Practice Issues Part 3&4 Flashcards

1
Q

What are the two goals of Healthy People 2030?

A

Increase the quality and years of healthy life and eliminate health disparities among Americans

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2
Q

What are the five reportable diseases?

A

HIV, TB, gonorrhea, chlamydia and syphilis

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3
Q

What does physical therapy do?

A

Works on strength training and rehab

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4
Q

What does occupational therapy do?

A

Works on fine motor skills

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5
Q

What happens in home health?

A

An RN comes 3x a week or so for quick check in

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6
Q

What are the two requirements for hospice?

A

Have a diagnosis that will be terminal within 6 months and only be receiving comfort measures

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7
Q

What is the indication for sending someone to a SNF?

A

Inability to perform ADLs

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8
Q

Which third-party payer sets the standard for reimbursement and cutting costs?

A

Medicare

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9
Q

Which part of Medicare covers NP services?

A

Medicare B

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10
Q

What does Medicare A cover?

A

Inpatient services and related, such as SNF or home health related to a hospitalization

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11
Q

What does Medicare B cover?

A

Outpatient services, labs and diagnostics, medical equipment

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12
Q

NPs and CNSs receive what % of physician reimbursement for services provided in collaboration with an MD?

A

85%

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13
Q

What % does Medicare pay of a pt’s bill and what % does the pt pay?

A

Medicare pays 80%; patient pays 20%

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14
Q

What does Medicare D cover?

A

Drugs

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15
Q

Which two forms of Medicare require the pt to pay?

A

D and B

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16
Q

What is Incident-to Billing?

A

Billing under the provider # in order to get full physician fee

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17
Q

Is Incident-to Billing allowed in the inpatient setting?

A

No

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18
Q

What form of reimbursement varies from state to state?

A

Medicaid

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19
Q

What does QSEN stand for?

A

Quality and Safety Education for Nurses

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20
Q

What are the six key competencies of QSEN?

A

Patient-centered care, teamwork and collaboration, evidence based practice, safety, quality improvement and informatics

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21
Q

What three components does credentials encompass?

A

Education, licensure and certification

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22
Q

What does licensure establish?

A

That a person is qualified to perform in a particular professional role

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23
Q

Is certification granted by governmental or nongovernmental agencies?

A

Nongovernmental

24
Q

What is quantitative futility?

A

The likelihood that an intervention will benefit the pt is extremely poor

25
Q

What is qualitative futility?

A

The quality of benefit an intervention will produce is extremely poor

26
Q

What is nonmaleficence?

A

The duty to do no harm

27
Q

What is utilitarianism?

A

The right act is the one that produces the greatest good for the greatest number

28
Q

What is beneficence?

A

The duty to prevent harm and promote good

29
Q

What is justice?

A

The duty to be fair

30
Q

What is fidelity?

A

The duty to be faithful

31
Q

What is veracity?

A

The duty to be truthful

32
Q

What is autonomy?

A

The duty to respect and individual’s thoughts and actions

33
Q

What are the four distinct roles for an NP?

A

Clinician, consultant/collaborator, educator, researcher

34
Q

What are three types of nonexperimental studies?

A

Cross sectional, cohort, longitudinal

35
Q

What is a Type I error?

A

Incorrectly rejecting the true null hypothesis

36
Q

What is a Type II error?

A

Failing to reject a null hypothesis which is false

37
Q

What is the difference between a meta-analysis and a meta-synthesis?

A

Meta-analysis analyzes quantitative studies; meta-synthesis analyzes qualitative studies

38
Q

What is the level of significance defined as?

A

Probability of false rejection of the null hypothesis in a statistical test

39
Q

What is a t-test?

A

Statistical test to evaluate the differences in means between groups

40
Q

What is reliability?

A

The consistency of a measurement (the ability of an instrument to measure the same way over time with the same subjects)

41
Q

What does Cronbach’s alpha measure?

A

Reliability

42
Q

What is validity?

A

The degree to which a variable measures what it is intended to measure

43
Q

What is assault vs battery?

A

Assault is threatening to harm someone; battery is harming someone physically

44
Q

What is the difference between libel and slander?

A

Libel is written and slander is spoken

45
Q

What does incidence refer to?

A

The frequency of a disease in a population

46
Q

What does prevalence refer to?

A

The proportion of a population that is affected by a disease

47
Q

What is the key word in primary prevention?

A

“Prior”

48
Q

What is the key word in secondary prevention?

A

“Screening”

49
Q

What is the key word in tertiary prevention?

A

“Rehab”

50
Q

What is Standard 5 of Culturally and Linguistically Appropriate Services (CLAS)?

A

Healthcare orgs must provide language assistance to pts with limited English proficiency

51
Q

What is Standard 6 of CLAS?

A

Healthcare orgs must provide written and verbal notice to pts informing them of their right to an interpreter

52
Q

What is Standard 7 of CLAS?

A

Healthcare orgs must assure the competency of language assistance provided to pts with limited English proficiency

53
Q

What is quality assurance defined as?

A

A process for evaluating the care of pts using established standards of care to ensure quality

54
Q

What does CQI state?

A

That quality can continually be improved by monitoring structure, process and outcome standards

55
Q

What does CQI stand for?

A

Continuous Quality Improvement

56
Q

Which is considered stronger, a cohort study or a case control study?

A

A cohort study