QUESTIONS WITH VERIFIED ANSWERS LATEST 2026
- Also known as bundle payments
- Reimbursement of health care providers on the basis of expected cost for
clinically defined episodes of care
- "middle" ground between fee-for-service and capitation
- healthcare delivery system takes on financial risk of patient
- Forces system to enhance quality and coordination of care
- Incentivizes system to deliver care that truly meets the Triple Aim - CORRECT
ANSWER Bundle Payments and health care expenditures
- Children's Health Insurance Program
- Health coverage to uninsured children whose families earn too much to qualify
for Medicaid but too little to afford private coverage - CORRECT ANSWER CHIP
Subjective feelings of frustration, tension, or anxiety experienced in response to
role stress & can be feelings of decreased self-esteem when performance is below
expectations - CORRECT ANSWER Role Strain
Role expectations are perceived to be mutually exclusive or contradictory -
CORRECT ANSWER Role Conflict
- Prescription drug coverage
- Must join a drug place to receive coverage under part D
,- Coverage is attempt to lower prescription costs
- Payment is monthly fee that varies by plan & is addition to Part B premium or
imbedded in Part C premium - CORRECT ANSWER Medicare Part D Billing
A situation of increased role performance demand (ex: returning to school while
maintaining work and family responsibilities or the expectation of increased
workload - CORRECT ANSWER Role Stress
- Covers medical expenses such as physician and outpatient care
- Direct reimbursement can only occur when submitting claim through part B
- Covers physician and nonphysical provider services, outpatient hospital services,
home health care not covered by part A (PT/OT) and other services such as
diagnostic testing, durable medical equipment and ambulance costs
- Enrollment in part B is voluntary to those receiving Part A
- Payment into system via monthly premiums that are established yearly based on
system expenses through deductibles & coinsurance programs - CORRECT
ANSWER Medicare Part B Billing
1. Nurse Practitioner
2. Clinical Nurse Specialist
3. Certified Registered Nurse Anesthetist
4. Certified Nurse Midwife - CORRECT ANSWER Advanced Practice Nurse Roles
- provide care through diagnosis and treatment as well as addressing disease
prevention and health management
- 1893 Lillian Wald & Henry Street Settlement (HSS) House
, - HHS nurses obtained standing orders for emergency medications and treatments
- nurses considered "good enough" to care for the poor whereas physicians seen
as only caring for those who could pay
- FNS/FSA nurse practice centered around the practice autonomy in the
requirement that the patients be poor, marginalized and have little access to
physician provided medical care
- NP role formally described in 1960s and was implemented in outpatient
pediatric clinics in response to a shortage of primary care physicians
- Loretta Ford in 1965 established first Pediatric NP program (PNP) & was designed
to prepare professional nurses to provide comprehensive well-child care and
manage common childhood health problems
- 1970 continue to enhance visibility in h - CORRECT ANSWER Nurse Practitioner
- evolved out of increasingly complexity of nursing care
- roots in psychiatric nursing
- psych specialists date back to 1880 & Richards is credited with founding specialty
of psych nursing specialists
- Rutgers University first educational program for CNS but was for psychiatric
nursing
- coronary care nurse specialists established in 1962 & CCU nurses blurred
invisible boundary separating nursing and medicine
- 1960s noted to be when clinical nurse specialist took on modern day form
- three social forces drove specialization 1. increase in specialty related
information 2. new tech advances 3. response to public need and interests
- critical care and oncology specialty grew in 1970s
- ANA recognized CNS role 1970s defining the CNS as an expert practitioner and
change agent