TestBank Hamric and Hanson’s Advanced Practice Nursing – 6th Edition (Mary Fran Tracy & Eileen T. O’Grady) – Complete Exam Preparation Material

TEST BANk FOR
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HamrickandkHanson'skAdvancedkPracticekNursingk6thkEditionkbyk
MarykFrankTracy,kEileenkT.kO'Gradykk
kx
k


TablexofxContentsxk
PartxI:xHistoricalxandxDevelopmentalxAspectsxofxAdvancedxPracticexNursingxk
Chapterx1:xHighlightsxfromxthexHistoryxofxAdvancedxPracticexNursingxinxthexk
UnitedxStatesxk
Chapterx2:xConceptualizationsxofxAdvancedxPracticexNursingxk
Chapterx3:xAxDefinitionxofxAdvancedxPracticexNursingxk
Chapterx4:xRolexDevelopmentxofxthexAdvancedxPracticexNursexk
Chapterx5:xEvolvingxandxInnovativexOpportunitiesxforxAdvancedxPracticexk
Nursingxk




Chapterx6:xInternationalxDevelopmentxofxAdvancedxPracticexNursingxNEWxmorexglobalxfocusxk
PartxII:xCompetenciesxofxAdvancedxPracticexNursingxk
Chapterx7:xDirectxClinicalxPracticexk
Chapterx8:xCoachingxandxGuidancexk
Chapterx9:xConsultationxk
Chapterx10:xEvidence-BasedxPracticexandxResearchxk
Chapterx11:xLeadershipxk
Chapterx12:xCollaborationxNEWxemphasisxonxinterprofessionalxcollaborativexpracticexk
Chapterx13:xEthicalxDecisionxMakingxk
PartxIII:xAdvancedxPracticexRoles:xThexOperationalxDefinitionsxofxAdvancedxPracticexNursingxk
Chapterx14:xThexClinicalxNursexSpecialistxk
Chapterx15:xThexPrimaryxCarexNursexPractitionerxk
Chapterx16:xThexAcutexCarexNursexPractitionerxk
Chapterx17:xThexCertifiedxNurse-Midwifexk
Chapterx18:xThexCertifiedxRegisteredxNursexAnesthetistxk
PartxIV:xCriticalxElementsxinxManagingxAdvancedxNursingxPracticexEnvironmentsxk
Chapterx19:xBusinessxPlanningxandxReimbursementxMechanismsxk
Chapterx20:xMarketingxandxNegotiationxk

, Chapterx21:xUnderstandingxRegulatory,xLegal,xandxCredentialingxRequirementsxk
Chapterx22:xHealthxPolicyxIssuesxinxChangingxEnvironmentsxkChapterx23:xAnxIntegrativexReviewxofx
APRNxOutcomesxandxPerformancexImprovementxk
Chapterx24:xUsingxOutcomesxandxPerformancexImprovementxDataxtoxEvaluatexandxImprovexPracticke
xk



Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition Chapt er 1: Hi
x x x x x x x x x k x x


ghlightsxfromxthexHistoryxofxAdvancedxPracticexNursingxinxthexUnitedxStatesxk
k

MultiplexChoicexk
xk
xk

1. InxwhichxyearxdidxthexAmericanxAssociationxofxCollegexofxNursingx(AACN)xintroducedxthexDo
ctkoratexofxNursingxPracticex(DNP)?xk
xk

a. 2006xk
b. 2004xk
c. 2000xk
d. 2002xk
xk

ANS:xBxk
ThexAACNxintroducedxthexDNPxdegreexinx2004xtoxpreparexadvancedxpracticexnursesx(APRNs)xtoxm
keetxchallengesxandxstandardizexpracticexbeyondxmaster’sxdegreexprograms.xkxkxk

2. WhichxofxthexfollowingxisxthexbestxexplanationxforxthexcreationxofxthexDoctoratexofxNursingxPrac
tikcex(DNP)xdegree?xk
xk

a. Toxcompetexagainstxmaster’sxdegreexprogramsxk
b. Toxensurexstandardizedxcurriculumxensuringxindependentxpracticexk
c. ToxvalidatexAPRN’sxforxfinancialxreimbursementxk
d. Toxaddressxincreasingxcurriculumxrequirementsxofxmaster’sxdegreexprogramsxk
xk

