NRNP 6568: Synthesis in Advanced
Nursing Practice of Patients in Family
Care Settings – The Definitive -
Question Final Exam Review with
Verified Answers & Clinical Rationales
| Walden University 2026/2027
Question 1
Release of information (ROI) to third parties requires authorization by the
patient or his or her legal representative. True or False?
Answer: True
Rationale: HIPAA mandates that protected health information (PHI) cannot
be disclosed to third parties without a valid written authorization signed by
the patient or legal guardian, except for treatment, payment, or healthcare
operations.
Question 2
When giving patients written information, what is the suggested reading
level for that health information?
Answer: 5th grade
,Rationale: The average U.S. adult reads at a 7th–8th grade level, but the
AMA and NIH recommend a 5th–6th grade reading level for patient
education materials to ensure comprehension and health literacy.
Question 3
An NP must have a DNP to prescribe controlled substances. True or False?
Answer: False
Rationale: In most states, NPs with a master's degree and appropriate state
licensure (e.g., DEA registration) can prescribe controlled substances. A DNP
is not a federal requirement.
Question 4
DNP stands for Doctor of Nursing Profession. True or False?
Answer: False
Rationale: DNP stands for Doctor of Nursing Practice. It is a terminal
practice doctorate focused on clinical practice leadership.
Question 5
An occurrence policy covers any incident that occurred while the NP was
insured. A claims-made policy covers an NP only when the insurance policy
is active, no matter when the incident occurred. True or False?
,Answer: True
Rationale: Occurrence policies provide coverage for incidents that
happened during the policy period regardless of when the claim is filed.
Claims-made policies require the policy to be active at the time the claim is
made.
Question 6
If an NP is sued, it is important that the NP not call the insurance company
immediately so as to prevent the rates from increasing. True or False?
Answer: False
Rationale: If an NP is sued, it is important to call the insurance company
immediately. Waiting to prevent rate increases is not appropriate and may
jeopardize coverage.
Question 7
Standard of care is the use of unreasonable, extraordinary care, skill, and
diligence as an NP in the type of patient practice in similar cases. True or
False?
Answer: False
Rationale: Standard of care is the use of reasonable, ordinary care, skill,
and diligence as an NP—not unreasonable or extraordinary care.
, Question 8
A provider may be terribly negligent, but if there is no injury, there is no
malpractice. True or False?
Answer: True
Rationale: All four elements of malpractice must be present: duty, breach
of duty, causation, and damages/injury. Without injury/damages,
malpractice cannot be established.
Question 9
If a patient is dismissed from a practice, what elements need to be included
in the dismissal letter?
Answer: The last day the practitioner will be available to render medical
care (at least 30 days); indication that medication refills will be provided
during this period; alternative sources of medical care; how to obtain
medical records.
Rationale: Proper patient dismissal requires a formal letter sent by First
Class mail with return receipt requested, including these elements to ensure
continuity of care and avoid allegations of patient abandonment.
Question 10
Sharing medical information with a patient's mother without a signed
HIPAA waiver is:
Answer: A HIPAA violation, even if it is the patient's mother.
Nursing Practice of Patients in Family
Care Settings – The Definitive -
Question Final Exam Review with
Verified Answers & Clinical Rationales
| Walden University 2026/2027
Question 1
Release of information (ROI) to third parties requires authorization by the
patient or his or her legal representative. True or False?
Answer: True
Rationale: HIPAA mandates that protected health information (PHI) cannot
be disclosed to third parties without a valid written authorization signed by
the patient or legal guardian, except for treatment, payment, or healthcare
operations.
Question 2
When giving patients written information, what is the suggested reading
level for that health information?
Answer: 5th grade
,Rationale: The average U.S. adult reads at a 7th–8th grade level, but the
AMA and NIH recommend a 5th–6th grade reading level for patient
education materials to ensure comprehension and health literacy.
Question 3
An NP must have a DNP to prescribe controlled substances. True or False?
Answer: False
Rationale: In most states, NPs with a master's degree and appropriate state
licensure (e.g., DEA registration) can prescribe controlled substances. A DNP
is not a federal requirement.
Question 4
DNP stands for Doctor of Nursing Profession. True or False?
Answer: False
Rationale: DNP stands for Doctor of Nursing Practice. It is a terminal
practice doctorate focused on clinical practice leadership.
Question 5
An occurrence policy covers any incident that occurred while the NP was
insured. A claims-made policy covers an NP only when the insurance policy
is active, no matter when the incident occurred. True or False?
,Answer: True
Rationale: Occurrence policies provide coverage for incidents that
happened during the policy period regardless of when the claim is filed.
Claims-made policies require the policy to be active at the time the claim is
made.
Question 6
If an NP is sued, it is important that the NP not call the insurance company
immediately so as to prevent the rates from increasing. True or False?
Answer: False
Rationale: If an NP is sued, it is important to call the insurance company
immediately. Waiting to prevent rate increases is not appropriate and may
jeopardize coverage.
Question 7
Standard of care is the use of unreasonable, extraordinary care, skill, and
diligence as an NP in the type of patient practice in similar cases. True or
False?
Answer: False
Rationale: Standard of care is the use of reasonable, ordinary care, skill,
and diligence as an NP—not unreasonable or extraordinary care.
, Question 8
A provider may be terribly negligent, but if there is no injury, there is no
malpractice. True or False?
Answer: True
Rationale: All four elements of malpractice must be present: duty, breach
of duty, causation, and damages/injury. Without injury/damages,
malpractice cannot be established.
Question 9
If a patient is dismissed from a practice, what elements need to be included
in the dismissal letter?
Answer: The last day the practitioner will be available to render medical
care (at least 30 days); indication that medication refills will be provided
during this period; alternative sources of medical care; how to obtain
medical records.
Rationale: Proper patient dismissal requires a formal letter sent by First
Class mail with return receipt requested, including these elements to ensure
continuity of care and avoid allegations of patient abandonment.
Question 10
Sharing medical information with a patient's mother without a signed
HIPAA waiver is:
Answer: A HIPAA violation, even if it is the patient's mother.
