Advanced Practice Nursing Question and
Answers Updated 2026
Bundle Payments and health care expenditures - Answer- Also known as bundle payments
- Reimburstment of health care providers on the basis of expected cost for clinically defined episodes
of care
- "middle" ground between fee-for-service and capitation
- healthcare delivery system takes on financial risk of patient
- Forces system to enhance quality and coordination of care
- Incentivizes system to deliver care that truly meets the Triple Aim
CHIP - Answer- Children's Health Insurance Program
- Health coverage to uninsured children whose families earn too much to qualify for Mediciad but
too little to afford private coverage
Role Strain - AnswerSubjective feelings of frustration, tension, or anxiety expierenced in response to
role stress & can be feelings of decreased self-esteem when performance is below expectations
Role Conflict - AnswerRole expectations are percieved to be mutually exclusive or contraditctory
Medicare Part D Billing - Answer- Prescription drug coverage
- Must join a drug place to receive coverage under part D
- Coverage is attempt to lower prescription costs
- Payment is monthly fee that varies by plan & is addition to Part B premium or inbedded in Part C
premium
Role Stress - AnswerA situation of increased role performance demand (ex: returning to school while
maintaining work and family responsibilities or the expectation of increased workload
Medicare Part B Billing - Answer- Covers medical expenses such as physician and outpatient care
- Direct reimbursement can only occur when submitting claim through part B
- Covers physician and nonphysical provider services, outpatient hospital services, home health care
not covered by part A (PT/OT) and other services such as diagnostic testing, durable medical
equipment and ambulance costs
, - Enrollment in part B is voluntary to those receiving Part A
- Payment into system via monthly premiums that are established yearly based on system expenses
through deductibles & coinsurance programs
Advanced Practice Nurse Roles - Answer1. Nurse Practitioner
2. Clinical Nurse Specialist
3. Certified Registered Nurse Anesthetist
4. Certified Nurse Midwife
Nurse Practition - Answer- provide care through diagnosis and treatment as well as addressing
disease prevention and health management
- 1893 Lillian Wald & Henry Street Settlement (HSS) House
- HHS nurses obtained standing orders for emergency medications and treatments
- nurses considered "good enough" to care for the poor whereas physicians seen as only careing for
those who could pay
- FNS/FSA nurse practice centered around the practice autonomy in the requirement that the
patients be poor, marginalized and have little access to physician provided medical care
- NP role formally described in 1960s and was implemented in outpatient pediatric clinics in response
to a shortage of primary care physicians
- Loretta Ford in 1965 established first Pediatric NP program (PNP) & was designed to prepare
professional nurses to provide comprehensive well-child care and manage common childhood health
problems
- 1970 continue to enhance visibility in health system, and expand role while demonstrating cost
effective quality care
- role expanded/included because nurse role was essential to providing equal access to health care
for all Americans
- conflict surrounds role between other RN and NP and NP and physicians
- issues surrounding prescriptive treatment & idaho in 1971 was first state to recognize diagnosis and
treatment as part of practice
- Support DNP but does not require educational programs to be at the doctoral level
Clinical Nurse Specialist - Answer- evolved out of increasingly complexity of nursing care
- roots in psychiatric nursing
- psych specialists date back to 1880 & richards is credited with founding specialty of psych nursing
specialists
Answers Updated 2026
Bundle Payments and health care expenditures - Answer- Also known as bundle payments
- Reimburstment of health care providers on the basis of expected cost for clinically defined episodes
of care
- "middle" ground between fee-for-service and capitation
- healthcare delivery system takes on financial risk of patient
- Forces system to enhance quality and coordination of care
- Incentivizes system to deliver care that truly meets the Triple Aim
CHIP - Answer- Children's Health Insurance Program
- Health coverage to uninsured children whose families earn too much to qualify for Mediciad but
too little to afford private coverage
Role Strain - AnswerSubjective feelings of frustration, tension, or anxiety expierenced in response to
role stress & can be feelings of decreased self-esteem when performance is below expectations
Role Conflict - AnswerRole expectations are percieved to be mutually exclusive or contraditctory
Medicare Part D Billing - Answer- Prescription drug coverage
- Must join a drug place to receive coverage under part D
- Coverage is attempt to lower prescription costs
- Payment is monthly fee that varies by plan & is addition to Part B premium or inbedded in Part C
premium
Role Stress - AnswerA situation of increased role performance demand (ex: returning to school while
maintaining work and family responsibilities or the expectation of increased workload
Medicare Part B Billing - Answer- Covers medical expenses such as physician and outpatient care
- Direct reimbursement can only occur when submitting claim through part B
- Covers physician and nonphysical provider services, outpatient hospital services, home health care
not covered by part A (PT/OT) and other services such as diagnostic testing, durable medical
equipment and ambulance costs
, - Enrollment in part B is voluntary to those receiving Part A
- Payment into system via monthly premiums that are established yearly based on system expenses
through deductibles & coinsurance programs
Advanced Practice Nurse Roles - Answer1. Nurse Practitioner
2. Clinical Nurse Specialist
3. Certified Registered Nurse Anesthetist
4. Certified Nurse Midwife
Nurse Practition - Answer- provide care through diagnosis and treatment as well as addressing
disease prevention and health management
- 1893 Lillian Wald & Henry Street Settlement (HSS) House
- HHS nurses obtained standing orders for emergency medications and treatments
- nurses considered "good enough" to care for the poor whereas physicians seen as only careing for
those who could pay
- FNS/FSA nurse practice centered around the practice autonomy in the requirement that the
patients be poor, marginalized and have little access to physician provided medical care
- NP role formally described in 1960s and was implemented in outpatient pediatric clinics in response
to a shortage of primary care physicians
- Loretta Ford in 1965 established first Pediatric NP program (PNP) & was designed to prepare
professional nurses to provide comprehensive well-child care and manage common childhood health
problems
- 1970 continue to enhance visibility in health system, and expand role while demonstrating cost
effective quality care
- role expanded/included because nurse role was essential to providing equal access to health care
for all Americans
- conflict surrounds role between other RN and NP and NP and physicians
- issues surrounding prescriptive treatment & idaho in 1971 was first state to recognize diagnosis and
treatment as part of practice
- Support DNP but does not require educational programs to be at the doctoral level
Clinical Nurse Specialist - Answer- evolved out of increasingly complexity of nursing care
- roots in psychiatric nursing
- psych specialists date back to 1880 & richards is credited with founding specialty of psych nursing
specialists
