N5350 ROLES FINAL STUDY GUIDE
EXAM WITH COMPLETE SOLUTIONS
1. mWhat mare mthe m4 msettings mfor mprescriptive mauthority? mDescribe mthe
mrequirements min meach msetting mfor mphysician msupervision, m# mof mNPs, mchart
mreview, mand many mother mspecial mrequirements min mthat msite. m- mcorrect manswers
m-1. mMedically mUnderserved
2. mPhysician mPrimary mSite
3. mPhysician mAlternate mSite
4. mFacility mBased mPractice mSite.
* mGeneral mrequirements mper mTBON mrule m222.5: mregular mvisits, mchart mreview
mas mdetermined mby mAPRN m& mphysician, mperiodic mface mto mface mmeeting mof
mAPRN m& mphysician mto mdiscuss mpt mcare m& mimprovement.
,1a) mMedically mUnderserved m- mcorrect manswers m-*site mmust mbe mofficial,
mphysician mmust mbe mreachable mby mphone m& mmust mbe mprovided mwith mdaily
mstatus mreport mof many mmajor mproblems moutside mof mthe mprotocol. m
*must mhave mprotocols.
1b) mPhysician mPrimary mPractice mSite m- mcorrect manswers m-* mMust mhave
mprotocols.
*Sign mdrug morders monly mfor mpts mwhom mthe mMD mhas/will mestablish ma
mrelationship.
*alternate mMD mmay mdelegate.
*MD mmay mdelegate mto mno mmore mthan m7 mAPNS mor mPAs.
*Physician mon-site mvisits mshould mbe m50% mof mthe mtime maccording mto mBME.
1c) mFacility mBased mPractice m- mcorrect manswers m-*Must mbe mphysically mpresent
min mfacility m(hospital mor mlong mterm mfacility).
*Physician mmust mgive mprior mconsent.
*Delegation monly mat m> mone mhospital mor m> m2 mlong mterm mcare mfacilities m- mnow
mit mis m7 mFTEs.
*Long mterm mcare-only m4 mAPNs m(APRNs) mor m4 mPAs mor mtheir mFTE mequivalent
m- mnow mit mis m7 mFTE m& mapproved mby mChief mPhysician mof mFacility.
*Protocol msigned mby mthe mChief mPhysician.
1d) mPhysician mAlternate mSite m- mcorrect manswers m-*No mlonger min meffect.
2. mThe mFOUR mApproved mCategories mof mAPN min mTX? m- mcorrect manswers m-
*CRNA, mNP, mCNS, mand mCNM
3. mNP mrequirements mby mBON mfor mapproval mof mlicense/ mAP mrecognition meach
mbiennium. m- mcorrect manswers m-*Current mvalid mRN mlicensure.
*400 mhours mof mcurrent mclinical mpractice.
*20 mhours mof mCEs.
*8 mhours mof mcontinuing meducation min mpharmacotherapeutics.
*Current mboard mcertification.
*Separate mapplication mfor mdual mroles.
4. mNew mNP mgraduate mrequirements mwhen mapplying mfor mthe mboard? m- mcorrect
manswers m-*Must mtake mand mpass mnational mcertification mexam.
5. mWhat mis mthe mNP's mscope mof mpractice mbased mon? m- mcorrect manswers m-
*Nurse mpractice macts mdefine mlegal mscope mof mpractice mfor mlicensed
mpractitioners.
*Includes mprivileges mfor mdiagnosis, mtreatment, mprescriptive mauthority mand
mreimbursement.
11. mWhat mare mclinical mprivileges mand mhow mare mthey mobtained? m- mcorrect
manswers m-*autonomy mto mperform mexpanded mrole mfunctions mbased mon mthe
,mindividuals mlicensure, meducational mpreparation, mclinical mexperience, mand
mcredentials.
*Via mcontractual magreement mwith mhospitals mor mlong mterm mcare mfacilities.
