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Comprehensive exam Questions with Correct Answers

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Which authority regulates the scope of practice of nurse practitioners? a. Federal law b. Academic institutions c. Individual state law d. Individual practice settings - ANSWERSIndividual state law NPs and clinical nurse specialists derive their legal rights to practice from: a. The Nurse Practice Act of the state where they practice b. The laws of the state where they practice c. The Medicare statute d. The Board of Nursing in the state where they practice - ANSWERSThe nurse practice act in the state where they practice You are working on the palliative care team in your practice when you receive a call from a patient's family member. A patient on hospice service has died at home. The family asks if you can sign the death certificate. How do you respond? a. Ask the family member to fax over the death certificate so you can sign it. b. Since you didn't witness the death, you are unable to sign the death certificate c. Since this is the first time you ae completing the death certificate, you will find the lead nurse practitioner to sign for it. d. In the state of California, nurse practitioners are not able to sign for death certificates, but you will get a physician to sign for it. - ANSWERSd. In the state of California, nurse practitioners are not able to sign for death certificates, but you will get a physician to sign for it. A patient is being admitted into an assisted living facility (ALF). The director of the facility asks that you complete the admission form, including the physician, and provider orders for the life-sustaining treatment form (POLS). How do you respond? · Ask the director to print the POLST form so you can review it with the patient and complete it. · Since this is the first time you are completing the POLST form, you leave it for the supervising physician to sign · In the state of California, nurse practitioners are not able to sign POLST forms, but you will get a physician to sign for it · A POLST form is not needed since the patient is not DNR - ANSWERS To meet Medicare's coverage requirements, the NP's services must be - ANSWERSProvide subject to state restrictions and supervision requirements

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Comprehensive exam Questions with
Correct Answers
Which authority regulates the scope of practice of nurse practitioners?
a. Federal law
b. Academic institutions
c. Individual state law
d. Individual practice settings - ANSWERSIndividual state law

NPs and clinical nurse specialists derive their legal rights to practice from:
a. The Nurse Practice Act of the state where they practice
b. The laws of the state where they practice
c. The Medicare statute
d. The Board of Nursing in the state where they practice - ANSWERSThe nurse practice
act in the state where they practice

You are working on the palliative care team in your practice when you receive a call
from a patient's family member. A patient on hospice service has died at home. The
family asks if you can sign the death certificate. How do you respond?
a. Ask the family member to fax over the death certificate so you can sign it.
b. Since you didn't witness the death, you are unable to sign the death certificate
c. Since this is the first time you ae completing the death certificate, you will find the
lead nurse practitioner to sign for it.
d. In the state of California, nurse practitioners are not able to sign for death certificates,
but you will get a physician to sign for it. - ANSWERSd. In the state of California, nurse
practitioners are not able to sign for death certificates, but you will get a physician to
sign for it.

A patient is being admitted into an assisted living facility (ALF). The director of the
facility asks that you complete the admission form, including the physician, and provider
orders for the life-sustaining treatment form (POLS). How do you respond?
· Ask the director to print the POLST form so you can review it with the patient and
complete it.
· Since this is the first time you are completing the POLST form, you leave it for the
supervising physician to sign
· In the state of California, nurse practitioners are not able to sign POLST forms, but you
will get a physician to sign for it
· A POLST form is not needed since the patient is not DNR - ANSWERS

To meet Medicare's coverage requirements, the NP's services must be -
ANSWERSProvide subject to state restrictions and supervision requirements

, The patient's payer is a client who legally agrees to pay the NP directly providing a
specific service which is: - ANSWERSFee for service

NP signs a contract and agrees to provide health care for a certain populations such as
homeless, paid according to the contracted agreements - ANSWERSContracted service
system

When serving as a nurse researcher, the NP is guided by which ethical principles to
ensure that research participants are protected from harm or exposure? -
ANSWERSNonmaleficence

Goals set forth in Healthy People 2020 by the US DHHS include the: - ANSWERS1)
Attain high quality longer lives free of preventable disease, disability, injury, premature
death
2) Achieve health equity, eliminate disparities, improve health of all groups
3) Create social physical environments that promote good health for all
4) Promote quality of life, healthy development, healthy behaviors across life stages

If served with a summons and complaints (lawsuit document), NP should take which of
the following initial step? - ANSWERSCall the insurance company for instructions on
how to proceed

The new graduate nurse practitioner uses clinical practice guidelines as the main
resource for practice. They are desired: - ANSWERSServe as a handbook to the best
practice

Clinical practice guidelines - ANSWERSSystematically developed statements to assist
practitioner and patient decisions about appropriate health care for specific clinical
circumstances
Issued by a third party organization and no NCCIH
Define the role of specific diagnostic and treatment modalities in the diagnosis and
management of patients

Which statement should the nurse recognize as being correct regarding the nursing
negligence? - ANSWERSIt occurs without deliberate intent to harm to another
individuals
It is conducting that deviates from what a reasonable individual would do in particular
circumstances.
It is an unintentional tort

Malpractice - ANSWERSAny conduct deviating from the standard of practice dictated by
the profession

Crime - ANSWERSTo be committed against the state rather than an individual

Which of the following is a criterion determining Medicare eligibility? - ANSWERSAge
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