Test Bank for Hamric and Hanson's Advanced Practice Nursing (by Mary Fran Tracy, Eileen T. O'Grady)

TEST BANK FOR
x x xx


HamricxandxHanson'sxAdvancedxPracticexNursingx6thxEditionxby
x MaryxFranxTracy,xEileenxT.xO'Gradyx

x


TablexofxContentsx
PartxI:xHistoricalxandxDevelopmentalxAspectsxofxAdvancedxPracticexNursingx
Chapterx1:xHighlightsxfromxthexHistoryxofxAdvancedxPracticexNursingxinxthex
UnitedxStatesx
Chapterx2:xConceptualizationsxofxAdvancedxPracticexNursingx
Chapterx3:xAxDefinitionxofxAdvancedxPracticexNursingx
Chapterx4:xRolexDevelopmentxofxthexAdvancedxPracticexNursex
Chapterx5:xEvolvingxandxInnovativexOpportunitiesxforxAdvancedxPracticex
Nursingx




Chapterx6:xInternationalxDevelopmentxofxAdvancedxPracticexNursingxNEWxmorexglobalxfocusx
PartxII:xCompetenciesxofxAdvancedxPracticexNursingx
Chapterx7:xDirectxClinicalxPracticex
Chapterx8:xCoachingxandxGuidancex
Chapterx9:xConsultationx
Chapterx10:xEvidence-BasedxPracticexandxResearchx
Chapterx11:xLeadershipx
Chapterx12:xCollaborationxNEWxemphasisxonxinterprofessionalxcollaborativexpracticex
Chapterx13:xEthicalxDecisionxMakingx
PartxIII:xAdvancedxPracticexRoles:xThexOperationalxDefinitionsxofxAdvancedxPracticexNursingx
Chapterx14:xThexClinicalxNursexSpecialistx
Chapterx15:xThexPrimaryxCarexNursexPractitionerx
Chapterx16:xThexAcutexCarexNursexPractitionerx
Chapterx17:xThexCertifiedxNurse-Midwifex
Chapterx18:xThexCertifiedxRegisteredxNursexAnesthetistx
PartxIV:xCriticalxElementsxinxManagingxAdvancedxNursingxPracticexEnvironmentsx
Chapterx19:xBusinessxPlanningxandxReimbursementxMechanismsx
Chapterx20:xMarketingxandxNegotiationx
Chapterx21:xUnderstandingxRegulatory,xLegal,xandxCredentialingxRequirementsx
Chapterx22:xHealthxPolicyxIssuesxinxChangingxEnvironmentsx

, Chapterx23:xAnxIntegrativexReviewxofxAPRNxOutcomesxandxPerformancexImprovementx
Chapterx24:xUsingxOutcomesxandxPerformancexImprovementxDataxtoxEvaluatexandxImprovexPractic
ex
Tracy: Hamric & Hanson's Advanced Practice Nursing, 6th Edition Chapt
x x x x x x x x x


erx1:xHighlightsxfromxthexHistoryxofxAdvancedxPracticexNursingxinxthexUnitedxStatesx

MultiplexChoicex
x
x

1. InxwhichxyearxdidxthexAmericanxAssociationxofxCollegexofxNursingx(AACN)xintroducedxthexDoct
oratexofxNursingxPracticex(DNP)?x
x

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

ANS:xBx
ThexAACNxintroducedxthexDNPxdegreexinx2004xtoxpreparexadvancedxpracticexnursesx(APRNs)xtoxm
eetxchallengesxandxstandardizexpracticexbeyondxmaster’sxdegreexprograms.x
x
x

2. WhichxofxthexfollowingxisxthexbestxexplanationxforxthexcreationxofxthexDoctoratexofxNursingxPracti
cex(DNP)xdegree?x
x

a. Toxcompetexagainstxmaster’sxdegreexprogramsx
b. Toxensurexstandardizedxcurriculumxensuringxindependentxpracticex
c. ToxvalidatexAPRN’sxforxfinancialxreimbursementx
d. Toxaddressxincreasingxcurriculumxrequirementsxofxmaster’sxdegreexprogramsx
x

