Practice Issues Part 3&4

Question 1

What are the two goals of Healthy People 2030?

Answer 1

Increase the quality and years of healthy life and eliminate health disparities among Americans

Question 2

What are the five reportable diseases?

Answer 2

HIV, TB, gonorrhea, chlamydia and syphilis

Question 3

What does physical therapy do?

Answer 3

Works on strength training and rehab

Question 4

What does occupational therapy do?

Answer 4

Works on fine motor skills

Question 5

What happens in home health?

Answer 5

An RN comes 3x a week or so for quick check in

Question 6

What are the two requirements for hospice?

Answer 6

Have a diagnosis that will be terminal within 6 months and only be receiving comfort measures

Question 7

What is the indication for sending someone to a SNF?

Answer 7

Inability to perform ADLs

Question 8

Which third-party payer sets the standard for reimbursement and cutting costs?

Answer 8

Medicare

Question 9

Which part of Medicare covers NP services?

Answer 9

Medicare B

Question 10

What does Medicare A cover?

Answer 10

Inpatient services and related, such as SNF or home health related to a hospitalization

Question 11

What does Medicare B cover?

Answer 11

Outpatient services, labs and diagnostics, medical equipment

Question 12

NPs and CNSs receive what % of physician reimbursement for services provided in collaboration with an MD?

Answer 12

85%

Question 13

What % does Medicare pay of a pt’s bill and what % does the pt pay?

Answer 13

Medicare pays 80%; patient pays 20%

Question 14

What does Medicare D cover?

Answer 14

Drugs

Question 15

Which two forms of Medicare require the pt to pay?

Answer 15

D and B

Question 16

What is Incident-to Billing?

Answer 16

Billing under the provider # in order to get full physician fee

Question 17

Is Incident-to Billing allowed in the inpatient setting?

Answer 17

No

Question 18

What form of reimbursement varies from state to state?

Answer 18

Medicaid

Question 19

What does QSEN stand for?

Answer 19

Quality and Safety Education for Nurses

Question 20

What are the six key competencies of QSEN?

Answer 20

Patient-centered care, teamwork and collaboration, evidence based practice, safety, quality improvement and informatics

Question 21

What three components does credentials encompass?

Answer 21

Education, licensure and certification

Question 22

What does licensure establish?

Answer 22

That a person is qualified to perform in a particular professional role

Question 23

Is certification granted by governmental or nongovernmental agencies?

Answer 23

Nongovernmental

Question 24

What is quantitative futility?

Answer 24

The likelihood that an intervention will benefit the pt is extremely poor

Question 25

What is qualitative futility?

Answer 25

The quality of benefit an intervention will produce is extremely poor

Question 26

What is nonmaleficence?

Answer 26

The duty to do no harm

Question 27

What is utilitarianism?

Answer 27

The right act is the one that produces the greatest good for the greatest number

Question 28

What is beneficence?

Answer 28

The duty to prevent harm and promote good

Question 29

What is justice?

Answer 29

The duty to be fair

Question 30

What is fidelity?

Answer 30

The duty to be faithful

Question 31

What is veracity?

Answer 31

The duty to be truthful

Question 32

What is autonomy?

Answer 32

The duty to respect and individual's thoughts and actions

Question 33

What are the four distinct roles for an NP?

Answer 33

Clinician, consultant/collaborator, educator, researcher

Question 34

What are three types of nonexperimental studies?

Answer 34

Cross sectional, cohort, longitudinal

Question 35

What is a Type I error?

Answer 35

Incorrectly rejecting the true null hypothesis

Question 36

What is a Type II error?

Answer 36

Failing to reject a null hypothesis which is false

Question 37

What is the difference between a meta-analysis and a meta-synthesis?

Answer 37

Meta-analysis analyzes quantitative studies; meta-synthesis analyzes qualitative studies

Question 38

What is the level of significance defined as?

Answer 38

Probability of false rejection of the null hypothesis in a statistical test

Question 39

What is a t-test?

Answer 39

Statistical test to evaluate the differences in means between groups

Question 40

What is reliability?

Answer 40

The consistency of a measurement (the ability of an instrument to measure the same way over time with the same subjects)

Question 41

What does Cronbach's alpha measure?

Answer 41

Reliability

Question 42

What is validity?

Answer 42

The degree to which a variable measures what it is intended to measure

Question 43

What is assault vs battery?

Answer 43

Assault is threatening to harm someone; battery is harming someone physically

Question 44

What is the difference between libel and slander?

Answer 44

Libel is written and slander is spoken

Question 45

What does incidence refer to?

Answer 45

The frequency of a disease in a population

Question 46

What does prevalence refer to?

Answer 46

The proportion of a population that is affected by a disease

Question 47

What is the key word in primary prevention?

Answer 47

"Prior"

Question 48

What is the key word in secondary prevention?

Answer 48

"Screening"

Question 49

What is the key word in tertiary prevention?

Answer 49

"Rehab"

Question 50

What is Standard 5 of Culturally and Linguistically Appropriate Services (CLAS)?

Answer 50

Healthcare orgs must provide language assistance to pts with limited English proficiency

Question 51

What is Standard 6 of CLAS?

Answer 51

Healthcare orgs must provide written and verbal notice to pts informing them of their right to an interpreter

Question 52

What is Standard 7 of CLAS?

Answer 52

Healthcare orgs must assure the competency of language assistance provided to pts with limited English proficiency

Question 53

What is quality assurance defined as?

Answer 53

A process for evaluating the care of pts using established standards of care to ensure quality

Question 54

What does CQI state?

Answer 54

That quality can continually be improved by monitoring structure, process and outcome standards

Question 55

What does CQI stand for?

Answer 55

Continuous Quality Improvement

Question 56

Which is considered stronger, a cohort study or a case control study?

Answer 56

A cohort study