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ROLES 2 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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ROLES 2 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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ROLES 2 QUESTIONS AND ANSWERS WITHSOLUTIONS 2024
Patients of which type of organization must be assigned to a primary care provider (PCP) and get
authorization for services to a specialist from that PCP?
A. Health Maintenance Organization (HMO)
B. Preferred Provider Organization (PPO)
C. Capitated Network Organization (CNO)
D. None of the above - ANSWER A . Patients in a PPO do not need authorization to visit specialists and
are encourage to utilize the preferred providers within the network. There is no CNO group
What type of insurance coverage does the clinic need that is purchased by an organization to address
employee job-related injuries?
A. business interruption insurance
B. directors and officers insurance
C. workers' compensation insurance
D. professional liability insurance - ANSWER C This insurance is acquired to protect the organization from
suits by clients arising from negligent acts of employees. Business interruption coverage is usually
purchased in tandem with fire insurance and it will reimburse an organization for losses sustained from a
catastrophic event. Workers' compensation is the line of coverage that protects employees after on-the-
job injuries.
The U.S. Food and Drug Administration (FDA) and the Department of Health and Human Services (DHHS)
have regulations governing research activities on human subjects. The principal investigator is
responsible for:
A. securing a signed research consent form from each participant
B. appearing before the Institutional Review Board to present he study and secure approval to proceed
with the subject recruitment at the facility
C. report back to the Institutional Review Board if a subject is injured during the course of study
,D. all of the above - ANSWER D
As a GNP you know that nursing centers that receive Medicare or medicaid funds must provide care in a
manner and in a setting that maintains or improves each person's quality of life, heath and safety. This is
a part of which of the following acts?
A. HIPAA
B. SSA
C. OBRA
D. COBRA - ANSWER c
Omnibus Budget Reconciliation Act of 1987. It promotes the quality of life for those persons receiving
care in a nursing center.
In which model of Health Maintenance Organization (HMO) does the HMO contract with a large multi-
specialty group of physicians/providers and the group practice is the employer NOT the HMO?
A. Staff model.
B. Independent practice association.
C. Network model.
D. Group model. - ANSWER D
Group Model, the HMO contracts with a large multi-specialty group of physicians/providers. In this
model, the group practice is the employer NOT the HMO. However, the number of enrollees still gives
the HMO a degree of control.
In which managed care organization is the provider MOST likely to be paid based on capitation fees?
A. Fee for service.
B. Health Maintenance Organization (HMO).
C. Network Independent Practice Association (Network IPA).
D. Managed indemnity plan. - ANSWER c
, Managed care plans use a variety of methods to compensate providers. Providers are MOST likely to be
paid based on capitation fees with IPAs.
Concerning methods of regulation (designation or recognition, registration, certification, and licensure),
which of the following is a true statement?
A. The purpose of legal regulation of nursing practice is to protect the health, safety and welfare of the
public.
B. The most restrictive level of regulation is designation or recognition through the National Council of
State Boards of Nursing (NCSBN).
C. A thorough inquiry into competence exists and scope of practice is well defined with registration to
the NCSBN.
D. Certification involves government agencies who do background checks and investigations on all APNs.
- ANSWER a
The least restrictive level of regulation is designation or recognition. Registration with the NCSBN is not
an inquiry into competence and usually, scope of practice is not defined. Certification involves
nongovernment agencies who recognize professional competence.
What is the mechanism by which scope of practice changes, protocol requirements, prescriptive
authority changes are made for Nurse Practitioners and other advanced practice nurses?
a. Bills changing Nurse Practice Act are passed by the state legislature
b. The Board of Nurse Examiners of each state votes on these changes
c. The American Nurses Credentialing Center (ANCC) authorizes these changes
d. The Nurse Practitioner Professional Organizations lobby the BNE for these changes - ANSWER a
Which agency regulates advanced practice for all NPs?
a. The Board of Nursing of each state
b. The ANCC or other certifying board
c. The ANA
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