NURSl 5350/l NURS5350l Comprehensivel
Examl –l Rolel ofl thel Nursel inl Advancedl
Practicel Guidel |l UTAl (Latestl 2026l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Whatl arel 3-5l majorl researchl outcomesl (processl orl outcomesl findings)l aboutl NPl
impactl thatl youl canl document?
Answer:
1.NP'sl providel equivalentl carel tol MD's
l •Processl measures:l Adequacyl ofl pedil exams,l medicationl prescribed,l shortl andl longl
terml compliance
l •Outcomel measures:l improvedl patientl functioning,l resolutionl ofl acutel problems,l
decreasedl painl orl discomfortl inl children
2.NP'sl providel superiorl carel tol MD's
l •Processl measures:l #l ofl diagnosticl tests,l effectivenessl ofl interpersonall managementl
skills
l •Outcomel measures:l reducedl patientl symptoms,l betterl HTNl control,l increasedl weightl
reduction,l painl decreasedl inl adultl patients,l improvedl activityl andl decreasedl anxietyl inl
chronicl patients
3.Patientsl arel generallyl satisfiedl withl thel qualityl ofl carel providedl byl them,l particularlyl
withl thel interpersonall aspectsl ofl care.
4.NP'sl arel al solutionl tol healthcarel systeml issuesl suchl asl Accessl tol Care,l Qualityl ofl
carel andl Costl ofl Care
Q:l Whatl arel 3l majorl questionsl aboutl thel NPl rolel andl itsl impactl thatl researchl
shouldl address?
Answer:
1.Doesl eligibilityl reimbursementl forl nursesl causel lossl ofl qualityl ofl carel orl incentivel tol
helpl morel people?
,2.Wouldl requiringl al DNPl forl APNl causel lessl nursesl tol becomel APNl andl thereforel
causel al greaterl shortagel forl thel growingl population.
3.Doesl havel limitationsl onl prescriptivel authorityl causel al delayl inl carel andl painl
management?
Q:l Whatl arel 3l majorl healthcarel systeml issuesl thatl canl bel impactedl byl thel NPl role?l
Describel howl thesel canl bel impacted.
Answer:
1.Assessl tol care
2.Qualityl ofl care
3.Costl ofl care
*Accordingl tol Safreit,l inl orderl forl NP'sl tol bel partl ofl thel solution,l barriersl tol practicel
thatl existl mustl bel removed.l
•Scopel ofl Practice:l nol protocols,l fulll authorityl tol practicel withl nol supervision
•Unlimitedl prescriptivel authority
•Fulll reimbursement
•Autonomyl asl al provider:l hospitall privileges
Q:l Whatl arel 3l issuesl thatl canl impactl thel NPl rolel eitherl positivelyl orl negatively?l
Describel howl thel issuesl canl impactl thel rolel andl whatl youl thinkl needsl tol bel donel tol
promotel al positivel outcome.
Answer:
1.DNP:l positivel sidel isl lengthsl ofl programsl arel lengthyl anywaysl withl nol changel inl
credentialingl awarded.l Youl wouldl notl havel tol dol orl muchl extra,l andl youl wouldl havel
al DNP.l Negativel sidel isl thisl mightl pushl nursesl froml continuingl theirl educationl andl thel
needl forl carel providersl shouldl takel precedentl overl professionalizedl agenda.l
2.Prescriptivel authority:l increasingl prescriptivel authorityl couldl impactl thel rolel positivelyl
inl thatl patientsl willl notl havel al delayl ofl care.l Painl couldl bel betterl managed.
3.Eligibilityl forl reimbursement:l offersl largerl groupsl ofl peoplel inl communitiesl primaryl
carel butl canl alsol causel competitionl asl NP'sl andl MD'sl attemptl tol servel thel samel
population.l Also,l umbrellal corporationsl tendl tol givel thel NPl al minl numberl ofl patientsl
tol seel andl thenl offerl incentivel payl tol seel more.l Lossl ofl qualityl ofl care?
