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AANP Class - Leik, Sarah Michell, MedMastery, & Other > Professional Role > Flashcards

Professional Role Flashcards

1
Q

Hierarchy - Highest Level of Evidence

A

Meta-Analysis / Systematic Review

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2
Q

Hierarchy - Middle Level of Evidence

A

Randomized Control Trials
Cohort Studies
Case Control Studies
Cross Sectional Studies

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3
Q

Hierarchy - Lowest Level of Evidence

A

Editorials / Opinions: no real research

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4
Q

Quasi-Experimental Design Versus Randomized Control Trial difference

A

Randomized control trial randomizes who gets the placebo and drug, whereas the quasi experimental study there is no randomization

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5
Q

Validity of the Study

A

Accuracy of the results

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6
Q

Reliability of the Study

A

Results of the study are repeatable

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7
Q

Independent Variable

A

exist by themselves, what we can change and manipulate, when changed, will change the dependent variable

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8
Q

Dependent Variable

A

What is being assessed with the affects

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9
Q

Autosomal recessive

A

Both parent has to carry the gene and pass it on (inherited)

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10
Q

What is social history?

A

relationship status
sexual
lives with?
education
employed
smoking
drug
alcohol
new stressors
social support
exercise
clean water
air conditioning

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11
Q

Primary level of prevention

A

Before incident occurs

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12
Q

Secondary level of prevention

A

Screening for early diagnosis

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13
Q

Tertiary level of prevention

A

After illness/disease has already happened, it’s the treatment, or therapy (PT/OT)

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14
Q

Infant mortality

A

infant deaths per 1000 live births
- leading cause is congenital malformations

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15
Q

Erickson’s Pneumonic

A

Trust the Auto in Industry
Indentiy with Intimate
Geniuses with Integrity

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16
Q

License

A

Can practice in the state

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17
Q

Certification

A

board exam

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18
Q

Credentials

A

process in order to be allowed to bill medicare/medicaid

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19
Q

Liability Insurance

A
  • claims liability while employed
  • occurrence based
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20
Q

Incident to billing

A

Physician has to be in the building to be able to bill for subsequent visits at 100%, but if anything new were to happen we bill at 85%

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21
Q

Who Funds Medicare?
Who does it cover?

A

federal level funding
Older adults
Permanent disability
Chronic disease
ESRD for example

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22
Q

Medicare Part A

A

Inpatient, hospice

23
Q

Medicare Part B

A

Outpatient, equipment, diagnostics, second opinion, dialysis

24
Q

Medicare Part C

A

Supplemental like dental/vision

25
Q

Medicare Part D

A

Drug coverage and prescription drugs

26
Q

Budget Reconciliation Act (1st in time)

A

medicare reimbursement that allows NPs to bill

27
Q

Balanced Budget Act

A

required NPs to have NPI number to bill up to 85%

28
Q

Who funds Medicaid
What is it?

A

Funding by federal and state level
Those who cannot afford it (lives below federal poverty level)
$2,000 per month
WIC
various from state to state
CHIP (children’s health insurance program)

29
Q

HITECH Act

A
  • this mandated that we all move to electronic medical records in order to be paid
  • defined meaningful use of what is shared in electronic health records
  • clinical decision support
  • protection of health information
30
Q

COBRA

A
  • allows for patients have access to healthcare while unemployed (quit or fired) - for up to 18 months
31
Q

Health Belief Model

A
  • people will not change behaviors until the believe the are at risk and will have negative health consequences
  • perceived risks
  • susceptibility
  • belief of consequence
  • risk severity
  • benefits to action
  • self efficacy
  • cues to action
32
Q

Stages of Change Model

A

Readiness to Make Change
- pre-contemplation
- contemplation
-preparation
- action
- maintenance

33
Q

Motivational Interviewing

A

Patient centered - discover own motivation and goals
Therapeutic Communication
Collaborative

34
Q

Family Systems Theory

A

Family functions as one cohesive unit and each member plays a specific role

35
Q

Lewin’s Change Model

A

Unfreeze - before change occurs, figuring out how to be motivated to change
Change
Refreeze - ensures this change is permanent

36
Q

Transitional Care Model

A

Prevent readmissions and exacerbation

37
Q

Swiss Cheese Model

A

Risk analysis and management, focused on root cause analysis

38
Q

Consensus Model

A

Allows APRN to practice at full authority of license

39
Q

State Nursing Practice Act

A

determines legal right to practice as NP
determines scope of practice

40
Q

State Board of Nursing

A

Enforces state nursing practice act

41
Q

Collaborative Agreements

A

MDs, DOs, dentists
Not chiropractors

42
Q

Power of Attorney

A

person can make decisions on behalf

43
Q

Healthcare Power of Attorney

A

only decisions regarding healthcare can be made

44
Q

Domestic Abuse

A

Report - learn about state’s difference between elder, child
Sensitive in approach
Do not place blame
Maintain privacy

45
Q

Informed Consent

A

Consent by adult, mentally competent, after all risks and benefits have been discussed

  • if not 18 y.o. it is an asset b/c they cannot give consent
46
Q

Collaborative

A

Works together

47
Q

Consultive

A

Needs advice, unsure of treatment

48
Q

Veracity

A

truth telling

49
Q

Fidelity

A

loyalty

50
Q

Autonomy

A

patient makes own decisions

51
Q

Paternalism

A

trying to decide what is best for the patient

52
Q

Beneficence

A

to do good

53
Q

Non-malfesiance

A

do no harm - check drug allergies

54
Q

Justice

A

everyone gets same level of care and respectful of cultural considerations

AANP Class - Leik, Sarah Michell, MedMastery, & Other (20 decks)

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