Professional Roles Flashcards

1
Q

Veracity

A

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

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2
Q

Fidelity

A

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

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3
Q

Autonomy

A

Ability to make own decisions

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4
Q

Paternalism

A

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

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5
Q

Beneficence

A

Doing good
Ex: Health promotion

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6
Q

Nonmaleficence

A

Avoid doing harm
Ex: Check drug allergies

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7
Q

Justice

A

Being fair and equal
Culturally considerate
Every gets the same treatment

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8
Q

Stages of change

A

Pre-contemplation
Contemplation
Preparation
Action
Maintenance

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9
Q

Family System’s Theory

A

Family works as a unit
We all stop drinking alcohol

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10
Q

Strongest level of evidence

A

Meta Analysis
Systematic Review

These pull together several studies that have already been done

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11
Q

Middle evidence studies

A

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

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12
Q

Lowest evidence studies

A

Opinions
Editorials
No actual research

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13
Q

RCT vs. Quasi Experimental

A

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

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14
Q

Validity vs. Reliability

A

Validity: Accuracy of results
Reliability: Results can be repeated

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15
Q

Independent vs. dependent variable

A

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

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16
Q

Autosomal dominate chance of having condition

A

50%

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17
Q

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?

A

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

18
Q

Lewin’s Change Model

A

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

19
Q

Goal of transitional care model

A

Prevent readmissions and exacerbations

20
Q

Swiss Cheese model

A

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

21
Q

Consensus model allows what?

A

APPs to practice at their fullest extent of training and certification

22
Q

Infant mortality means

A

Deaths per 1000 live births

23
Q

License
Gives us what?

A

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

24
Q

Certification

A

Board Exam

25
Q

Credentialing

A

Process that allows us to bill

26
Q

Claims based insurance

A

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

27
Q

Occurrence based insurance

A

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

28
Q

Notes need what

A

Physical exam, history, and plan

29
Q

Incident to Billing requirements

A
  • 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)
30
Q

How is medicare funded?
who gets it?

A

Federal
- Older adults, disability, ESRD

31
Q

Part A-D coverages

A
  • 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
32
Q

Budget Reconciliation Act

A

FIRST act that allowed NPs to bill

33
Q

Balanced Budget Act

A

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

34
Q

Medicaid funding
Who gets it?

A

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

35
Q

CHIP

A

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

36
Q

HITECH Act
Components

A

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

37
Q

COBRA

A
  • Allows access to healthcare after quitting/fired
  • Have to pay hefty premium
  • Can use up to 18mo
38
Q

Genetic Information Non-Discrimination Act

A

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

39
Q

Health Belief Model

A

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

40
Q

Which STDs are reported

NOT reported?

A

Gonorrhea
Chlamydia
Syphilis
HIV

NOT reported: Trich, HPV