ANCC Domain 1-5 Questions and Answers
AAnewlyAgraduatedAnurseApractitionerA(NP)AwantsAtoAopenAaAprivateApsychiatricApracticeA
inAherAhometown.AsheAwantsAtoAfindAoutAaboutAtheAlawsAthatAcoverAherAresponsibilityAandA
theAlegalAliabilityAthatAthisApracticeAwillAencounterAforAherAasAanAindependentApsychiatricA
nurseApractitioner.AHerAbestAsourceAofAinformationAis:
A.ATheAStateAStatuesAonANursingAorAAdvancedANursingAPractice
B.AHerAcityAstatutes
C.ALocalAPsychiatricANurseAPractitionersAinApractice
D.ATheAAmericanAAcademyAofANurseApractitionersA-ACORRECTAANSWERSA-
A.ATheAStateAStatuesAonANursingAorAAdvancedANursingAPractice
WhichAofAtheAfollowingAbestAdepictsAtheAPsychiatric-
MentalAHealthANurseAPractitionerAinAaAgrassrootsAmentalAhealthAadvocacyArole?
A.AAttendingAaAtownAhallAmeetingAtoAseekAtimelyApoliceAresponseAtoArisingAdomesticAviolen
ceAcrisisAcalls.
B.AWorkingAonAtheAcampaignAofAanAindividualArunningAforAtheAstateAsenate.
C.AAssistingAwithAdepressionAscreeningAatAaAhealthAfairAinAaAlocalAshoppingAmall
D.AMeetingAstatesAlegislatorsAduringARNAlobbyingAdayAorganizedAbyAtheAstateAnurses'Aass
ociationA-ACORRECTAANSWERSA-
A.AAttendingAaAtownAhallAmeetingAtoAseekAtimelyApoliceAresponseAtoArisingAdomesticAviolen
ceAcrisisAcalls.
DuringAaAmedicationAfollow-
upAappointmentAatAstudentAmentalAhealthAclinic,AaA20Ay/oAcollegeAsophomoreAwithAdepres
sionAandAhistoryAofAbingeAdrinkingAdisclosedAthatAsheAhasAbeenAstrugglingAwithArecurrentAi
ntrusiveAthoughtsAofAoverdose.ASheArecentlyAbrokeAupAwithAherAboyfriendAwhenAsheAlearn
edAthatAheAwasAsleepingAwithAherAclosestAgirlfriend.ASheAadmitsAtakingAaAhandfulAofAherAse
rtralineAprescribedAbyAtheAPsychiatric-
mentalAHealthANurseAPractitionerAlastAweekendAandAwasAfrustratedAthatAitAonlyAmadeAherA
sleepAforAaAday.AShe'sAangryAandAambivalentAaboutAtheAfuture,AunwillingAtoAmakeAanyApro
miseAnotAtoAharmAherself,AandAhasAmadeAveiledAthreatsAtoA"payAbackAbothAofAthemAforAche
ating"A(referringAtoAherAex-
boyfriendAandAgirlfriend).AWhatAisAtheAmostAappropriateAinterventionAatAthisAjuncture?
A.ACounselAtheAstudentAthatAsheAwouldAregretAhurtingAherselfAandAcanAmoveAbeyondAthisA
brokenArelationship
B.AAskAtheAstudentAtoApromiseA-ACORRECTAANSWERSA-
D.AAskAtheAstudentAifAsheAwillAagreeAtoAvoluntaryAadmissionAandAarrangeAinvoluntaryAadmi
ssionAisAnecessary
PerAtheAHealthAInsuranceAPortabilityAandAAccountabilityAActA(HIPAA),AaAnurseApractitioner
A(NP)AwhoAisAinAanAindependent,AsingleApractitionerApracticeAisAconsideredAaA"CoveredAEn
tity"Abecause:
A.AWritersAinformationAandAgeneratesAprotectedAhealthAinformation
B.ATheANPAtransmitsAprotectedAhealthAinformationAinAelectronicAforms
C.AMayAaccidentallyAreleaseAprotectedAhealthAinformation
,D.AMaintainsAchartsAwithApatientAinformationAthatAcontainsAprotectedAhealthAinformationA-
