PRIMARY CARE THE ART AND SCIENCE OF
ADVANCED PRACTICE NURSING AND
INTERPROFESSIONAL APPROACH FINAL
PAPER QUESTIONS AND CORRECT
ANSWERS FULL REVIEW GUIDE
●● 1a) Medically Underserved
Answer: *site must be official, physician must be reachable by phone &
must be provided with daily status report of any major problems outside
of the protocol.
*must have protocols.
●● 1b) Physician Primary Practice Site
Answer: * Must have protocols.
*Sign drug orders only for pts whom the MD has/will establish a
relationship.
*alternate MD may delegate.
*MD may delegate to no more than 7 APNS or PAs.
*Physician on-site visits should be 50% of the time according to BME.
●● 1c) Facility Based Practice
Answer: *Must be physically present in facility (hospital or long term
facility).
,*Physician must give prior consent.
*Delegation only at > one hospital or > 2 long term care facilities - now
it is 7 FTEs.
*Long term care-only 4 APNs (APRNs) or 4 PAs or their FTE
equivalent - now it is 7 FTE & approved by Chief Physician of Facility.
*Protocol signed by the Chief Physician.
●● 1d) Physician Alternate Site
Answer: *No longer in effect.
●● 2. The FOUR Approved Categories of APN in TX?
Answer: *CRNA, NP, CNS, and CNM
●● 3. NP requirements by BON for approval of license/ AP recognition
each biennium.
Answer: *Current valid RN licensure.
*400 hours of current clinical practice.
*20 hours of CEs.
*8 hours of continuing education in pharmacotherapeutics.
*Current board certification.
*Separate application for dual roles.
●● 4. New NP graduate requirements when applying for the board?
,Answer: *Must take and pass national certification exam.
●● 5. What is the NP's scope of practice based on?
Answer: *Nurse practice acts define legal scope of practice for licensed
practitioners.
*Includes privileges for diagnosis, treatment, prescriptive authority and
reimbursement.
●● 11. What are clinical privileges and how are they obtained?
Answer: *autonomy to perform expanded role functions based on the
individuals licensure, educational preparation, clinical experience, and
credentials.
*Via contractual agreement with hospitals or long term care facilities.
●● 12. Define Malpractice
Answer: *Any professional misconduct, unreasonable lack of skill, or
infidelity in professional or fiduciary duties, or illegal or immoral
conduct.
*Negligence is the failure of an individual to do something that a
reasonable person would do, that results in injury to another.
*The alleged failure on the part of a professional to render services with
the degree of care, diligence, and precaution that another member of the
same profession in similar circumstances would render to prevent injury
to some one else.
, ●● 13. FOUR Elements of Malpractice
Answer: 1. Duty: provide some level of care, had some contact.
2. Dereliction: reasonable, ordinary care, skill and diligence as NP's in
good standing in similar practice.
3. Damage: Must have an injury or no malpractice even if violated
standard of care; cap "pain and suffering" $250,000 to $500, 000.
4. Causation of Injury: For malpractice to have occurred, a breach of the
standard of care must have caused an injury to the patient.
●● 15. National Practitioner Data Bank
Answer: *Receives and discloses the reports on medical malpractice.
●● Who is credited to be the first advanced practice nurse role?
Answer: Nurse Anesthesia in 1800's- perhaps the oldest advanced
nursing specialty, Sister Mary Bernard at St. Vincent's Hospital was the
first anesthetist
●● Who is credited to be the founder of the first nurse practitioner role?
Answer: Loretta Ford-1965- Colorado
●● Who is (are) the oldest primary care providers in the history of
advanced practice nurses?
Answer: Midwifes in 1700's- perhaps the oldest primary health care
provider
ADVANCED PRACTICE NURSING AND
INTERPROFESSIONAL APPROACH FINAL
PAPER QUESTIONS AND CORRECT
ANSWERS FULL REVIEW GUIDE
●● 1a) Medically Underserved
Answer: *site must be official, physician must be reachable by phone &
must be provided with daily status report of any major problems outside
of the protocol.
*must have protocols.
●● 1b) Physician Primary Practice Site
Answer: * Must have protocols.
*Sign drug orders only for pts whom the MD has/will establish a
relationship.
*alternate MD may delegate.
*MD may delegate to no more than 7 APNS or PAs.
*Physician on-site visits should be 50% of the time according to BME.
●● 1c) Facility Based Practice
Answer: *Must be physically present in facility (hospital or long term
facility).
,*Physician must give prior consent.
*Delegation only at > one hospital or > 2 long term care facilities - now
it is 7 FTEs.
*Long term care-only 4 APNs (APRNs) or 4 PAs or their FTE
equivalent - now it is 7 FTE & approved by Chief Physician of Facility.
*Protocol signed by the Chief Physician.
●● 1d) Physician Alternate Site
Answer: *No longer in effect.
●● 2. The FOUR Approved Categories of APN in TX?
Answer: *CRNA, NP, CNS, and CNM
●● 3. NP requirements by BON for approval of license/ AP recognition
each biennium.
Answer: *Current valid RN licensure.
*400 hours of current clinical practice.
*20 hours of CEs.
*8 hours of continuing education in pharmacotherapeutics.
*Current board certification.
*Separate application for dual roles.
●● 4. New NP graduate requirements when applying for the board?
,Answer: *Must take and pass national certification exam.
●● 5. What is the NP's scope of practice based on?
Answer: *Nurse practice acts define legal scope of practice for licensed
practitioners.
*Includes privileges for diagnosis, treatment, prescriptive authority and
reimbursement.
●● 11. What are clinical privileges and how are they obtained?
Answer: *autonomy to perform expanded role functions based on the
individuals licensure, educational preparation, clinical experience, and
credentials.
*Via contractual agreement with hospitals or long term care facilities.
●● 12. Define Malpractice
Answer: *Any professional misconduct, unreasonable lack of skill, or
infidelity in professional or fiduciary duties, or illegal or immoral
conduct.
*Negligence is the failure of an individual to do something that a
reasonable person would do, that results in injury to another.
*The alleged failure on the part of a professional to render services with
the degree of care, diligence, and precaution that another member of the
same profession in similar circumstances would render to prevent injury
to some one else.
, ●● 13. FOUR Elements of Malpractice
Answer: 1. Duty: provide some level of care, had some contact.
2. Dereliction: reasonable, ordinary care, skill and diligence as NP's in
good standing in similar practice.
3. Damage: Must have an injury or no malpractice even if violated
standard of care; cap "pain and suffering" $250,000 to $500, 000.
4. Causation of Injury: For malpractice to have occurred, a breach of the
standard of care must have caused an injury to the patient.
●● 15. National Practitioner Data Bank
Answer: *Receives and discloses the reports on medical malpractice.
●● Who is credited to be the first advanced practice nurse role?
Answer: Nurse Anesthesia in 1800's- perhaps the oldest advanced
nursing specialty, Sister Mary Bernard at St. Vincent's Hospital was the
first anesthetist
●● Who is credited to be the founder of the first nurse practitioner role?
Answer: Loretta Ford-1965- Colorado
●● Who is (are) the oldest primary care providers in the history of
advanced practice nurses?
Answer: Midwifes in 1700's- perhaps the oldest primary health care
provider