ANS:xDxk
AlthoughxallxanswersxarexinfluencedxbyxthexDNPxcorexcompetencies,xthexDNPxprogramxcreationxinxk
2004xbyxthexAACNxwasxdesignedxtoxaddressxcurriculumxrequirementsxofxmaster’sxdegreexprograms
.kxkxkxk
3. Whichxofxthexfollowingxwasxthexfirstxrecognizedxareaxofxadvancedxpracticexnursing?xkxk
a. ClinicalxNursexSpecialistxk
b. Familyxnursexpractitionerxk
c. Pediatricxnursexpractitionerxk
d. CertifiedxRegisteredxNursexAnesthetistxk
xk

ANS:xDxk
Inx1931,xthexNationalxAssociationxofxNursexAnesthetistsx(NANA),xrenamedxinx1939xtoxthexAmericak
nxAssociationxofxNursexAnesthetistsx(AANA)xwasxthexfirstxrecognizedxgroupxpromotingxadvancedxnk
ursingxpractice.xAgathaxHodginsxfoundedxthexAANMxatxLakesidexHospitalxinxCleveland,xOhio.xkxkxk
4. WhichxfactorxisxbroadlyxperceivedxtoxsolidifyxandxstandardizexthexrolexofxthexAPNsxoverxthexlastx
25xyears?xk
xk

a. Lackxofxaccessxtoxhealthxcarexprovidersxk

,xk




b. Standardizedxcurriculumxdevelopmentxk
c. Paymentxforxservicesxk
d. Societalxforcesxk
ANS:xBxk
AsxthexevolutionxofxAdvancedxPracticexNursingxadvancesxspecificxspecialtiesxandxneedsxarexidentifi
ked.xThroughxthexevolutionxofxorganizationxandxstandardizationxthesexrolesxhavexsolidifiedxthexAPN’k

sxrolexinxtoday’sxhealthxcarexenvironment.xkxkxk
5. DuringxthexformationxofxearlyxAPNxrolesxinxanesthesia,xwhichxofxthexfollowingxincreasedxdeman
dxforxaccessxtoxhealthxcare?xk
xk

a. Povertyxk
b. Warxk
c. Ruralxaccessxtoxcarexk
d. Availabilityxofxtrainingxk
xk

ANS:xBxk
Earliestxdemandxforxnursingprovidedxanesthesiaxspikedxduringxperiodsxofxwarxwhenxnumbersxofxph
ysiciansxwerexinadequate.xThkexearliestxrecordsxdatexbackxtoxthexAmericanxCivilxWarxwithxthexadmini
strationxofxchloroform.xDurinkgxWorldxWarxIxinx1917xmorexthanx1000xnurses,xsomextrainedxanesthetist
s,xtraveledxintoxbattle.xOtherxkfactorsxsuchxasxneedxforxruralxhealthxcarexcamexlaterxinxthexvalidationxan
dxneedxforxAPNs.xkxkxk
6. Inx1889,xDr.xWilliamxWorrallxMayoxbuiltxandxopenedxSt.xMary’sxhospitalxinxRochester,xNY.xHexi
ksxknownxforxsomexofxthexearliestxrecruitmentxandxspecializedxtrainingxofxnursesxinxwhichxofxthexf


kollowingxroles?xk
xk

a. Pediatricsxk
b. Anesthesiaxk
c. Obstetricsxk
d. Researchxandxstatisticsxk
e. Familyxnursingxkxkxk
ANS:xBxk
Inx1889,xDr.xWilliamxWorrallxMayoxbeganxformallyxtrainingxandxrecognizingxnursexanesthetists.xTh
i
sxhasxbeenxregardedxasxthexearliestxtrainingxinxnurse-
providedxanesthesia.xkxkxk
7. Inx1893,xLillianxWaldxestablishedxthexHenryxStreetxSettlementx(HSS)xHousexforxwhichxpurpose?
xkx
k

a. Accessxtoxhealthxcarexofxruralxareasxk
b. Createxinner-cityxnursingxawarenessxk
c. Providexthexdisadvantagedxaccessxtoxcarexk
d. Establishxguidelinesxforxadvancedxnursingxrolesxk
xk