ACORRECTAANSWERSA-
B.ATheANPAtransmitsAprotectedAhealthAinformationAinAelectronicAforms
TheANurseAPractitionerA(NP)AattendsAaAlocalAmeetingAwhereAallocationAofAresourcesAforAh
ealthcareAwillAbeAdiscussed.AOneAofAtheAstakeholdersAhasAaApamphletAthatAdescribesAtheAt
ypesAofAhealthcareAprovidersAavailableAtoAhelpApersonsAinAneedAofAhealthAcare.ATheANPAn
oticesAthatANurseAPractitionersAareAlabeledAasA"Paraprofessionals".AInAtheAmeeting,AtheAN
PAaskesAtheAorganizationAresponsibleAforAtheApamphletAwhyAtheyAhaveAidentifiedAtheANurs
eAPractitionersAasAparaprofessionalsAwhenAaANurseAPractitionerAisAbyAlawAworkingAasA85-
90%AofAtheAsameAcapacityAasAaAMedicalADoctor.ATheANPAgoesAonAtoAexplainAwhatAaANurs
eAPractitionerAdoesAinAvariousAareasAofApractice.AThisAisAanAexampleAof:
A.APromotingAnurseApractitionersAinAtheAcommunity
B.APublicAeducationAonAtheANPAscopeAandAstandardsAofApractice
C.ACorrectingAmisinformationAthatAdeliberatelyAmisleadsAtheApublic
D.AAdvocatingAforAtheAroleAandAvalueAofAtheANurseAPractitioner.A-
ACORRECTAANSWERSA-D.AAdvocatingAforAtheAroleAandAvalueAofAtheANurseAPractitioner.
YourApatientAwantsAtoAcommunicateAwithAyouAthroughAemail.AYouAhaveAaAsecureAemailAac
countAthatAisAencryptedAandAwillAprotectAhealthAinformationAasArequiredAbyAtheAHealthAInsu
ranceAPortabilityAandAAccountabilityAActA(HIPAA).AYourApatientAdoesAnotAhaveAanAencrypt
edAemailAaccount.AYouAreplyAis:
A.AIAdoAnotAlikeAtoAcommunicateAthroughAemailAIAwouldApreferAtoAtalkAtoAyouAinApersonAorAo
verAtheAtelephoneAonly
B.AIAcanAencryptAourAemailAcommunicationsAtoAbeAsureAthatAyourAprotectedAhealthAinforma
tionA(PHI)AisAunavailableAtoAothersAandAprotectAyou
C.AIAhaveAnoAproblemsAwithAyouAcommunicatingAwithAmeAthroughAmyApersonalAemail
D.AInAorderAtoAcommunicateAbackAandAforth,AyouAwillAhaveAtoAfindAaAwayAtoAencryptAyou'reA
protectedAhealthAinformationA(PHI)A-ACORRECTAANSWERSA-
D.AInAorderAtoAcommunicateAbackAandAforth,AyouAwillAhaveAtoAfindAaAwayAtoAencryptAyou'reA
protectedAhealthAinformationA(PHI)
AsAanAindividualAadvancedApractitioner,AyouAcannotAaffordAtoAhaveAaAstandaloneAElectroni
cAHealthARecordA(HER)AsystemAtoAkeepAallAofAyourApatient'sAhealthAinformationAonAaAcomp
uterAbasedAsystem.AHowAcouldAyouAproblem-solveAthisAdilemma?
A.AProcessAyourAnotesAandApatientArecordsAinAaAsecureAelectronicAsystemAwithAaAtemplate
AforApatientAinformationAandAinteractions,AsupportingAquickAaccessAwithinAyourAnetwork
B.AProcessAyourAnotesAandApatientArecordsAonAaAlaptopAthatAyouAareAableAtoAtransportAbet
weenAyourAofficeAandAhomeAoffice.AYouAalwaysAhaveAtheArecordsAavailableAifAneeded
C.AProcessAyourAnotesAmanuallyAandAkeepAthemAinAaAlockedAfile.ATheArecordsAareAavailabl
eAforAcopyAandAdistributionAatAanyAtime.
