,TableofContents
d
v
Chapter 01 History and Evolution of Advanced Practice Nursing
dv dv dv dv dv dv dv dv 1
Chapter 02 Conceptualizations of Advanced Practice Nursing
dv dv dv dv x% dv 5
Chapter 03 A Definition of Advanced Practice Nursing
dv dv dv dv dv dv dv 9
Chapter 04 Role Development of the Advanced Practice Nurse
dv dv dv dv dv dv dv dv 13
Chapter 05 International Development of Advanced Practice Nursing
dv dv dv dv dv dv dv 19
Chapter 06 Direct Clinical Practice
dv dv dv dv 22
Chapter 07 Guidance and Coaching
dv dv dv dv 30
Chapter 08 Evidence-Based Practice
dv dv dv 35
Chapter 09 Leadership
dv dv 40
Chapter 10 Collaboration
dv dv 44
Chapter 11 Ethical Practice
dv dv dv 51
Chapter 12 The Clinical Nurse Specialist
dv dv dv dv dv 57
Chapter 13 The Primary Care Nurse Practitioner
dv dv dv dv dv dv 61
Chapter 14 The Acute Care Nurse Practitioner
dv dv dv dv dv dv 65
Chapter 15 The Certified Nurse-Midwife
dv dv dv dv 69
Chapter 16 The Certified Registered Nurse Anesthetist
dv dv dv dv dv dv 74
Chapter 17 Maximizing APRN Power and Influencing Policy
dv dv dv dv dv dv dv 78
Chapter 18 Marketing Yourself as an APRN Contracting and Negotiation
dv dv dv dv dv dv dv dv dv 82
Chapter 19 Reimbursement and Payment for APRN Services
dv dv dv dv dv dv dv 88
Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements
dv dv dv dv dv dv dv 94
Chapter 21 APRN Outcomes and Performance Improvement Research
dv dv dv dv dv dv dv 97
Chapter 22 Future Technologies Influencing APRN Practice
dv dv dv dv dv dv 100
Chapter 23 Using Healthcare Information Technology to Evaluate and Improve
dv dv dv dv dv dv dv dv dv
Performance and Patient Outcomes
dv x% dv 104
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,_ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
Chapter 01: History and Evolution of Advanced Practice Nursing
dv dv dv dv dv dv dv dv
Tracy & O’Grady: Hamric & Hanson’s Advanced Practice Nursing, 7th Edition
dv dv d v dv dv d v dv d v dv dv
MULTIPLE CHOICE dv
1. Which of the following is the best explanation for the creation of the Doctorate of Nursin
dv dv dv dv zd v dv dv dv dv dv dv dv dv dv dv d
g Practice (DNP) degree?
v dv dv dv
a. To validate APRN’s for financial reimbursement
dv dv dv dv dv
b. To address increasing curriculum requirements of master’s degree programs
dv dv dv dv dv dv dv dv
c. To compete against master’s degree programsdv dv dv dv dv
d. To ensure standardized curriculum ensuring independent practice
x% dv dv x% dv dv
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program creat
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
i on in 2004 by the American Association of Colleges of Nursing (AACN) was designed
d v dv dv dv dv dv dv d v dv d v dv dv dv dv dv
to a ddress curriculum requirements of master’s degree programs.
dv dv dv dv dv dv dv dv
2. Which of the following was the first recognized area of advanced practice nursing?
dv dv dv dv dv dv dv dv dv dv dv dv
a. Clinical Nurse Specialist dv dv
b. Certified Registered Nurse Anesthetist dv zdv dv
c. Family Nurse practitioner dv dv
d. Pediatric Nurse practitioner dv dv
ANS: B
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the A
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
merican Association of NurseWAWnWe.stT
heBtiS
stM
s.(AWA
SNA) was the first recognized group
dv dv dv zx d v dv dv dv dv
promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
dv dv x% dv dv dv dv dv dv dv
Hospital in Cleveland, Ohio. dv dv dv
3. Which factor is broadly perceived to solidify and standardize the role of the APNs over the
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv xd
l ast 25 years?
