APRN Legal Study Practice Exam
Questions & Answers.
To meet Medicare's coverage requirements, the Nurse Practitioner's services must be:
A. Provided subject to state restrictions and supervision requirements
B. Provided under direct supervision
C. Provided in a rural health clinic or federally qualified health center
D. Billed through a physician direct clinic, health agency, or hospital - CORRECT ANSWER A. Provided
subject to state restrictions and supervision requirements: NP's may bill Medicare for services in
accordance with state restrictions and supervision requirements. The NP must bill using a National
Provider Identification Number and meet the educational and licensing requirements of that state. The
Centers for Medicare and Medicaid pay for NP services that are: Medically necessary; equivalent to
physician services,, accurately documented on medical records, and billed correctly.
Patient focused goal setting should be
A. Mandated and controlled by the clinician
B. Reasonable, measurable, and achievable
C. Simple
D. Long term rather than short term - CORRECT ANSWER B: Patient focused goal setting must be
reasonable, measurable, and achievable. Patients are more motivated if they establish their own goals.
The goals don't have to be simple but they should be very specific, with short term goals. Long term
goals may be the ultimate plan of care but reaching long term goals through a series of short term goals
is often more effective, because the patient is able to see progressive results.
Knowles principles for adult learning state that adult learners tend to be:
A. Unmotivated
B. Lacking self direction
C. Practical and goal oriented
D. Insecure - CORRECT ANSWER C - According to Knowles adult learners tend to be practical and goal
oriented, so they like to remain organized and keep the goal in mind while learning. Adults are (1) self
directed; (2) knowledgeable, (3) relevancy oriented, (3) motivated
, The patient payer is a client who legally agrees to pay the Nurse practitioner directly providing a specific
service which is:
A. Fee for service system
B. Third party system
C. Contracted service system
D. Second party system - CORRECT ANSWER C- In contracted services the NP signs a contract and agrees
to provide health care for a certain population such as the homeless. The NP does not bill for individual
services provided but is paid according to the contractual agreement. Fee for services reimbursement
occurs when the patient pays the NP directly for services provided.
Identify the behavior change model that predicts a person takes a health action to avoid negative
consequences, believing the action will prevent a negative outcome:
A. Theory of reasoned action
B. Theory of planned behavior
C. Stress appraisal and coping theory
D. Health belief model - CORRECT ANSWER D- The health belief model predicts health behavior with the
understanding that a person takes a health action to avoid negative consequences, if the person
believes the action prevents negative consequences. The theory is based on 6 perceptions: (1)
susceptibility; (2) severity; (3) benefit; (4) barriers; (5) action ques; (6) self-efficacy
Identify the members of the healthcare institution who are responsible for identifying performance
improvement projects:
A. Adminstrative staff
B. Nurse team leaders
C. All staff
D. Physicians - CORRECT ANSWER C. All staff members are responsible for performance improvement
projects. Continuous quality improvement is a management philosophy that emphasizes the
organization's structure, systems, and processes within that organization, rather than individuals.
Your 66 year old male patient receiving Medicare is discharged with an open, draining wound that he
cannot care for independently because of poor vision. His 14 year old grandson lives with him. The best
solution is:
A. Transfer your patient to an extended care facility
Questions & Answers.
To meet Medicare's coverage requirements, the Nurse Practitioner's services must be:
A. Provided subject to state restrictions and supervision requirements
B. Provided under direct supervision
C. Provided in a rural health clinic or federally qualified health center
D. Billed through a physician direct clinic, health agency, or hospital - CORRECT ANSWER A. Provided
subject to state restrictions and supervision requirements: NP's may bill Medicare for services in
accordance with state restrictions and supervision requirements. The NP must bill using a National
Provider Identification Number and meet the educational and licensing requirements of that state. The
Centers for Medicare and Medicaid pay for NP services that are: Medically necessary; equivalent to
physician services,, accurately documented on medical records, and billed correctly.
Patient focused goal setting should be
A. Mandated and controlled by the clinician
B. Reasonable, measurable, and achievable
C. Simple
D. Long term rather than short term - CORRECT ANSWER B: Patient focused goal setting must be
reasonable, measurable, and achievable. Patients are more motivated if they establish their own goals.
The goals don't have to be simple but they should be very specific, with short term goals. Long term
goals may be the ultimate plan of care but reaching long term goals through a series of short term goals
is often more effective, because the patient is able to see progressive results.
Knowles principles for adult learning state that adult learners tend to be:
A. Unmotivated
B. Lacking self direction
C. Practical and goal oriented
D. Insecure - CORRECT ANSWER C - According to Knowles adult learners tend to be practical and goal
oriented, so they like to remain organized and keep the goal in mind while learning. Adults are (1) self
directed; (2) knowledgeable, (3) relevancy oriented, (3) motivated
, The patient payer is a client who legally agrees to pay the Nurse practitioner directly providing a specific
service which is:
A. Fee for service system
B. Third party system
C. Contracted service system
D. Second party system - CORRECT ANSWER C- In contracted services the NP signs a contract and agrees
to provide health care for a certain population such as the homeless. The NP does not bill for individual
services provided but is paid according to the contractual agreement. Fee for services reimbursement
occurs when the patient pays the NP directly for services provided.
Identify the behavior change model that predicts a person takes a health action to avoid negative
consequences, believing the action will prevent a negative outcome:
A. Theory of reasoned action
B. Theory of planned behavior
C. Stress appraisal and coping theory
D. Health belief model - CORRECT ANSWER D- The health belief model predicts health behavior with the
understanding that a person takes a health action to avoid negative consequences, if the person
believes the action prevents negative consequences. The theory is based on 6 perceptions: (1)
susceptibility; (2) severity; (3) benefit; (4) barriers; (5) action ques; (6) self-efficacy
Identify the members of the healthcare institution who are responsible for identifying performance
improvement projects:
A. Adminstrative staff
B. Nurse team leaders
C. All staff
D. Physicians - CORRECT ANSWER C. All staff members are responsible for performance improvement
projects. Continuous quality improvement is a management philosophy that emphasizes the
organization's structure, systems, and processes within that organization, rather than individuals.
Your 66 year old male patient receiving Medicare is discharged with an open, draining wound that he
cannot care for independently because of poor vision. His 14 year old grandson lives with him. The best
solution is:
A. Transfer your patient to an extended care facility
