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Flashcards in Advanced Practice Role Deck (54)
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1

If the two broad-based goals of Healthy People 2010 are met, the nation will:
a) increase quality and years of healthy life span and eliminate health disparities
b) Increase healthy life span, increase access, and improve economics related to health for all Americans
c) increase healthy life span, reduce health disparities, and improve economics related to the health of all Americans
d) reduce health disparities, increase access to healthcare services, and make life more socially acceptable for all Americans

a) increase quality and years of healthy life span and eliminate health disparities

2

Which of the following objectives from Healthy People 2000 has not made progress towards achieving its targeted goal?
a) low birth weight
b) infant mortality
c) fetal mortality
d) screening for genetic disorders

a) low birth weight

3

Preventive health guidelines include references to:
a) immunizations, health screening, disease prophylaxis, and education
b) Immunizations, counseling, health screening, disease prophylaxis, and education
c) health screening, disease prophylaxis, counseling, and CPR
d) health screening, disease prophylaxis, education, immunizations, and CPR

b) Immunizations, counseling, health screening, disease prophylaxis, and education

4

Nursing's Agenda for Health Care Reform:
a) is supportive to equal access, cost effective, high quality care
b) is a mandate to all nurses in the US
c) Is a summary of nursing research related to healthcare reform
d) is a report of the status or nursing in the 1990's

a) is supportive to equal access, cost effective, high quality care

5

The nurse practitioner role was initially established to:
a) improve access to care and partially solve physician shortage
b) reduce the nursing shortage and improve access to care
c) improve working conditions of nurses while improving access to care
d) improve nursing's image through expansion of the role

a) improve access to care and partially solve physician shortage

6

Early nursing research focused on:
a) the response of policy makers to the nursing shortage
b) the effectiveness of the NP as a primary care giver
c) an effort to demonstrate quality and cost effectiveness of NP
d) the role of the NP as a physician extender

c) an effort to demonstrate quality and cost effectiveness of NP

7

Which of the following is not a major factor influencing healthcare delivery services?
a) provider
b) payers
c) insurers
d) agencies

d) agencies

8

All definitions of primary healthcare include:
a) the concept of universal access and accountability
b) the concept of universal access and AIDS prevention
c) the concept of universal access and a focus on self-responsibility for health
d) the concept of universal access and a focus on reimbursement for services rendered

a) the concept of universal access and accountability

9

Standards of practice are:
a) authoritative statements used to measure quality
b) used to measure outcome but are not authoritative
c) designed for legal purposes
d) not designed for legal purposes and cannot be used to measure quality

a) authoritative statements used to measure quality

10

Quality improvement activities include:
a) patient satisfaction surveys only
b) peer review, patient satisfaction surveys, chart audits
c) defining four practice domains
d) systems to decrease risk of injury to patients

b) peer review, patient satisfaction surveys, chart audits

11

Most risk management programs are based on the assumption that:
a) many injuries to patients are preventable
b) most legal liability is a result of poor documentation
c) most injuries to patients are not preventable
d) malpractice insurance is generally unnecessary

a) many injuries to patients are preventable

12

If an APRN practices beyond his/her scope:
a) malpractice insurance will protect him/her from a charge of practicing medicine without a license
b) malpractice insurance will not protect him/her from a charge of practicing medicine without a license
c) he or she is legally accountable to the certifying body
d) the collaborating physician is legally accountable to the certifying body

b) malpractice insurance will not protect him/her from a charge of practicing medicine without a license

13

Standards of practice may be used to:
a) establish minimal levels of performance
b) establish reimbursement schemes
c) mandate nursing practice across the nation
d) mandate nursing practice in certain states

a) establish minimal levels of performance

14

Scope of practice:
a) is identical across the states
b) is determined by the federal government
c) is mandated by the federal government
d) varies from state to state

d) varies from state to state

15

Medicaid provides health insurance coverage to:
a) certain categories of people whose personal income falls below the federal poverty level
b) anyone whose personal income falls below the federal poverty level
c) newborns, pregnant women, and those over 65 whose personal income falls below the federal poverty level
d) those who are elderly

a) certain categories of people whose personal income falls below the federal poverty level

