Hamric and Hanson's Advanced Practice Nursing 6th Edition by
Mary Fran Tracy, Eileen T. O'Grady
j
TablejofjContentsj
PartjI:jHistoricaljandjDevelopmentaljAspectsjofjAdvancedjPracticejNursingj
Chapterj1:jHighlightsjfromjthejHistoryjofjAdvancedjPracticejNursingjinjthej
UnitedjStatesj
Chapterj2:jConceptualizationsjofjAdvancedjPracticejNursingj
Chapterj3:jAjDefinitionjofjAdvancedjPracticejNursingj
Chapterj4:jRolejDevelopmentjofjthejAdvancedjPracticejNursej
Chapterj5:jEvolvingjandjInnovativejOpportunitiesjforjAdvancedjPracticej
Nursingj
Chapterj6:jInternationaljDevelopmentjofjAdvancedjPracticejNursingjNEWjmorejglobaljfocusj
PartjII:jCompetenciesjofjAdvancedjPracticejNursingj
Chapterj7:jDirectjClinicaljPracticej
Chapterj8:jCoachingjandjGuidancej
Chapterj9:jConsultationj
Chapterj10:jEvidence-BasedjPracticejandjResearchj
Chapterj11:jLeadershipj
Chapterj12:jCollaborationjNEWjemphasisjonjinterprofessionaljcollaborativejpracticej
Chapterj13:jEthicaljDecisionjMakingj
PartjIII:jAdvancedjPracticejRoles:jThejOperationaljDefinitionsjofjAdvancedjPracticejNursingj
Chapterj14:jThejClinicaljNursejSpecialistj
Chapterj15:jThejPrimaryjCarejNursejPractitionerj
Chapterj16:jThejAcutejCarejNursejPractitionerj
Chapterj17:jThejCertifiedjNurse-Midwifej
Chapterj18:jThejCertifiedjRegisteredjNursejAnesthetistj
PartjIV:jCriticaljElementsjinjManagingjAdvancedjNursingjPracticejEnvironmentsj
Chapterj19:jBusinessjPlanningjandjReimbursementjMechanismsj
Chapterj20:jMarketingjandjNegotiationj
Chapterj21:jUnderstandingjRegulatory,jLegal,jandjCredentialingjRequirementsj
Chapterj22:jHealthjPolicyjIssuesjinjChangingjEnvironmentsj
, Chapterj23:jAnjIntegrativejReviewjofjAPRNjOutcomesjandjPerformancejImprovementj
Chapterj24:jUsingjOutcomesjandjPerformancejImprovementjDatajtojEvaluatejandjImprovejPracticej
Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition Chapte
j j j j j j j j j
rj1:jHighlightsjfromjthejHistoryjofjAdvancedjPracticejNursingjinjthejUnitedjStatesj
MultiplejChoicej
j
j
1. InjwhichjyearjdidjthejAmericanjAssociationjofjCollegejofjNursingj(AACN)jintroducedjthejDoctora
tejofjNursingjPracticej(DNP)?j
j
a. 2006j
b. 2004j
c. 2000j
d. 2002j
j
ANS:jBj
ThejAACNjintroducedjthejDNPjdegreejinj2004jtojpreparejadvancedjpracticejnursesj(APRNs)jtojmeetj
challengesjandjstandardizejpracticejbeyondjmaster’sjdegreejprograms.j
j
j
2. WhichjofjthejfollowingjisjthejbestjexplanationjforjthejcreationjofjthejDoctoratejofjNursingjPracticej(
DNP)jdegree?j
j
a. Tojcompetejagainstjmaster’sjdegreejprogramsj
b. Tojensurejstandardizedjcurriculumjensuringjindependentjpracticej
c. TojvalidatejAPRN’sjforjfinancialjreimbursementj
d. Tojaddressjincreasingjcurriculumjrequirementsjofjmaster’sjdegreejprogramsj