12. mDefine mMalpractice m- mcorrect manswers m-*Any mprofessional mmisconduct,
munreasonable mlack mof mskill, mor minfidelity min mprofessional mor mfiduciary mduties,
mor millegal mor mimmoral mconduct.
*Negligence mis mthe mfailure mof man mindividual mto mdo msomething mthat ma
mreasonable mperson mwould mdo, mthat mresults min minjury mto manother.
*The malleged mfailure mon mthe mpart mof ma mprofessional mto mrender mservices mwith
mthe mdegree mof mcare, mdiligence, mand mprecaution mthat manother mmember mof mthe
msame mprofession min msimilar mcircumstances mwould mrender mto mprevent minjury mto
msome mone melse.
13. mFOUR mElements mof mMalpractice m- mcorrect manswers m-1. mDuty: mprovide
msome mlevel mof mcare, mhad msome mcontact.
2. mDereliction: mreasonable, mordinary mcare, mskill mand mdiligence mas mNP's min
mgood mstanding min msimilar mpractice.
3. mDamage: mMust mhave man minjury mor mno mmalpractice meven mif mviolated
mstandard mof mcare; mcap m"pain mand msuffering" m$250,000 mto m$500, m000.
4. mCausation mof mInjury: mFor mmalpractice mto mhave moccurred, ma mbreach mof mthe
mstandard mof mcare mmust mhave mcaused man minjury mto mthe mpatient.
15. mNational mPractitioner mData mBank m- mcorrect manswers m-*Receives mand
mdiscloses mthe mreports mon mmedical mmalpractice.
Who mis mcredited mto mbe mthe mfirst madvanced mpractice mnurse mrole? m- mcorrect
manswers m-Nurse mAnesthesia min m1800's- mperhaps mthe moldest madvanced
mnursing mspecialty, mSister mMary mBernard mat mSt. mVincent's mHospital mwas mthe
mfirst manesthetist
Who mis mcredited mto mbe mthe mfounder mof mthe mfirst mnurse mpractitioner mrole? m-
mcorrect manswers m-Loretta mFord-1965- mColorado
Who mis m(are) mthe moldest mprimary mcare mproviders min mthe mhistory mof madvanced
mpractice mnurses? m- mcorrect manswers m-Midwifes min m1700's- mperhaps mthe
moldest mprimary mhealth mcare mprovider
Martha mBullard, m1785 mis mthe moldest mnoted min mpublication
What mare mthe mroles mof mAPRNs? mHow mare mthey mdifferent mfrom meach mother?
m- mcorrect manswers m-To mprovide mhealth mcare mto mindividuals, mfamily, mgroups min
ma mvariety mof mhealth mcare msettings m(homes, mhospitals, minstitutions, moffices,
mclinics, metc)
APRN mincludes mNP, mnurse mmidwife, mnurse manesthetist, mand mclinical mnurse
mspecialist
, What mstates mare mresponsible mfor mbeing mthe mfirst mto mhave madvanced mpractice
mlanguage min mtheir mnurse mpractice mact? m- mcorrect manswers m-Idaho m(language
mread- m"assess, mdiagnose, mtreat")
What mis mNONPF? mWhat mis mtheir minfluence mfor mAPRNs? m- mcorrect manswers m-
National mOrganization mof mNurse mPractitioner mFaculty
They mhave mdeveloped mdomains mand mcompetencies
Organized mrole mcompetencies m(policy, methics, mquality, mleadership, metc)
How mis mthe mNP mrole mdifferent mfrom mPA mrole? m- mcorrect manswers m-•PA's
mwork mdirectly munder ma mMD, mNP's mcan mfunction mindependently
•NP's mfocus mon mmultiple mpractice mand mnursing mmodels
•PA's mfocus mon mmedical mtasks mutilizing ma mmedical mframework
What mare mthe mkey melements mof mOTA, mBrown, mSafriet mand mMundinger m-
mcorrect manswers m-• mOTA
NP's mprovide mequivalent mcare mto mMD's.