16

Medicaid reimbursement is available to an APRN:
a) practicing in federally designated areas
b) at a rate that is between 70% and 100% of the physician rate
c) only if the APRN is in collaborative practice with a physician
d) practicing in nursing homes only

b) at a rate that is between 70% and 100% of the physician rate

17

Medicare reimbursement for services:
a) is not dependent on the patient's income level
b) depends on the patient's income level
c) is not available to APRN under any circumstances
d) is only available to APRN who is in collaborative practice with a physician

a) is not dependent on the patient's income level

18

Medicare Part A covers:
a) hospital, SNF, and hospice care
b) all medically necessary services
c) SNF care only
d) hospice care only

a) hospital, SNF, and hospice care

19

Medicare Part B covers:
a) all medically necessary services
b) inpatient hospital care only
c) outpatient physician services only
d) SNF and hospice care

a) all medically necessary services

20

To receive Medicare reimbursement, APRN must:
a) be nationally certified and maintain prescriptive privileges
b) maintain a current license in the state in which they are practicing
c) practice in a designated medially under-served area
d) practice with a physician

b) maintain a current license in the state in which they are practicing

21

The term "incident to" refers to:
a) the occasions when an APRN practices independently but occasionally consults with a physician
b) the notion that the physician must be present in the office suite and immediately available to provide assistance in order for the APRN to bill for services rendered
c) the notion that a physician must examine the patient along with the APRN if Medicare is to be billed for services rendered
d) Medicaid only and is not pertinent to Medicare billing

b) the notion that the physician must be present in the office suite and immediately available to provide assistance in order for the APRN to bill for services rendered

22

"Incident to" billing is specific to:
a) Medicare
b) Medicaid
c) Medicare and Medicaid
d) Private insurance companies

a) Medicare

23

The Civilian Health and Medical Program of the United States (CHAMPUS):
a) is a federal health plan which covers health care for military personnel and their families and recognizes APRN as reimbursable provider
b) is a federal health plan which covers health care for military personnel and recognizes APRN as reimbursable provider
c) does not recognize APRN as reimbursable provider
d) only covers hospital expenses for military personnel and their families

a) is a federal health plan which covers health care for military personnel and their families and recognizes APRN as reimbursable provider

24

The knowledge base of the APRN is based on:
a) medical content
b) theoretical content
c) scientific content and theory
d) theory and research

c) scientific content and theory

25

The role of the APRN has traditionally focused on:
a) the delivery of primary health care to all people
b) the delivery of acute health care to all people
c) chronic care
d) the medical model

a) the delivery of primary health care to all people

26

The nurse practitioner role began:
a) with the establishment of a pediatric nurse practitioner program in an effort to expand the role of the RN in order to meet the needs of the children of the nation
b) as a result of the new entitlement programs, Medicare and Medicaid
c) when it was evident that the medical schools across the US could not prepare enough family practitioners to meet the nation's needs
d) as an experimental program at Duke University

a) with the establishment of a pediatric nurse practitioner program in an effort to expand the role of the RN in order to meet the needs of the children of the nation

27

Legal authority for APRN practice is granted by:
a) federal law
b) regulations from the Department of Health and Human Services
c) state law and regulations
d) the Board of Medicine in most states

c) state law and regulations

28

Direct reimbursement to APRN has resulted in:
a) increased access to cost-effective, quality primary care
b) increased malpractice claims against APRN
c) decreased consumer choice of healthcare providers
d) proliferation of APRN in independent practice

a) increased access to cost-effective, quality primary care

29

Malpractice insurance:
a) protects an APRN from charges of practicing medicine without a license when they are practicing outside their scope
b) does not protect an APRN from charges of practicing medicine without a license when they are practicing outside their scope
c) does not pay for legal defense if the APRN is practicing beyond the legal scope
d) is important, but should not be purchased if the facility in which the APRN is employed carries good coverage

b) does not protect an APRN from charges of practicing medicine without a license when they are practicing outside their scope

30

Collaborative practice:
a) limits autonomy and not reasonable in current managed care environment
b) will enhance quality of care and improve patient outcomes
c) will limit consumer choice of providers
d) excludes the concept of interdisciplinary teams

b) will enhance quality of care and improve patient outcomes