N5350 Roles Final Study Guide (2025) ACTUAL
EXAM COMPREHENSIVE QUESTIONS AND
VERIFIED ACCURATE SOLUTION (DETAILED &
ELABORATED) |GET IT 100% ACCURATE!! 2025
TEST!!
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Terms in this set (146)
1. What are the 4 settings 1. Medically Underserved
for prescriptive authority? 2. Physician Primary Site
Describe the requirements 3. Physician Alternate Site
in each setting for 4. Facility Based Practice Site.
physician supervision, # of * General requirements per TBON rule 222.5: regular
NPs, chart review, and any visits, chart review as determined by APRN &
other special requirements physician, periodic face to face meeting of APRN &
in that site. physician to discuss pt care & improvement.
*site must be official, physician must be reachable by
phone & must be provided with daily status report of
1a) Medically Underserved
any major problems outside of the protocol.
*must have protocols.
* Must have protocols.
*Sign drug orders only for pts whom the MD has/will
establish a relationship.
1b) Physician Primary
*alternate MD may delegate.
Practice Site
*MD may delegate to no more than 7 APNS or PAs.
*Physician on-site visits should be 50% of the time
according to BME.
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*Must be physically present in facility (hospital or long
term facility).
*Physician must give prior consent.
*Delegation only at > one hospital or > 2 long term
1c) Facility Based Practice care facilities - now it is 7 FTEs.
*Long term care-only 4 APNs (APRNs) or 4 PAs or
their FTE equivalent - now it is 7 FTE & approved by
Chief Physician of Facility.
*Protocol signed by the Chief Physician.
1d) Physician Alternate Site *No longer in effect.
2. The FOUR Approved *CRNA, NP, CNS, and CNM
Categories of APN in TX?
*Current valid RN licensure.
*400 hours of current clinical practice.
3. NP requirements by
*20 hours of CEs.
BON for approval of
*8 hours of continuing education in
license/ AP recognition
pharmacotherapeutics.
each biennium.
*Current board certification.
*Separate application for dual roles.
4. New NP graduate *Must take and pass national certification exam.
requirements when
applying for the board?
*Nurse practice acts define legal scope of practice
5. What is the NP's scope for licensed practitioners.
of practice based on? *Includes privileges for diagnosis, treatment,
prescriptive authority and reimbursement.
*autonomy to perform expanded role functions based
11. What are clinical on the individuals licensure, educational preparation,
privileges and how are clinical experience, and credentials.
they obtained? *Via contractual agreement with hospitals or long
term care facilities.
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*Any professional misconduct, unreasonable lack of
skill, or infidelity in professional or fiduciary duties, or
illegal or immoral conduct.
*Negligence is the failure of an individual to do
something that a reasonable person would do, that
12. Define Malpractice results in injury to another.
*The alleged failure on the part of a professional to
render services with the degree of care, diligence,
and precaution that another member of the same
profession in similar circumstances would render to
prevent injury to some one else.
1. Duty: provide some level of care, had some contact.
2. Dereliction: reasonable, ordinary care, skill and
diligence as NP's in good standing in similar practice.
3. Damage: Must have an injury or no malpractice
13. FOUR Elements of
even if violated standard of care; cap "pain and
Malpractice
suffering" $250,000 to $500, 000.
4. Causation of Injury: For malpractice to have
occurred, a breach of the standard of care must have
caused an injury to the patient.
15. National Practitioner *Receives and discloses the reports on medical
Data Bank malpractice.
Who is credited to be the Nurse Anesthesia in 1800's- perhaps the oldest
first advanced practice advanced nursing specialty, Sister Mary Bernard at St.
nurse role? Vincent's Hospital was the first anesthetist
Who is credited to be the Loretta Ford-1965- Colorado
founder of the first nurse
practitioner role?
Who is (are) the oldest Midwifes in 1700's- perhaps the oldest primary health
primary care providers in care provider
the history of advanced Martha Bullard, 1785 is the oldest noted in publication
practice nurses?
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To provide health care to individuals, family, groups in
What are the roles of a variety of health care settings (homes, hospitals,
APRNs? How are they institutions, offices, clinics, etc)
different from each other? APRN includes NP, nurse midwife, nurse anesthetist,
and clinical nurse specialist
What states are Idaho (language read- "assess, diagnose, treat")
responsible for being the
first to have advanced
practice language in their
nurse practice act?
National Organization of Nurse Practitioner Faculty
What is NONPF? What is They have developed domains and competencies
their influence for APRNs? Organized role competencies (policy, ethics, quality,
leadership, etc)
•PA's work directly under a MD, NP's can function
independently
How is the NP role
•NP's focus on multiple practice and nursing models
different from PA role?
•PA's focus on medical tasks utilizing a medical
framework
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