v dv dv dv
a. Societal forces dv
b. Lack of access to health care providers dv dv dv zdv dv dv
c. Payment for services dv dv
d. Standardizedcurriculum development dv
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
dv dv dv dv dv dv dv dv dv dv dv dv
i dentified. Through the evolution of organization and standardization these roles have soli
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
dif ied the APN’s role in today’s health care environment.
dv zd v dv dv dv dv dv dv dv
4. During the formation of early APN roles in anesthesia, which of the following increase
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
d demand for access to health care?
dv dv dv dv dv dv
a. War
b. Poverty
c. Rural access to care dv dv dv
d. Availabilityoftraining xd
v ANS: A d v
1| P a g e d v d v d v d v
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, _ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
Earliest demand for nursing- dv dv dv
provided anesthesia spiked during periods of war when numbers of physicians were inadeq
dv dv dv dv dv dv dv dv dv dv dv dv dv
u ate. The earliest records date back to the American Civil War with the administratio
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
n o f chl oroform. During World War I in 1917 more than 1000 nurses, some trained anesthe
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
tis ts, trav eled into battle. Other factors such as need for rural health care came later in the v
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
a lidation a nd need for APNs.
dv dv dv dv dv dv
5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, N
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
Y. He is known for some of the earliest recruitment and specialized training of nurses in w hi
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
ch of the following roles?
dv dv dv dv
a. Obstetrics
b. Anesthesia
c. Family nursing dv
d. Pediatrics
e. Research and statistics dv dv
ANS: B d v
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthe
dv dv dv dv dv dv dv dv dv zd v dv dv d
ti sts. This has been regarded as the earliest training in nurse-provided anesthesia.
v d v d v d v d v d v d v d v d v d v d v d v d v
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for whic
dv dv dv dv dv dv dv dv dv dv dv dv dv
h primary purpose?
dv dv
a. Access to health care of rural areas dv dv dv dv dv dv
b. Provide the disadvantaged access to care dv dv dv dv dv
c. Establish guidelines for advanced nursing roles dv dv dv dv dv
d. Create inner-city nursing awareness dv dv dv
ANS: B WWW.TBSM.WS
d v
The HHS was established to provide nursing services to immigrants and low-
dv dv dv dv dv dv dv dv dv dv dv
income patients and their families in Manhattan. As resistance to nurse- dv dv dv dv dv dv dv dv dv
provided care grew, standing orders were drafted from a group of Lower East Side physicia
dv dv dv dv dv dv zd v dv dv dv dv dv dv dv d
n s thereby circumventing
v dv dv dv
then-existing legal ramifications. dv dv
7. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridg
dv dv dv dv dv zd v dv dv dv dv dv dv dv
e initially provided Appalachia with which type of advanced nursing care?
dv dv d v dv d v dv dv dv d v dv
a. Surgical services dv
b. Pediatric care dv
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachian r
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
e sidents. Later working from standard orders developed from their medical advisory com
dv dv dv dv dv dv dv dv dv dv dv dv dv
mitt ee nurses treated patients, made diagnoses, and dispensed medications.