j
ANS:jDj
AlthoughjalljanswersjarejinfluencedjbyjthejDNPjcorejcompetencies,jthejDNPjprogramjcreationjinj
2004jbyjthejAACNjwasjdesignedjtojaddressjcurriculumjrequirementsjofjmaster’sjdegreejprograms.j
j
j
3. Whichjofjthejfollowingjwasjthejfirstjrecognizedjareajofjadvancedjpracticejnursing?j
j
a. ClinicaljNursejSpecialistj
b. Familyjnursejpractitionerj
c. Pediatricjnursejpractitionerj
d. CertifiedjRegisteredjNursejAnesthetistj
j
ANS:jDj
Inj1931,jthejNationaljAssociationjofjNursejAnesthetistsj(NANA),jrenamedjinj1939jtojthejAmericanjA
ssociationjofjNursejAnesthetistsj(AANA)jwasjthejfirstjrecognizedjgroupjpromotingjadvancedjnursingj
practice.jAgathajHodginsjfoundedjthejAANMjatjLakesidejHospitaljinjCleveland,jOhio.j
j
j
4. WhichjfactorjisjbroadlyjperceivedjtojsolidifyjandjstandardizejthejrolejofjthejAPNsjoverjthejlastj25jy
ears?j
j
a. Lackjofjaccessjtojhealthjcarejprovidersj
b. Standardizedjcurriculumjdevelopmentj
c. Paymentjforjservicesj
d. Societaljforcesj
j
ANS:jBj
, AsjthejevolutionjofjAdvancedjPracticejNursingjadvancesjspecificjspecialtiesjandjneedsjarejidentified.j
ThroughjthejevolutionjofjorganizationjandjstandardizationjthesejrolesjhavejsolidifiedjthejAPN’sjroleji
njtoday’sjhealthjcarejenvironment.j
j
j
5. DuringjthejformationjofjearlyjAPNjrolesjinjanesthesia,jwhichjofjthejfollowingjincreasedjdemandjf
orjaccessjtojhealthjcare?j
j
a. Povertyj
b. Warj
c. Ruraljaccessjtojcarej
d. Availabilityjofjtrainingj
j
ANS:jBj
Earliestjdemandjforjnursing-
providedjanesthesiajspikedjduringjperiodsjofjwarjwhenjnumbersjofjphysiciansjwerejinadequate.jTheje
arliestjrecordsjdatejbackjtojthejAmericanjCiviljWarjwithjthejadministrationjofjchloroform.jDuringjWor
ldjWarjIjinj1917jmorejthanj1000jnurses,jsomejtrainedjanesthetists,jtraveledjintojbattle.jOtherjfactorsjsu
chjasjneedjforjruraljhealthjcarejcamejlaterjinjthejvalidationjandjneedjforjAPNs.j
j
j
6. Inj1889,jDr.jWilliamjWorralljMayojbuiltjandjopenedjSt.jMary’sjhospitaljinjRochester,jNY.jHejisjkn
ownjforjsomejofjthejearliestjrecruitmentjandjspecializedjtrainingjofjnursesjinjwhichjofjthejfollowin
gjroles?j
j
a. Pediatricsj
b. Anesthesiaj
c. Obstetricsj
d. Researchjandjstatisticsj
e. Familyjnursingj
j
j
ANS:jBj
Inj1889,jDr.jWilliamjWorralljMayojbeganjformallyjtrainingjandjrecognizingjnursejanesthetists.jThisjh
asjbeenjregardedjasjthejearliestjtrainingjinjnurse-providedjanesthesia.j
j
j
7. Inj1893,jLillianjWaldjestablishedjthejHenryjStreetjSettlementj(HSS)jHousejforjwhichjpurpose?j
j
a. Accessjtojhealthjcarejofjruraljareasj
b. Createjinner-cityjnursingjawarenessj
c. Providejthejdisadvantagedjaccessjtojcarej
d. Establishjguidelinesjforjadvancedjnursingjrolesj
j
ANS:jCj
ThejHHSjwasjestablishedjtojprovidejnursingjservicesjtojimmigrantsjandjlow-