D.AProcessAyourApatientArecordsAmanually,AinAyourAcurrentAfashion.AYouAareAkeepingAaAfull
ArecordAaccordingAtoAHIPAA.A-ACORRECTAANSWERSA-
A.AProcessAyourAnotesAandApatientArecordsAinAaAsecureAelectronicAsystemAwithAaAtemplate
AforApatientAinformationAandAinteractions,AsupportingAquickAaccessAwithinAyourAnetwork
TheAnurseApractitionerA(NP)AseesAanAopportunityAtoAhelpAherApatientAwhoAduffersAfromAanx
ietyAandAhypertensionAbyAutilizingAaAmedicationAthatAcanAtreatAbothAissues.ASheAtalksAtoAh
erApatientAaboutAusingAAtenololA25mgA½AtabApoAQAHSAtoAmanageAhisAhypertensionAandAhi
,sAchronicAanxiety.AToApromoteAbothAtheApatient'sAcontinuedAhealthAandAcollaboration,AtheA
NP:
A.AFaxesAaAcopyAofAherAcareAnotesAtoAtheAPrimaryACareAProviderA(PCP)AtoAinformAtheAPC
PAofAherAplanAofAcare
B.ATelephonesAtheAPrimaryACareAProvider'sAofficeAandAleavesAaAmessageAaboutAtheAchan
geAinAmedication
C.ATellsAtheApatientAtoAletAhisAPrimaryACareAProviderAknowAaboutAtheAchangeAinAmedicatio
n
D.ATelephonesAtheApatient'sAPrimaryACareAProviderAtoAdiscussAtheAuseAofAtheAAtenololAbef
oreAstartingAtheAmedicationA-ACORRECTAANSWERSA-
D.ATelephonesAtheApatient'sAPrimaryACareAProviderAtoAdiscussAtheAuseAofAtheAAtenololAbef
oreAstartingAtheAmedication
AAfrailA76Ay/oAwomanAwithAAlzheimer'sAtypeAdementiaAinAaAskilledAnursingAfacilityAhasAbee
nAincreasinglyAagitated,Acombative,AandAhasAstruckAoutAatAotherApatientsAinAtheAdiningAroo
mAandAatAstaffAattemptingAtoAcareAforAher.AWhatAwouldAbeAtheAmostAappropriateAinitialAinter
ventionAbyAtheAconsultingAPsychiatric-
MentalAHealthANurseAPractitionerAwhoAreceivesAaAcallAfromAtheAnursingAstaffArequestingAm
edicationAandArestraintAorders?
A.AOrderAcloseAobservationAbyAstaffAinAquietAareaAsecludedAfromAotherApatientsAuntilAyouAc
anAevaluateAinAperson
B.AOrderAsoftAwristAandAvestArestraintsAuntilAyouAcanAevaluateAinAperson
C.AOrderAshort-
actingAbenzodiazepineAandAcloseAobservationAuntilAyouAcanAevaluateAinAperson
D.AOrderAlow-
doseAatypicalAantipsychoticAandAsoftAvestArestraintAuntilAyouAcanAevaluateAinApersonA-
ACORRECTAANSWERSA-
A.AOrderAcloseAobservationAbyAstaffAinAquietAareaAsecludedAfromAotherApatientsAuntilAyouAc
anAevaluateAinAperson
YouAfrequentlyAuseAyourAiPhone/smartAphoneAtoAconnectAwithAyourAoffice,AtheApharmacyA
andApatients.ATheseAmultifunctionAdevicesAassistAyouAinAyourApractice.AWhatAneedsAtoAha
ppenAtoAtheAprotected/privateAhealthAinformationAonAyourAphoneAafterAyouAconcludeAaAhea
lthcareAinteraction?
A.AYouAdocumentAanAabbreviatedAnoteAofAtheAphoneAconversation
B.AYouAdocumentAthatAyouAhadAaAtelephoneAinteractionAonly
C.AYouAdocumentAitAbriefly,AonlyAifAitAisAimportant
D.AYouAdocumentAitAfullyAinAtheApatientArecordAasAaApatientAinteractionA-
ACORRECTAANSWERSA-
D.AYouAdocumentAitAfullyAinAtheApatientArecordAasAaApatientAinteraction
AAPsychiatric-
MentalANurseAPractitionerApracticesAinAaAstateArequiringAaAcollaboratingApsychiatrist.ATheA
Psychiatric-
MentalAHealthANurseAPractitionerAreviewAallAnewAandAcomplexAcasesAwithAtheApsychiatrist
AonAaAmonthlyAbasis.AAAyoungAadultApatientAwithArecurrentAdepressionAhasAbeenAunderAthe
AcareAofAtheAPsychiatric-
MentalAHealthANurseAPractitionerAforA3AmonthsAwhenAsheAcommitsAsuicide.ATheAfamilyAsu
esAforAwrongfulAdeath.AWhoAisAlegallyAresponsibleAforAthisApatient'sAcareAinAaAcourtAofAlaw?