Patients mwho mreceive mcare mform man mNP mshow mdecreased mpatient msymptoms.
• mBrown
Patient msatisfaction mand mresolution mof mpathological mconditions mwere mgreater mfor
mNP's mover mMD's
NM's muse mless mtechnology/ manalgesia
NM's machieved mequivalent mneonatal moutcomes
• mSafreit
There mis mabundant mdata mon mthe mNP mrole min mproviding mhigh mquality, mcost
meffective mcare/
There mare mmajor mrestrictions mon mthe mpractice mof mNP's mand mthese mbarriers
mshould mbe mremoved.
• mMundinger
Compared moutcomes min mpatients mwho mwere mrandomly massigned mto meither
mNP's mor mMD's.
Results mshowed mthat mpatient moutcomes mwere mcomparable.
How mdoes mthe mTexas mBoard mof mNursing mdefine mthe mNP mrole? m- mcorrect
manswers m-A mRN mapproved mby mthe mboard mto mpractice mas man mAPN mbased
mon mcompleting man madvanced meducation mpractice mprogram macceptable mby mthe
mboard. mThe mterm mincludes man mNP, mnurse mmidwife, mnurse manesthetist, mand ma
mCNS. mThe mAPN mis mprepared mto mpractice min man mexpanded mrole mto mprovide
mhealth mcare mto mindividuals, mfamilies, mand/or mgroups min ma mvariety mof msettings
mincluding mbut mnot mlimited mto mhomes, mhospitals, minstitutions, moffices, mindustry,
mschools, mcommunity magencies, mpublic/private mclinics mand mprivate mpractice. mThe
mAPN macts mindependently mand/or min mcollaboration mwith mother mhealth mcare
mprofessionals min mthe mdelivery mof mhealth mcare mservices.
Where mand mwhen mdid mthe mrole mfirst mbegin? m- mcorrect manswers m-1965-
mUniversity mof mColorado-PNP
EXAM WITH COMPLETE SOLUTIONS
1. mWhat mare mthe m4 msettings mfor mprescriptive mauthority? mDescribe mthe
mrequirements min meach msetting mfor mphysician msupervision, m# mof mNPs, mchart
mreview, mand many mother mspecial mrequirements min mthat msite. m- mcorrect manswers
m-1. mMedically mUnderserved
2. mPhysician mPrimary mSite
3. mPhysician mAlternate mSite
4. mFacility mBased mPractice mSite.
* mGeneral mrequirements mper mTBON mrule m222.5: mregular mvisits, mchart mreview
mas mdetermined mby mAPRN m& mphysician, mperiodic mface mto mface mmeeting mof
mAPRN m& mphysician mto mdiscuss mpt mcare m& mimprovement.
,1a) mMedically mUnderserved m- mcorrect manswers m-*site mmust mbe mofficial,
mphysician mmust mbe mreachable mby mphone m& mmust mbe mprovided mwith mdaily
mstatus mreport mof many mmajor mproblems moutside mof mthe mprotocol. m
*must mhave mprotocols.
1b) mPhysician mPrimary mPractice mSite m- mcorrect manswers m-* mMust mhave
mprotocols.
*Sign mdrug morders monly mfor mpts mwhom mthe mMD mhas/will mestablish ma
mrelationship.
*alternate mMD mmay mdelegate.
*MD mmay mdelegate mto mno mmore mthan m7 mAPNS mor mPAs.
*Physician mon-site mvisits mshould mbe m50% mof mthe mtime maccording mto mBME.
1c) mFacility mBased mPractice m- mcorrect manswers m-*Must mbe mphysically mpresent
min mfacility m(hospital mor mlong mterm mfacility).
*Physician mmust mgive mprior mconsent.
*Delegation monly mat m> mone mhospital mor m> m2 mlong mterm mcare mfacilities m- mnow
mit mis m7 mFTEs.