ANS:xDx
AlthoughxallxanswersxarexinfluencedxbyxthexDNPxcorexcompetencies,xthexDNPxprogramxcreationxinx
2004xbyxthexAACNxwasxdesignedxtoxaddressxcurriculumxrequirementsxofxmaster’sxdegreexprograms.
x
x
x

3. Whichxofxthexfollowingxwasxthexfirstxrecognizedxareaxofxadvancedxpracticexnursing?x
x

a. ClinicalxNursexSpecialistx
b. Familyxnursexpractitionerx
c. Pediatricxnursexpractitionerx
d. CertifiedxRegisteredxNursexAnesthetistx
x

ANS:xDx
Inx1931,xthexNationalxAssociationxofxNursexAnesthetistsx(NANA),xrenamedxinx1939xtoxthexAmerica
nxAssociationxofxNursexAnesthetistsx(AANA)xwasxthexfirstxrecognizedxgroupxpromotingxadvancedxn
ursingxpractice.xAgathaxHodginsxfoundedxthexAANMxatxLakesidexHospitalxinxCleveland,xOhio.x
x
x

4. WhichxfactorxisxbroadlyxperceivedxtoxsolidifyxandxstandardizexthexrolexofxthexAPNsxoverxthexlastx
25xyears?x
x

a. Lackxofxaccessxtoxhealthxcarexprovidersx
b. Standardizedxcurriculumxdevelopmentx
c. Paymentxforxservicesx
d. Societalxforcesx

,x

ANS:xBx
AsxthexevolutionxofxAdvancedxPracticexNursingxadvancesxspecificxspecialtiesxandxneedsxarexidentifi
ed.xThroughxthexevolutionxofxorganizationxandxstandardizationxthesexrolesxhavexsolidifiedxthexAPN’
sxrolexinxtoday’sxhealthxcarexenvironment.x
x
x

5. DuringxthexformationxofxearlyxAPNxrolesxinxanesthesia,xwhichxofxthexfollowingxincreasedxdeman
dxforxaccessxtoxhealthxcare?x
x

a. Povertyx
b. Warx
c. Ruralxaccessxtoxcarex
d. Availabilityxofxtrainingx
x

ANS:xBx
Earliestxdemandxforxnursing-
providedxanesthesiaxspikedxduringxperiodsxofxwarxwhenxnumbersxofxphysiciansxwerexinadequate.xTh
exearliestxrecordsxdatexbackxtoxthexAmericanxCivilxWarxwithxthexadministrationxofxchloroform.xDurin
gxWorldxWarxIxinx1917xmorexthanx1000xnurses,xsomextrainedxanesthetists,xtraveledxintoxbattle.xOtherx
factorsxsuchxasxneedxforxruralxhealthxcarexcamexlaterxinxthexvalidationxandxneedxforxAPNs.x
x
x

6. Inx1889,xDr.xWilliamxWorrallxMayoxbuiltxandxopenedxSt.xMary’sxhospitalxinxRochester,xNY.xHexi
sxknownxforxsomexofxthexearliestxrecruitmentxandxspecializedxtrainingxofxnursesxinxwhichxofxthexf
ollowingxroles?x
x

a. Pediatricsx
b. Anesthesiax
c. Obstetricsx
d. Researchxandxstatisticsx
e. Familyxnursingx
x

x

ANS:xBx
Inx1889,xDr.xWilliamxWorrallxMayoxbeganxformallyxtrainingxandxrecognizingxnursexanesthetists.xThi
sxhasxbeenxregardedxasxthexearliestxtrainingxinxnurse-providedxanesthesia.x
x
x

7. Inx1893,xLillianxWaldxestablishedxthexHenryxStreetxSettlementx(HSS)xHousexforxwhichxpurpose?
x
x

a. Accessxtoxhealthxcarexofxruralxareasx
b. Createxinner-cityxnursingxawarenessx
c. Providexthexdisadvantagedxaccessxtoxcarex
d. Establishxguidelinesxforxadvancedxnursingxrolesx
x

