NURSl 5350/l NURS5350l Comprehensivel
Examl (Newl 2026l Update)l Rolel ofl thel
Nursel inl Advancedl Practicel Guidel |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l UTA
QUESTION
Whatl identifiedl issuesl drivel healthl carel changes?
Answer:
Employersl wantingl lowerl premiuml costs,l improvedl QOC,l andl enhancedl employeel
benefitl packages.l Increasesl inl costl ofl healthl carel servicesl (costl risingl twicel asl fastl asl
wages).l Notl enoughl primaryl carel physicians.l Fearl aboutl governmentl intervention/control.l
Lackl ofl universall accessl tol care.l Growingl complexityl ofl healthl carel system.l Growingl
numberl ofl uninsuredl (12.4l millionl womenl andl 8l millionl children).l
Healthl Carel Trianglel (Costs,l Access,l Quality)
Healthl Carel Systeml Basicsl (Cost,l Access,l Quality)
-l al changel inl onel parameterl changesl thel remainingl two
QUESTION
Whatl arel thel variousl organizationall designsl ofl managedl carel deliveryl systems?
Answer:
A.HMOl (Healthl Maintenancel Organizations)l -l Primaryl featurel isl thel sharingl ofl financiall
riskl betweenl insurerl andl carel provider.l Comprehensivel carel forl fixedl costs.l Costl controll
isl limitationsl ofl patientl seekingl servicesl andl servicesl beingl referred.l 3l types
1stl -l Staffl Model:l healthl carel providersl arel salariedl employeesl ofl healthl plan,l morel
controll overl servicesl allowed
2ndl -l IPAsl (Independentl Practicel Associations):l contractsl arel madel withl healthl carel
providersl inl privatel practicel settingsl tol offerl healthl carel servicesl tol HMOl members,l
lessl controll overl howl servicesl arel used
,3rdl -l Network:l al combinationl ofl staffl andl IPA
B.PPOl (Preferredl Providerl Organization)l -l discountedl feel agreements,l seekingl outsidel ofl
listl willl resultl inl higherl costs
C.POSl (Pointl ofl Service)l -l patientsl canl selectl theirl choicel ofl providerl atl thel timel thel
servicel isl neededl ratherl thanl uponl entryl intol plan
D.URl (Utilizationl Reviewl Companies)l -l assistl inl monitoringl howl andl whatl healthl carel
servicesl arel beingl used,l authorizel servicesl requested,l validatesl claimsl submitted,l
monitoringl ofl andl reportingl onl thel medicall necessityl ofl servicesl provided
E.EPOl (Exclusivel Providerl Organizations)l -l contractsl withl 1l hospitall tol servicel thel
HMOl membersl withl al specificl setl ofl healthl carel providers,l ifl don'tl usel contractedl
groupl payl totall costl outl ofl pocket
F.Managedl Insurancel -l traditionall insurancel companiesl thatl implementl somel sortl ofl thel
managedl carel principlesl exl BCBS,l Aetna,l Cigna,l Kaiser,l Humana
QUESTION
Whatl arel thel attributesl ofl thel PCPl accordingl tol Joel?
Answer:
Primaryl Clinicall Practitioner:
-comprehensivel assessment
-diagnosisl ofl healthl andl disease
-treatmentl andl management
-referrall tol otherl professionals
-counseling
-leadershipl andl management
-healthl promotionl andl diseasel prevention
QUESTION
Whatl doesl Joell identifyl asl thel principlesl guidingl thel Medicall Homel Model?
Answer:
MHMl isl anl ongoingl relationshipl withl thel healthl carel providerl tol providel firstl contact,l
continuous,l andl comprehensivel care.l Shouldl include:l activel patientl participation,l
enhancedl access,l openl schedulingl andl expandedl hours,l newl patientl communicationl andl
potentialsl vial email/phone,l emphasisl onl preventivel servicesl forl alll agel groups.
,QUESTION
Identifyl sevenl externall forcesl affectingl healthl carel delivery?
Answer:
A.l Sociall Valuesl -l ethnicl diversity,l culturall diversity,l sociall cohesion
B.l Globall Influencesl -l immigration,l tradel andl travel,l terrorism,l epidemics
C.l Economicl conditionsl -l generall economy,l competition
D.l Technologyl developmentl -l biotechnology,l informationl systems
E.l Populationl characteristicsl -l demographicl trendsl andl issues,l healthl needs,l sociall
morbidityl (AIDS,l drugs,l homicides,l autol accidents)
F.l Physicall environmentl -l toxicl waste,l airl pollutants,l chemicals,l sanitation,l ecologicall
balance,l globall warming
G.l Politicall climatel -l presidentl andl congress,l interestl groups,l lawsl andl regulations
Sociall Media
QUESTION
Whatl arel thel 4l settingsl forl prescriptivel authority?
