NRNP 6665-01 PSYCHIATRY STUDY GUIDE
2026 COMPREHENSIVE QUESTIONS AND
ANSWERS
◉Where does 50% of healthcare funds come from?. Answer: The
government
◉Who is eligible for Medicare?. Answer: >65 or under 65 with
diability, ANY age with renal disease.
◉What is incident to billing?. Answer: Means MD initiates treatment
and NP is an extension of the care and directly under the supervision
of the MD.
Allows NP to get reimbursed at 100% rather than 85%.
◉How are Medicaid benefits determined?. Answer: State determines
qualification - Partnership between State and Fed Govt.
Must be impoverished
Must be US resident and low or very low income.
,◉Can you have Medicare and Medicaid?. Answer: Yes, impoverished
elderly but Medicaid is always payor of last resort.
◉Is dental care included in Medicaid?. Answer: Yes, <21 gets basic
dental as part of the Medicaid plan.
◉What is the purpose of HIPAA?. Answer: National standards for
electronic HC transactions
National ID for providers, health plans and employers.
Not SIMPLY Confidentiality.
◉What must be signed prior to any healthcare in the state. Answer:
Notice of Privacy Practices Statement
◉What happens if a patient refuses to sign an ROI?. Answer: Can
decline to treat
Health plan may condition enrollment on provision of consent
◉When is HIPAA not required?. Answer: Emergency treatment
Substantial communication barriers and consent is inferred
Involuntary committment
,◉Is it ok to announce a patient's name in a waiting room?. Answer:
Yes, no other way to give care.
◉Is it ok to leave a message on a patient's vm?. Answer: Yes, but
should be limited.
◉What is the impact of steroid inhalers on children?. Answer: Slows
bone growth and may decrease ultimate height.
◉What is the long-term impact of using steroid inhalers?. Answer:
Cataracts, glaucoma, thinning of bones and skin
◉What is included in the treatment of fibromyalgia?. Answer:
Sleeping meds
Antidepressants
Pain meds
◉What psychoactives are first line treatment for fibro?. Answer:
Cymbalta, Effexor
Elavil, Pamelor
Lyrica, Gabapentin
Ultram, Benzo's
, ◉What is the purpose of telepsychiatry?. Answer: Increase the
ability to reach rural and underserved areas.
◉What is the purpose of Motivational Interviewing?. Answer:
Explore ambiguity
Maintain passive position
◉What is required for Medicare submission?. Answer: ICD 10 and
narrative or CPT
◉What is the neurotransmitter problem in Schizophrenia?. Answer:
Excess dopamine in mesolimbic pathway.
◉What is the neurotransmitter problem in ADHD?. Answer:
Dopamine, norepinephrine and serotonergic dysfunction
◉What is the benefit of play therapy?. Answer: Don't have to
confront emotions head on.
◉What neurotransmitters are involved in the bioamine hypothesis
of depression?. Answer: Noradrenaline
Serotonin
Dopamine
2026 COMPREHENSIVE QUESTIONS AND
ANSWERS
◉Where does 50% of healthcare funds come from?. Answer: The
government
◉Who is eligible for Medicare?. Answer: >65 or under 65 with
diability, ANY age with renal disease.
◉What is incident to billing?. Answer: Means MD initiates treatment
and NP is an extension of the care and directly under the supervision
of the MD.
Allows NP to get reimbursed at 100% rather than 85%.
◉How are Medicaid benefits determined?. Answer: State determines
qualification - Partnership between State and Fed Govt.
Must be impoverished
Must be US resident and low or very low income.
,◉Can you have Medicare and Medicaid?. Answer: Yes, impoverished
elderly but Medicaid is always payor of last resort.
◉Is dental care included in Medicaid?. Answer: Yes, <21 gets basic
dental as part of the Medicaid plan.
◉What is the purpose of HIPAA?. Answer: National standards for
electronic HC transactions
National ID for providers, health plans and employers.
Not SIMPLY Confidentiality.
◉What must be signed prior to any healthcare in the state. Answer:
Notice of Privacy Practices Statement
◉What happens if a patient refuses to sign an ROI?. Answer: Can
decline to treat
Health plan may condition enrollment on provision of consent
◉When is HIPAA not required?. Answer: Emergency treatment
Substantial communication barriers and consent is inferred
Involuntary committment
,◉Is it ok to announce a patient's name in a waiting room?. Answer:
Yes, no other way to give care.
◉Is it ok to leave a message on a patient's vm?. Answer: Yes, but
should be limited.
◉What is the impact of steroid inhalers on children?. Answer: Slows
bone growth and may decrease ultimate height.
◉What is the long-term impact of using steroid inhalers?. Answer:
Cataracts, glaucoma, thinning of bones and skin
◉What is included in the treatment of fibromyalgia?. Answer:
Sleeping meds
Antidepressants
Pain meds
◉What psychoactives are first line treatment for fibro?. Answer:
Cymbalta, Effexor
Elavil, Pamelor
Lyrica, Gabapentin
Ultram, Benzo's
, ◉What is the purpose of telepsychiatry?. Answer: Increase the
ability to reach rural and underserved areas.
◉What is the purpose of Motivational Interviewing?. Answer:
Explore ambiguity
Maintain passive position
◉What is required for Medicare submission?. Answer: ICD 10 and
narrative or CPT
◉What is the neurotransmitter problem in Schizophrenia?. Answer:
Excess dopamine in mesolimbic pathway.
◉What is the neurotransmitter problem in ADHD?. Answer:
Dopamine, norepinephrine and serotonergic dysfunction
◉What is the benefit of play therapy?. Answer: Don't have to
confront emotions head on.
◉What neurotransmitters are involved in the bioamine hypothesis
of depression?. Answer: Noradrenaline
Serotonin
Dopamine