Q:l Identifyl andl bel ablel tol discussl thel 3l phasesl ofl transitionl byl Barton,l 2007.
,Answer:
1.Thel Identityl Lossl Phase
•Earlyl inl thel APNl program.l Comel inl asl expertl andl nowl youl arel al novicel nursel again.l
Tryl tol separatel froml priorl career.
2.Transitionall Rolel Evolution
•Uncertaintyl ofl thel APNl rolel continues.l Feell al sensel ofl rolel limbol andl mayl feell
invisible.l Peersl arel important.l Resocializationl occursl acquiringl individualityl andl newl
rolel identity.l
3.Incorporationl Phase
•Occursl atl thel endl ofl thel programl usuallyl inl thel finall practicuml course.l Changel inl
relationshipl betweenl RNl peers.l Endl ofl phasel isl passingl ofl thel APNl certificationl exam
Q:l Whatl arel thel considerationsl towardsl transitionl froml thel RNl tol thel APNl role?
Answer:
•Developl al Theoreticall Nursel Practicel Framework:l emphasizesl EBP,l research,l tol stayl onl
topl ofl APNl profession
•Knowl thel APNl scopel ofl practice
•Choosel appropriatel preceptorsl thatl willl encouragel feelingsl ofl selfl worth
•Getl al mentor
•Reflectl eachl day
•Maintainl al clinicall Elogl (values,l attitudes,l practice)
•Maintainl al clinicall portfolio
•Networkl withl peersl andl experiencedl NP's
•Havel al Positivel Attitude
•Maximizel clinicall experiences
•Treatl failuresl asl learningl experiences
•Keepl upl withl legall issues
Q:l Whatl arel 5l majorl responsibilitiesl ofl thel RNl rolel thatl youl willl bringl tol thel NPl
role?
Answer:
•Document
•Educate
•Observel andl assessl patientsl
, •Reviewl treatment/carel plan
•Consultl withl MD'sl andl otherl professionals
Q:l Bel ablel tol identify/discussl topl issuesl forl thel APN.
Answer:
•Youl canl becomel sol specializedl thatl youl losel broadl knowledgel thatl isl needed.l
•Somel specialtyl rolesl arel recognizedl inl somel placesl butl notl others.l
Ex:l forensicl NPl inl Californial butl notl inl TX
•Therel arel sol manyl credentialsl thatl itl isl confusing
•Beingl recognizedl asl al PCPl asl anl NNP
•Puttingl thel MDl namel onl al prescriptionl bottle,l pharmaciesl acceptingl NPl scripts
•Hospitall privileges
•Medicarel andl Medicaidl reimbursements
•Thirdl partiesl canl denyl reimbursementsl tol NPl forl care
•Havel tol getl anl NPIl numberl (everyonel hasl tol havel it,l don'tl reallyl getl whyl itsl anl
issue)
•Autonomousl APNl Practice-l nol supervisionl byl MD.l Wouldl havel prescriptivel authority
•Hasl tol bel inl protocolsl tol delegatel tol anyonel otherl thanl MA,l NA
•Neededl mdl signaturel tol orderl supplies
•Sociall probleml ofl discounting
Q:l Discussl thel evolutionl ofl thel APN.
Answer:
i.Includesl Specialization:l al concentrationl inl al selectedl areal ofl clinicall nursing.
•Includesl specialtiesl (pedi,l women'sl health)l andl subspecialtiesl (diabetes)
ii.Involvesl expansion
•Stagel 1:l Specialtyl begins-l inl al practicel setting
•Stagel 2:l Specialtyl organizes-l institutionl trainingl develops,l specialtyl organizationl formsl
(NANN)
•Stagel 3:l demandsl mount,l knowledgel basel grows,l scopel ofl practicel grows,l regulationsl
establishedl tol makel surel publicl isl safe,l articlesl appear
Q:l Isl therel al differencel betweenl thel APRN,l APN,l andl thel Nursel Practitioner?l Ifl yes,l
elaborate?l Ifl no,l elaborate.
