TEST BANK FOR
HAMRIC AND HANSON-S ADVANCED PRACTICE NURSING 6TH
EDITION
BY MARY FRAN TRACY ALL CHAPTERS COVERED 1-16/100% VERIFIED
ANSWERS
,TABLE OF CONTENTS
CHAPTER 1: HIGHLIGHTS FROM THE HISTORY OF ADVANCED PRACTICE NURSING IN THE UNITED STATES
...................................................................................................................................................................... 3
CHAPTER 2: CONCEPTUALIZATIONS OF ADVANCED ..................................................................................... 9
CHAPTER 3: A DEFINITION OF ADVANCED PRACTICE NURSING ................................................................. 16
CHAPTER 4: ROLE DEVELOPMENT OF THE ADVANCED .............................................................................. 20
CHAPTER 5: EVOLVING AND INNOVATIVE OPPORTUNITIES FOR ADVANCED PRACTICE NURSING ........... 31
CHAPTER 6: INTERNATIONAL DEVELOPMENT OF ADVANCED PRACTICE ................................................... 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 .................................................................................................. 92
CHAPTER 14: THE CLINICAL NURSE ........................................................................................................... 100
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
B. NURSE ANESTHESIA SCOPE OF PRACTICE INCLUDED ANESTHESIA
C. NURSE ANESTHESIA WAS LEGAL, IF UNDER GUIDANCE OF A SUPERVISING PHYSICIAN
D. ONLY TRAINED NURSING PROFESSIONALS COULD ADMINISTER ANESTHESIA INDEPENDENTLY
ANSWER: C
THE LANDMARK DECISION FROM THE CHALMERS-FRANCES V. NELSON CASE SET NATIONAL
PRECEDENT FOR THE ADVANCED NURSING PRACTICE ROLE. IT PROVED TO BE THE BASIS FOR OTHER
CASES OVER THE FOLLOWING FEW DECADES AND ESTABLISHED THAT TRAINED NURSES COULD
LEGALLY PROVIDE ANESTHESIA CARE UNDER SUPERVISION OF A PHYSICIAN.
11. THE FIRST KNOWN ESTABLISHMENT OF THE NURSE PRACTITIONER ROLE OCCURRED IN 1965 AT
THE UNIVERSITY OF COLORADO. IN WHICH AREA OF TRAINING DID THIS ROLE SPECIALIZE?
A. PEDIATRICS
B. GERIATRICS
C. MIDWIFERY
D. ANESTHESIA
,ANSWER: A
THE ESTABLISHMENT OF THE FIRST PEDIATRIC NURSE PRACTITIONER PROGRAM WAS IN 1965 AT THE
UNIVERSITY OF COLORADO. LORETTA FORD, RN AND HENRY SILVER, MD PROVIDED A 4- MONTH
COURSE TO CERTIFIED REGISTERED NURSES TO PROVIDE EDUCATION ON MANAGINGCHILDHOOD
HEALTH PROBLEMS.
12. THE DNP PROGRAM CURRICULUM OUTLINED WHICH OF THE FOLLOWING CLINICAL
REQUIREMENTS IN AN EFFORT TO STANDARDIZE TRAINING?
A. 1000 SUPERVISED CLINICAL HOURS AND 200 UNSUPERVISED CLINICAL HOURS
B. 1000 SUPERVISED CLINICAL HOURS
C. 900 SUPERVISED CLINICAL HOURS
D. 800 SUPERVISED CLINICAL HOURS AND 200 UNSUPERVISED CLINICAL HOURS
ANSWER: B
IN 2004, THE AACN OUTLINED THE DNP CURRICULUM IN AN EFFORT TO STANDARDIZE AND RELIEVE
CHALLENGES OF MASTER’S DEGREE PROGRAMS. THIS INCLUDES A STANDARDIZED CURRICULUM
REQUIRING 1000 SUPERVISED CLINICAL HOURS.
13. WHICH STATE BECAME THE FIRST TO RECOGNIZE DIAGNOSIS AND TREATMENT AS PART OF THE
SCOPE OF PRACTICE OF SPECIALTY NURSES?
