Test Bank for Hamric & Hanson's Advanced Practice Nursing, 7th Edition by Mary Fran Tracy
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Course
Practice Nursing
Institution
Practice Nursing
Test Bank for Hamric & Hanson's Advanced Practice Nursing, 7th Edition 7e by Mary Fran Tracy, Eileen T. O'Grady, Susanne J. Phillips. ISBN-13: 7117
Full Chapters test bank are included - Chap 1 to 23 (Complete chapters test bank)
1 HISTORY AND EVOLUTION OF ADVANCED PRACTICE NURSING
2 CONCEPT...
1.Which of the following is the best explanation for the creation of the
Doctorate of Nursing Practice (DNP) degree?
a. To validate APRN's for financial reimbursement
b. To address increasing curriculum requirements of master's degree
programs
c. To compete against master's degree programs
d. To ensure standardized curriculum ensuring independent practice
ANS: b
Although all answers are influenced by the DNP core competencies, the
DNP program creation in 2004 by the American Association of Colleges
of Nursing (AACN) was designed to address curriculum requirements of
master's degree programs.
PTS: 1
2.Which of the following was the first recognized area of advanced
practice nursing?
a. Clinical Nurse Specialist
b. Certified Registered Nurse Anesthetist
c. Family Nurse practitioner
d. Pediatric Nurse practitioner
ANS: b
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.
PTS: 1
3. Which factor is broadly perceived to solidify and standardize the role
of the APNs over the last 25 years?
,a. Societal forces
b. Lack of access to health care providers
c. Payment for services
d. Standardized curriculum development
ANS: d
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.
PTS: 1
4. During the formation of early APN roles in anesthesia, which of the
following increased demand for access to health care?
a. War
b. Poverty
c. Rural access to care
d. Availability of training
ANS: a
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.
PTS: 1
5. 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. Obstetrics
b. Anesthesia
,c. Family nursing
d. Pediatrics
e. Research and statistics
ANS: 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.
PTS: 1
6.In 1893, Lillian Wald established the Henry Street Settlement (HSS)
House for which primary purpose?
a. Access to health care of rural areas
b. Provide the disadvantaged access to care
c. Establish guidelines for advanced nursing roles
d. Create inner-city nursing awareness
ANS: b
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.
PTS: 1
7.The Frontier Nursing Service (FNS) founded in Kentucky in 1925 by
Mary Breckenridge initially provided Appalachia with which type of
advanced nursing care?
a. Surgical services
b. Pediatric care
c. Anesthesia
d. Midwifery
ANS: d
The original FNS provided midwifery in addition to other nursing
services to Appalachian residents. Later working from standard orders
, developed from their medical advisory committee nurses treated
patients, made diagnoses, and dispensed medications.
PTS: 1
8. Which organization founded in 1941 under Mary Breckenridge's
leadership merged with the American College of Nurse-Midwives
(ACNM) in 1969?
a. Association for National Nurse-Midwifery (ANNM)
b. American Association of Nurse-Midwives (AANM)
c. American Nurses Association (ANA)
d. Council of Nursing Midwifery (ANM)
ANS: b
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.
PTS: 1
9. 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 was legal, if under guidance of a supervising
physician
c. Nurse anesthesia scope of practice included anesthesia
d. Only trained nursing professionals could administer anesthesia
independently
ANS: b
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
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