Examl –l Rolel ofl thel Nursel inl Advancedl
Practicel Guidel |l UTAl (Latestl 2026l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Whatl arel 3-5l majorl researchl outcomesl (processl orl outcomesl findings)l aboutl NPl
impactl thatl youl canl document?
Answer:
1.NP'sl providel equivalentl carel tol MD's
l •Processl measures:l Adequacyl ofl pedil exams,l medicationl prescribed,l shortl andl longl
terml compliance
l •Outcomel measures:l improvedl patientl functioning,l resolutionl ofl acutel problems,l
decreasedl painl orl discomfortl inl children
2.NP'sl providel superiorl carel tol MD's
l •Processl measures:l #l ofl diagnosticl tests,l effectivenessl ofl interpersonall managementl
skills
l •Outcomel measures:l reducedl patientl symptoms,l betterl HTNl control,l increasedl weightl
reduction,l painl decreasedl inl adultl patients,l improvedl activityl andl decreasedl anxietyl inl
chronicl patients
3.Patientsl arel generallyl satisfiedl withl thel qualityl ofl carel providedl byl them,l particularlyl
withl thel interpersonall aspectsl ofl care.
4.NP'sl arel al solutionl tol healthcarel systeml issuesl suchl asl Accessl tol Care,l Qualityl ofl
carel andl Costl ofl Care
Q:l Whatl arel 3l majorl questionsl aboutl thel NPl rolel andl itsl impactl thatl researchl
shouldl address?
Answer:
1.Doesl eligibilityl reimbursementl forl nursesl causel lossl ofl qualityl ofl carel orl incentivel tol
helpl morel people?
,2.Wouldl requiringl al DNPl forl APNl causel lessl nursesl tol becomel APNl andl thereforel
causel al greaterl shortagel forl thel growingl population.
3.Doesl havel limitationsl onl prescriptivel authorityl causel al delayl inl carel andl painl
management?
Q:l Whatl arel 3l majorl healthcarel systeml issuesl thatl canl bel impactedl byl thel NPl role?l
Describel howl thesel canl bel impacted.
Answer:
1.Assessl tol care
2.Qualityl ofl care
3.Costl ofl care
*Accordingl tol Safreit,l inl orderl forl NP'sl tol bel partl ofl thel solution,l barriersl tol practicel
thatl existl mustl bel removed.l
•Scopel ofl Practice:l nol protocols,l fulll authorityl tol practicel withl nol supervision
•Unlimitedl prescriptivel authority
•Fulll reimbursement
•Autonomyl asl al provider:l hospitall privileges
Q:l Whatl arel 3l issuesl thatl canl impactl thel NPl rolel eitherl positivelyl orl negatively?l
Describel howl thel issuesl canl impactl thel rolel andl whatl youl thinkl needsl tol bel donel tol
promotel al positivel outcome.
Answer:
1.DNP:l positivel sidel isl lengthsl ofl programsl arel lengthyl anywaysl withl nol changel inl
credentialingl awarded.l Youl wouldl notl havel tol dol orl muchl extra,l andl youl wouldl havel
al DNP.l Negativel sidel isl thisl mightl pushl nursesl froml continuingl theirl educationl andl thel
needl forl carel providersl shouldl takel precedentl overl professionalizedl agenda.l
2.Prescriptivel authority:l increasingl prescriptivel authorityl couldl impactl thel rolel positivelyl
inl thatl patientsl willl notl havel al delayl ofl care.l Painl couldl bel betterl managed.
3.Eligibilityl forl reimbursement:l offersl largerl groupsl ofl peoplel inl communitiesl primaryl
carel butl canl alsol causel competitionl asl NP'sl andl MD'sl attemptl tol servel thel samel
population.l Also,l umbrellal corporationsl tendl tol givel thel NPl al minl numberl ofl patientsl
tol seel andl thenl offerl incentivel payl tol seel more.l Lossl ofl qualityl ofl care?