A. IDAHO
B. OKLAHOMA
C. SOUTH DAKOTA
D. MARYLAND
ANSWER: A
,IDAHO GOVERNOR CECIL ANDRUS SIGNED HB 46 AND HB 207 INTO LAW ON FEBRUARY 11, 1971. THIS
AMENDED THE STATES’ NURSE PRACTICE ACT MAKING IT THE FIRST STATE TO OFFICIALLY RECOGNIZE
DIAGNOSIS AND TREATMENT OF SPECIALTY NURSES. THE RECOGNITION OF THE ABILITY TO DIAGNOSE
AND TREAT OVERCAME AN INITIAL HURDLE TOWARD INDEPENDENT NURSING PRACTICE.
14. THE AMERICAN NURSING ASSOCIATION (ANA) DEFINES WHICH REQUIREMENT FOR THE
DESIGNATION OF A CLINICAL NURSE SPECIALIST IN ANY SPECIALTY?
A. SPECIALTY TRAINING CERTIFICATE
B. SUCCESSFUL COMPLETION OF CERTIFICATION EXAMINATION
C. MASTERS OR DOCTORAL DEGREE
D. 1000 HOURS RELEVANT SUPERVISED TRAINING
E. TWO OR MORE YEARS OF CLINICALLY RELEVANT EXPERIENCE
ANSWER: C
IN 1980, THE ANA SPECIFICALLY OUTLINED CRITERIA FOR THE ACKNOWLEDGMENT OF CLINICAL NURSE
SPECIALIST TRAINING PROGRAMS. AT THAT TIME THEY REQUIRED GRADUATE LEVEL TRAINING TO
BECOME AN EXPERT IN A RELEVANT SPECIALTY AREA OF NURSING. ADDITIONALLY, THEY MUST MEET
ANY REQUIREMENTS SET FORTH BY THE SPECIFIC PROFESSIONAL SOCIETY.
TRACY: HAMRIC & HANSON'S ADVANCED PRACTICE NURSING, 6TH EDITION
CHAPTER 2: CONCEPTUALIZATIONS OF ADVANCED
PRACTICE NURSING TEST BANK MULTIPLE CHOICE
15. WHICH OF THE FOLLOWING IS THE PRIMARY MISSION OF THE NATIONAL ORGANIZATION OF
NURSE PRACTITIONER FACULTIES (NONPF)?
A. PROVIDE LEADERSHIP IN PROMOTING QUALITY NP EDUCATION
B. NP FACULTY TRAINING PROGRAM ASSISTANCE
C. PROVIDE FINANCIAL ASSISTANCE TO NP STUDENTS
D. LOBBYING LEGISLATURE ON BEHALF OF NPS
, ANSWER: A
THE NONPF’S PRIMARY MISSION IS TO PROVIDE LEADERSHIP IN PROMOTING QUALITY NP EDUCATION.
THE ORGANIZATION HAS PUBLISHED DOMAINS AND CORE COMPETENCIES FOR PRIMARY CARE AND
THESE SERVE AS A FRAMEWORK FOR NP EDUCATION AND PRACTICE.
16. A MODEL OF COMPETENCIES THAT ARE ENCOMPASSED AROUND THREE SPHERES OF
INFLUENCE KNOWN AS PATIENT, NURSES AND NURSING PRACTICE, AND ORGANIZATION AND
INFLUENCE IS KNOWN AS?
A. NACNS MODEL OF CLINICAL NURSE SPECIALIST COMPETENCIES
B. FENTON’S AND BRYKCZYNSKI’S EXPERT PRACTICE
C. CALKIN’S MODEL OF ADVANCED NURSING PRACTICE
D. SHULER’S MODEL OF NP PRACTICE
ANSWER: A
THE NACNS’S INITIAL 2008 STATEMENT WAS REVISED IN 2004. THE STATEMENT OUTLINED
COMPETENCIES THAT ALIGNED TO EACH OF THE THREE SPHERES OF INFLUENCE: PATIENT, NURSES AND
NURSING PRACTICE, AND ORGANIZATION AND INFLUENCE.
17. BUILDING UPON BENNER’S SEVEN DOMAINS OF EXPERT NURSING PRACTICE, WHICH
CONCEPTUAL MODEL ADDS AN ADDITIONAL DOMAIN “THE CONSULTING ROLE OF THE NURSE”?
