ANCC Review Questions (PMHNP IQ) Qbank answered all correctly answered; latest updated summer 2023

The Centers for Medicare and Medicaid Services (CMS) administer what two major public insurance programs? Correct Answer: Medicaid and Medicare How is Medicaid funded? Correct Answer: by both federal and state tax dollars Who is eligible for Medicaid? Correct Answer: Low-income children Low-income pregnant women Elderly and disabled individuals who qualify for the Supplemental Security Income Program How is Medicare funded? Correct Answer: by federal tax dollars Who is eligible for Medicare? Correct Answer: The elderly age 65 and older having worked 40 quarters and paid Medicare taxes Certain younger individuals with disabilities Individuals with end-stage renal disease Individuals in need of a kidney transplant Individuals receiving Social Security Disability and who have amyotrophic lateral sclerosis What is covered under Medicare Part A? Correct Answer: hospitalization (up to 90 days), skilled nursing facility (up to 100 days), hospice (up to 6 months for terminally ill), and some home health care What is covered under Medicare Part B? Correct Answer: ambulatory practitioner service; physical, occupational, and speech therapy; medical equipment; diagnostic tests; and some preventative care What is Medicare Part C? Correct Answer: Medicare Advantage; optional coverage for beneficiaries who can choose to receive all of their health care services through one of the provider organizations covered under the Medicare Advantage Plan What is Medicare Part D? Correct Answer: optional coverage for outpatient pharmaceuticals; prescription drug coverage program available to all Medicare beneficiaries. Private companies approved by Medicare provide the coverage. What service is guaranteed to be covered by Medicaid? Correct Answer: family planning services Other services covered under Medicaid include: inpatient medical hospitalizations outpatient services home health services home health aides skilled nursing facilities services for those age 21 and older services rendered by NPs and nurse midwives medical supplies for use in-home pregnancy-related services up to 60 days postpartum What services may not be covered under Medicaid? Correct Answer: vision care eyeglasses dental care dentures hearing exams hearing aides routine physical exams inpatient psychiatric hospitalizations health alliance Correct Answer: public agency that uses its bargaining power to negotiate competitive prices for health insurance from the private insurance market special interest agency Correct Answer: group of people seeking or receiving