Answer:
1.l Medicallyl Underservedl (sitel mustl bel official-federall orl state)
2.l Physicianl Primaryl Site
3.l Physicianl Alternatel Site
4.l Facilityl Basedl Practicel Sitel (licensedl hospital/LTC)
QUESTION
Describel thel requirementsl inl eachl settingl forl physicianl supervision,l #l ofl NPs,l chartl
review,l andl anyl otherl speciall requirementsl inl thatl site.
Answer:
*Medicallyl Underserved-l Physicianl Supervision>Reachablel byl phone>l providedl dailyl
statusl reportl ofl majorl problems,>l onsitel 10%l ofl hoursl ofl operation>Chartl Review>10%-
Speciall Requirements>Mustl havel protocols
*Physicianl Primaryl Site-Physicianl Supervision-Mustl havel protocols,l physicianl onl sitel
50%l ofl thel time--#l ofl NPs-7l APNs/PAsl perl MDl
*Physicianl Alternatel Site-Physicianl Supervision-Physicianl reachable,l onl sitel 10%l ofl thel
time,l withinl 75l milesl ofl primaryl practice
, *Facilityl Basedl Practicel Site-Physicianl Supervision-MDl presentl atl facility,l MDl givesl
priorl consent--#l ofl NPs-7l FTEs-Speciall Requirements-Protocoll signedl byl MD
QUESTION
Whatl arel thel 4l approvedl categoriesl ofl advancedl practicel nursesl inl Texas?
Answer:
CRNA,l NP,l CNS,l andl CNM
QUESTION
Whatl thingsl doesl thel Boardl ofl Nursingl requirel thel NPl tol havel beforel approvingl forl
RNl license/advancedl practicel recognitionl eachl biennium?
Answer:
-Currentl validl RNl licensure.
-400l hoursl ofl currentl clinicall practice.
-20l hoursl ofl CEs.
-8l hoursl ofl continuingl educationl inl pharmacotherapeutics.
-Currentl boardl certification.
-Separatel applicationl forl duall roles.
QUESTION
Whatl arel thel requirementsl forl thel newl NPl graduatel whenl applyingl tol thel Board?l Whatl
doesl initiall approvall lookl like?
Answer:
-Texasl BONl grantsl authorization,l APRNl licensurel (notl advancedl practicel titles)
-Mustl takel andl passl nationall certificationl exam.
QUESTION
Whatl isl thel NP'sl scopel ofl practicel basedl on?
Answer:
Examl (Newl 2026l Update)l Rolel ofl thel
Nursel inl Advancedl Practicel Guidel |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l UTA
QUESTION
Whatl identifiedl issuesl drivel healthl carel changes?
Answer:
Employersl wantingl lowerl premiuml costs,l improvedl QOC,l andl enhancedl employeel
benefitl packages.l Increasesl inl costl ofl healthl carel servicesl (costl risingl twicel asl fastl asl
wages).l Notl enoughl primaryl carel physicians.l Fearl aboutl governmentl intervention/control.l
Lackl ofl universall accessl tol care.l Growingl complexityl ofl healthl carel system.l Growingl
numberl ofl uninsuredl (12.4l millionl womenl andl 8l millionl children).l
Healthl Carel Trianglel (Costs,l Access,l Quality)
Healthl Carel Systeml Basicsl (Cost,l Access,l Quality)
-l al changel inl onel parameterl changesl thel remainingl two
QUESTION
Whatl arel thel variousl organizationall designsl ofl managedl carel deliveryl systems?
Answer:
A.HMOl (Healthl Maintenancel Organizations)l -l Primaryl featurel isl thel sharingl ofl financiall
riskl betweenl insurerl andl carel provider.l Comprehensivel carel forl fixedl costs.l Costl controll
isl limitationsl ofl patientl seekingl servicesl andl servicesl beingl referred.l 3l types
1stl -l Staffl Model:l healthl carel providersl arel salariedl employeesl ofl healthl plan,l morel
controll overl servicesl allowed
2ndl -l IPAsl (Independentl Practicel Associations):l contractsl arel madel withl healthl carel
providersl inl privatel practicel settingsl tol offerl healthl carel servicesl tol HMOl members,l
lessl controll overl howl servicesl arel used
,3rdl -l Network:l al combinationl ofl staffl andl IPA
B.PPOl (Preferredl Providerl Organization)l -l discountedl feel agreements,l seekingl outsidel ofl
listl willl resultl inl higherl costs
C.POSl (Pointl ofl Service)l -l patientsl canl selectl theirl choicel ofl providerl atl thel timel thel
servicel isl neededl ratherl thanl uponl entryl intol plan
D.URl (Utilizationl Reviewl Companies)l -l assistl inl monitoringl howl andl whatl healthl carel
servicesl arel beingl used,l authorizel servicesl requested,l validatesl claimsl submitted,l
monitoringl ofl andl reportingl onl thel medicall necessityl ofl servicesl provided
E.EPOl (Exclusivel Providerl Organizations)l -l contractsl withl 1l hospitall tol servicel thel
HMOl membersl withl al specificl setl ofl healthl carel providers,l ifl don'tl usel contractedl
groupl payl totall costl outl ofl pocket
F.Managedl Insurancel -l traditionall insurancel companiesl thatl implementl somel sortl ofl thel
managedl carel principlesl exl BCBS,l Aetna,l Cigna,l Kaiser,l Humana
QUESTION
Whatl arel thel attributesl ofl thel PCPl accordingl tol Joel?
