N5350 ROLES FINAL ASSESSMENT SCRIPT
2026 VERIFIED ANSWERS COMPREHENSIVE
REVIEW
◉ What are 3 major healthcare system issues that can be impacted
by the NP role? Describe how these can be impacted.
Answer: 1.Assess to care
2.Quality of care
3.Cost of care
*According to Safreit, in order for NP's to be part of the solution,
barriers to practice that exist must be removed.
•Scope of Practice: no protocols, full authority to practice with no
supervision
•Unlimited prescriptive authority
•Full reimbursement
•Autonomy as a provider: hospital privileges
◉ What are 3 issues that can impact the NP role either positively or
negatively? Describe how the issues can impact the role and what
you think needs to be done to promote a positive outcome.
Answer: 1.DNP: positive side is lengths of programs are lengthy
anyways with no change in credentialing awarded. You would not
have to do or much extra, and you would have a DNP. Negative side is
,this might push nurses from continuing their education and the
need for care providers should take precedent over professionalized
agenda.
2.Prescriptive authority: increasing prescriptive authority could
impact the role positively in that patients will not have a delay of
care. Pain could be better managed.
3.Eligibility for reimbursement: offers larger groups of people in
communities primary care but can also cause competition as NP's
and MD's attempt to serve the same population. Also, umbrella
corporations tend to give the NP a min number of patients to see and
then offer incentive pay to see more. Loss of quality of care?
◉ Identify and be able to discuss the 3 phases of transition by
Barton, 2007.
Answer: 1.The Identity Loss Phase
•Early in the APN program. Come in as expert and now you are a
novice nurse again. Try to separate from prior career.
2.Transitional Role Evolution
•Uncertainty of the APN role continues. Feel a sense of role limbo
and may feel invisible. Peers are important. Resocialization occurs
acquiring individuality and new role identity.
3.Incorporation Phase
•Occurs at the end of the program usually in the final practicum
course. Change in relationship between RN peers. End of phase is
passing of the APN certification exam
,◉ What are the considerations towards transition from the RN to
the APN role?
Answer: •Develop a Theoretical Nurse Practice Framework:
emphasizes EBP, research, to stay on top of APN profession
•Know the APN scope of practice
•Choose appropriate preceptors that will encourage feelings of self
worth
•Get a mentor
•Reflect each day
•Maintain a clinical Elog (values, attitudes, practice)
•Maintain a clinical portfolio
•Network with peers and experienced NP's
•Have a Positive Attitude
•Maximize clinical experiences
•Treat failures as learning experiences
•Keep up with legal issues
◉ What are 5 major responsibilities of the RN role that you will
bring to the NP role?
Answer: •Document
•Educate
•Observe and assess patients
, •Review treatment/care plan
•Consult with MD's and other professionals
◉ Be able to identify/discuss top issues for the APN.
Answer: •You can become so specialized that you lose broad
knowledge that is needed.
•Some specialty roles are recognized in some places but not others.
Ex: forensic NP in California but not in TX
•There are so many credentials that it is confusing
•Being recognized as a PCP as an NNP
•Putting the MD name on a prescription bottle, pharmacies
accepting NP scripts
•Hospital privileges
•Medicare and Medicaid reimbursements
•Third parties can deny reimbursements to NP for care
•Have to get an NPI number (everyone has to have it, don't really get
why its an issue)
•Autonomous APN Practice- no supervision by MD. Would have
prescriptive authority
•Has to be in protocols to delegate to anyone other than MA, NA
•Needed md signature to order supplies
•Social problem of discounting
2026 VERIFIED ANSWERS COMPREHENSIVE
REVIEW
◉ What are 3 major healthcare system issues that can be impacted
by the NP role? Describe how these can be impacted.
Answer: 1.Assess to care
2.Quality of care
3.Cost of care
*According to Safreit, in order for NP's to be part of the solution,
barriers to practice that exist must be removed.
•Scope of Practice: no protocols, full authority to practice with no
supervision
•Unlimited prescriptive authority
•Full reimbursement
•Autonomy as a provider: hospital privileges
◉ What are 3 issues that can impact the NP role either positively or
negatively? Describe how the issues can impact the role and what
you think needs to be done to promote a positive outcome.
Answer: 1.DNP: positive side is lengths of programs are lengthy
anyways with no change in credentialing awarded. You would not
have to do or much extra, and you would have a DNP. Negative side is
,this might push nurses from continuing their education and the
need for care providers should take precedent over professionalized
agenda.
2.Prescriptive authority: increasing prescriptive authority could
impact the role positively in that patients will not have a delay of
care. Pain could be better managed.
3.Eligibility for reimbursement: offers larger groups of people in
communities primary care but can also cause competition as NP's
and MD's attempt to serve the same population. Also, umbrella
corporations tend to give the NP a min number of patients to see and
then offer incentive pay to see more. Loss of quality of care?
◉ Identify and be able to discuss the 3 phases of transition by
Barton, 2007.
Answer: 1.The Identity Loss Phase
•Early in the APN program. Come in as expert and now you are a
novice nurse again. Try to separate from prior career.
2.Transitional Role Evolution
•Uncertainty of the APN role continues. Feel a sense of role limbo
and may feel invisible. Peers are important. Resocialization occurs
acquiring individuality and new role identity.
3.Incorporation Phase
•Occurs at the end of the program usually in the final practicum
course. Change in relationship between RN peers. End of phase is
passing of the APN certification exam
,◉ What are the considerations towards transition from the RN to
the APN role?
Answer: •Develop a Theoretical Nurse Practice Framework:
emphasizes EBP, research, to stay on top of APN profession
•Know the APN scope of practice
•Choose appropriate preceptors that will encourage feelings of self
worth
•Get a mentor
•Reflect each day
•Maintain a clinical Elog (values, attitudes, practice)
•Maintain a clinical portfolio
•Network with peers and experienced NP's
•Have a Positive Attitude
•Maximize clinical experiences
•Treat failures as learning experiences
•Keep up with legal issues
◉ What are 5 major responsibilities of the RN role that you will
bring to the NP role?
Answer: •Document
•Educate
•Observe and assess patients
, •Review treatment/care plan
•Consult with MD's and other professionals
◉ Be able to identify/discuss top issues for the APN.
Answer: •You can become so specialized that you lose broad
knowledge that is needed.
•Some specialty roles are recognized in some places but not others.
Ex: forensic NP in California but not in TX
•There are so many credentials that it is confusing
•Being recognized as a PCP as an NNP
•Putting the MD name on a prescription bottle, pharmacies
accepting NP scripts
•Hospital privileges
•Medicare and Medicaid reimbursements
•Third parties can deny reimbursements to NP for care
•Have to get an NPI number (everyone has to have it, don't really get
why its an issue)
•Autonomous APN Practice- no supervision by MD. Would have
prescriptive authority
•Has to be in protocols to delegate to anyone other than MA, NA
•Needed md signature to order supplies
•Social problem of discounting
