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PNCB CPNP-PC > Ethical, Legal, & Cultural Considerations > Flashcards

Ethical, Legal, & Cultural Considerations Flashcards

1
Q

Health Care Delivery
Healthy People -1-
> Continuance of Healthy People -2-, by -3-
> Objectives relate to -4-, availability, cost, -5-, etc.

A
  1. 2030
  2. 2000 and 2020
  3. the US DHHS
  4. equal access
  5. quality of care
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2
Q

Health Care Delivery
-1–2-: Require practioners to -1- specific health-related informatoin; vary form state to state but commonly involve the following:
> -3- and injury from a -4-

A
  1. Report/-ing
  2. statutes
  3. Criminal acts
  4. dangerous weapon (police)
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3
Q 
Health Care Delivery
Reporting Statutes
> In most states, the NP must notify -2- of:
>> Gonorrhea
>> Chlamydia (-5-)
>> -6-
>> -7-
>> TB
>> COVID-19
A
  1. the DHHS
  2. less universal
  3. Syphilis
  4. HIV
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4
Q 
Health Care Delivery
Reporting Statutes
> In -1-, the NP must notify the DHHS of:
>> -3-
>> -4- (less universal)
>> Syphilis
>> HIV
>> -8-
>> -9-
A
  1. most states
  2. Gonorrhea
  3. Chlamydia
  4. TB
  5. COVID-19
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5
Q

Health Care Delivery
Reporting Statutes
> -1- -2- (-1- -3-; subsidiary of the -4-)

A
  1. Animal
  2. Bites
  3. Control
  4. DHHS
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6
Q

Health Care Delivery
Reporting Statutes
> -1- child or elder -2- (-3-; police via -4- who is -5-)

A
  1. Suspected or actual
  2. abuse
  3. not domestic violence
  4. social services
  5. our point of contact
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7
Q

Health Care Delivery
Health Care Financing
> -1-: evaluation and management (E/M) -1- identify the -2- provided
» -1- -3- of service provided to the -4- of the -5-

A
  1. Codes/Coding
  2. level of care (1-5)
  3. match the level
  4. complexity
  5. presenting pt problem
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8
Q

Health Care Delivery
Health Care Financing
> -1-
> -2- payers (-3- sets the standard for -1- which -4- follow)

A
  1. Reimbursement
  2. third-party
  3. CMS
  4. CIIs, HMOs, and Businesses/Schools
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9
Q

Health Care Delivery
Incident-to Billing: Services billed under the -1- to receive the -2- given the following rule(s):
> The -3- whose -4- the bill is submitted must be the individual present in the office suite when the service is provided

A
  1. physician’s provider number
  2. full physician fee (100%)
  3. physician/other provider under
  4. name and number
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10
Q

Health Care Delivery
QA/QI/CPI
> A management process of -1- review, and -2- in providing -3-

A
  1. monitoring, evaluating, continuous
  2. improving the quality
  3. health care
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11
Q

Health Care Delivery
QA/QI/CPI
> Used to -1-, -2-, and -3- care provided to patients

A
  1. assess
  2. monitor
  3. improve
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12
Q

Health Care Delivery
QA/QI/CPI
> Components include -1- of care, care -2-, -3- of care, -4- of care, self-regulation, and -5- to ensure compliance to care standards

A
  1. monitoring quality
  2. appropriateness
  3. effectiveness
  4. cost
  5. peer review
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13
Q

Health Care Delivery
QA/QI/CPI
> Case Mgmt: -1- resources a pt -2- of illness while -3-

A
  1. mobilize, monitor, & modulate
  2. uses in a course
  3. balanceing quality & cost
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14
Q 
Health Care Delivery
QA/QI/CPI
> Steps of CQI/QA (JCAHO)
>> Quality -1-
>> -2- care
>> -3- data
>> -4- when thresholds are reached
>> -5- information
A
  1. planning
  2. delineate scope of
  3. collect and organize
  4. evaluate care
  5. communicate relevant
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15
Q 
Provider Roles
> Ancillary staff, patient, parents/caregivers may -1-
> Provider must -2-
>> supports -3-
>>> needed to comply with -4- audits
>> cannot -5-
A
  1. complete ROS, PMH
  2. complete HPI
  3. evaluation/management reporting
  4. criteria for billing/coding
  5. be co-signed
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16
Q

Serology results of -1- indicate immunity to hepatitis A and -2- to be reported to any state or local authorities; however, persons with acute -3- and -4- serology, have to be reported.

A
  1. anti-HAV and IgG
  2. do not have
  3. hepatitis A, anti-HAV
  4. IgM
17
Q

HIPAA Privacy Rule establishes standards for -1- and protection of -2-. While meeting these essential standards, -3- is also important to providing -4- patient care.

A
  1. patient privacy rights
  2. health information
  3. timely provider-to-provider communication
  4. collaborative and integrated
18
Q

There are often perceived, -1- about the exchange of clinical information among -2- due to misconceptions of the HIPAA Privacy Rule. In most cases, pertinent -3- information can be -4- with members of the current treatment team -5- authorization.

