NURS 5350 Module 6 Quiz V3 | NURS 5350
Role of the Nurse in Advanced Practice |
Actual Q&A with Rationale (NURS5350
Module 6 Quiz) | The University of Texas
at Arlington
1. Which component of the LACE model ensures that an APRN has met the predetermined
standards for specialized nursing practice?
A. Licensure
B. Certification
C. Accreditation
D. Education
Answer: B
Rationale: Certification is the formal process by which a certifying body validates an
individual’s knowledge, skills, and abilities in a defined specialty area. This process is
essential for maintaining high standards of clinical excellence and patient safety within the
advanced practice nursing community. It serves as a prerequisite for licensure in many
states, ensuring that practitioners possess the required competencies for their specific
population focus.
,2. Under Medicare Part B, at what percentage of the physician fee schedule are Nurse
Practitioners typically reimbursed for covered services?
A. 100%
B. 75%
C. 85%
D. 90%
Answer: C
Rationale: Medicare Part B generally reimburses Nurse Practitioners at 85% of the
Physician Fee Schedule for the same service provided by a physician. This reimbursement
differential has been a significant point of discussion in health policy debates regarding
practice parity and economic incentives. Understanding these billing nuances is critical for
the financial sustainability of APRN-led clinics and integrated healthcare systems.
3. Which type of professional liability insurance covers claims only if the incident occurred
and the claim was reported while the policy was active?
A. Occurrence-based policy
B. Claims-made policy
C. Tail coverage
D. Prior acts coverage
Answer: B
, Rationale: A claims-made policy requires both the clinical event and the reporting of the
lawsuit to happen during the period the insurance policy is in effect. If an APRN changes
jobs or retires, they often need to purchase ‘tail coverage’ to protect against future claims
from past incidents. This differs from occurrence policies, which cover any incident that
happened during the policy period regardless of when the claim is filed.
4. What is the primary purpose of a Collaborative Practice Agreement (CPA) between an
APRN and a physician?
A. To provide a legal shield for the physician’s practice
B. To define the scope of delegated medical acts and supervision requirements
C. To ensure the APRN pays a fee for oversight
D. To eliminate the need for APRN board certification
Answer: B
Rationale: Collaborative Practice Agreements are legal documents that outline the specific
roles, responsibilities, and supervisory structures between an APRN and a physician as
mandated by state law. These agreements vary significantly between states and are a key
element in the ‘Restricted’ or ‘Reduced’ practice categories defined by the AANP. They
serve to satisfy regulatory requirements while theoretically promoting interprofessional
cooperation for patient care.
5. In the context of APRN billing, what does the term ‘Incident-to’ billing refer to?
A. Billing for services provided by the APRN under their own NPI
Role of the Nurse in Advanced Practice |
Actual Q&A with Rationale (NURS5350
Module 6 Quiz) | The University of Texas
at Arlington
1. Which component of the LACE model ensures that an APRN has met the predetermined
standards for specialized nursing practice?
A. Licensure
B. Certification
C. Accreditation
D. Education
Answer: B
Rationale: Certification is the formal process by which a certifying body validates an
individual’s knowledge, skills, and abilities in a defined specialty area. This process is
essential for maintaining high standards of clinical excellence and patient safety within the
advanced practice nursing community. It serves as a prerequisite for licensure in many
states, ensuring that practitioners possess the required competencies for their specific
population focus.
,2. Under Medicare Part B, at what percentage of the physician fee schedule are Nurse
Practitioners typically reimbursed for covered services?
A. 100%
B. 75%
C. 85%
D. 90%
Answer: C
Rationale: Medicare Part B generally reimburses Nurse Practitioners at 85% of the
Physician Fee Schedule for the same service provided by a physician. This reimbursement
differential has been a significant point of discussion in health policy debates regarding
practice parity and economic incentives. Understanding these billing nuances is critical for
the financial sustainability of APRN-led clinics and integrated healthcare systems.
3. Which type of professional liability insurance covers claims only if the incident occurred
and the claim was reported while the policy was active?
A. Occurrence-based policy
B. Claims-made policy
C. Tail coverage
D. Prior acts coverage
Answer: B
, Rationale: A claims-made policy requires both the clinical event and the reporting of the
lawsuit to happen during the period the insurance policy is in effect. If an APRN changes
jobs or retires, they often need to purchase ‘tail coverage’ to protect against future claims
from past incidents. This differs from occurrence policies, which cover any incident that
happened during the policy period regardless of when the claim is filed.
4. What is the primary purpose of a Collaborative Practice Agreement (CPA) between an
APRN and a physician?
A. To provide a legal shield for the physician’s practice
B. To define the scope of delegated medical acts and supervision requirements
C. To ensure the APRN pays a fee for oversight
D. To eliminate the need for APRN board certification
Answer: B
Rationale: Collaborative Practice Agreements are legal documents that outline the specific
roles, responsibilities, and supervisory structures between an APRN and a physician as
mandated by state law. These agreements vary significantly between states and are a key
element in the ‘Restricted’ or ‘Reduced’ practice categories defined by the AANP. They
serve to satisfy regulatory requirements while theoretically promoting interprofessional
cooperation for patient care.
5. In the context of APRN billing, what does the term ‘Incident-to’ billing refer to?
A. Billing for services provided by the APRN under their own NPI
