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APRN Legal And Practice Questions And Answers
APRN Legal And Practice Questions And Answers
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APRN Legal And Practice Questions And AnswersTo meet Medicare's coverage requirements, the Nurse Practitioner's services
must be:
A. Provided subject to state restrictions and supervision requirements
B. Provided under direct supervision
C. Provided in a rural health clinic or federally qualified health center
D. Billed through a physician direct clinic, health agency, or hospital ✔️Ans
- A. Provided subject to state restrictions and supervision requirements: NP's
may bill Medicare for services in accordance with state restrictions and
supervision requirements. The NP must bill using a National Provider
Identification Number and meet the educational and licensing requirements of
that state. The Centers for Medicare and Medicaid pay for NP services that are:
Medically necessary; equivalent to physician services,, accurately documented
on medical records, and billed correctly.
Patient focused goal setting should be
A. Mandated and controlled by the clinician
B. Reasonable, measurable, and achievable
C. Simple
D. Long term rather than short term ✔️Ans - B: Patient focused goal
setting must be reasonable, measurable, and achievable. Patients are more
motivated if they establish their own goals. The goals don't have to be simple
but they should be very specific, with short term goals. Long term goals may
be the ultimate plan of care but reaching long term goals through a series of
short term goals is often more effective, because the patient is able to see
progressive results.
Knowles principles for adult learning state that adult learners tend to be:
A. Unmotivated
B. Lacking self direction
C. Practical and goal oriented
D. Insecure ✔️Ans - C - According to Knowles adult learners tend to be
practical and goal oriented, so they like to remain organized and keep the goal
in mind while learning. Adults are (1) self directed; (2) knowledgeable, (3)
relevancy oriented, (3) motivated
, The patient payer is a client who legally agrees to pay the Nurse practitioner
directly providing a specific service which is:
A. Fee for service system
B. Third party system
C. Contracted service system
D. Second party system ✔️Ans - C- In contracted services the NP signs a
contract and agrees to provide health care for a certain population such as the
homeless. The NP does not bill for individual services provided but is paid
according to the contractual agreement. Fee for services reimbursement
occurs when the patient pays the NP directly for services provided.
Identify the behavior change model that predicts a person takes a health
action to avoid negative consequences, believing the action will prevent a
negative outcome:
A. Theory of reasoned action
B. Theory of planned behavior
C. Stress appraisal and coping theory
D. Health belief model ✔️Ans - D- The health belief model predicts health
behavior with the understanding that a person takes a health action to avoid
negative consequences, if the person believes the action prevents negative
consequences. The theory is based on 6 perceptions: (1) susceptibility; (2)
severity; (3) benefit; (4) barriers; (5) action ques; (6) self-efficacy
Identify the members of the healthcare institution who are responsible for
identifying performance improvement projects:
A. Adminstrative staff
B. Nurse team leaders
C. All staff
D. Physicians ✔️Ans - C. All staff members are responsible for
performance improvement projects. Continuous quality improvement is a
management philosophy that emphasizes the organization's structure,
systems, and processes within that organization, rather than individuals.
Your 66 year old male patient receiving Medicare is discharged with an open,
draining wound that he cannot care for independently because of poor vision.
His 14 year old grandson lives with him. The best solution is:
A. Transfer your patient to an extended care facility
B. Keep your patient hospitalized until his wound heals
C. Teach your patient's 14 year old grandson to provide wound care
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