Question 1

Upon moving to a new city, an advanced practice registered nurse (APRN) notices that there are many county regulations that expand children's access to health-care services. Which of the following influenced the development of the regulations? Select all that apply.

A) A significant percentage of children in the county lacked health insurance.
B) Community members developed policies to provide accessible health care.
C) The incidence of vaccine-preventable illness among children was increasing.
D) Key stakeholders and policymakers viewed children as a vulnerable population.
E) The county board held a town hall meeting to discuss children's health-care services.

A significant percentage of children in the county lacked health insurance.
The incidence of vaccine-preventable illness among children was increasing.
Key stakeholders and policymakers viewed children as a vulnerable population.
The county board held a town hall meeting to discuss children's health-care services.

Accepted Answer

A significant percentage of children in the county lacked health insurance.
The incidence of vaccine-preventable illness among children was increasing.
Key stakeholders and policymakers viewed children as a vulnerable population.
The county board held a town hall meeting to discuss children's health-care services.

Question 2

Which of the following best explains an advanced practice registered nurse's (APRN's) decision to ask a legislator to support a bill that eliminates the requirement for collaborative agreements?&#10;A) Limited scope of practice&#10;B) Obligation to social contract&#10;C) Responsibility to lead others&#10;D) Ability to influence health policy

Accepted Answer

APRNs may seek to eliminate the requirement for collaborative agreements to expand their scope of practice and autonomy, allowing them to more directly influence health policy and patient care. This action aligns with their role in advocating for policies that improve healthcare access and outcomes.

Question 3

A nurse practitioner (NP) is moving to a state that requires physician supervision of all advanced practice registered nurses (APRNs) and has a strong medical lobbying group. The lobbying group's influence represents which of the following?

A) Barriers to independent practice
B) Physician resistance to APRN autonomy
C) Effect of political processes on health-care policy
D) Legislators' lack of understanding of APRN roles

Legislators' lack of understanding of APRN roles

Accepted Answer

Legislators' lack of understanding of APRN roles&#10;

Question 4

Which requirement of the Affordable Care Act (ACA) improves access to health-care services provided by nurse practitioners (NPs)?&#10;A) Face-to-face certification&#10;B) Medicare reimbursement&#10;C) Collaborative agreements&#10;D) Nondiscrimination provision

Accepted Answer

The nondiscrimination provision of the Affordable Care Act (ACA) improves access to health-care services provided by nurse practitioners (NPs) by preventing insurance companies from discriminating against health care providers operating within their scope of practice. This means insurers must cover services provided by NPs just as they would for similar services provided by physicians, thereby improving access to NP-provided healthcare services.

Question 5

An advanced practice registered nurse (APRN) is talking with a legislator about the need for a primary care clinic in an underserved area. Which of the following points should the APRN include to gain the legislator's support? Select all that apply.

A) Access to a regular primary care provider improves chronic disease management.
B) Primary care reduces costs related to complications of untreated health conditions.
C) APRNs are educated to provide the same level of care as primary care physicians.
D) Direct reimbursement of APRNs by third-party payers reduces costs to the state.
E) Improved access to care enables APRNs to address environmental causes of disease.

Accepted Answer

The answer of An advanced practice registered nurse (APRN) is...

Question 6

An advanced practice registered nurse (APRN) is talking with a legislator about the need for a primary care clinic in an underserved area. Which of the following points should the APRN include to gain the legislator's support? Select all that apply.

A) Access to a regular primary care provider improves chronic disease management.
B) Primary care reduces costs related to complications of untreated health conditions.
C) APRNs are educated to provide the same level of care as primary care physicians.
D) Direct reimbursement of APRNs by third-party payers reduces costs to the state.
E) Improved access to care enables APRNs to address environmental causes of disease.

Accepted Answer

Nurse Practitioners (NPs) can provide a wide range of healthcare services, including diagnosis and management of common medical conditions. Hiring an NP can expand access to care for patients at a lower cost compared to other healthcare providers, such as physicians, due to factors like lower salary demands and the ability to perform many of the same services. This cost-effectiveness is particularly valuable in primary care settings.

Question 7

A nurse practitioner (NP) identifies that advanced practice registered nurses (APRNs) in the state have reduced practice authority. The NP recognizes that full practice authority includes which of the following? Select all that apply.

A) Title recognition
B) Prescriptive authority
C) Physician supervision
D) Collaborative agreement
E) Ability to diagnose patients

Accepted Answer

Full practice authority for APRNs includes prescriptive authority and the ability to diagnose patients independently, without the need for physician supervision or collaborative agreements.

Question 8

An advanced practice registered nurse (APRN) is talking with a legislator about the need for a primary care clinic in an underserved area. Which of the following points should the APRN include to gain the legislator's support? Select all that apply.

A) Access to a regular primary care provider improves chronic disease management.
B) Primary care reduces costs related to complications of untreated health conditions.
C) APRNs are educated to provide the same level of care as primary care physicians.
D) Direct reimbursement of APRNs by third-party payers reduces costs to the state.
E) Improved access to care enables APRNs to address environmental causes of disease.

Accepted Answer

Health-care policies directly affect the scope of practice for APRNs and the quality of care they can provide to patients, making their participation in discussions about such policies crucial.

Question 9

Collaborative agreements for advanced practice registered nurses (APRNs) limit which of the following?&#10;A) Political competence&#10;B) Self-governing licensure&#10;C) Reimbursement from third-party payers&#10;D) Accreditation of advanced practice nursing programs

Accepted Answer

Collaborative agreements for advanced practice registered nurses (APRNs) limit self-governing licensure by requiring APRNs to have a formal agreement with a supervising physician to provide certain aspects of patient care, thus restricting their ability to practice independently.

Question 10

Which of the following may limit a nurse practitioner's (NP's) ability to establish a practice? Select all that apply.&#10;A) Scope of practice&#10;B) Reimbursement policies&#10;C) Accreditation requirements&#10;D) Access to sufficient patient volume

Accepted Answer

The answer of Which of the following may limit a...

Deck 10: Public Policy and the Advanced Practice Nurse