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Test Bank For Hamric & Hanson's Advanced Practice Nursing 7th Edition By Mary Fran Tracy, Eilee
Chapter 1-26
Test Bank For Hamric & Hanson's Advanced Practice
Nursing 7th Edition By Mary Fran Tracy, Eilee
Chapter 1-26
Full Test Bank
Chapter 01: History and Evolution of Advanced Practice
Nursing Tracy & O’Grady: Hamric & Hanson’s
Advanced Practice Nursing,7th Edition
MULTIPLE CHOICE
1. Which of the following is the best explanation for
the creation of theDoctorate 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.
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
,Test Bank For Hamric & Hanson's Advanced Practice Nursing 7th Edition By Mary Fran Tracy, Eilee
Chapter 1-26
ANS: B
In 1931, the National Association of Nurse Anesthetists (NANA), renamed in 1939
to the AmericanAssociation of Nurse Anesthetists (AANA) was the first recognized
group promoting advanced nursing practice. Agatha Hodgins founded the AANM at
Lakeside Hospital in Cleveland, Ohio.
3. Which factor is broadly perceived to solidify and standardize the role of the
APNs over the last 25years?
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.
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 ofphysicians 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 trainedanesthetists, traveled into
battle. Other factors such as need for rural health care came later in the
validation and need for APNs.
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 followingroles?
,Test Bank For Hamric & Hanson's Advanced Practice Nursing 7th Edition By Mary Fran Tracy, Eilee
Chapter 1-26
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.
6. In 1893, Lillian Wald established the Henry Street Settlement (HSS) House
for which primarypurpose?
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.
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.
, Test Bank For Hamric & Hanson's Advanced Practice Nursing 7th Edition By Mary Fran Tracy, Eilee
Chapter 1-26
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 midwifedevelopment. In 1955, the American College of Nurse-
Midwives was formed and the two organizations merged in 1969 after the death of
Mary Breckenridge.
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 supervision of a physician.
10. The first known establishment of the nurse practitioner role occurred in 1965 at the
University ofColorado. In which area of training did this role specialize?
a. Geriatrics
b. Pediatrics
c. Midwifery
d. Anesthesia
ANS: B
The establishment of the first pediatric nurse practitioner program was in 1965 at the
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