PMHNP MOCK BOARD FINAL PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ Medicare Part A Eligibility . Answer: >65 in social security
automatic enrollment
◉ Medicare Part A Cost . Answer: No cost if automatically qualified.
30-39 work quarters: ~$250/mo <30 work quarters: ~$450/mo
◉ Medicare Part B Coverage . Answer: Supplemental medical
insurance. Outpatient services, care, physical/speech therapy, some
home health care, medical equipment
◉ Medicare Part B Eligibility . Answer: Voluntary if >65
◉ Medicare Part B Cost . Answer: Deducted from monthly social
security check. *Enroll 3 months before 65th birthday or 4 months after,
otherwise increased costs to enroll*
◉ Medicare Part C . Answer: Medicare Advantage. Get all their medical
services through that plan.
,◉ Medicare Part D coverage . Answer: Prescription drug coverage
◉ Medicare Part D Cost . Answer: Varies depending on how extensive
drug benefit is. Different plans have different benefits.
◉ Medigap Plans . Answer: Fill gaps in coverage that occur with
Medicare
◉ Medicare Advantage Plan . Answer: Will likely eliminate need for
medigap insurance?
◉ Medicaid Eligibility . Answer: Automatic coverage not guaranteed
except for poor pregnant women and children. States can refuse to cover
adults/head of households who lose Temporary Assistance to Needy
Families d/t refusal to work. Generally covers poor people.
◉ Medicaid funding . Answer: Federal + state. States determine how
much they want to pay in, different states have different qualities of
Medicaid
◉ HMO . Answer: Four components: Enrolled population, prepayment
of premiums, coverage of comprehensive medical svcs, centralization of
medical and hospital svcs
,◉ Closed-panel HMO . Answer: Specific providers identified by plan to
provide the medical services to members. Staff can be salaried by HMO
or an agency/group contracted by the HMO.
◉ Open-panel HMO . Answer: Network HMO, Individual Practice
Association, Point of Service Plans
◉ Network HMO . Answer: HMO contracts with more than one group
of practices
◉ Individual Practice Association . Answer: Insurance coverage.
Contract with an association of physicians to provide services to
members
◉ Point of Service (POS) and Preferred Provider Organizations (PPOs)
. Answer: Insurance coverage. Patients allowed to self-refer to specialist
but pay higher premium to do so. POS requires PCP is gatekeeper but pt
can see a provider outside of HMO for more $$. PPOs contract to a
selected group of participating providers and give discount for using a
selected group of providers. Financial risk held by insurer in PPO, held
by providers in POS
◉ Managed indemnity . Answer: Traditional model insurance
coverage.. Pre-certification, catastrophic case management, minimal
contract arrangement with providers. Provider groups and health plans
can use quality control, utilization review, bundling of services,
, incentives for health behaviors. MUST seek National Committee on
Quality Assurance (NCQA) accreditation
◉ Licensure . Answer: Member of profession is granted ability to
practice
◉ Accreditation . Answer: Formal review and approval by a recognized
agency of
educational degree or certification programs in nursing or nursing-
related programs.
◉ Certification . Answer: Tests knowledge, skills, abilities for entry into
practice. Formal recognition of the knowledge, skills, and experience
demonstrated by the achievement of standards identified by the
profession
◉ Education . Answer: Formal preparation of APRNs in graduate
degree-granting or postgraduate
certificate programs
◉ Factors facilitating NP growth . Answer: Demand for svcs,
acceptance of role, emphasis on integrated healthcare svcs, emergence of
PMHNP and decreasing stigmatization
QUESTIONS WITH ANSWERS GRADED A+
◉ Medicare Part A Eligibility . Answer: >65 in social security
automatic enrollment
◉ Medicare Part A Cost . Answer: No cost if automatically qualified.
30-39 work quarters: ~$250/mo <30 work quarters: ~$450/mo
◉ Medicare Part B Coverage . Answer: Supplemental medical
insurance. Outpatient services, care, physical/speech therapy, some
home health care, medical equipment
◉ Medicare Part B Eligibility . Answer: Voluntary if >65
◉ Medicare Part B Cost . Answer: Deducted from monthly social
security check. *Enroll 3 months before 65th birthday or 4 months after,
otherwise increased costs to enroll*
◉ Medicare Part C . Answer: Medicare Advantage. Get all their medical
services through that plan.
,◉ Medicare Part D coverage . Answer: Prescription drug coverage
◉ Medicare Part D Cost . Answer: Varies depending on how extensive
drug benefit is. Different plans have different benefits.
◉ Medigap Plans . Answer: Fill gaps in coverage that occur with
Medicare
◉ Medicare Advantage Plan . Answer: Will likely eliminate need for
medigap insurance?
◉ Medicaid Eligibility . Answer: Automatic coverage not guaranteed
except for poor pregnant women and children. States can refuse to cover
adults/head of households who lose Temporary Assistance to Needy
Families d/t refusal to work. Generally covers poor people.
◉ Medicaid funding . Answer: Federal + state. States determine how
much they want to pay in, different states have different qualities of
Medicaid
◉ HMO . Answer: Four components: Enrolled population, prepayment
of premiums, coverage of comprehensive medical svcs, centralization of
medical and hospital svcs
,◉ Closed-panel HMO . Answer: Specific providers identified by plan to
provide the medical services to members. Staff can be salaried by HMO
or an agency/group contracted by the HMO.
◉ Open-panel HMO . Answer: Network HMO, Individual Practice
Association, Point of Service Plans
◉ Network HMO . Answer: HMO contracts with more than one group
of practices
◉ Individual Practice Association . Answer: Insurance coverage.
Contract with an association of physicians to provide services to
members
◉ Point of Service (POS) and Preferred Provider Organizations (PPOs)
. Answer: Insurance coverage. Patients allowed to self-refer to specialist
but pay higher premium to do so. POS requires PCP is gatekeeper but pt
can see a provider outside of HMO for more $$. PPOs contract to a
selected group of participating providers and give discount for using a
selected group of providers. Financial risk held by insurer in PPO, held
by providers in POS
◉ Managed indemnity . Answer: Traditional model insurance
coverage.. Pre-certification, catastrophic case management, minimal
contract arrangement with providers. Provider groups and health plans
can use quality control, utilization review, bundling of services,
, incentives for health behaviors. MUST seek National Committee on
Quality Assurance (NCQA) accreditation
◉ Licensure . Answer: Member of profession is granted ability to
practice
◉ Accreditation . Answer: Formal review and approval by a recognized
agency of
educational degree or certification programs in nursing or nursing-
related programs.
◉ Certification . Answer: Tests knowledge, skills, abilities for entry into
practice. Formal recognition of the knowledge, skills, and experience
demonstrated by the achievement of standards identified by the
profession
◉ Education . Answer: Formal preparation of APRNs in graduate
degree-granting or postgraduate
certificate programs
◉ Factors facilitating NP growth . Answer: Demand for svcs,
acceptance of role, emphasis on integrated healthcare svcs, emergence of
PMHNP and decreasing stigmatization