incomejpatientsjandjtheirjfamiliesjinjManhattan.jAsjresistancejtojnurse-
providedjcarejgrew,jstandingjordersjwerejdraftedjfromjajgroupjofjLowerjEastjSidejphysiciansjtherebyjc
ircumventingjthen-existingjlegaljramifications.j
j
j
8. ThejFrontierjNursingjServicej(FNS)jfoundedjinjKentuckyjinj1925jbyjMaryjBreckenridgejinitiallyj
providedjAppalachiajwithjnursingjresourcesjandjwhichjtypejofjadvancedjnursingjcare?j
j
a. Pediatricjcarej
b. Anesthesiaj
, c. Midwiferyj
d. Surgicaljservicesj
j
ANS:jCj
ThejoriginaljFNSjprovidedjnursingjservicesjandjobstetricjservicesjtojAppalachianjresidents.jLaterjwor
kingjfromjstandardjordersjdevelopedjfromjtheirjmedicaljadvisoryjcommitteejnursesjtreatedjpatients,jm
adejdiagnoses,jandjdispensedjmedications.j
j
j
9. Whichjorganizationjfoundedjinj1941junderjMaryjBreckenridge’sjleadershipjmergedjwithjthejAme
ricanjCollegejofjNurse-Midwivesj(ACNM)jinj1969?j
j
a. AmericanjAssociationjofjNurse-Midwivesj(AANM)j
b. AmericanjNursesjAssociationj(ANA)j
c. AssociationjforjNationaljNurse-Midwiferyj(ANNM)j
d. CounciljofjNursingjMidwiferyj(ANM)j
ANS:jAj
ThejAmericanjCollegejofjNurse-Midwivesj(ACNM)jformedjunderjthejleadershipjofjMaryj
Breckenridgejinj1941jtojprovidejnurse-midwifejdevelopmentjandjcollaborationjforjmidwifej
j
development.jInj1955,jthejAmericanjCollegejofjNurse-
Midwivesjwasjformedjandjthejtwojorganizationsjmergedjinj1969jafterjthejdeathjofjMaryjBreckenridge
.j
j
j
10. InjajlandmarkjrulingjbyjthejSupremejCourtjasjajresultjofjChalmers-
Francesjv.jNelson,j1936,jwhatjlegaljprecedentjwasjestablished?j
j
a. Nursejanesthesiajwasjallowedjunderjthejnursejpracticejactj
b. Nursejanesthesiajscopejofjpracticejincludedjanesthesiaj
c. Nursejanesthesiajwasjlegal,jifjunderjguidancejofjajsupervisingjphysicianjd.jOnlyjtrainedjnursingj
professionalsjcouldjadministerjanesthesiajindependentlyj
j
ANS:jCj
ThejlandmarkjdecisionjfromjthejChalmers-
Francesjv.jNelsonjcasejsetjnationaljprecedentjforjthejadvancedjnursingjpracticejrole.jItjprovedjtojbejthej
basisjforjotherjcasesjoverjthejfollowingjfewjdecadesjandjestablishedjthatjtrainedjnursesjcouldjlegallyjpr
ovidejanesthesiajcarejunderjsupervisionjofjajphysician.j
j
j
11. Thejfirstjknownjestablishmentjofjthejnursejpractitionerjrolejoccurredjinj1965jatjthejUniversityjofjC
olorado.jInjwhichjareajofjtrainingjdidjthisjrolejspecialize?j
j
a. Pediatricsj
b. Geriatricsj
c. Midwiferyj
d. Anesthesiaj
j
ANS:jAj
Thejestablishmentjofjthejfirstjpediatricjnursejpractitionerjprogramjwasjinj1965jatjthejUniversityjofjCol
orado.jLorettajFord,jRNjandjHenryjSilver,jMDjprovidedjaj4-
monthjcoursejtojcertifiedjregisteredjnursesjtojprovidejeducationjonjmanagingjchildhoodjhealthjproble
ms.j
j
j