dv dv dv dv dv dv dv dv dv
8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged wit
dv dv dv dv dv dv dv dv dv x% dv
h the American College of Nurse-Midwives (ACNM) in 1969
dv dv dv dv dv dv dv dv
a. Association for National Nurse-Midwifery (ANNM) dv dv dv dv
b. American Association of Nurse-Midwives (AANM) dv dv dv dv
c. American Nurses Association (ANA) dv dv dv
d. Council of Nursing Midwifery (ANM) dv dv dv dv
2| P a g e d v d v d v d v
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d
v
Chapter 01 History and Evolution of Advanced Practice Nursing
dv dv dv dv dv dv dv dv 1
Chapter 02 Conceptualizations of Advanced Practice Nursing
dv dv dv dv x% dv 5
Chapter 03 A Definition of Advanced Practice Nursing
dv dv dv dv dv dv dv 9
Chapter 04 Role Development of the Advanced Practice Nurse
dv dv dv dv dv dv dv dv 13
Chapter 05 International Development of Advanced Practice Nursing
dv dv dv dv dv dv dv 19
Chapter 06 Direct Clinical Practice
dv dv dv dv 22
Chapter 07 Guidance and Coaching
dv dv dv dv 30
Chapter 08 Evidence-Based Practice
dv dv dv 35
Chapter 09 Leadership
dv dv 40
Chapter 10 Collaboration
dv dv 44
Chapter 11 Ethical Practice
dv dv dv 51
Chapter 12 The Clinical Nurse Specialist
dv dv dv dv dv 57
Chapter 13 The Primary Care Nurse Practitioner
dv dv dv dv dv dv 61
Chapter 14 The Acute Care Nurse Practitioner
dv dv dv dv dv dv 65
Chapter 15 The Certified Nurse-Midwife
dv dv dv dv 69
Chapter 16 The Certified Registered Nurse Anesthetist
dv dv dv dv dv dv 74
Chapter 17 Maximizing APRN Power and Influencing Policy
dv dv dv dv dv dv dv 78
Chapter 18 Marketing Yourself as an APRN Contracting and Negotiation
dv dv dv dv dv dv dv dv dv 82
Chapter 19 Reimbursement and Payment for APRN Services
dv dv dv dv dv dv dv 88
Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements
dv dv dv dv dv dv dv 94
Chapter 21 APRN Outcomes and Performance Improvement Research
dv dv dv dv dv dv dv 97
Chapter 22 Future Technologies Influencing APRN Practice
dv dv dv dv dv dv 100
Chapter 23 Using Healthcare Information Technology to Evaluate and Improve
dv dv dv dv dv dv dv dv dv
Performance and Patient Outcomes
dv x% dv 104
www.PlusBay.Plus
,_ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
Chapter 01: History and Evolution of Advanced Practice Nursing
dv dv dv dv dv dv dv dv
Tracy & O’Grady: Hamric & Hanson’s Advanced Practice Nursing, 7th Edition
dv dv d v dv dv d v dv d v dv dv
MULTIPLE CHOICE dv
1. Which of the following is the best explanation for the creation of the Doctorate of Nursin
dv dv dv dv zd v dv dv dv dv dv dv dv dv dv dv d
g Practice (DNP) degree?
v dv dv dv
a. To validate APRN’s for financial reimbursement
dv dv dv dv dv
b. To address increasing curriculum requirements of master’s degree programs
dv dv dv dv dv dv dv dv
c. To compete against master’s degree programsdv dv dv dv dv
d. To ensure standardized curriculum ensuring independent practice
x% dv dv x% dv dv
ANS: B
Although all answers are influenced by the DNP core competencies, the DNP program creat
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
i on in 2004 by the American Association of Colleges of Nursing (AACN) was designed
d v dv dv dv dv dv dv d v dv d v dv dv dv dv dv
to a ddress curriculum requirements of master’s degree programs.
dv dv dv dv dv dv dv dv
2. Which of the following was the first recognized area of advanced practice nursing?
dv dv dv dv dv dv dv dv dv dv dv dv
a. Clinical Nurse Specialist dv dv
b. Certified Registered Nurse Anesthetist dv zdv dv
c. Family Nurse practitioner dv dv
d. Pediatric Nurse practitioner dv dv
ANS: B
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939 to the A
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
merican Association of NurseWAWnWe.stT
heBtiS
stM
s.(AWA
SNA) was the first recognized group
dv dv dv zx d v dv dv dv dv
promoting advanced nursing practice. Agatha Hodgins founded the AANM at Lakeside
dv dv x% dv dv dv dv dv dv dv
Hospital in Cleveland, Ohio. dv dv dv
3. Which factor is broadly perceived to solidify and standardize the role of the APNs over the
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv xd
l ast 25 years?
