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Chapter 10. Public Policy and the Advanced Practice Registered Nurse

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1. An APRN has recently graduated from his or her program of choice, obtained national certification, and is applying for licensure in his or her home state. Which of the following is true regarding prescriptive authority? a. Requires additional CE requirements to maintain b. Provided in all states with APRN licensure c. Requires separate licensure d. Varies among individual states and regulating agencies ANS: D Prescriptive authority remains as a regulatory hurdle for APRNs. Requirements for obtaining prescriptive authority vary among states and have various requirements to maintain licensure. 2. An APRN has obtained prescriptive authority in his or her state and obtained Drug Enforcement Administration (DEA) number. All of the following pertain to controlled substances except: a. An APRN individually cannot prescribe controlled substances without a DEA number b. DEA numbers are site-specific and an APRN must obtain a DEA number for each site where he or she prescribes controlled substances c. Obtaining a DEA number authorizes the prescription of controlled substances without additional regulation d. An APRN who does not prescribe controlled substances is not required to obtain a DEA number e. A DEA number authorizes prescription of controlled substances as it pertains to state regulation ANS: C DEA numbers authorize the prescription of controlled substances but are still regulated by both federal and state regulations. APRNs may be subjected to additional regulation in the state where he or she practices. 3. All of the factors must be present for a malpractice case to demonstrate negligence by an APRN except: a. Direct causation must be linked to the APRN b. The patient must be under the direct care of the APRN c. A duty of care must be owed to the injured party d. Damages or sustained injuries to the patient e. The accepted standard of care was breached

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Chapter 10. Public Policy and the Advanced
Practice Registered Nurse

1. An APRN has recently graduated from his or her program of choice, obtained national
certification, and is applying for licensure in his or her home state. Which of the
following is true regarding prescriptive authority?
a. Requires additional CE requirements to maintain
b. Provided in all states with APRN licensure
c. Requires separate licensure
d. Varies among individual states and regulating agencies



ANS: D

Prescriptive authority remains as a regulatory hurdle for APRNs. Requirements for
obtaining prescriptive authority vary among states and have various requirements to
maintain licensure.



2. An APRN has obtained prescriptive authority in his or her state and obtained Drug
Enforcement Administration (DEA) number. All of the following pertain to controlled
substances except:
a. An APRN individually cannot prescribe controlled substances without a DEA
number
b. DEA numbers are site-specific and an APRN must obtain a DEA number for each
site where he or she prescribes controlled substances
c. Obtaining a DEA number authorizes the prescription of controlled substances
without additional regulation
d. An APRN who does not prescribe controlled substances is not required to obtain a
DEA number
e. A DEA number authorizes prescription of controlled substances as it pertains to
state regulation

, ANS: C

DEA numbers authorize the prescription of controlled substances but are still
regulated by both federal and state regulations. APRNs may be subjected to additional
regulation in the state where he or she practices.



3. All of the factors must be present for a malpractice case to demonstrate negligence by an
APRN except:
a. Direct causation must be linked to the APRN
b. The patient must be under the direct care of the APRN
c. A duty of care must be owed to the injured party
d. Damages or sustained injuries to the patient
e. The accepted standard of care was breached



ANS: B

Four factors must be established for the basis of a malpractice claim including a duty
of care being owed, a breach of accepted standards of care, resulting damages or
injury to the patient, and direct causation that is linked to the APRN. The patient does
not have to be under the direct care of the provider to be included in a malpractice
suit.



4. Which of the following requires compliance with HIPAA while functioning as an APRN?
a. Transmission of health information for payment of medical claims
b. All of the above
c. Transmission of health information in any form
d. Regular care of patients
e. Discussion of patient conditions with consultants



ANS: B

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