, A.AEqualAresponsibilityAofAPsychiatric-MentalAHealthANurseAPractitionerAandApsychiatrist
B.APsychiatrist
C.APrimaryAresponsibilityAofAPsychiatric-
MentalAhealthANurseAPractitionerAandAsecondaryAresponsibilityAofApsychiatrist
D.APsychiatric-MentalAHealthANurseAPractitionerA-ACORRECTAANSWERSA-
D.APsychiatric-MentalAHealthANurseAPractitioner
TheANurseAPractitionerA(NP)AisAseeingAaApatientAforAbothApsychiatricAandAchemicalAdepen
dencyAillnesses.ATheApatientAwantsAtheANPAtoAsendAmedicalArecordsAtoAhisAGeneralAPracti
tioner.ATheANPAtellsAtheApatientAthatAbecauseAofAFederalALawA42ACFRAheAmust:
A.ASignAtwoAseparateAreleasesAofAinformationAdueAtoAtheAspecialAprotectedAnatureAofAche
micalAdependencyAinformation
B.ASignAonceAcombinedAreleaseAthatAdoesAnotAmentionAhisAchemicalAdependencyAillnessA
dueAtoAitsAspecialAprotectedAnature
C.ASignAtwoAseparateAreleasesAdueAtoAtheAspecialAprotectedAnatureAofApsychiatricAinforma
tion
D.ASignAoneAcombinedAreleaseAthatAdesignatedAthatAheAisAbeingAtreatedAforAbothAchemical
AdependencyAandApsychiatricAillnessesA-ACORRECTAANSWERSA-
A.ASignAtwoAseparateAreleasesAofAinformationAdueAtoAtheAspecialAprotectedAnatureAofAche
micalAdependencyAinformation
YouAseeAaApatientAforAaAroutineAmedicationAvisit.AAtAtheAendAofAtheAsession,AtheApatientAas
ksAquestionsAandAtheAsessionAendsAupA50AminutesAinAlength.AYouAnormallyAchargeAforAthe
A30-minuteAappointment,AbutAinsteadAyouAchargeAforAtheA1-hourAappointment.ATheA1-
hourAappointmentAincludedAaAfullAbodyAassessmentAthatAyouAdidAnotAperform.AThisAisAviola
tionAisAknownAas:
A.AUp-coding
B.AOver-coding
C.ADown-coding
D.ASuper-codingA-ACORRECTAANSWERSA-A.AUp-coding
TheAnurseApractitionerA(NP)AisAonAanAairplaneAandAtheAflightAattendantAasksAifAthereAisAaAm
edicalAprofessionalAonAtheAflight.ATheANPAagreesAtoAhelp.ATheANPAisApresentedAwithAaAyou
ngAwomanAwhoAisAsufferingAfromAaAsevereApanicAattack.ATheAwomanAisAnauseatedAandAlyi
ngAonAtheAfloorAofAtheAplane.ATheAwomanAhasAtroubleAcommunicatingAmuchAmoreAthanAsh
eAisAupset,AafraidAandAherAhusbandAisAaAfewAairplaneAstopsAawayAatAanAairAforceAbaseAwhe
reAsheAisAheaded.ATheAwoman'sApulseAisA89AandAregular,AherArespirationsAareA18AandAreg
ular.ATheAwomanAoccasionallyApantsAandAvomitsAsomeApaleAbrownAliquid.AYouAprovideAinf
ormationAtoAtheAflightAmedicalAdoctorAonAcall.AAtAtheAdestination,AtheAflightAattendantAoffers
AtoAgiveAyouAsomeAAlprazolam A0.5mgAtoAgiveAtoAtheApatient.AYou:
A.AGiveAherAtheAalprazolamAtoAhelpAherAcalmAdownAuntilAyouAgetAtoAtheAdestination.AThen,A
sheAcanAgoAtoAtheAhospital.