v dv dv dv
a. Societal forces dv
b. Lack of access to health care providers dv dv dv zdv dv dv
c. Payment for services dv dv
d. Standardizedcurriculum development dv
ANS: D
As the evolution of Advanced Practice Nursing advances specific specialties and needs are
dv dv dv dv dv dv dv dv dv dv dv dv
i dentified. Through the evolution of organization and standardization these roles have soli
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
dif ied the APN’s role in today’s health care environment.
dv zd v dv dv dv dv dv dv dv
4. During the formation of early APN roles in anesthesia, which of the following increase
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
d demand for access to health care?
dv dv dv dv dv dv
a. War
b. Poverty
c. Rural access to care dv dv dv
d. Availabilityoftraining xd
v ANS: A d v
1| P a g e d v d v d v d v
www.PlusBay.Plus
, _ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
Earliest demand for nursing- dv dv dv
provided anesthesia spiked during periods of war when numbers of physicians were inadeq
dv dv dv dv dv dv dv dv dv dv dv dv dv
u ate. The earliest records date back to the American Civil War with the administratio
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
n o f chl oroform. During World War I in 1917 more than 1000 nurses, some trained anesthe
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
tis ts, trav eled into battle. Other factors such as need for rural health care came later in the v
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
a lidation a nd need for APNs.
dv dv dv dv dv dv
5. In 1889, Dr. William Worrall Mayo built and opened St. Mary’s hospital in Rochester, N
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
Y. He is known for some of the earliest recruitment and specialized training of nurses in w hi
dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv dv
ch of the following roles?
dv dv dv dv
a. Obstetrics
b. Anesthesia
c. Family nursing dv
d. Pediatrics
e. Research and statistics dv dv
ANS: B d v
In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse anesthe
dv dv dv dv dv dv dv dv dv zd v dv dv d
ti sts. This has been regarded as the earliest training in nurse-provided anesthesia.
v d v d v d v d v d v d v d v d v d v d v d v d v
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House for whic
dv dv dv dv dv dv dv dv dv dv dv dv dv
h primary purpose?
dv dv
a. Access to health care of rural areas dv dv dv dv dv dv
b. Provide the disadvantaged access to care dv dv dv dv dv
c. Establish guidelines for advanced nursing roles dv dv dv dv dv
d. Create inner-city nursing awareness dv dv dv
ANS: B WWW.TBSM.WS
d v
The HHS was established to provide nursing services to immigrants and low-
dv dv dv dv dv dv dv dv dv dv dv
income patients and their families in Manhattan. As resistance to nurse- dv dv dv dv dv dv dv dv dv
provided care grew, standing orders were drafted from a group of Lower East Side physicia
dv dv dv dv dv dv zd v dv dv dv dv dv dv dv d
n s thereby circumventing
v dv dv dv
then-existing legal ramifications. dv dv
7. The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by Mary Breckenridg
dv dv dv dv dv zd v dv dv dv dv dv dv dv
e initially provided Appalachia with which type of advanced nursing care?
dv dv d v dv d v dv dv dv d v dv
a. Surgical services dv
b. Pediatric care dv
c. Anesthesia
d. Midwifery
ANS: D
The original FNS provided midwifery in addition to other nursing services to Appalachian r
dv dv dv dv dv dv dv dv dv dv dv dv dv dv
e sidents. Later working from standard orders developed from their medical advisory com
dv dv dv dv dv dv dv dv dv dv dv dv dv
mitt ee nurses treated patients, made diagnoses, and dispensed medications.
dv dv dv dv dv dv dv dv dv
8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged wit
dv dv dv dv dv dv dv dv dv x% dv
h the American College of Nurse-Midwives (ACNM) in 1969
dv dv dv dv dv dv dv dv
a. Association for National Nurse-Midwifery (ANNM) dv dv dv dv
b. American Association of Nurse-Midwives (AANM) dv dv dv dv
c. American Nurses Association (ANA) dv dv dv
d. Council of Nursing Midwifery (ANM) dv dv dv dv
2| P a g e d v d v d v d v
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