Deck 10: Public Policy and the Advanced Practice Nurse

Question 1

Upon moving to a new city, an advanced practice registered nurse (APRN) notices that there are many county regulations that expand children's access to health-care services. Which of the following influenced the development of the regulations? Select all that apply.

A) A significant percentage of children in the county lacked health insurance.
B) Community members developed policies to provide accessible health care.
C) The incidence of vaccine-preventable illness among children was increasing.
D) Key stakeholders and policymakers viewed children as a vulnerable population.
E) The county board held a town hall meeting to discuss children's health-care services.

Answer 1

A significant percentage of children in the county lacked health insurance.
The incidence of vaccine-preventable illness among children was increasing.
Key stakeholders and policymakers viewed children as a vulnerable population.
The county board held a town hall meeting to discuss children's health-care services.

Question 2

Which of the following best explains an advanced practice registered nurse's (APRN's) decision to ask a legislator to support a bill that eliminates the requirement for collaborative agreements?

A) Limited scope of practice
B) Obligation to social contract
C) Responsibility to lead others
D) Ability to influence health policy

Answer 2

Ability to influence health policy

Question 3

A nurse practitioner (NP) is moving to a state that requires physician supervision of all advanced practice registered nurses (APRNs) and has a strong medical lobbying group. The lobbying group's influence represents which of the following?

A) Barriers to independent practice
B) Physician resistance to APRN autonomy
C) Effect of political processes on health-care policy
D) Legislators' lack of understanding of APRN roles

Answer 3

Legislators' lack of understanding of APRN roles

Question 4

Which requirement of the Affordable Care Act (ACA) improves access to health-care services provided by nurse practitioners (NPs)?

A) Face-to-face certification
B) Medicare reimbursement
C) Collaborative agreements
D) Nondiscrimination provision

Question 5

An advanced practice registered nurse (APRN) is talking with a legislator about the need for a primary care clinic in an underserved area. Which of the following points should the APRN include to gain the legislator's support? Select all that apply.

A) Access to a regular primary care provider improves chronic disease management.
B) Primary care reduces costs related to complications of untreated health conditions.
C) APRNs are educated to provide the same level of care as primary care physicians.
D) Direct reimbursement of APRNs by third-party payers reduces costs to the state.
E) Improved access to care enables APRNs to address environmental causes of disease.

Question 6

An advanced practice registered nurse (APRN) working in a primary care clinic identifies the need for an additional health-care provider. Which of the following indicates the reason the APRN recommends hiring a nurse practitioner (NP) over other providers?

A) NPs are reimbursed at a higher rate.
B) NPs have a broader scope of practice.
C) NPs expand access to care at a lower cost.
D) NPs' malpractice insurance is less expensive.

Question 7

A nurse practitioner (NP) identifies that advanced practice registered nurses (APRNs) in the state have reduced practice authority. The NP recognizes that full practice authority includes which of the following? Select all that apply.

A) Title recognition
B) Prescriptive authority
C) Physician supervision
D) Collaborative agreement
E) Ability to diagnose patients

Question 8

An advanced practice registered nurse (APRN) is attending a provider roundtable to discuss the Centers for Medicare and Medicaid Services' (CMS's) proposed changes in reimbursement policies. Which of the following indicates that the APRN understands that participation in the discussion is essential?

A) APRNs are morally obligated to protect the health of the public.
B) Health-care policies impact APRN practice and quality of patient care.
C) The American Nurses Association (ANA) Code of Ethics requires nurses to advocate for health policies.
D) APRNs are responsible for setting health-care policies in practice settings.

Question 9

Collaborative agreements for advanced practice registered nurses (APRNs) limit which of the following?

A) Political competence
B) Self-governing licensure
C) Reimbursement from third-party payers
D) Accreditation of advanced practice nursing programs

Question 10

Which of the following may limit a nurse practitioner's (NP's) ability to establish a practice? Select all that apply.

A) Scope of practice
B) Reimbursement policies
C) Accreditation requirements
D) Access to sufficient patient volume