A. CALKIN’S MODEL OF ADVANCED NURSING PRACTICE
B. FENTON’S AND BRYKCZYNSKI’S EXPERT PRACTICE
C. STRONG MEMORIAL HOSPITAL’S MODEL OF ADVANCED NURSING PRACTICE
D. SHULER’S MODEL OF NP PRACTICE
E. NACNS CLINICAL NURSE SPECIALISTS MODEL
HAMRIC AND HANSON-S ADVANCED PRACTICE NURSING 6TH
EDITION
BY MARY FRAN TRACY ALL CHAPTERS COVERED 1-16/100% VERIFIED
ANSWERS
,TABLE OF CONTENTS
CHAPTER 1: HIGHLIGHTS FROM THE HISTORY OF ADVANCED PRACTICE NURSING IN THE UNITED STATES
...................................................................................................................................................................... 3
CHAPTER 2: CONCEPTUALIZATIONS OF ADVANCED ..................................................................................... 9
CHAPTER 3: A DEFINITION OF ADVANCED PRACTICE NURSING ................................................................. 16
CHAPTER 4: ROLE DEVELOPMENT OF THE ADVANCED .............................................................................. 20
CHAPTER 5: EVOLVING AND INNOVATIVE OPPORTUNITIES FOR ADVANCED PRACTICE NURSING ........... 31
CHAPTER 6: INTERNATIONAL DEVELOPMENT OF ADVANCED PRACTICE ................................................... 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 .................................................................................................. 92
CHAPTER 14: THE CLINICAL NURSE ........................................................................................................... 100
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
B. NURSE ANESTHESIA SCOPE OF PRACTICE INCLUDED ANESTHESIA
C. NURSE ANESTHESIA WAS LEGAL, IF UNDER GUIDANCE OF A SUPERVISING PHYSICIAN
D. ONLY TRAINED NURSING PROFESSIONALS COULD ADMINISTER ANESTHESIA INDEPENDENTLY
ANSWER: C
THE LANDMARK DECISION FROM THE CHALMERS-FRANCES V. NELSON CASE SET NATIONAL
PRECEDENT FOR THE ADVANCED NURSING PRACTICE ROLE. IT PROVED TO BE THE BASIS FOR OTHER
CASES OVER THE FOLLOWING FEW DECADES AND ESTABLISHED THAT TRAINED NURSES COULD
LEGALLY PROVIDE ANESTHESIA CARE UNDER SUPERVISION OF A PHYSICIAN.
11. THE FIRST KNOWN ESTABLISHMENT OF THE NURSE PRACTITIONER ROLE OCCURRED IN 1965 AT
THE UNIVERSITY OF COLORADO. IN WHICH AREA OF TRAINING DID THIS ROLE SPECIALIZE?
A. PEDIATRICS
B. GERIATRICS
C. MIDWIFERY
D. ANESTHESIA
,ANSWER: A
THE ESTABLISHMENT OF THE FIRST PEDIATRIC NURSE PRACTITIONER PROGRAM WAS IN 1965 AT THE
UNIVERSITY OF COLORADO. LORETTA FORD, RN AND HENRY SILVER, MD PROVIDED A 4- MONTH
COURSE TO CERTIFIED REGISTERED NURSES TO PROVIDE EDUCATION ON MANAGINGCHILDHOOD
HEALTH PROBLEMS.
12. THE DNP PROGRAM CURRICULUM OUTLINED WHICH OF THE FOLLOWING CLINICAL
REQUIREMENTS IN AN EFFORT TO STANDARDIZE TRAINING?
A. 1000 SUPERVISED CLINICAL HOURS AND 200 UNSUPERVISED CLINICAL HOURS
B. 1000 SUPERVISED CLINICAL HOURS
C. 900 SUPERVISED CLINICAL HOURS
D. 800 SUPERVISED CLINICAL HOURS AND 200 UNSUPERVISED CLINICAL HOURS
ANSWER: B
IN 2004, THE AACN OUTLINED THE DNP CURRICULUM IN AN EFFORT TO STANDARDIZE AND RELIEVE
CHALLENGES OF MASTER’S DEGREE PROGRAMS. THIS INCLUDES A STANDARDIZED CURRICULUM
REQUIRING 1000 SUPERVISED CLINICAL HOURS.
13. WHICH STATE BECAME THE FIRST TO RECOGNIZE DIAGNOSIS AND TREATMENT AS PART OF THE
SCOPE OF PRACTICE OF SPECIALTY NURSES?
