Professional Role SM

Question 1

Hierarchy of evidence: list in order of highest level of evidence

Answer 1

Gold Standard: Meta-analysis or Systematic Reviews
#2 all the C’s: randomized Control, Cohort studies, Case Control, Cross sectional studies
Bottom: editorials, opinions, no real research

Question 2

What is the difference between quasi-experimental design and randomized control trial?

Answer 2

QED: no randomization
RCT: completely random

Question 3

What is the health belief model? What are the six components?

Answer 3

to explain and predict health behaviors. Want to avoid negative health consequences. Taking a positive action to prevent a negative. (pt wants to change lifestyle to stop preDM to becoming DM)

Perceived risks susceptibility, Belief of consequence, Risk severity, Benefits to action, Self-efficacy, and Cues to action

Question 4

Liability insurance: Will you lose coverage as soon as you change jobs or retire

Answer 4

Claims based

Question 5

Liability insurance: You are covered as long as you had an active policy when you saw the patient

Answer 5

Occurrence based

Question 6

The stages of change model. What is it? What are the components?

Answer 6

A model to assess a patient’s readiness to make a change.

Pre-contemplation, Contemplation, Preparation, Action, Maintenance

Question 7

Family Systems Theory. What is the main thing to remember with this?

Answer 7

the family functions as a system/cohesive unit

Each family member place a specific role

Question 8

Lewin’s Change Model

Answer 8

Unfreeze - before change, become motivated
Change - action
Refreeze - becomes a habit or a policy

Question 9

Transitional Care Model. What is the goal?

Answer 9

transitioning care

prevent readmission and exacerbation

Question 10

Difference between ICD-10 codes and CTP

Answer 10

ICD-10: identifies diagnosis, what we are billing for

CPT: any procedures during the visit, labs, xrays, surgical, etc

Question 11

What are the three components of a chart/note?

Answer 11

history
physical exam
plan

Question 12

Swiss Cheese Model

Answer 12

when an error happens and we go back to find how this reached the patient. Root Cause Analysis

Question 13

Incident to billing

Answer 13

a physician sees a patient and then NP sees the patient for the SAME issue = bill 100%

Question 14

What determines your legal right to practice as a NP? Enforced by?

Answer 14

state nursing practice act

enforced by board of nursing

Question 15

Collaborative agreements

Answer 15

Physicians, Dentists and DOs

Question 16

What is a resource to improve access to care for patients?

Answer 16

Telehealth

Question 17

What components do NPs need to ensure to ask about in regards to social history?

Answer 17

sexual, relationships, smoking/drugs, stressors, supporters, access to water/AC, workout, etc

Question 18

Who funds Medicare?

Answer 18

Federal

Question 19

What patients use Medicare?

Answer 19

permanent disability

elderly

Question 20

Part A Medicare

Answer 20

Inpatient

Question 21

Part B Medicare

Answer 21

Outpatient:
medical equipment
diagnostic tests
second opinions

Question 22

Part C Medicare

Answer 22

Advantage plans

supplemental insurance: dental, vision, eyes

Question 23

Part D Medicare

Answer 23

Drug coverage

Question 24

Medicare reimbursements includes what 2 acts? What came first and what are they?

Answer 24

BRA budge reconciliation act: first, 85% reimbursement

Balanced budget act: NPs must have NPI number

Question 25

HITECH Act

Answer 25

electronic medical record - mandated to get paid
meaningful use: asking about how a pt’s visit went, hx, tx, education about condition
labs/VS in red if abnormal, enact PHI

Question 26

Medicaid. Who funds it? What is it? What is poverty level? What is a program specific to this?

Answer 26

Federal and State
those that CANNOT afford health insurance because they live below poverty (2k/month is max)
WIC, CHIPD
varies state to state

Question 27

Veracity

Answer 27

truth

Question 28

Fidelity

Answer 28

loyalty

Question 29

Automony

Answer 29

ability to make decisions

Question 30

Paternalism

Answer 30

trying to decide what is best because you disagree

Question 31

Beneficence

Answer 31

to do good

Question 32

Non maleficence

Answer 32

do no harm

Question 33

Justice

Answer 33

everybody gets the same treatment

Question 34

Native Americans

Answer 34

Shamans as healers
illness is a punishment
live in harmony, avoid eye contact, herbal remedies, no loud volumes

Question 35

Vietnamese

Answer 35

blood loss is worse than illness
fear labs being drawn
will stop prescriptions altogether when they start to feel better

Question 36

Hispanics

Answer 36

imbalance between the individual and the environment

Question 37

Chinese

Answer 37

disruption between yin and yang

avoid everything cold for a month after birth

Question 38

What is the purpose of COBRA

Answer 38

continuing on same insurance plan when they were employed, responsible for paying both COBRA premium and the employer’s portion
Expensive
up to 18 months

Question 39

Genetic information non-discrimination act

Answer 39

prohibits the use of genetic information and employment in healthcare insurance decisions

Question 40

Consensus model for APRN’s

Answer 40

NPs to practice at the fullest extent of their training and certification

Question 41

Infant mortality. Describe. Leading cause of death?

Answer 41

infant deaths per 1000 live births

congenital malformations

Question 42

Validity VS Reliability

Answer 42

V: actual accuracy of the results
R: results are repeatable

Question 43

Collaborative VS Consultative

Answer 43

collab: working with another provider to manage care
consult: asking for advice

Question 44

Erikson’s stages. Mnemonic:

Answer 44

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