Regulatory Frameworks & Compliance Flashcards
7 cards from real NP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Regulatory Frameworks & Compliance flashcards as text
Under the Drug Enforcement Administration (DEA) schedule system, which schedule indicates drugs with accepted medical use but the highest potential for abuse?
Answer: Schedule II
Schedule II drugs have accepted medical use but the highest potential for abuse among drugs with accepted medical use, requiring triplicate prescriptions in many states.
A nurse practitioner's prescriptive authority is PRIMARILY governed by which entity?
Answer: The state board of nursing or medicine
Prescriptive authority for NPs is determined by state law and regulated by the state board of nursing or, in some states, jointly with the state board of medicine.
Which federal law prohibits healthcare providers from making referrals for designated health services to entities with which they have a financial relationship?
Answer: Stark Law (Physician Self-Referral Law)
The Stark Law prohibits physician (and by extension, NP) self-referrals to entities in which they have a financial interest for designated health services billed to Medicare or Medicaid.
An NP writes a prescription for a controlled substance but post-dates it by two weeks. This practice is:
Answer: Prohibited under federal DEA regulations
Federal DEA regulations prohibit post-dating controlled substance prescriptions; prescriptions may only be filled on or after the date they are issued.
The concept of 'full practice authority' for NPs means the state law allows NPs to:
Answer: Evaluate, diagnose, order tests, and prescribe without physician oversight
Full practice authority states allow NPs to practice to the full extent of their education and training without required physician collaboration or supervision agreements.
Under HIPAA, which of the following is NOT considered Protected Health Information (PHI)?
Answer: De-identified statistical health data with no patient identifiers
De-identified health information that has been stripped of all 18 HIPAA identifiers is not considered PHI and is not subject to HIPAA protections.
A nurse practitioner discovers a colleague has been falsifying patient records to support fraudulent Medicare billing. The NP's FIRST obligation is to:
Answer: Report the conduct through appropriate internal channels or to the OIG
Fraudulent Medicare billing is a federal offense under the False Claims Act; the NP must report through internal compliance channels or directly to the Office of Inspector General (OIG).