A. IDAHO
B. OKLAHOMA
C. SOUTH DAKOTA
D. MARYLAND
ANSWER: A
,IDAHO GOVERNOR CECIL ANDRUS SIGNED HB 46 AND HB 207 INTO LAW ON FEBRUARY 11, 1971. THIS
AMENDED THE STATES’ NURSE PRACTICE ACT MAKING IT THE FIRST STATE TO OFFICIALLY RECOGNIZE
DIAGNOSIS AND TREATMENT OF SPECIALTY NURSES. THE RECOGNITION OF THE ABILITY TO DIAGNOSE
AND TREAT OVERCAME AN INITIAL HURDLE TOWARD INDEPENDENT NURSING PRACTICE.
14. THE AMERICAN NURSING ASSOCIATION (ANA) DEFINES WHICH REQUIREMENT FOR THE
DESIGNATION OF A CLINICAL NURSE SPECIALIST IN ANY SPECIALTY?
A. SPECIALTY TRAINING CERTIFICATE
B. SUCCESSFUL COMPLETION OF CERTIFICATION EXAMINATION
C. MASTERS OR DOCTORAL DEGREE
D. 1000 HOURS RELEVANT SUPERVISED TRAINING
E. TWO OR MORE YEARS OF CLINICALLY RELEVANT EXPERIENCE
ANSWER: C
IN 1980, THE ANA SPECIFICALLY OUTLINED CRITERIA FOR THE ACKNOWLEDGMENT OF CLINICAL NURSE
SPECIALIST TRAINING PROGRAMS. AT THAT TIME THEY REQUIRED GRADUATE LEVEL TRAINING TO
BECOME AN EXPERT IN A RELEVANT SPECIALTY AREA OF NURSING. ADDITIONALLY, THEY MUST MEET
ANY REQUIREMENTS SET FORTH BY THE SPECIFIC PROFESSIONAL SOCIETY.
TRACY: HAMRIC & HANSON'S ADVANCED PRACTICE NURSING, 6TH EDITION
CHAPTER 2: CONCEPTUALIZATIONS OF ADVANCED
PRACTICE NURSING TEST BANK MULTIPLE CHOICE
15. WHICH OF THE FOLLOWING IS THE PRIMARY MISSION OF THE NATIONAL ORGANIZATION OF
NURSE PRACTITIONER FACULTIES (NONPF)?
A. PROVIDE LEADERSHIP IN PROMOTING QUALITY NP EDUCATION
B. NP FACULTY TRAINING PROGRAM ASSISTANCE
C. PROVIDE FINANCIAL ASSISTANCE TO NP STUDENTS
D. LOBBYING LEGISLATURE ON BEHALF OF NPS
, ANSWER: A
THE NONPF’S PRIMARY MISSION IS TO PROVIDE LEADERSHIP IN PROMOTING QUALITY NP EDUCATION.
THE ORGANIZATION HAS PUBLISHED DOMAINS AND CORE COMPETENCIES FOR PRIMARY CARE AND
THESE SERVE AS A FRAMEWORK FOR NP EDUCATION AND PRACTICE.
16. A MODEL OF COMPETENCIES THAT ARE ENCOMPASSED AROUND THREE SPHERES OF
INFLUENCE KNOWN AS PATIENT, NURSES AND NURSING PRACTICE, AND ORGANIZATION AND
INFLUENCE IS KNOWN AS?
A. NACNS MODEL OF CLINICAL NURSE SPECIALIST COMPETENCIES
B. FENTON’S AND BRYKCZYNSKI’S EXPERT PRACTICE
C. CALKIN’S MODEL OF ADVANCED NURSING PRACTICE
D. SHULER’S MODEL OF NP PRACTICE
ANSWER: A
THE NACNS’S INITIAL 2008 STATEMENT WAS REVISED IN 2004. THE STATEMENT OUTLINED
COMPETENCIES THAT ALIGNED TO EACH OF THE THREE SPHERES OF INFLUENCE: PATIENT, NURSES AND
NURSING PRACTICE, AND ORGANIZATION AND INFLUENCE.
17. BUILDING UPON BENNER’S SEVEN DOMAINS OF EXPERT NURSING PRACTICE, WHICH
CONCEPTUAL MODEL ADDS AN ADDITIONAL DOMAIN “THE CONSULTING ROLE OF THE NURSE”?
A. CALKIN’S MODEL OF ADVANCED NURSING PRACTICE
B. FENTON’S AND BRYKCZYNSKI’S EXPERT PRACTICE
C. STRONG MEMORIAL HOSPITAL’S MODEL OF ADVANCED NURSING PRACTICE
D. SHULER’S MODEL OF NP PRACTICE
E. NACNS CLINICAL NURSE SPECIALISTS MODEL
