A psychiatric-mental health nurse practitioner buys an ownership stake in a behavioral health hospital with the expectation that she will be able to refer the hospital's clients to the outpatient clinic she owns. Which of the following best describes this scenario?
A savvy business plan
She is working outside her scope of practice by becoming an owner in a hospital
A violation of the Stark Law
She is practicing autonomy by acting in her own best interests
The Correct Answer is C
Choice A reason: While financially strategic, the ownership arrangement raises legal and ethical concerns and cannot be considered purely a savvy business plan.
Choice B reason: Ownership of a hospital is not inherently outside the scope of practice, but the issue arises from the referral expectation and potential self-referral, not from ownership itself.
Choice C reason: The Stark Law prohibits physicians and certain healthcare providers from referring patients to facilities in which they have a financial interest if reimbursed by Medicare or Medicaid, making this scenario a legal violation.
Choice D reason: Acting in one’s self-interest in this way is ethically problematic and legally restricted; autonomy does not justify violation of federal law.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Questions about sleep quality are designed to evaluate sleep disorders or secondary symptoms of mood or anxiety disorders, but they are not primary measures of mood.
Choice B reason: Loss of interest or pleasure (anhedonia) directly assesses depressive symptoms and mood disturbance, making it the most accurate question for evaluating the mood system.
Choice C reason: Difficulty controlling worry pertains to anxiety symptoms, not mood per se.
Choice D reason: Frequent illness assesses somatic or immune-related issues, not mood.
Correct Answer is C
Explanation
Choice A reason: Global developmental delay typically involves delays across multiple developmental domains, including motor, social, cognitive, and language skills. In this case, the child is developmentally on track in all areas except for speech articulation, making global developmental delay less likely.
Choice B reason: Autism spectrum disorder often presents with deficits in social communication, restricted interests, and repetitive behaviors. This child demonstrates normal social engagement and imaginative play and has no deficits in peer interaction, which makes autism spectrum disorder unlikely.
Choice C reason: Speech sound disorder is characterized by persistent difficulties with speech sound production that interfere with intelligibility. The child has received speech therapy but continues to have difficulty being understood. She has normal social and cognitive development, which aligns with a primary speech sound disorder.
Choice D reason: Selective mutism involves consistent failure to speak in specific social situations despite speaking in other contexts. This child speaks normally in other contexts, and the concern is with articulation, not selective refusal to speak, ruling out selective mutism.
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