Q:l Identifyl andl bel ablel tol discussl thel 3l phasesl ofl transitionl byl Barton,l 2007.
,Answer:
1.Thel Identityl Lossl Phase
•Earlyl inl thel APNl program.l Comel inl asl expertl andl nowl youl arel al novicel nursel again.l
Tryl tol separatel froml priorl career.
2.Transitionall Rolel Evolution
•Uncertaintyl ofl thel APNl rolel continues.l Feell al sensel ofl rolel limbol andl mayl feell
invisible.l Peersl arel important.l Resocializationl occursl acquiringl individualityl andl newl
rolel identity.l
3.Incorporationl Phase
•Occursl atl thel endl ofl thel programl usuallyl inl thel finall practicuml course.l Changel inl
relationshipl betweenl RNl peers.l Endl ofl phasel isl passingl ofl thel APNl certificationl exam
Q:l Whatl arel thel considerationsl towardsl transitionl froml thel RNl tol thel APNl role?
Answer:
•Developl al Theoreticall Nursel Practicel Framework:l emphasizesl EBP,l research,l tol stayl onl
topl ofl APNl profession
•Knowl thel APNl scopel ofl practice
•Choosel appropriatel preceptorsl thatl willl encouragel feelingsl ofl selfl worth
•Getl al mentor
•Reflectl eachl day
•Maintainl al clinicall Elogl (values,l attitudes,l practice)
•Maintainl al clinicall portfolio
•Networkl withl peersl andl experiencedl NP's
•Havel al Positivel Attitude
•Maximizel clinicall experiences
•Treatl failuresl asl learningl experiences
•Keepl upl withl legall issues
Q:l Whatl arel 5l majorl responsibilitiesl ofl thel RNl rolel thatl youl willl bringl tol thel NPl
role?
Answer:
•Document
•Educate
•Observel andl assessl patientsl
, •Reviewl treatment/carel plan
•Consultl withl MD'sl andl otherl professionals
Q:l Bel ablel tol identify/discussl topl issuesl forl thel APN.
Answer:
•Youl canl becomel sol specializedl thatl youl losel broadl knowledgel thatl isl needed.l
•Somel specialtyl rolesl arel recognizedl inl somel placesl butl notl others.l
Ex:l forensicl NPl inl Californial butl notl inl TX
•Therel arel sol manyl credentialsl thatl itl isl confusing
•Beingl recognizedl asl al PCPl asl anl NNP
•Puttingl thel MDl namel onl al prescriptionl bottle,l pharmaciesl acceptingl NPl scripts
•Hospitall privileges
•Medicarel andl Medicaidl reimbursements
•Thirdl partiesl canl denyl reimbursementsl tol NPl forl care
•Havel tol getl anl NPIl numberl (everyonel hasl tol havel it,l don'tl reallyl getl whyl itsl anl
issue)
•Autonomousl APNl Practice-l nol supervisionl byl MD.l Wouldl havel prescriptivel authority
•Hasl tol bel inl protocolsl tol delegatel tol anyonel otherl thanl MA,l NA
•Neededl mdl signaturel tol orderl supplies
•Sociall probleml ofl discounting
Q:l Discussl thel evolutionl ofl thel APN.
Answer:
i.Includesl Specialization:l al concentrationl inl al selectedl areal ofl clinicall nursing.
•Includesl specialtiesl (pedi,l women'sl health)l andl subspecialtiesl (diabetes)
ii.Involvesl expansion
•Stagel 1:l Specialtyl begins-l inl al practicel setting
•Stagel 2:l Specialtyl organizes-l institutionl trainingl develops,l specialtyl organizationl formsl
(NANN)
•Stagel 3:l demandsl mount,l knowledgel basel grows,l scopel ofl practicel grows,l regulationsl
establishedl tol makel surel publicl isl safe,l articlesl appear
Q:l Isl therel al differencel betweenl thel APRN,l APN,l andl thel Nursel Practitioner?l Ifl yes,l
elaborate?l Ifl no,l elaborate.
