Exam 4 Flashcards
(18 cards)
What does the APPN mnemonic stand for?
Assess therapeutic needs, Prescribe with psychotherapy goals in mind, Provide holistic guidance, Navigate treatment options
This mnemonic helps APPNs remember their comprehensive role in patient care.
What is the first step when responding to a patient’s medication request?
Education
APPNs should never prescribe based solely on a patient’s request; education is crucial.
What is the ‘PLACEBO’ mnemonic related to in prescribing?
Patient expectations matter, Language shapes treatment outcomes, Alignment with therapy goals, Communication enhances effect, Education on medication is key, Belief in treatment boosts efficacy, Outcome depends on perception
This mnemonic emphasizes the importance of patient expectations and communication in treatment.
What are the four models of practice for APPNs?
- Psychotherapy only
- Pharmacotherapy only
- Both, but not for the same patient
- Both for all patients as needed
These models guide the integration of therapy and medication in practice.
What does the mnemonic ‘BEST’ represent in the context of combining therapy and medication?
Balanced treatment, Enhanced response, Stronger adherence, Targets multiple symptoms
This mnemonic highlights the benefits of integrated care.
What does the ‘HISTORY-P’ mnemonic stand for in the comprehensive mental health assessment?
- History of the problem
- Identified symptoms
- Substance use
- Treatment responses
- Other medical conditions
- Relevant social history
- Your (mental status exam)
- Physical health factors
This mnemonic helps remember key assessment areas.
What are the risks associated with polypharmacy?
- Drug-drug interactions
- Side effects
- Poor adherence
Polypharmacy can complicate treatment and increase risks for patients.
What does the mnemonic ‘COPE’ help to remember?
Cultural perceptions of prescribing power, Organizational constraints, Patient expectations and trust issues, Education gaps in integrating therapy and prescribing
This mnemonic outlines barriers to full scope of practice.
What are the major changes in psychiatric reimbursement that occurred in January 2013?
Shifted from psychiatric specialty codes (908xx) to Evaluation & Management (E/M) codes (99xxx)
This change allowed for more precise documentation and higher reimbursement.
What does the mnemonic ‘M-S-D’ represent in CPT code categories?
- Medical services (E/M codes: 99xxx)
- Surgical procedures
- Diagnostic services
This mnemonic helps recall the categories of CPT codes.
What are the E/M levels for established patients?
- Level 1: 99211
- Level 2: 99212
- Level 3: 99213
- Level 4: 99214
- Level 5: 99215
These codes indicate the complexity of the patient’s condition.
When should time-based coding be used?
When 50% of the visit is counseling or care coordination
This ensures that the time spent is justified in billing.
What does the mnemonic ‘CHROMPT’ stand for in documentation?
- Chief Complaint (CC)
- History of Present Illness (HPI)
- Review of Systems (ROS)
- Old Psychiatric History (Past Psych Hx)
- Physical Exam (Mental Status Exam)
- Medical Decision-Making (MDM)
- Treatment Plan
This mnemonic outlines key components of medical documentation.
What are the criteria for therapist-initiated termination?
- Client not benefiting from therapy
- Ethical issues arise
- Therapist lacks expertise
- Client is noncompliant
These criteria guide ethical decision-making in therapy termination.
What does the mnemonic ‘OUTCOME’ represent in outcome evaluation?
- Objective measures used
- Use patient-reported feedback
- Track progress across sessions
- Confirm treatment effectiveness
- Ongoing assessment
- Modify treatment if needed
- Evaluate at termination
This mnemonic emphasizes the importance of evaluating therapeutic outcomes.
What strategies can reduce premature termination of therapy?
- Educating clients about expected length
- Role induction
- Incorporating client preferences
- Building hope and motivation
- Strengthening therapeutic alliance
- Monitoring progress
These strategies help maintain client engagement in therapy.
What should be included in a formal termination letter?
Referral to another therapist, ensure no abandonment occurs, follow professional guidelines
This ensures ethical practice during the termination phase.
What is the importance of patient history in psychiatric assessment?
- Helpful past treatments
- Intolerances & allergies
- Substance use
- Therapeutic needs
- Other medications
- Relapse risks
- Your clinical judgment
Patient history provides critical context for treatment planning.