B.AGiveAherAtheAalprazolamAsoAthatAsheAcalmAdownAaA-ACORRECTAANSWERSA-
D.ADoAnotAgiveAtheAmedication.AInstead,AwaitAuntilAtheAplaneAlandsAandAaAfullAevaluationAca
nAbeAcompletedAatAtheAlocalAhospital
AA45Ay/oAwomanAwithATypeA1ABipolarADisorderAexperiencingAanAacuteAepisodeAofAdepress
ionAwithApsychoticAfeaturesArequiresAaAtemporaryAleaveAofAabsenceAfromAherAjobAasAanAad
ministrativeAassistantAtoAaAschoolAprincipal.ATheApatientAhasAsignedAaAreleaseAofAinformati
onAforAtheAPsychiatric-
AAnewlyAgraduatedAnurseApractitionerA(NP)AwantsAtoAopenAaAprivateApsychiatricApracticeA
inAherAhometown.AsheAwantsAtoAfindAoutAaboutAtheAlawsAthatAcoverAherAresponsibilityAandA
theAlegalAliabilityAthatAthisApracticeAwillAencounterAforAherAasAanAindependentApsychiatricA
nurseApractitioner.AHerAbestAsourceAofAinformationAis:
A.ATheAStateAStatuesAonANursingAorAAdvancedANursingAPractice
B.AHerAcityAstatutes
C.ALocalAPsychiatricANurseAPractitionersAinApractice
D.ATheAAmericanAAcademyAofANurseApractitionersA-ACORRECTAANSWERSA-
A.ATheAStateAStatuesAonANursingAorAAdvancedANursingAPractice
WhichAofAtheAfollowingAbestAdepictsAtheAPsychiatric-
MentalAHealthANurseAPractitionerAinAaAgrassrootsAmentalAhealthAadvocacyArole?
A.AAttendingAaAtownAhallAmeetingAtoAseekAtimelyApoliceAresponseAtoArisingAdomesticAviolen
ceAcrisisAcalls.
B.AWorkingAonAtheAcampaignAofAanAindividualArunningAforAtheAstateAsenate.
C.AAssistingAwithAdepressionAscreeningAatAaAhealthAfairAinAaAlocalAshoppingAmall
D.AMeetingAstatesAlegislatorsAduringARNAlobbyingAdayAorganizedAbyAtheAstateAnurses'Aass
ociationA-ACORRECTAANSWERSA-
A.AAttendingAaAtownAhallAmeetingAtoAseekAtimelyApoliceAresponseAtoArisingAdomesticAviolen
ceAcrisisAcalls.
DuringAaAmedicationAfollow-
upAappointmentAatAstudentAmentalAhealthAclinic,AaA20Ay/oAcollegeAsophomoreAwithAdepres
sionAandAhistoryAofAbingeAdrinkingAdisclosedAthatAsheAhasAbeenAstrugglingAwithArecurrentAi
ntrusiveAthoughtsAofAoverdose.ASheArecentlyAbrokeAupAwithAherAboyfriendAwhenAsheAlearn
edAthatAheAwasAsleepingAwithAherAclosestAgirlfriend.ASheAadmitsAtakingAaAhandfulAofAherAse
rtralineAprescribedAbyAtheAPsychiatric-
mentalAHealthANurseAPractitionerAlastAweekendAandAwasAfrustratedAthatAitAonlyAmadeAherA
sleepAforAaAday.AShe'sAangryAandAambivalentAaboutAtheAfuture,AunwillingAtoAmakeAanyApro
miseAnotAtoAharmAherself,AandAhasAmadeAveiledAthreatsAtoA"payAbackAbothAofAthemAforAche
ating"A(referringAtoAherAex-
boyfriendAandAgirlfriend).AWhatAisAtheAmostAappropriateAinterventionAatAthisAjuncture?
A.ACounselAtheAstudentAthatAsheAwouldAregretAhurtingAherselfAandAcanAmoveAbeyondAthisA
brokenArelationship
B.AAskAtheAstudentAtoApromiseA-ACORRECTAANSWERSA-
D.AAskAtheAstudentAifAsheAwillAagreeAtoAvoluntaryAadmissionAandAarrangeAinvoluntaryAadmi
ssionAisAnecessary
PerAtheAHealthAInsuranceAPortabilityAandAAccountabilityAActA(HIPAA),AaAnurseApractitioner
A(NP)AwhoAisAinAanAindependent,AsingleApractitionerApracticeAisAconsideredAaA"CoveredAEn
tity"Abecause:
A.AWritersAinformationAandAgeneratesAprotectedAhealthAinformation
B.ATheANPAtransmitsAprotectedAhealthAinformationAinAelectronicAforms
C.AMayAaccidentallyAreleaseAprotectedAhealthAinformation
,D.AMaintainsAchartsAwithApatientAinformationAthatAcontainsAprotectedAhealthAinformationA-
ACORRECTAANSWERSA-
B.ATheANPAtransmitsAprotectedAhealthAinformationAinAelectronicAforms
TheANurseAPractitionerA(NP)AattendsAaAlocalAmeetingAwhereAallocationAofAresourcesAforAh
ealthcareAwillAbeAdiscussed.AOneAofAtheAstakeholdersAhasAaApamphletAthatAdescribesAtheAt
ypesAofAhealthcareAprovidersAavailableAtoAhelpApersonsAinAneedAofAhealthAcare.ATheANPAn
oticesAthatANurseAPractitionersAareAlabeledAasA"Paraprofessionals".AInAtheAmeeting,AtheAN
PAaskesAtheAorganizationAresponsibleAforAtheApamphletAwhyAtheyAhaveAidentifiedAtheANurs
eAPractitionersAasAparaprofessionalsAwhenAaANurseAPractitionerAisAbyAlawAworkingAasA85-
90%AofAtheAsameAcapacityAasAaAMedicalADoctor.ATheANPAgoesAonAtoAexplainAwhatAaANurs
eAPractitionerAdoesAinAvariousAareasAofApractice.AThisAisAanAexampleAof:
A.APromotingAnurseApractitionersAinAtheAcommunity
B.APublicAeducationAonAtheANPAscopeAandAstandardsAofApractice
C.ACorrectingAmisinformationAthatAdeliberatelyAmisleadsAtheApublic
D.AAdvocatingAforAtheAroleAandAvalueAofAtheANurseAPractitioner.A-
ACORRECTAANSWERSA-D.AAdvocatingAforAtheAroleAandAvalueAofAtheANurseAPractitioner.