*Long mterm mcare-only m4 mAPNs m(APRNs) mor m4 mPAs mor mtheir mFTE mequivalent
m- mnow mit mis m7 mFTE m& mapproved mby mChief mPhysician mof mFacility.
*Protocol msigned mby mthe mChief mPhysician.
1d) mPhysician mAlternate mSite m- mcorrect manswers m-*No mlonger min meffect.
2. mThe mFOUR mApproved mCategories mof mAPN min mTX? m- mcorrect manswers m-
*CRNA, mNP, mCNS, mand mCNM
3. mNP mrequirements mby mBON mfor mapproval mof mlicense/ mAP mrecognition meach
mbiennium. m- mcorrect manswers m-*Current mvalid mRN mlicensure.
*400 mhours mof mcurrent mclinical mpractice.
*20 mhours mof mCEs.
*8 mhours mof mcontinuing meducation min mpharmacotherapeutics.
*Current mboard mcertification.
*Separate mapplication mfor mdual mroles.
4. mNew mNP mgraduate mrequirements mwhen mapplying mfor mthe mboard? m- mcorrect
manswers m-*Must mtake mand mpass mnational mcertification mexam.
5. mWhat mis mthe mNP's mscope mof mpractice mbased mon? m- mcorrect manswers m-
*Nurse mpractice macts mdefine mlegal mscope mof mpractice mfor mlicensed
mpractitioners.
*Includes mprivileges mfor mdiagnosis, mtreatment, mprescriptive mauthority mand
mreimbursement.
11. mWhat mare mclinical mprivileges mand mhow mare mthey mobtained? m- mcorrect
manswers m-*autonomy mto mperform mexpanded mrole mfunctions mbased mon mthe
,mindividuals mlicensure, meducational mpreparation, mclinical mexperience, mand
mcredentials.
*Via mcontractual magreement mwith mhospitals mor mlong mterm mcare mfacilities.
12. mDefine mMalpractice m- mcorrect manswers m-*Any mprofessional mmisconduct,
munreasonable mlack mof mskill, mor minfidelity min mprofessional mor mfiduciary mduties,
mor millegal mor mimmoral mconduct.
*Negligence mis mthe mfailure mof man mindividual mto mdo msomething mthat ma
mreasonable mperson mwould mdo, mthat mresults min minjury mto manother.
*The malleged mfailure mon mthe mpart mof ma mprofessional mto mrender mservices mwith
mthe mdegree mof mcare, mdiligence, mand mprecaution mthat manother mmember mof mthe
msame mprofession min msimilar mcircumstances mwould mrender mto mprevent minjury mto
msome mone melse.
13. mFOUR mElements mof mMalpractice m- mcorrect manswers m-1. mDuty: mprovide
msome mlevel mof mcare, mhad msome mcontact.
2. mDereliction: mreasonable, mordinary mcare, mskill mand mdiligence mas mNP's min
mgood mstanding min msimilar mpractice.
3. mDamage: mMust mhave man minjury mor mno mmalpractice meven mif mviolated
mstandard mof mcare; mcap m"pain mand msuffering" m$250,000 mto m$500, m000.
4. mCausation mof mInjury: mFor mmalpractice mto mhave moccurred, ma mbreach mof mthe
mstandard mof mcare mmust mhave mcaused man minjury mto mthe mpatient.
15. mNational mPractitioner mData mBank m- mcorrect manswers m-*Receives mand
mdiscloses mthe mreports mon mmedical mmalpractice.
