What s a Nurse Practitioner? Test Questions 1. An Advanced Practice Registered Nurse is a. a nurse who has a master s degree b. a nurse who has doctoral degree in a nursing specialty c. can generally only practice with the supervision of a physician d. a and b 2. Advanced practice nursing has four categories a. BSN nurses, masters prepared nurses, certified specialty nurses, and practitioners b. certified registered nurse anesthetists, certified nurse-midwives, clinical nurse specialists and certified nurse practitioners c. adult nurse practitioners, pediatric nurse practitioners, midwives, and nurse researchers d. clinical nurse specialists, nurse practitioners, advanced practice nurses, CRNAs 3. Necessary components of an overall approach to preparing an APRN for practice a. accreditation, clinical experience and certification b. clinical, certification, and licensure c. physician mentorship, licensure, and master s degree d. education, accreditation, and certification 4. In what year did the Medicare and Medicaid programs provided health care coverage to low-income women, children, the elderly, and people with disabilities? a. With the Affordable Care Act and Medicaid Expansion in 2010 b. After WWII in 1945 c. With increasing specialization in medicine in 1965 d. Same year as the Primary Care Health Practitioner Incentive Act passed, 1997 5. When the nurse practitioner category was first created the environment could be described as a. One of informal training and mentoring b. Lacking of credentialing processes c. Being well received by physicians since there was a shortage d. a and b
6. When advanced-practice nursing organizations began offering voluntary certifications and titles this lead to a. A confusing list of titles and credentials b. Even more confusing scopes of practice c. Inconsistent forms and amounts of reimbursement d. All of the above 7. The National Council of State Boards of Nursing defines an advanced practice nurse as an RN who has completed an accredited graduate level nursing program in one of the four recognized APRN roles, and this is consistent across all 50 states. 8. In Michigan the Nurse practice Act regulates both nursing and APRN scope of practice. 9. Certification and accreditation are the same thing so are interchangeable. 10. The variation in state laws for APRNs and the confusion it creates for both nurses and consumers led nursing organizations to develop the a. National APRN Organization b. Consensus Model for APRN Regulation c. State Boards of Nursing Compact Model d. APRN Advisory Committee 11. The desired outcome of consistency with regards to APRNs is a. an increase in patient access b. more cost-effective professional care by APRNs, c. no limits in their scope of practice due to regulations d. all of the above 12. Three key certification terms as defined by the National State Boards of Nursing are a. population foci, role and specialty b. accreditation, examination, and licensure c. specialty, scope and primary d. advanced, practice, and role 13. No programs require that students complete clinical experience in performance of direct patient care in the role the individual has selected until after they have graduated.
14. Many nurse practitioners working in specialty areas, and especially primary care, must become skilled at using and interpreting a wide range of diagnostic tools. 15. Unfortunately, there is a fair amount of evidence that APRN care is better in states with more restrictive physician oversight. 16. Which of the following is not a barrier to practice? a. Existing and proposed state regulations b. Equal and fair insurance reimbursements c. Laws that require some degree of physician over site d. Hospital Bylaws that prohibiting admitting/clinical privileges 17. Physician groups have expressed concerns about the safety of care delivered by nurse practitioners, and have provided extensive evidence to support their claims. 18. Two important entities have cited decades of convincing evidence demonstrating that nurse practitioners provide safe, effective care whether or not they are supervised by physicians. a. US Senate and House of Representatives b. Funeral Directors and Hospice Associations c. Institute of Medicine(IOM) and National Governors Association d. Facebook and Twitter 19. The Michigan Board of Nursing certifies all four APRN titles. 20. You must obtain national certification in order to obtain Michigan certification as an APRN.
What s a Nurse Practitioner? Evaluation and Post-Test Responses Name Home Address Home Phone City, State, ZIP Cell Phone Personal Email RN License # Employer Unit or Dept. Shift Fee and Payment Method MNA member (FREE) Non-member ($20) Enclosed is Check No. made payable to Michigan Nurses Association Charge my: Visa MasterCard AMEX Discover Signature Exp. Date
Evaluation Circle your response: E=Excellent, G=Good, S=Satisfactory, U=Unsatisfactory Rate your achievement of the objectives for the activity. Nurses will be able to: 1. Define the role, scope of practice, and categories of APRNS 2. Analyze contributing factors that cause practice barriers and inconsistencies 3. Compare the state of Michigan regulations to other states in the country 4. How much time did it take you to complete the activity? Hours Minutes Post-Test Responses Circle your answers to the post-test questions below: 1. A B C D 2. A B C D 3. A B C D 4. A B C D 5. A B C D 6. A B C D 7. True False 8. True False 9. True False 10. A B C D 11. A B C D 12. A B C D 13. True False 14. True False 15. True False 16. A B C D 17. True False 18. A B C D 19. True False 20. True False Return this form (and $20 fee if non-mna member) to: Michigan Nurses Association attn.: Lisa Gottlieb-Kinnaird 2310 Jolly Oak Road Okemos, MI 48864