Answers
NP scope of practice - ANSWERSThe scope of practice for nurse practitioners is
established legally, ethically, and by boards of nursing and professional organizations.
Scope of practice sets the boundaries and indicates what is permitted legally, etc.
Scope of practice is not influenced by court of law. Scope of practice is determined by
state statutes, state nursing boards, common practice in a locale, educational
preparation, and others. Scope of practice can vary from state to state
Case control study - ANSWERSA case control study would be ideal for discovering the
cause of this situation. Case control looks at "what happened"? It would identify those
subjects who have leukemia and would identify a control group of adults from the area
who did not have leukemia. Both groups would be analyzed for characteristics or risk
factors that were present in the "case" group but not the "control" group. This is an
observational study.
Tail Coverage - ANSWERSA liability policy which pays claims even after the policy is no
longer active is termed
The legal authority to practice as a NP in any state is determined by - ANSWERSThe
authority to practice as a nurse practitioner is determined by each state's legislature.
Rules and regulations may be promulgated by state boards of nursing that reflect scope
of practice of nurse practitioners specific to that state. Certification boards like ANCC
and AANP "certify" that a nurse practitioner has met the requirements set by the
certifying body.
Licensure is - ANSWERSLicensure is used by many states to protect the public and
establish minimal level of professional competence. Licensure and competence are two
distinct recognitions and are conveyed by different organizations/bodies. Licensure and
reimbursement are not usually related; however, reimbursement and certification are
commonly related.
Claims made policy - ANSWERSLiability insurance that covers the holder only during
the time of the active policy is known as a "claims made" policy. This kind of policy is
usually less expensive than other policies that will protect the policyholder against
claims not known about at the end of the policy period
Studied subjects - ANSWERSStudied subjects are those members of a study who have
a specific disease or condition of interest or who are receiving a specific treatment.
Case series - ANSWERSCase series may refer to an observational study where a
group of patients with interesting characteristics are studied.
,Cross sectional study - ANSWERSCross sectional is a type of observational study
where a particular characteristic is studied at one time rather than over time.
Cohort Study - ANSWERSA cohort study describes an observational study that is
prospective in nature, such as the case with this group of smokers. Cohort studies
usually ask the question, "what will happen?"
Case control study - ANSWERSA case control study looks backward in time
(retrospective). Case control studies usually ask the question, "what happened?"
Medicare Part B - ANSWERSPart B pays the examiner (NP, PA, MD, etc.). Part B of
Medicare pays for outpatient care, ambulatory surgery services, x-rays, durable medical
equipment, laboratory, and home health. Part B is an option that Medicare recipients
can pay for with a monthly option. This charge is based on income. Since there is an
initial co-pay, the federal government's insurance plan may NOT pay for his visit to your
clinic today.
Randomized Controlled Trial - ANSWERSA randomized clinical trial (RCT) is the
epitome of all research designs. Subjects are randomly assigned to treatment groups.
This type study provides the best evidence that the results were due to the intervention
and not something else. A RCT is an experimental design, not an observational one.
Medicare Part A - ANSWERSPart A of Medicare refers to the hospital insurance
program. There is no enrollment fee for most patients and they are charged a monthly
premium based on the number of eligible quarters they or their spouse contributed. This
benefit also covers some skilled nursing facilities.
Meta analysis - ANSWERSA meta-analysis takes published information from other
studies and combines the information to arrive at a conclusion. Although a meta-
analysis can use observational studies, these should be reported separately.
Is an experimental study
Malpractice - ANSWERSMalpractice is usually described as having multiple elements
that all must be satisfied for malpractice to occur. There must be a duty, a breach of the
duty, and a subsequent injury due to the breach
Negligence - ANSWERSNegligence occurs when one fails to exercise the care that a
reasonable person would exercise. Injury does not have to occur for negligence to occur
What makes up the inner ear - ANSWERSThe ossicles consist of the incus, malleus,
and the stapes and are located in the middle ear
A fine rhythmic oscillation of the eyes is termed - ANSWERSNystagmus is a condition
characterized by fine rhythmic movements of the eyeball. They occur when the
semicircular canals are stimulated but the head is not in motion
, Enlargement of which lymph nodes would be suggestive of metastasis from a thoracic
or abdominal malignancy - ANSWERSEnlargement of a supraclavicular node,
especially on the left, suggests possible metastasis from a thoracic or an abdominal
malignancy. The supraclavicular nodes are deep in the angle formed by the clavicle and
the sternomastoid muscle
Rectal polyp - ANSWERSRectal polyps are typically located in the rectum and if
palpable, feel soft to touch and may be pedunculated (attached to the base tissue by
means of a stalk).
External hemorrhoids - ANSWERSExternal hemorrhoids are dilated hemorrhoidal veins
that originate below the pectinate line and are covered with skin. They present as
tender, swollen, bluish, ovoid masses at the anal margin
Internal hemorrhoids - ANSWERSInternal hemorrhoids are enlargements of the normal
vascular cushions located above the pectinate line. They are not usually palpable but
may become visual if prolapse after defecation. They would appears in the anal canal
as reddish, moist, protruding masses.
anal abscess - ANSWERSA tender, purulent, reddened mass palpated in the rectum
would be consistent with an anal abscess, especially in the presence of fever and chills.
Somatic nervous system - ANSWERSThe part of the peripheral nervous system that
regulates muscle movement and response to the sensations of pain and touch is the
somatic nervous system
autonomic nervous system - ANSWERSThe autonomic nervous system generates
autonomic reflex responses and consists of the sympathetic and parasympathetic
nervous systems
parasympathetic nervous system - ANSWERSThe parasympathetic nervous system
conserves energy and resources during times of rest and relaxation
sympathetic nervous system - ANSWERSThe sympathetic nervous system mobilizes
organs and their functions during times of stress and arousal.
normal development of the 12 month old - ANSWERSA normal twelve-month-old should
be able to show fear in certain situations, repeat sounds or actions to get attention,
hand a book to someone for them to read a story, use simple gestures, repeat words
heard, find things easily, follow simple directions, and cruise (walks holding on to
furniture).
normal development of the 11 - 12 year old - ANSWERSBy eleven to twelve years of
age, the school aged child is able to perform several of the following tasks: has a strong
urge to conform to peer-group morals, resents being told what to do, strives for