Who mis mcredited mto mbe mthe mfirst madvanced mpractice mnurse mrole? m- mcorrect
manswers m-Nurse mAnesthesia min m1800's- mperhaps mthe moldest madvanced
mnursing mspecialty, mSister mMary mBernard mat mSt. mVincent's mHospital mwas mthe
mfirst manesthetist
Who mis mcredited mto mbe mthe mfounder mof mthe mfirst mnurse mpractitioner mrole? m-
mcorrect manswers m-Loretta mFord-1965- mColorado
Who mis m(are) mthe moldest mprimary mcare mproviders min mthe mhistory mof madvanced
mpractice mnurses? m- mcorrect manswers m-Midwifes min m1700's- mperhaps mthe
moldest mprimary mhealth mcare mprovider
Martha mBullard, m1785 mis mthe moldest mnoted min mpublication
What mare mthe mroles mof mAPRNs? mHow mare mthey mdifferent mfrom meach mother?
m- mcorrect manswers m-To mprovide mhealth mcare mto mindividuals, mfamily, mgroups min
ma mvariety mof mhealth mcare msettings m(homes, mhospitals, minstitutions, moffices,
mclinics, metc)
APRN mincludes mNP, mnurse mmidwife, mnurse manesthetist, mand mclinical mnurse
mspecialist
, What mstates mare mresponsible mfor mbeing mthe mfirst mto mhave madvanced mpractice
mlanguage min mtheir mnurse mpractice mact? m- mcorrect manswers m-Idaho m(language
mread- m"assess, mdiagnose, mtreat")
What mis mNONPF? mWhat mis mtheir minfluence mfor mAPRNs? m- mcorrect manswers m-
National mOrganization mof mNurse mPractitioner mFaculty
They mhave mdeveloped mdomains mand mcompetencies
Organized mrole mcompetencies m(policy, methics, mquality, mleadership, metc)
How mis mthe mNP mrole mdifferent mfrom mPA mrole? m- mcorrect manswers m-•PA's
mwork mdirectly munder ma mMD, mNP's mcan mfunction mindependently
•NP's mfocus mon mmultiple mpractice mand mnursing mmodels
•PA's mfocus mon mmedical mtasks mutilizing ma mmedical mframework
What mare mthe mkey melements mof mOTA, mBrown, mSafriet mand mMundinger m-
mcorrect manswers m-• mOTA
NP's mprovide mequivalent mcare mto mMD's.
Patients mwho mreceive mcare mform man mNP mshow mdecreased mpatient msymptoms.
• mBrown
Patient msatisfaction mand mresolution mof mpathological mconditions mwere mgreater mfor
mNP's mover mMD's
NM's muse mless mtechnology/ manalgesia
NM's machieved mequivalent mneonatal moutcomes
• mSafreit
There mis mabundant mdata mon mthe mNP mrole min mproviding mhigh mquality, mcost
meffective mcare/
There mare mmajor mrestrictions mon mthe mpractice mof mNP's mand mthese mbarriers
mshould mbe mremoved.
• mMundinger
Compared moutcomes min mpatients mwho mwere mrandomly massigned mto meither
mNP's mor mMD's.
Results mshowed mthat mpatient moutcomes mwere mcomparable.
How mdoes mthe mTexas mBoard mof mNursing mdefine mthe mNP mrole? m- mcorrect
manswers m-A mRN mapproved mby mthe mboard mto mpractice mas man mAPN mbased
mon mcompleting man madvanced meducation mpractice mprogram macceptable mby mthe
mboard. mThe mterm mincludes man mNP, mnurse mmidwife, mnurse manesthetist, mand ma
mCNS. mThe mAPN mis mprepared mto mpractice min man mexpanded mrole mto mprovide
mhealth mcare mto mindividuals, mfamilies, mand/or mgroups min ma mvariety mof msettings
mincluding mbut mnot mlimited mto mhomes, mhospitals, minstitutions, moffices, mindustry,
mschools, mcommunity magencies, mpublic/private mclinics mand mprivate mpractice. mThe
mAPN macts mindependently mand/or min mcollaboration mwith mother mhealth mcare
mprofessionals min mthe mdelivery mof mhealth mcare mservices.
Where mand mwhen mdid mthe mrole mfirst mbegin? m- mcorrect manswers m-1965-
mUniversity mof mColorado-PNP
