Professional Role Flashcards
With this model, people will not change health behaviors unless they personally feel they are at risk. There are 6 components:
- Perceived risk
- Susceptibility
- Belief of consequence
- Risk severity
- Benefits to action
- Cues to action
Health Belief Model
This type of liability coverage, the coverage is while you are employed, you will lose coverage as soon as you change jobs/retire.
Claims based
With this type of liability coverage, you are covered as long as you had an active policy when you saw the patient.
Occurrence based
Which type of coverage do you need “tail” coverage?
Claims based
This model is used to assess a patient’s readiness to change?
The “Stages of Change” model
Lewin’s change model’s 3 steps:
- Unfreeze (how to become motivated)
- Change
- Refreeze (to ensure change is permanent)
With this model, continuity of care is a key goal to prevent readmission and exasperations?
Transitional care model
This is when a patient first sees a patient for a medical issue and then the NP sees the patient for the same diagnosis later. NP is then able to bill at 100% for this.
Incident to billing
This is what determines you legal right to practice as an NP and scope of practice.
State nurse practice act
Who enforces the state nurse practice act?
State board of nursing
Who funds medicare?
Funded at federal level
What type of patients will use this benefit?
Elderly and disabled
4 parts of medicare:
A: covers all inpatient things
B: Covers all outpatient things, medical equipment, diagnostics
C: Advantage plans: supplemental dental/vision
D: Majority of drug coverage
This mandated that we all move to EMRs to get paid, it defined meaningful use for providers (summary of care, clinical decision support in EMR), and also enacted PHI.
HITECH act
Who funds medicaid?
Federally and state funded
What types of patients would we expect to see utilize medicaid?
Those that live below poverty level (2000/month per household and less)
Primary prevention is:
Prevention before incident occurs
Secondary prevention is:
Screenings
Tertiary preventions is:
After the even has already happened, i.e. treatment
Number 1 killer of teens:
MVA accidents
This is truth telling?
Veracity
This is loyalty?
Fidelity
This is the patient’s ability to make own decisions?
Autonomy
The is when you/family “parent” the patient to try to determine what is best for the patient?
Paternalism
This is the idea of doing good (health promotion)?
Beneficence
This is do no harm?
Nonmaleficence
This is that everyone gets the same treatment?
Justice
This allows patients to continue having access to health care after quitting or being fired from a job and is good up to 18 months?
COBRA
This prevents use of genetic info in employment and health care enrollment?
Genetic information non-discrimination act
This allows for NPs to practice at the full extent of their training?
Consensus model for APRNs
This is the number of deaths per 1000 live births?
Infant mortality
This is the accuracy of the results?
Validity
This is when results are repeatable?
Reliability
Sensitivity is:
positive for the disease
Specificity is:
negative for a disease
What is CAGE criteria?
Screening tool for alcoholism form of intake Completed prior to patient coming in C= Do you want to cutdown? A= Annoyed? G= Guilty E= Eye-opener/early AM