Answer:
Primaryl Clinicall Practitioner:
-comprehensivel assessment
-diagnosisl ofl healthl andl disease
-treatmentl andl management
-referrall tol otherl professionals
-counseling
-leadershipl andl management
-healthl promotionl andl diseasel prevention
QUESTION
Whatl doesl Joell identifyl asl thel principlesl guidingl thel Medicall Homel Model?
Answer:
MHMl isl anl ongoingl relationshipl withl thel healthl carel providerl tol providel firstl contact,l
continuous,l andl comprehensivel care.l Shouldl include:l activel patientl participation,l
enhancedl access,l openl schedulingl andl expandedl hours,l newl patientl communicationl andl
potentialsl vial email/phone,l emphasisl onl preventivel servicesl forl alll agel groups.
,QUESTION
Identifyl sevenl externall forcesl affectingl healthl carel delivery?
Answer:
A.l Sociall Valuesl -l ethnicl diversity,l culturall diversity,l sociall cohesion
B.l Globall Influencesl -l immigration,l tradel andl travel,l terrorism,l epidemics
C.l Economicl conditionsl -l generall economy,l competition
D.l Technologyl developmentl -l biotechnology,l informationl systems
E.l Populationl characteristicsl -l demographicl trendsl andl issues,l healthl needs,l sociall
morbidityl (AIDS,l drugs,l homicides,l autol accidents)
F.l Physicall environmentl -l toxicl waste,l airl pollutants,l chemicals,l sanitation,l ecologicall
balance,l globall warming
G.l Politicall climatel -l presidentl andl congress,l interestl groups,l lawsl andl regulations
Sociall Media
QUESTION
Whatl arel thel 4l settingsl forl prescriptivel authority?
Answer:
1.l Medicallyl Underservedl (sitel mustl bel official-federall orl state)
2.l Physicianl Primaryl Site
3.l Physicianl Alternatel Site
4.l Facilityl Basedl Practicel Sitel (licensedl hospital/LTC)
QUESTION
Describel thel requirementsl inl eachl settingl forl physicianl supervision,l #l ofl NPs,l chartl
review,l andl anyl otherl speciall requirementsl inl thatl site.
Answer:
*Medicallyl Underserved-l Physicianl Supervision>Reachablel byl phone>l providedl dailyl
statusl reportl ofl majorl problems,>l onsitel 10%l ofl hoursl ofl operation>Chartl Review>10%-
Speciall Requirements>Mustl havel protocols
*Physicianl Primaryl Site-Physicianl Supervision-Mustl havel protocols,l physicianl onl sitel
50%l ofl thel time--#l ofl NPs-7l APNs/PAsl perl MDl
*Physicianl Alternatel Site-Physicianl Supervision-Physicianl reachable,l onl sitel 10%l ofl thel
time,l withinl 75l milesl ofl primaryl practice
, *Facilityl Basedl Practicel Site-Physicianl Supervision-MDl presentl atl facility,l MDl givesl
priorl consent--#l ofl NPs-7l FTEs-Speciall Requirements-Protocoll signedl byl MD
QUESTION
Whatl arel thel 4l approvedl categoriesl ofl advancedl practicel nursesl inl Texas?
Answer:
CRNA,l NP,l CNS,l andl CNM
QUESTION
Whatl thingsl doesl thel Boardl ofl Nursingl requirel thel NPl tol havel beforel approvingl forl
RNl license/advancedl practicel recognitionl eachl biennium?
Answer:
-Currentl validl RNl licensure.
-400l hoursl ofl currentl clinicall practice.
-20l hoursl ofl CEs.
-8l hoursl ofl continuingl educationl inl pharmacotherapeutics.
-Currentl boardl certification.
-Separatel applicationl forl duall roles.
QUESTION
Whatl arel thel requirementsl forl thel newl NPl graduatel whenl applyingl tol thel Board?l Whatl
doesl initiall approvall lookl like?
Answer:
-Texasl BONl grantsl authorization,l APRNl licensurel (notl advancedl practicel titles)
-Mustl takel andl passl nationall certificationl exam.
QUESTION
Whatl isl thel NP'sl scopel ofl practicel basedl on?
Answer:
