Oxford Cambridge and RSA
End Term Exam
N5350 - Final - Actual Exam Content - 100%
Verified Answers
Time allowed:
A+
* J 2 5 7 0 1 *
INSTRUCTIONS
• Write your answer to each question in the space provided. If you need extra space use the
lined pages at the end of this booklet. The question numbers must be clearly shown.
• Answer all the questions.
• Where appropriate, your answer should be supported with working. Marks might be given
for using a correct method, even if your answer is wrong.
ADVICE
• Read each question carefully before you start your answer.
© OCR 2025/26 [EXAM/T/YD]) 6895596/3
Turn over
,What are the 4 APRN Roles? - ✔✔•Clinical nurse specialist (CNS), nurse anesthetist (CRNA), nurse midwife (CNM), and
nurse practitioner (CNP)
What are the recognized NP roles by the Consensus Model? - ✔✔•Family, Adult-gerontology, neonatal, pediatrics,
women's health/gender, and psychiatric-mental health
Medicare and Medicaid reimburse the NP at what percentage of the physician's reimbursement? - ✔✔•Medicare: 85%
of the 80% the MD gets for reimbursement
•Medicaid: 92% of the 80% of the MD unless its Texas healthy steps and then its 100% of what the MD gets
Organizations and Resources: What is CNAP/ NONPF? NAPNAP" NANN? AANP? ANCC? Tri Council? AACN? TNP? -
✔✔•CNAP: Coalition for Nurses in Advanced Practice
•NONPF: The National Organization of Nurse Practitioner Faculties- promotes quality nurse practitioner education at the
national level
•NAPNAP: National Association of Pediatric Nurse Practitioners: organization for PNP's
•NANN: National Association of Neonatal Nurses
• AANP: American Association of Nurse Practitioners
•ANCC: American Nurses Credentialing Center
•Tri Council: organized to advance policy at national level
•AACN: American Association of Critical-Care Nurses
•TNP: Texas Nurse Practitioner
Which of these organizations in question 7 is responsible for certification of APRNs? What are the renewal requirements
of the certification by the recognized organization(s) in questions 7? - ✔✔•ANCC- American Nurses Credentialing Center,
renewed every 5 years. 150 Contact hours. Min of 1000 practice hours. Testing if you do not have practice hours.
Can a Blog be accessed by the public? True or False? Explain. - ✔✔•Yes, it can be disseminated to others
Are confidentiality and privacy the same? Explain. - ✔✔•NO they are different.
•Confidentiality has to do with sharing only the information with the patients informed consent or that is required if not
disclosing the information could result in patient harm. Or sharing with other health care members for the purpose of
providing care.
•Privacy: has to do with the patient's expectation and right to be treated with dignity and respect. "need to know"
,What are the steps to avoid for inappropriate us of social media by the NP? - ✔✔•Ethical and legal obligation to
maintain privacy and confidentiality at all times.
•Prohibited from transmitting electronic media any patient-related image
•Do not identify patients by name or give info that can identify them
•Do not refer to patients in a disparaging manner
•Take photos or videos on personal devices
•Maintain professional boundaries with patients in the online environment
•Consult employer policies and comply with them
•Promptly report any identified breach
•Do not make disparaging remarks about employers or co-workers
•Do not post content or speak on behalf of the employer unless authorized to do so
What are the 6 tips to avoid as listed by ANA? - ✔✔1.Standards of professionalism are the same online as in any other
circumstance
2.Do not share of post info or photos gained through the nurse-patient relationship
3.Maintain professional boundaries in the use of electronic media. Online contact blurs the boundaries
4.Do not make disparaging remarks about patients, employers, or coworkers
5.Do not take photos or videos of patients on personal devices
6.Promptly report a breach of confidentiality or privacy
What are 3 key elements of any healthcare system and how do these interact with each other? - ✔✔-Cost
-Access
-Quality
-change in any one of the parameters above changes the remaining two
Describe primary care and discuss how your specialty role relates to the primary care system. - ✔✔-Primary Care:
(Buppert pg 7-8)
•the provision of integrated, accessible healthcare services by clinicians who are accountable for addressing a large
majority of personal healthcare needs
•when a consumer makes contact with a healthcare provider who assumes responsibility and accountability for the
continuity of healthcare regardless of the presence or absence of a disease
, •the healthcare which the clients receive at the first point of contact with the healthcare system that is continuous and
comprehensive, included health promotion, prevention of the disease and disability, health maintenance, rehabilitation,
identification of health problems, management of health problems, and referral
•The NNP provides very specialized care to a specific group of patients in the NICU in collaboration with the
neonatologist.
How can (and how has) the NP role been affecting healthcare in the US? - ✔✔(Buppert pg 7) The NP can address a need
for more primary providers in underserved areas of the nation, as well as address changes in health care from the
Affordable Care Act. As more health plans designate certain generalist physicians as PCPs for groups of patients, it is
important for NPs to be included in the definition of PCP. It is also important for NPs to be included as providers who can
be a "medical home" for a patient.
What identified issues drive health care changes? - ✔✔Employers wanting lower premium costs, improved QOC, and
enhanced employee benefit packages. Increases in cost of health care services (cost rising twice as fast as wages). Not
enough primary care physicians. Fear about government intervention/control. Lack of universal access to care. Growing
complexity of health care system. Growing number of uninsured (12.4 million women and 8 million children).
Health Care Triangle (Costs, Access, Quality)
Health Care System Basics (Cost, Access, Quality)
- a change in one parameter changes the remaining two
What are the various organizational designs of managed care delivery systems? - ✔✔A.HMO (Health Maintenance
Organizations) - Primary feature is the sharing of financial risk between insurer and care provider. Comprehensive care
for fixed costs. Cost control is limitations of patient seeking services and services being referred. 3 types
1st - Staff Model: health care providers are salaried employees of health plan, more control over services allowed
2nd - IPAs (Independent Practice Associations): contracts are made with health care providers in private practice settings
to offer health care services to HMO members, less control over how services are used
3rd - Network: a combination of staff and IPA
B.PPO (Preferred Provider Organization) - discounted fee agreements, seeking outside of list will result in higher costs
C.POS (Point of Service) - patients can select their choice of provider at the time the service is needed rather than upon
entry into plan
D.UR (Utilization Review Companies) - assist in monitoring how and what health care services are being used, authorize
services requested, validates claims submitted, monitoring of and reporting on the medical necessity of services
provided
E.EPO (Exclusive Provider Organizations) - contracts with 1 hospital to service the HMO members with a specific set of
health care providers, if don't use contracted group pay total cost out of pocket
F.Managed Insurance - traditional insurance companies that implement some sort of the managed care principles ex
BCBS, Aetna, Cigna, Kaiser, Humana
End Term Exam
N5350 - Final - Actual Exam Content - 100%
Verified Answers
Time allowed:
A+
* J 2 5 7 0 1 *
INSTRUCTIONS
• Write your answer to each question in the space provided. If you need extra space use the
lined pages at the end of this booklet. The question numbers must be clearly shown.
• Answer all the questions.
• Where appropriate, your answer should be supported with working. Marks might be given
for using a correct method, even if your answer is wrong.
ADVICE
• Read each question carefully before you start your answer.
© OCR 2025/26 [EXAM/T/YD]) 6895596/3
Turn over
,What are the 4 APRN Roles? - ✔✔•Clinical nurse specialist (CNS), nurse anesthetist (CRNA), nurse midwife (CNM), and
nurse practitioner (CNP)
What are the recognized NP roles by the Consensus Model? - ✔✔•Family, Adult-gerontology, neonatal, pediatrics,
women's health/gender, and psychiatric-mental health
Medicare and Medicaid reimburse the NP at what percentage of the physician's reimbursement? - ✔✔•Medicare: 85%
of the 80% the MD gets for reimbursement
•Medicaid: 92% of the 80% of the MD unless its Texas healthy steps and then its 100% of what the MD gets
Organizations and Resources: What is CNAP/ NONPF? NAPNAP" NANN? AANP? ANCC? Tri Council? AACN? TNP? -
✔✔•CNAP: Coalition for Nurses in Advanced Practice
•NONPF: The National Organization of Nurse Practitioner Faculties- promotes quality nurse practitioner education at the
national level
•NAPNAP: National Association of Pediatric Nurse Practitioners: organization for PNP's
•NANN: National Association of Neonatal Nurses
• AANP: American Association of Nurse Practitioners
•ANCC: American Nurses Credentialing Center
•Tri Council: organized to advance policy at national level
•AACN: American Association of Critical-Care Nurses
•TNP: Texas Nurse Practitioner
Which of these organizations in question 7 is responsible for certification of APRNs? What are the renewal requirements
of the certification by the recognized organization(s) in questions 7? - ✔✔•ANCC- American Nurses Credentialing Center,
renewed every 5 years. 150 Contact hours. Min of 1000 practice hours. Testing if you do not have practice hours.
Can a Blog be accessed by the public? True or False? Explain. - ✔✔•Yes, it can be disseminated to others
Are confidentiality and privacy the same? Explain. - ✔✔•NO they are different.
•Confidentiality has to do with sharing only the information with the patients informed consent or that is required if not
disclosing the information could result in patient harm. Or sharing with other health care members for the purpose of
providing care.
•Privacy: has to do with the patient's expectation and right to be treated with dignity and respect. "need to know"
,What are the steps to avoid for inappropriate us of social media by the NP? - ✔✔•Ethical and legal obligation to
maintain privacy and confidentiality at all times.
•Prohibited from transmitting electronic media any patient-related image
•Do not identify patients by name or give info that can identify them
•Do not refer to patients in a disparaging manner
•Take photos or videos on personal devices
•Maintain professional boundaries with patients in the online environment
•Consult employer policies and comply with them
•Promptly report any identified breach
•Do not make disparaging remarks about employers or co-workers
•Do not post content or speak on behalf of the employer unless authorized to do so
What are the 6 tips to avoid as listed by ANA? - ✔✔1.Standards of professionalism are the same online as in any other
circumstance
2.Do not share of post info or photos gained through the nurse-patient relationship
3.Maintain professional boundaries in the use of electronic media. Online contact blurs the boundaries
4.Do not make disparaging remarks about patients, employers, or coworkers
5.Do not take photos or videos of patients on personal devices
6.Promptly report a breach of confidentiality or privacy
What are 3 key elements of any healthcare system and how do these interact with each other? - ✔✔-Cost
-Access
-Quality
-change in any one of the parameters above changes the remaining two
Describe primary care and discuss how your specialty role relates to the primary care system. - ✔✔-Primary Care:
(Buppert pg 7-8)
•the provision of integrated, accessible healthcare services by clinicians who are accountable for addressing a large
majority of personal healthcare needs
•when a consumer makes contact with a healthcare provider who assumes responsibility and accountability for the
continuity of healthcare regardless of the presence or absence of a disease
, •the healthcare which the clients receive at the first point of contact with the healthcare system that is continuous and
comprehensive, included health promotion, prevention of the disease and disability, health maintenance, rehabilitation,
identification of health problems, management of health problems, and referral
•The NNP provides very specialized care to a specific group of patients in the NICU in collaboration with the
neonatologist.
How can (and how has) the NP role been affecting healthcare in the US? - ✔✔(Buppert pg 7) The NP can address a need
for more primary providers in underserved areas of the nation, as well as address changes in health care from the
Affordable Care Act. As more health plans designate certain generalist physicians as PCPs for groups of patients, it is
important for NPs to be included in the definition of PCP. It is also important for NPs to be included as providers who can
be a "medical home" for a patient.
What identified issues drive health care changes? - ✔✔Employers wanting lower premium costs, improved QOC, and
enhanced employee benefit packages. Increases in cost of health care services (cost rising twice as fast as wages). Not
enough primary care physicians. Fear about government intervention/control. Lack of universal access to care. Growing
complexity of health care system. Growing number of uninsured (12.4 million women and 8 million children).
Health Care Triangle (Costs, Access, Quality)
Health Care System Basics (Cost, Access, Quality)
- a change in one parameter changes the remaining two
What are the various organizational designs of managed care delivery systems? - ✔✔A.HMO (Health Maintenance
Organizations) - Primary feature is the sharing of financial risk between insurer and care provider. Comprehensive care
for fixed costs. Cost control is limitations of patient seeking services and services being referred. 3 types
1st - Staff Model: health care providers are salaried employees of health plan, more control over services allowed
2nd - IPAs (Independent Practice Associations): contracts are made with health care providers in private practice settings
to offer health care services to HMO members, less control over how services are used
3rd - Network: a combination of staff and IPA
B.PPO (Preferred Provider Organization) - discounted fee agreements, seeking outside of list will result in higher costs
C.POS (Point of Service) - patients can select their choice of provider at the time the service is needed rather than upon
entry into plan
D.UR (Utilization Review Companies) - assist in monitoring how and what health care services are being used, authorize
services requested, validates claims submitted, monitoring of and reporting on the medical necessity of services
provided
E.EPO (Exclusive Provider Organizations) - contracts with 1 hospital to service the HMO members with a specific set of
health care providers, if don't use contracted group pay total cost out of pocket
F.Managed Insurance - traditional insurance companies that implement some sort of the managed care principles ex
BCBS, Aetna, Cigna, Kaiser, Humana