YourApatientAwantsAtoAcommunicateAwithAyouAthroughAemail.AYouAhaveAaAsecureAemailAac
countAthatAisAencryptedAandAwillAprotectAhealthAinformationAasArequiredAbyAtheAHealthAInsu
ranceAPortabilityAandAAccountabilityAActA(HIPAA).AYourApatientAdoesAnotAhaveAanAencrypt
edAemailAaccount.AYouAreplyAis:
A.AIAdoAnotAlikeAtoAcommunicateAthroughAemailAIAwouldApreferAtoAtalkAtoAyouAinApersonAorAo
verAtheAtelephoneAonly
B.AIAcanAencryptAourAemailAcommunicationsAtoAbeAsureAthatAyourAprotectedAhealthAinforma
tionA(PHI)AisAunavailableAtoAothersAandAprotectAyou
C.AIAhaveAnoAproblemsAwithAyouAcommunicatingAwithAmeAthroughAmyApersonalAemail
D.AInAorderAtoAcommunicateAbackAandAforth,AyouAwillAhaveAtoAfindAaAwayAtoAencryptAyou'reA
protectedAhealthAinformationA(PHI)A-ACORRECTAANSWERSA-
D.AInAorderAtoAcommunicateAbackAandAforth,AyouAwillAhaveAtoAfindAaAwayAtoAencryptAyou'reA
protectedAhealthAinformationA(PHI)
AsAanAindividualAadvancedApractitioner,AyouAcannotAaffordAtoAhaveAaAstandaloneAElectroni
cAHealthARecordA(HER)AsystemAtoAkeepAallAofAyourApatient'sAhealthAinformationAonAaAcomp
uterAbasedAsystem.AHowAcouldAyouAproblem-solveAthisAdilemma?
A.AProcessAyourAnotesAandApatientArecordsAinAaAsecureAelectronicAsystemAwithAaAtemplate
AforApatientAinformationAandAinteractions,AsupportingAquickAaccessAwithinAyourAnetwork
B.AProcessAyourAnotesAandApatientArecordsAonAaAlaptopAthatAyouAareAableAtoAtransportAbet
weenAyourAofficeAandAhomeAoffice.AYouAalwaysAhaveAtheArecordsAavailableAifAneeded
C.AProcessAyourAnotesAmanuallyAandAkeepAthemAinAaAlockedAfile.ATheArecordsAareAavailabl
eAforAcopyAandAdistributionAatAanyAtime.
