Licensure determines scope of practice.

• A. Certification determines scope of practice
• B. Accreditation determines scope of practice
• C. Education determines scope of practice
• D. Licensure determines scope of practice

Answer: (D)

Licensure establishes the legal permission to practice and sets the scope by defining what acts are allowed, under what supervision, in which settings, and under what requirements. This formal authorization is what actually restricts or permits professionals to perform certain procedures or provide specific services within a jurisdiction. Certification, accreditation, and education each have important but different roles: certification demonstrates that an individual has met certain competency standards in a specialty, but it does not alone authorize practice; accreditation relates to the quality and standards of training programs or institutions, not to legal permission to practice; education provides the foundational knowledge and skills, but until licensure is granted, practice remains restricted by law.