A
  1. unnecessary barriers
  2. care team providers
  3. mental health treatment
  4. released to/discussed
  5. without written disclosure
19
Q

As long as both -1- in the treatment or consultation of -2-, relevant protected health information can be -3- or caregiver consent. Written psychotherapy notes and -4- treatment records maintained by a licensed -4- program are two exceptions that -5- authorization.

A
  1. providers are involved
  2. a mutual patient
  3. disclosed without patient
  4. substance abuse
  5. require written disclosure
20
Q

HIPAA
It is important to note that -1- may impose additional restrictions that -2- and healthcare providers need to be familiar with -3- where they practice.

A
  1. individual state laws
  2. supersede HIPAA rules
  3. variations in states
21
Q

For children with special healthcare needs, much of their day-to-day -1- of the medical setting. It is important that providers are familiar with the -2- resources that are available to these children and their families.

A
  1. care occurs outside

2. nonmedical and community

22
Q

The school setting -1-, developmental, and psychosocial -2-, and providers need to be prepared to help parents -3- these -2-. For school-age children, the -4- Plans can both help ensure they -5- needed to optimize their educational experience.

A
  1. provides many educational
  2. support services
  3. access and utilize
  4. IEP and 504
  5. receive services
23
Q

The -1- between IEP & 504 plans can make it difficult to determine which is -2- for a child’s specific needs. Eligibility for both plans requires -3-. For a 504 Plan, this can be any -4- disorder which “substantially limits” the individual’s learning.

A
  1. overlap
  2. most appropriate
  3. a medical diagnosis
  4. psychologic or physical
24
Q

Children with a 504 Plan can follow the -1- but -2- in the school setting. This may include conditions such as ADHD, diabetes, or migraines. In order to be eligible for an IEP, a child has to also have a medical diagnosis, but that diagnosis must -3- as a -4- that -5- and, therefore, cannot follow a -1-.

A
  1. curriculum without modification
  2. may require assistance
  3. specifically meet criteria
  4. qualifying disability
  5. seriously affects learning/behavior
25
Q

Both a 504 and an IEP -1-, although for an IEP, it is more formalized and is typically completed by a -2-. Both an IEP and a 504 plan will include -3-. There are no legal requirements for -4- in a 504 plan and there is no mandated re-evaluation.

A
  1. require evaluation
  2. team of professionals
  3. a written plan
  4. what is included
26
Q

An IEP has -1- and must describe the specific learning problems, detail -2-, set annual goals and define -3-. -4- every 3 years.

A
  1. very specific criteria
  2. provision of services
  3. progress metrics
  4. Re-evaluation is mandated
27
Q

Hispanic Cultural Considerations
> Often believe it is -1- pharmacotherapy once -2-
» Especailly problematic for -3- in which ongoing medication is required

A
  1. unnecessary to continue
  2. symptoms abate
  3. diabetics
28
Q

Hispanic Cultural Considerations

> Esteem the -1-, especially from the -2-, as the -3- of -4-

A
  1. mother or grandmother
  2. husband
  3. primary decision-maker
  4. health-related issues
29
Q

Hispanic Cultural Considerations
> Balance of -1- is -2-
» Both -3- and -4- have these properties
»> And an -3- of one is requires a -4- of the other
» May also believe in a balance of -5-

A
  1. hot and cold
  2. essential
  3. illness
  4. medicine
  5. wet & dry
30
Q 
Hispanic Cultural Considerations
> Illness may be caused by -1-
>> healthcare workers can inadvertently -2-
> Strong -3- with state of health
>> Health is a -4- and a reward for -5-
A
  1. mal de ojo (the evil eye)
  2. give this look
  3. religious association
  4. gift from God
  5. good behavior
31
Q

Hispanic Cultural Considerations

> Big proponents of -1-: Eating -2-, working -3-, wearing -4- and sleeping with -5-

A
  1. illness prevention strategies
  2. the proper foods
  3. the proper duration (siestas)
  4. religious medals
  5. relics
32
Q

Hispanic Cultural Considerations
> Use of -1- may be common in some communities
» Treat with a variety of -2-, visits to shrines, -3-, -4-, and promises to God to change behavior

A
  1. curanderas (holistic healers)
  2. herbs and teas
  3. medals
  4. candles
33
Q

Hispanic Cultural Considerations
> Often concerned about the -1- when taking medications for -2-
> May expect -3- as a -4- of effective treatment for disease
» -5- may be viewed as a less effective treatment

A
  1. risk for addiction
  2. prolonged durations
  3. injections
  4. necessary component
  5. taking oral medications
34
Q

In some Mexican cultures, it is customary to -1- while complimenting him or her to neutralize -2-. These cultures believe that -3- are weak and susceptible to the power of an -4-; giving compliments can be seen as giving -2-.

A
  1. touch a baby
  2. the “evil eye”
  3. babies
  4. envious glance
35
Q

Termination of a Provider-Patient Relationship
Although specific referral to a -1- is often made, it is not required. However, patients must receive -2- from the nurse practitioner so as to allow sufficient time to -3-.

An admission of -4- or the -5-, usually based on the amount of hours already worked, are permissible reasons for terminating a patient relationship.

A
  1. different nurse practitioner
  2. reasonable notice
  3. make other arrangements
  4. lack of competence
  5. refusal of assignment

PNCB CPNP-PC (19 decks)

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