ANS:xCx
ThexHHSxwasxestablishedxtoxprovidexnursingxservicesxtoximmigrantsxandxlow-
incomexpatientsxandxtheirxfamiliesxinxManhattan.xAsxresistancextoxnurse-
providedxcarexgrew,xstandingxordersxwerexdraftedxfromxaxgroupxofxLowerxEastxSidexphysiciansxthere
byxcircumventingxthen-existingxlegalxramifications.x
x
x

8. ThexFrontierxNursingxServicex(FNS)xfoundedxinxKentuckyxinx1925xbyxMaryxBreckenridgexinitia
llyxprovidedxAppalachiaxwithxnursingxresourcesxandxwhichxtypexofxadvancedxnursingxcare?x
x

, a. Pediatricxcarex
b. Anesthesiax
c. Midwiferyx
d. Surgicalxservicesx
x

ANS:xCx
ThexoriginalxFNSxprovidedxnursingxservicesxandxobstetricxservicesxtoxAppalachianxresidents.xLaterx
workingxfromxstandardxordersxdevelopedxfromxtheirxmedicalxadvisoryxcommitteexnursesxtreatedxpati
ents,xmadexdiagnoses,xandxdispensedxmedications.x
x
x

9. Whichxorganizationxfoundedxinx1941xunderxMaryxBreckenridge’sxleadershipxmergedxwithxthexA
mericanxCollegexofxNurse-Midwivesx(ACNM)xinx1969?x
x

a. AmericanxAssociationxofxNurse-Midwivesx(AANM)x
b. AmericanxNursesxAssociationx(ANA)x
c. AssociationxforxNationalxNurse-Midwiferyx(ANNM)x
d. CouncilxofxNursingxMidwiferyx(ANM)x
ANS:xAx
ThexAmericanxCollegexofxNurse-Midwivesx(ACNM)xformedxunderxthexleadershipxofxMaryx
Breckenridgexinx1941xtoxprovidexnurse-midwifexdevelopmentxandxcollaborationxforxmidwifex
x

development.xInx1955,xthexAmericanxCollegexofxNurse-
Midwivesxwasxformedxandxthextwoxorganizationsxmergedxinx1969xafterxthexdeathxofxMaryxBreckenri
dge.x
x
x

10. InxaxlandmarkxrulingxbyxthexSupremexCourtxasxaxresultxofxChalmers-
Francesxv.xNelson,x1936,xwhatxlegalxprecedentxwasxestablished?x
x

a. Nursexanesthesiaxwasxallowedxunderxthexnursexpracticexactx
b. Nursexanesthesiaxscopexofxpracticexincludedxanesthesiax
c. Nursexanesthesiaxwasxlegal,xifxunderxguidancexofxaxsupervisingxphysicianxd.xOnlyxtrainedxnurs
ingxprofessionalsxcouldxadministerxanesthesiaxindependentlyx
x

ANS:xCx
ThexlandmarkxdecisionxfromxthexChalmers-
Francesxv.xNelsonxcasexsetxnationalxprecedentxforxthexadvancedxnursingxpracticexrole.xItxprovedxtoxbe
xthexbasisxforxotherxcasesxoverxthexfollowingxfewxdecadesxandxestablishedxthatxtrainedxnursesxcouldxl

egallyxprovidexanesthesiaxcarexunderxsupervisionxofxaxphysician.x
x
x

11. Thexfirstxknownxestablishmentxofxthexnursexpractitionerxrolexoccurredxinx1965xatxthexUniversityx
ofxColorado.xInxwhichxareaxofxtrainingxdidxthisxrolexspecialize?x
x

a. Pediatricsx
b. Geriatricsx
c. Midwiferyx
d. Anesthesiax
x

ANS:xAx
Thexestablishmentxofxthexfirstxpediatricxnursexpractitionerxprogramxwasxinx1965xatxthexUniversityxofx
Colorado.xLorettaxFord,xRNxandxHenryxSilver,xMDxprovidedxax4-
monthxcoursextoxcertifiedxregisteredxnursesxtoxprovidexeducationxonxmanagingxchildhoodxhealthxpro
blems.x