Sarah Michelle page 234 – 256 Questions with Complete Solutions
2023/2024
what is the strongest, gold standard hierarchy of evidence? - Correct Answer Meta analysis or systematic review (pull several studies that have already been done) what is the middle hiearchy of evidence? - Correct Answer randomized control trials, cohort studies, case control studies, cross sectional studies (all the C's - actual research) what is the lowest level of hiearchy of evidence? - Correct Answer editorials and opinions (no real research) - longitudinal/retrospective what is the difference between Quasi experimental design vs randomized control trial - Correct Answer both are middle levels of evidence Quasi - no randomization Random - is randomization of who gets placebo vs actual tx what explains and predicts health behaviors. It is based on perceived risks susceptibility belief of consequence, risk severity, benefits to action, self-efficacy and cues to action - Correct Answer health belief model what is the health belief model - Correct Answer people will not change their health behaviors unless they personally believe they are at risk and they want to avoid negative health consequences what gives you the ability to practice from your state - Correct Answer license what is your board exam for? (AANP or ANCC) - Correct Answer certification what is the process you go through in order to be allowed to bill medicare, medicaid, etc
- Correct Answer credentials (verification process)
what insurance is not affected by job changes or retirement. You are covered as long as you had an active policy when you saw the patient? - Correct Answer occurrence based what insurance is based on if you have coverage while you're still employed. You lose coverage as soon as you change jobs or retire (unless you purchase tail coverage when you leave) - Correct Answer claims based what type of insurance would ensure you continue to have coverage in the event that you leave your job? - Correct Answer occurrence based 1 / 2
what are the stages of change (5) - Correct Answer 1. Pre-contemplation
- Contemplation
- Preparation
- Action
- Maintenance/Relapse
- change - when change occurs
- refreeze - ensure the change is permanent and becomes a new habit. Incentivizing
- things you need when you're documenting a note about a patient with either ICD or
- Physical Exam
- Plan
- / 2
what is the theory where the family functions as a system, a cohesive unit, one big emotional unit. Each family member plays a specific role. If one member starts to slack, another family picks it up - Correct Answer family systems theory what are the 3 stages in Lewin's change model - Correct Answer 1. unfreeze - before change occurs, figuring out how to become motivated to change
that change what model has a goal of preventing readmissions and exacerbations. For example, may transition the patient from the hospital to a rehab, to home with home health. It revolves a lot around case management and discharge planners. - Correct Answer transitional care model
CPT codes - Correct Answer 1. History
What must you document that identifies the diagnosis. Tells the insurance what disease process of condition that we are billing for - Correct Answer ICD-10 what must you document that identifies the procedure performed? Examples - diagnostics, labs, xrays, surgical procedures - Correct Answer CPT code what is when an error happens and we go back to see where this issue continually falls through the cracks/holes. It is for risk analysis and management to determine root cause to prevent a situation in the future and not focused on blame. - Correct Answer swiss cheese model when a physician first sees a patient for a medical issue and then we (NP) sees the same patient for the same diagnosis later on, we are allowed to bill 100% for this is called what - Correct Answer incident to billing what allows us to reimburse at 100% instead of 85% if we see a patient for a similar problem as seen by the MD - Correct Answer incident to billing what sets our scope of practice as NP's and legal rights - Correct Answer state nurse practice act