ANS:xCxk
ThexHHSxwasxestablishedxtoxprovidexnursingxservicesxtoximmigrantsxandxlowincomexpatientsxandxth
eirxfamiliesxinxManhattan.xAsxresistancextoxnurseprovidedxcarexgrew,xstandingxordersxwerexdraftedxfr

, omxaxgroupxofxLowerxEastxSidexphysiciansxtherekbyxcircumventingxthen-
existingxlegalxramifications.xkxkxk
8. ThexFrontierxNursingxServicex(FNS)xfoundedxinxKentuckyxinx1925xbyxMaryxBreckenridgexinitia
kllyxprovidedxAppalachiaxwithxnursingxresourcesxandxwhichxtypexofxadvancedxnursingxcare?xkxk

a. Pediatricxcarexk
b. Anesthesiaxk
c. Midwiferyxk
d. Surgicalxservicesxk
xk

ANS:xCxk
ThexoriginalxFNSxprovidedxnursingxservicesxandxobstetricxservicesxtoxAppalachianxresidents.xLaterxk
workingxfromxstandardxordersxdevelopedxfromxtheirxmedicalxadvisoryxcommitteexnursesxtreatedxpatik
ents,xmadexdiagnoses,xandxdispensedxmedications.xkxkxk
9. Whichxorganizationxfoundedxinx1941xunderxMaryxBreckenridge’sxleadershipxmergedxwithxthexA
kmericanxCollegexofxNurse-Midwivesx(ACNM)xinx1969?xk
xk

a. AmericanxAssociationxofxNurse-Midwivesx(AANM)xk
b. AmericanxNursesxAssociationx(ANA)xk
c. AssociationxforxNationalxNurse-Midwiferyx(ANNM)xk
d. CouncilxofxNursingxMidwiferyx(ANM)xk
ANS:xAxk
ThexAmericanxCollegexofxNurse-Midwivesx(ACNM)xformedxunderxthexleadershipxofxMaryxk
Breckenridgexinx1941xtoxprovidexnurse-
midwifexdevelopmentxandxcollaborationxforxmidwifexkxk
development.xInx1955,xthexAmericanxCollegexofxNurse-
Midwivesxwasxformedxandxthextwoxorganizationsxmergedxinx1969xafterxthexdeathxofxMaryxBreckenri
kdge.xk
xk
xk

10. InxaxlandmarkxrulingxbyxthexSupremexCourtxasxaxresultxofxChalmersFrancesxv.xNelson,x1936,xwh
atxlegalxprecedentxwasxestablished?xk
xk

a. Nursexanesthesiaxwasxallowedxunderxthexnursexpracticexactxk
b. Nursexanesthesiaxscopexofxpracticexincludedxanesthesiaxk
c. Nursexanesthesiaxwasxlegal,xifxunderxguidancexofxaxsupervisingxphysicianxd.xOnlyxtrainedxnurs
ingxprofessionalsxcouldxadministerxanesthesiaxindependentlyxk
xk

ANS:xCxk
ThexlandmarkxdecisionxfromxthexChalmers-
Francesxv.xNelsonxcasexsetxnationalxprecedentxforxthexadvancedxnursingxpracticexrole.xItxprovedxtoxbe
kxthexbasisxforxotherxcasesxoverxthexfollowingxfewxdecadesxandxestablishedxthatxtrainedxnursesxcouldxlk

egallyxprovidexanesthesiaxcarexunderxsupervisionxofxaxphysician.xkxkxk
11. Thexfirstxknownxestablishmentxofxthexnursexpractitionerxrolexoccurredxinx1965xatxthexUniversityx
ofxColorado.xInxwhichxareaxofxtrainingxdidxthisxrolexspecialize?xk
xk

a. Pediatricsxk
b. Geriatricsxk
c. Midwiferyxk