APRN legal and practice questions and answers, 100% Accurate, rated A+

APRN legal and practice questions and answers, 100% Accurate, rated A+ To meet Medicare's coverage requirements, the Nurse Practitioner's services must be: A. Provided subject to state restrictions and supervision requirements B. Provided under direct supervision C. Provided in a rural health clinic or federally qualified health center D. Billed through a physician direct clinic, health agency, or hospital - -A. Provided subject to state restrictions and supervision requirements: NP's may bill Medicare for services in accordance with state restrictions and supervision requirements. The NP must bill using a National Provider Identification Number and meet the educational and licensing requirements of that state. The Centers for Medicare and Medicaid pay for NP services that are: Medically necessary; equivalent to physician services,, accurately documented on medical records, and billed correctly. Patient focused goal setting should be A. Mandated and controlled by the clinician B. Reasonable, measurable, and achievable C. Simple D. Long term rather than short term - -B: Patient focused goal setting must be reasonable, measurable, and achievable. Patients are more motivated if they establish their own goals. The goals don't have to be simple but they should be very specific, with short term goals. Long term goals may be the ultimate plan of care but reaching long term goals through a series of short term goals is often more effective, because the patient is able to see progressive results. Knowles principles for adult learning state that adult learners tend to be: A. Unmotivated B. Lacking self direction C. Practical and goal oriented D. Insecure - -C - According to Knowles adult learners tend to be practical and goal oriented, so they like to remain organized and keep the goal in mind while learning. Adults are (1) self directed; (2) knowledgeable, (3) relevancy oriented, (3) motivated The patient payer is a client who legally agrees to pay the Nurse practitioner directly providing a specific service which is: A. Fee for service system B. Third party system C. Contracted service system D. Second party system - -C- In contracted services the NP signs a contract and agrees to provide health care for a certain population such as the homeless. The NP does not bill for individual services provided but is paid according to the contractual agreement. Fee for services reimbursement occurs when the patient pays the NP directly for services provided. Identify the behavior change model that predicts a person takes a health action to avoid negative consequences, believing the action will prevent a negative outcome: A. Theory of reasoned action B. Theory of planned behavior C. Stress appraisal and coping theory D. Health belief model - -D- The health belief model predicts health behavior with the understanding that a person takes a health action to avoid negative consequences, if the person believes the action prevents negative consequences. The theory is based on 6 perceptions: (1) susceptibility; (2) severity; (3) benefit; (4) barriers; (5) action ques; (6) self-efficacy Identify the members of the healthcare institution who are responsible for identifying performance improvement projects: A. Adminstrative staff B. Nurse team leaders C. All staff D. Physicians - -C. All staff members are responsible for performance improvement projects. Continuous quality improvement is a management philosophy that emphasizes the organization's structure, systems, and processes within that organization, rather than individuals. Your 66 year old male patient receiving Medicare is discharged with an open, draining wound that he cannot care for independently because of poor vision. His 14 year old grandson lives with him. The best solution is: A. Transfer your patient to an extended care facility B. Keep your patient hospitalized until his wound heals C. Teach your patient's 14 year old grandson to provide wound care D. Refer him to a health agency that provides in-home care - -D. Refer him to a health agency that provides home care services. Making a referral to a home health agency to provide in home care is the best solution as this ensures that the man will receive skilled nursing care and still be able to stay at home with his grandson who is too young for the responsibility of his wound care. This is the most cost effective solution. A patient with an internal locus of control probably believes: A. His family will take care of him B. His health is a matter of fate C. He is in control of his health D. The doctors and nurses control the outcome of his disease - -C-A patient with an internal locus of control probably believes that he is in control of his health and that actions he takes can make a significant difference. A patient with an internal locus of control prefers to participate in decision making. Your patient spends half the year in one state and half the year in another state. He wants to complete an advanced directive. Select the best approach: A. Check the laws of both states; complete two separate advance directives each complying with on state's regulation B. Complete only one advance directive, as all states have the same regulations C. Tell the family his wishes so that an advanced directive is not necessary. D. Store the original advance directives in a safe deposit box - -A. Explain to your patient that each state has its own unique regulations regarding advanced directives. Direct your patient where to find both states' regulations regarding advanced directives. Some states require two witnesses while others do not.