ADVANCED PRACTICE NURSING
ROLES - NURS 6531 FINAL EXAM
STUDY GUIDE
1. According to Hamric’s Integrative Model of Advanced Practice Nursing, which of the
following is considered the central core of APRN practice?
A. Direct Clinical Practice
B. Leadership and Clinical Research
C. Expert Coaching and Guidance
D. Ethical Decision-Making
Answer: A
Conceptual Explanation: Hamric’s model defines Direct Clinical Practice as the central
core of APRN practice, around which all other competencies (such as consultation and
leadership) revolve.
2. Under the LACE model for APRN regulation, what does the ‘C’ stand for?
A. Collaboration
B. Certification
,C. Credentialing
D. Compliance
Answer: B
Conceptual Explanation: LACE stands for Licensure, Accreditation, Certification, and
Education, which is the consensus model for regulating APRNs.
3. Which legal concept refers to the failure of a professional to exercise the degree of care
that a prudent and reasonable person would exercise under similar circumstances?
A. Strict Liability
B. Negligence
C. Battery
D. Vicarious Liability
Answer: B
Conceptual Explanation: Negligence is the general term for failing to provide reasonable
care, whereas malpractice is professional negligence.
4. In Medicare reimbursement, what percentage of the Physician Fee Schedule is typically
paid to Nurse Practitioners for the same services?
A. 100%
B. 95%
C. 75%
, D. 85%
Answer: D
Conceptual Explanation: Medicare pays NPs and CNSs 85% of the Physician Fee Schedule
for services provided under their own NPI number.
5. Which component of the Donabedian Model evaluates the actual care provided, including
diagnosis and treatment plans?
A. Process
B. Structure
C. Outcome
D. Resource Allocation
Answer: A
Conceptual Explanation: The Donabedian model uses Structure, Process, and Outcome.
‘Process’ focuses on the clinical activities and interactions between the provider and
patient.
6. When an NP is sued, which of the following elements must the plaintiff prove to establish
malpractice?
A. Duty, Breach of Duty, Causation, and Damages
B. Intent, Harm, and Professional Standing
C. Negligence, Moral Turpitude, and Liability
ROLES - NURS 6531 FINAL EXAM
STUDY GUIDE
1. According to Hamric’s Integrative Model of Advanced Practice Nursing, which of the
following is considered the central core of APRN practice?
A. Direct Clinical Practice
B. Leadership and Clinical Research
C. Expert Coaching and Guidance
D. Ethical Decision-Making
Answer: A
Conceptual Explanation: Hamric’s model defines Direct Clinical Practice as the central
core of APRN practice, around which all other competencies (such as consultation and
leadership) revolve.
2. Under the LACE model for APRN regulation, what does the ‘C’ stand for?
A. Collaboration
B. Certification
,C. Credentialing
D. Compliance
Answer: B
Conceptual Explanation: LACE stands for Licensure, Accreditation, Certification, and
Education, which is the consensus model for regulating APRNs.
3. Which legal concept refers to the failure of a professional to exercise the degree of care
that a prudent and reasonable person would exercise under similar circumstances?
A. Strict Liability
B. Negligence
C. Battery
D. Vicarious Liability
Answer: B
Conceptual Explanation: Negligence is the general term for failing to provide reasonable
care, whereas malpractice is professional negligence.
4. In Medicare reimbursement, what percentage of the Physician Fee Schedule is typically
paid to Nurse Practitioners for the same services?
A. 100%
B. 95%
C. 75%
, D. 85%
Answer: D
Conceptual Explanation: Medicare pays NPs and CNSs 85% of the Physician Fee Schedule
for services provided under their own NPI number.
5. Which component of the Donabedian Model evaluates the actual care provided, including
diagnosis and treatment plans?
A. Process
B. Structure
C. Outcome
D. Resource Allocation
Answer: A
Conceptual Explanation: The Donabedian model uses Structure, Process, and Outcome.
‘Process’ focuses on the clinical activities and interactions between the provider and
patient.
6. When an NP is sued, which of the following elements must the plaintiff prove to establish
malpractice?
A. Duty, Breach of Duty, Causation, and Damages
B. Intent, Harm, and Professional Standing
C. Negligence, Moral Turpitude, and Liability