D.AProcessAyourApatientArecordsAmanually,AinAyourAcurrentAfashion.AYouAareAkeepingAaAfull
ArecordAaccordingAtoAHIPAA.A-ACORRECTAANSWERSA-
A.AProcessAyourAnotesAandApatientArecordsAinAaAsecureAelectronicAsystemAwithAaAtemplate
AforApatientAinformationAandAinteractions,AsupportingAquickAaccessAwithinAyourAnetwork
TheAnurseApractitionerA(NP)AseesAanAopportunityAtoAhelpAherApatientAwhoAduffersAfromAanx
ietyAandAhypertensionAbyAutilizingAaAmedicationAthatAcanAtreatAbothAissues.ASheAtalksAtoAh
erApatientAaboutAusingAAtenololA25mgA½AtabApoAQAHSAtoAmanageAhisAhypertensionAandAhi
,sAchronicAanxiety.AToApromoteAbothAtheApatient'sAcontinuedAhealthAandAcollaboration,AtheA
NP:
A.AFaxesAaAcopyAofAherAcareAnotesAtoAtheAPrimaryACareAProviderA(PCP)AtoAinformAtheAPC
PAofAherAplanAofAcare
B.ATelephonesAtheAPrimaryACareAProvider'sAofficeAandAleavesAaAmessageAaboutAtheAchan
geAinAmedication
C.ATellsAtheApatientAtoAletAhisAPrimaryACareAProviderAknowAaboutAtheAchangeAinAmedicatio
n
D.ATelephonesAtheApatient'sAPrimaryACareAProviderAtoAdiscussAtheAuseAofAtheAAtenololAbef
oreAstartingAtheAmedicationA-ACORRECTAANSWERSA-
D.ATelephonesAtheApatient'sAPrimaryACareAProviderAtoAdiscussAtheAuseAofAtheAAtenololAbef
oreAstartingAtheAmedication
AAfrailA76Ay/oAwomanAwithAAlzheimer'sAtypeAdementiaAinAaAskilledAnursingAfacilityAhasAbee
nAincreasinglyAagitated,Acombative,AandAhasAstruckAoutAatAotherApatientsAinAtheAdiningAroo
mAandAatAstaffAattemptingAtoAcareAforAher.AWhatAwouldAbeAtheAmostAappropriateAinitialAinter
ventionAbyAtheAconsultingAPsychiatric-
MentalAHealthANurseAPractitionerAwhoAreceivesAaAcallAfromAtheAnursingAstaffArequestingAm
edicationAandArestraintAorders?
A.AOrderAcloseAobservationAbyAstaffAinAquietAareaAsecludedAfromAotherApatientsAuntilAyouAc
anAevaluateAinAperson
B.AOrderAsoftAwristAandAvestArestraintsAuntilAyouAcanAevaluateAinAperson
C.AOrderAshort-
actingAbenzodiazepineAandAcloseAobservationAuntilAyouAcanAevaluateAinAperson
D.AOrderAlow-
doseAatypicalAantipsychoticAandAsoftAvestArestraintAuntilAyouAcanAevaluateAinApersonA-
ACORRECTAANSWERSA-
A.AOrderAcloseAobservationAbyAstaffAinAquietAareaAsecludedAfromAotherApatientsAuntilAyouAc
anAevaluateAinAperson
YouAfrequentlyAuseAyourAiPhone/smartAphoneAtoAconnectAwithAyourAoffice,AtheApharmacyA
andApatients.ATheseAmultifunctionAdevicesAassistAyouAinAyourApractice.AWhatAneedsAtoAha
ppenAtoAtheAprotected/privateAhealthAinformationAonAyourAphoneAafterAyouAconcludeAaAhea
lthcareAinteraction?
A.AYouAdocumentAanAabbreviatedAnoteAofAtheAphoneAconversation
B.AYouAdocumentAthatAyouAhadAaAtelephoneAinteractionAonly
C.AYouAdocumentAitAbriefly,AonlyAifAitAisAimportant
D.AYouAdocumentAitAfullyAinAtheApatientArecordAasAaApatientAinteractionA-
ACORRECTAANSWERSA-
D.AYouAdocumentAitAfullyAinAtheApatientArecordAasAaApatientAinteraction
AAPsychiatric-
MentalANurseAPractitionerApracticesAinAaAstateArequiringAaAcollaboratingApsychiatrist.ATheA
Psychiatric-
MentalAHealthANurseAPractitionerAreviewAallAnewAandAcomplexAcasesAwithAtheApsychiatrist
AonAaAmonthlyAbasis.AAAyoungAadultApatientAwithArecurrentAdepressionAhasAbeenAunderAthe
AcareAofAtheAPsychiatric-
MentalAHealthANurseAPractitionerAforA3AmonthsAwhenAsheAcommitsAsuicide.ATheAfamilyAsu
esAforAwrongfulAdeath.AWhoAisAlegallyAresponsibleAforAthisApatient'sAcareAinAaAcourtAofAlaw?
