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