Test Bank For Hamric and Hansons Advanced Practice Nursing An Integrative Approach, 7th Edition (Tracy, 2025), Chapter 1-23 | 9780323777117 | All Chapters with Answers and Rationals

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HaMRIC aND HaNSON'S ADVaNCED PRaCTICE NURSING
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7TH EDITION hh hh




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,Table of Contents
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Chapter 01 History and Evolution of Advanced Practice Nursing
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Chapter 02 Conceptualizations of Advanced Practice Nursing
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Chapter 03 A Definition of Advanced Practice Nursing
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Chapter 04 Role Development of the Advanced Practice Nurse
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Chapter 05 International Development of Advanced Practice Nursing
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Chapter 06 Direct Clinical Practice
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Chapter 07 Guidance and Coaching
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Chapter 08 Evidence-Based Practice
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Chapter 09 Leadership
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Chapter 10 Collaboration
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Chapter 11 Ethical Practice
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Chapter 12 The Clinical Nurse Specialist
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Chapter 13 The Primary Care Nurse Practitioner
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Chapter 14 The Acute Care Nurse Practitioner
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Chapter 15 The Certified Nurse-Midwife
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Chapter 16 The Certified Registered Nurse Anesthetist
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Chapter 17 Maximizing APRN Power and Influencing Policy
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Chapter 18 Marketing Yourself as an APRN Contracting and Negotiation
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Chapter 19 Reimbursement and Payment for APRN Services
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Chapter 20 Understanding Regulatory, Legal, and Credentialing Requirements
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Chapter 21 APRN Outcomes and Performance Improvement Research
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Chapter 22 Future Technologies Influencing APRN Practice
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Chapter 23 Using Healthcare Information Technology to Evaluate and Improve
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Performance and Patient Outcomes
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,_ _ 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 hh




1. Which of the following is the best explanation for the creation of the Doctorate of
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Nursing 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 h h h h



Although all answers are influenced by the DNP core competencies, the DNP program
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creation in 2004 by the American Association of Colleges of Nursing (AACN) was
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designed 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 hh hh



b. Certified Registered Nurse Anesthetist hh hh hh



c. Family Nurse practitioner hh hh



d. Pediatric Nurse practitioner hh hh




ANS: B h h h h



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




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



b. Lack of access to health care providers hh hh hh hh hh hh



c. Payment for services hh hh



d. Standardized curriculum development hh hh




ANS: D h h h h



As the evolution of Advanced Practice Nursing advances specific specialties and needs are
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identified. Through the evolution of organization and standardization these roles have
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solidified 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
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increased demand for access to health care?
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a. War
b. Poverty
c. Rural access to care hh hh hh



d. Availability of training hh hh




hh ANS: h h A




1 | P a g e
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, _ _ Test Bank - Hamric and Hanson’s Advanced Practice Nursing: An Integrative Approach, 7th Edition (Tracy, 2023)
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Earliest demand for nursing-provided anesthesia spiked during periods of war when
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numbers of physicians were inadequate. The earliest records date back to the American
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Civil War with the administration of chloroform. During World War I in 1917 more than
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1000 nurses, some trained anesthetists, traveled into battle. Other factors such as need for
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rural health care came later in the 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,
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NY. 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
c. Family nursing hh



d. Pediatrics
e. Research and statistics hh hh




ANS: B h h h h



In 1889, Dr. William Worrall Mayo began formally training and recognizing nurse
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anesthetists. 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
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which primary purpose?
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a. Access to health care of rural areas hh hh hh hh hh hh



b. Provide the disadvantaged access to care hh hh hh hh hh



c. Establish guidelines for advanced nursing roles hh hh hh hh hh



d. Create inner-city nursing awareness hh hh hh




ANS: h h
WWW.TBSM.WS
B
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The HHS was established to provide nursing services to immigrants and low-income
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patients and their families in Manhattan. As resistance to nurse-provided care grew,
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standing orders were drafted from a group of Lower East Side physicians thereby
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circumventing
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then-existing legal ramifications. hh hh




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



b. Pediatric care hh



c. Anesthesia
d. Midwifery
ANS: D h h h h



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
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committee nurses treated patients, made diagnoses, and dispensed medications.
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8. Which organization founded in 1941 under Mary Breckenridge’s leadership merged
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with the American College of Nurse-Midwives (ACNM) in 1969
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a. Association for National Nurse-Midwifery (ANNM) hh hh hh hh



b. American Association of Nurse-Midwives (AANM) hh hh hh hh



c. American Nurses Association (ANA) hh hh hh



d. Council of Nursing Midwifery (ANM) hh hh hh hh




2 | P a g e
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