, A.AEqualAresponsibilityAofAPsychiatric-MentalAHealthANurseAPractitionerAandApsychiatrist
B.APsychiatrist
C.APrimaryAresponsibilityAofAPsychiatric-
MentalAhealthANurseAPractitionerAandAsecondaryAresponsibilityAofApsychiatrist
D.APsychiatric-MentalAHealthANurseAPractitionerA-ACORRECTAANSWERSA-
D.APsychiatric-MentalAHealthANurseAPractitioner
TheANurseAPractitionerA(NP)AisAseeingAaApatientAforAbothApsychiatricAandAchemicalAdepen
dencyAillnesses.ATheApatientAwantsAtheANPAtoAsendAmedicalArecordsAtoAhisAGeneralAPracti
tioner.ATheANPAtellsAtheApatientAthatAbecauseAofAFederalALawA42ACFRAheAmust:
A.ASignAtwoAseparateAreleasesAofAinformationAdueAtoAtheAspecialAprotectedAnatureAofAche
micalAdependencyAinformation
B.ASignAonceAcombinedAreleaseAthatAdoesAnotAmentionAhisAchemicalAdependencyAillnessA
dueAtoAitsAspecialAprotectedAnature
C.ASignAtwoAseparateAreleasesAdueAtoAtheAspecialAprotectedAnatureAofApsychiatricAinforma
tion
D.ASignAoneAcombinedAreleaseAthatAdesignatedAthatAheAisAbeingAtreatedAforAbothAchemical
AdependencyAandApsychiatricAillnessesA-ACORRECTAANSWERSA-
A.ASignAtwoAseparateAreleasesAofAinformationAdueAtoAtheAspecialAprotectedAnatureAofAche
micalAdependencyAinformation
YouAseeAaApatientAforAaAroutineAmedicationAvisit.AAtAtheAendAofAtheAsession,AtheApatientAas
ksAquestionsAandAtheAsessionAendsAupA50AminutesAinAlength.AYouAnormallyAchargeAforAthe
A30-minuteAappointment,AbutAinsteadAyouAchargeAforAtheA1-hourAappointment.ATheA1-
hourAappointmentAincludedAaAfullAbodyAassessmentAthatAyouAdidAnotAperform.AThisAisAviola
tionAisAknownAas:
A.AUp-coding
B.AOver-coding
C.ADown-coding
D.ASuper-codingA-ACORRECTAANSWERSA-A.AUp-coding
TheAnurseApractitionerA(NP)AisAonAanAairplaneAandAtheAflightAattendantAasksAifAthereAisAaAm
edicalAprofessionalAonAtheAflight.ATheANPAagreesAtoAhelp.ATheANPAisApresentedAwithAaAyou
ngAwomanAwhoAisAsufferingAfromAaAsevereApanicAattack.ATheAwomanAisAnauseatedAandAlyi
ngAonAtheAfloorAofAtheAplane.ATheAwomanAhasAtroubleAcommunicatingAmuchAmoreAthanAsh
eAisAupset,AafraidAandAherAhusbandAisAaAfewAairplaneAstopsAawayAatAanAairAforceAbaseAwhe
reAsheAisAheaded.ATheAwoman'sApulseAisA89AandAregular,AherArespirationsAareA18AandAreg
ular.ATheAwomanAoccasionallyApantsAandAvomitsAsomeApaleAbrownAliquid.AYouAprovideAinf
ormationAtoAtheAflightAmedicalAdoctorAonAcall.AAtAtheAdestination,AtheAflightAattendantAoffers
AtoAgiveAyouAsomeAAlprazolam A0.5mgAtoAgiveAtoAtheApatient.AYou:
A.AGiveAherAtheAalprazolamAtoAhelpAherAcalmAdownAuntilAyouAgetAtoAtheAdestination.AThen,A
sheAcanAgoAtoAtheAhospital.
B.AGiveAherAtheAalprazolamAsoAthatAsheAcalmAdownAaA-ACORRECTAANSWERSA-
D.ADoAnotAgiveAtheAmedication.AInstead,AwaitAuntilAtheAplaneAlandsAandAaAfullAevaluationAca
nAbeAcompletedAatAtheAlocalAhospital
AA45Ay/oAwomanAwithATypeA1ABipolarADisorderAexperiencingAanAacuteAepisodeAofAdepress
ionAwithApsychoticAfeaturesArequiresAaAtemporaryAleaveAofAabsenceAfromAherAjobAasAanAad
ministrativeAassistantAtoAaAschoolAprincipal.ATheApatientAhasAsignedAaAreleaseAofAinformati
onAforAtheAPsychiatric-
