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CE activity: Barriers to Practice and Impact on Care: An Analysis of the Psychiatric Mental Health Nurse Practitioner Role.

Thank you for your participation in Barriers to Practice and Impact on Care: An Analysis of the Psychiatric Mental Health Nurse Practitioner Role, a new 0.7-hour CE activity offered by NYSNA. NYSNA members and non-members are invited to take part in this activity, and you do not need to be a resident of New York State.


To inform the reader of the latest developments in barriers to practice for nurse practitioners in New York State.


By completion of the article, the reader should be able to:

1. Identify specific barriers to practice for nurse practitioners.

2. Discuss the opposition that exists around changes of statutory collaboration.

3. Report and discuss the implications for practice once the Nurse Practitioner Modernization Bill passes.

Please answer the questions below. Remember to complete the answer sheet on page 27 by putting the letter of your corresponding answer next to the question number. Each question has only one correct answer. A score of 80% is needed to successfully pass this posttest.

The 0.7 contact hours for this program will be offered until October 16, 2014.

1. Give three examples of barriers to practice for the nurse practitioner:

(a) Staffing ratios, complicated diagnostic tasks, lack of physician availability.

(b) State's scope of practice issues, restrictions on reimbursement, physician dominance.

(c) Physician's recommendations of practice, prescribing practices, availability of NP partners.

(d) Nurse Practitioner Modernization Bill, changing education law, the Nurse Practitioner Professional Association.

2. The name of the current New York State Nurse Practitioner Association Bill that would allow for removal of collaboration agreements:

(a) Removal of Statutory Collaboration Bill

(b) Global Signature Bill

(c) Mental Health Bill

(d) Nurse Practitioner Modernization Bill

3. A nurse practitioner (NP) can become involved in healthcare policy change by:

(a) Writing letters to legislators and asking patients to write letters in support of NP practice.

(b) Make visits to local and state legislator's offices to explain NP practice.

(c) Join a professional organization that offers political lobbying for the profession.

(d) All of the above.

4. Nurse practitioners are allowed to set up independent practices in New York State. True or False?

(a) False--A nurse practitioner cannot set up an independent practice.

(b) True--Nurse practitioners can set up an independent practice, with a collaborating physician practice agreement, meeting with the physician once a quarter for chart reviews.

(c) True--Nurse practitioners can set up an independent practice, with a collaborating physician that is available to the NP for quarterly record reviews, and for consultation at the request of the NP throughout practice.

(d) True - Nurse practitioners can set up an independent practice in New York State with a supervising physician.

5. Enrollment in psychiatric residency and nurse practitioners specializing in psychiatric mental health nursing have been on a steady increase in the past 5 years.

(a) True

(b) False

The New York State Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

NYSNA has nothing to declare related to this educational activity. NYSNA wishes to disclose that no commercial support was received for this educational activity.
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No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2011 Gale, Cengage Learning. All rights reserved.

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Publication:Journal of the New York State Nurses Association
Date:Mar 22, 2011
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