access to health care of rural areas 2p 2p 2p 2p 2p 2p


b. Provide the disadvantaged access to care 2p 2p 2p 2p 2p


c. Establish guidelines for advanced nursing roles 2p 2p 2p 2p 2p


d. Create inner-city nursing awareness 2p 2p 2p
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ANS: 2p2p WWW.TBSM.WS
B
The HHS was established to provide nursing services to immigrants and low-
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income patients and their families in Manhattan. As resistance to nurse-
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provided care grew, standing orders were drafted from a group of Lower East Side physic
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ians thereby circumventing
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then-existing legal ramifications. 2p 2p




7. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenrid
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ge initially provided Appalachia with which type of advanced nursing care?
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a. Surgical services 2p


b. Pediatric care 2p


c. Anesthesia
d. Midwifery
ANS: D 2p2p


The original FNS provided midwifery in addition to other nursing services to Appalachian
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residents. Later working from standard orders developed from their medical advisory co
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mmittee nurses treated patients, made diagnoses, and dispensed medications.
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8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged wit
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h the American College of Nurse-Midwives (ACNM) in 1969
??
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a. Association for National Nurse-Midwifery (ANNM) 2p 2p 2p 2p


b. American Association of Nurse-Midwives (AANM) 2p 2p 2p 2p


c. American Nurses Association (ANA) 2p 2p 2p


d. Council of Nursing Midwifery (ANM) 2p 2p 2p 2p