Professional Roles

Question 1

Veracity

Answer 1

Truth telling
EX: Giving a diagnosis even if it’s bad

Question 2

Fidelity

Answer 2

Loyal actions
Ex: Doing what you say you’ll do (call with results)

Question 3

Autonomy

Answer 3

Ability to make own decisions

Question 4

Paternalism

Answer 4

Trying to parent the patient
Try to decide what’s best for them because you disagree with what they chose

Question 5

Beneficence

Answer 5

Doing good
Ex: Health promotion

Question 6

Nonmaleficence

Answer 6

Avoid doing harm
Ex: Check drug allergies

Question 7

Justice

Answer 7

Being fair and equal
Culturally considerate
Every gets the same treatment

Question 8

Stages of change

Answer 8

Pre-contemplation
Contemplation
Preparation
Action
Maintenance

Question 9

Family System’s Theory

Answer 9

Family works as a unit
We all stop drinking alcohol

Question 10

Strongest level of evidence

Answer 10

Meta Analysis
Systematic Review

These pull together several studies that have already been done

Question 11

Middle evidence studies

Answer 11

All the C’s
- RCT
- Cohort
- Case Control
- Cross Sectional
- Quasi-experimental

Question 12

Lowest evidence studies

Answer 12

Opinions
Editorials
No actual research

Question 13

RCT vs. Quasi Experimental

Answer 13

RCT: Randomization of who gets placebo or control
Quasi: No randomization

Question 14

Validity vs. Reliability

Answer 14

Validity: Accuracy of results
Reliability: Results can be repeated

Question 15

Independent vs. dependent variable

Answer 15

Independent: Cause (a drug)
Dependent: Effect (lab values)

Question 16

Autosomal dominate chance of having condition

Answer 16

50%

Question 17

Autosomal recessive
Chance of having condition
Chance of being a carrier
Chance of being unaffected

What do parents have to have for the gene to be passed along?

Answer 17

50% carrier
25% chance of having the condition
25% unaffected

In order to pass along to kids, both parents have to carry the gene or be affected by the condition

Question 18

Lewin’s Change Model

Answer 18

Unfreeze: Before change occurs
Change: Actual change occurs
Refreeze: Make the change permanent

Question 19

Goal of transitional care model

Answer 19

Prevent readmissions and exacerbations

Question 20

Swiss Cheese model

Answer 20

When an error occurs, we look at what issue fell through the cracks (holes)
Focus on root cause analysis

Question 21

Consensus model allows what?

Answer 21

APPs to practice at their fullest extent of training and certification

Question 22

Infant mortality means

Answer 22

Deaths per 1000 live births

Question 23

License
Gives us what?

Answer 23

Ability to practice in your state (no compact licenses exist)

Question 24

Certification

Answer 24

Board Exam

Question 25

Credentialing

Answer 25

Process that allows us to bill

Question 26

Claims based insurance

Answer 26

Only have coverage while you're employed Lost once you leave, even if an event occurred in the past

Question 27

Occurrence based insurance

Answer 27

Not affect by job changes As long as you had an active policy when you saw the patient, you are covered

Question 28

Notes need what

Answer 28

Physical exam, history, and plan

Question 29

Incident to Billing requirements

Answer 29

- MD must see first and provide a diagnosis and create a plan - MD has to be in the building - No new diagnoses at the visit - Allows billing 100% (instead of 75-85)

Question 30

How is medicare funded? who gets it?

Answer 30

Federal - Older adults, disability, ESRD

Question 31

Part A-D coverages

Answer 31

- Part A: Hospice and inpatient (nursing facility) - Part B: Outpatient needs, second opinions, equipment, influenza vaccine - Part C: Advantage plans (dental, vision) - Part D: Drugs

Question 32

Budget Reconciliation Act

Answer 32

FIRST act that allowed NPs to bill

Question 33

Balanced Budget Act

Answer 33

Requires NPs to have an NPI number to bill up to 85%

Question 34

Medicaid funding Who gets it?

Answer 34

Federal and State - Can't afford health insurance - <$2000/mo income

Question 35

CHIP

Answer 35

Patients who don't qualify for medicaid can get insurance for their kids

Question 36

HITECH Act Components

Answer 36

Movement to EMR Meaningful use: post-visit summary Mandated clinical decision support: putting abnormal values in red

Question 37

COBRA

Answer 37

- Allows access to healthcare after quitting/fired - Have to pay hefty premium - Can use up to 18mo

Question 38

Genetic Information Non-Discrimination Act

Answer 38

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

Question 39

Health Belief Model

Answer 39

People will only change is they think something bad will happen to them

Question 40

Which STDs are reported NOT reported?

Answer 40

Gonorrhea Chlamydia Syphilis HIV NOT reported: Trich, HPV