Professional Role

Question 1

What is the health belief model?
What are the components that it encompasses?

Answer 1

people will not change their behaviors unless they believe they are at risk and want to avoid consequences
-explains and predicts behavior

-perceived risks
-belief of consequence
-risk severity
-benefits to action
-self efficacy
-cues to action

Question 2

what’s the difference between claims based insurance vs. occurance

Answer 2

claims = coverage while you’re employed, when you leave job you lose coverage unless there’s “tail coverage”

Occurence = as long as you had an active policy when you saw patient in the clinic you’re covered

Question 3

what is the Stages of Change Model used for?

what are the components?

Answer 3

assess a patient’s readiness for change

-precontemplation
-contemplation
-preparation
-maintenance

Question 4

What is the Family Systems Theory?

give an example

Answer 4

family functions as a cohesive unit

if one part of the unit starts to slack (eg mother alcoholic)…another unit will pick up the slack (eldest child)

Question 5

What is Lewin’s Change Model?

Answer 5

Unfreeze - before the change occurs (figuring out how to get motivated to change)
Change
Refreeze

Question 6

What is the key with the Transitional Care Model?
What’s the goal?

Answer 6

transition their care

Goal: prevent readmissions and exacerbations

Question 7

What is incident to billing?

how does it impact NP reimbursement?

Answer 7

when an MD first sees the pt for a medical issue and then the NP sees the same pt for the same diagnosis later on

Question 8

What determines your legal right to practice as an NP?

Answer 8

State Nursing Practice Act

Question 9

What determines an NPs scope of practice

Answer 9

State Nursing Practice Act

Question 10

Who enforces the State Nursing Practice Act

Answer 10

board of nursing

Question 11

What is medicare part A

Answer 11

inpatient
hospice

Question 12

what is medicare part B

Answer 12

outpatient needs
diagnostic tests
second opinions
medical equipment!

Question 13

what is medicare part C

Answer 13

advantage plans:
-dental
-vision

Question 14

what is medicare part d?

Answer 14

drug coveraage

Question 15

How do we get paid by Medicare?
Which act comes first?

Answer 15

1st: budget reconciliation Act; allows to be reimbursed 85%
“BRA goes on first)

2nd: balanced budget act; required NPs to have an NPI number

Question 16

Who funds Medicaid?

Answer 16

federal and state

Question 17

What types of patients do you expect to see on Medicaid?

Answer 17

Those who cannot afford health insurance because they live below the poverty line

Question 18

How low does your income level have to be to be eligible for medicaid?

Answer 18

$2000/month in your household

Question 19

How gives children health insurance if their parents are above the poverty level?

Answer 19

Children’s Health Insurance Program (CHIP)

Question 20

what is veracity

Answer 20

truth telling

Question 21

what’s fidelity?

Answer 21

loyalty

Question 22

what’s the purpose of COBRA

Answer 22

you can have access to the same insurance before you quit but you need to also pay for the employers portion.
-18 months after leaving job

Question 23

what is the leading cause of deaths in an infant’s first year?

Answer 23

congenital malformations

Question 24

difference between validity and reliability

Answer 24

validity= actual accuracy of the results

reliability= results are repeatable

Question 25

how to remember the Erickson’s stages of development

Answer 25

trust the auto industry and identify with intimate geniuses with integrity