Sarah Michelle page 234 – 256 questions and answers 100% verified.

Sarah Michelle page 234 – 256 questions and answers 100% verified. what is the strongest, gold standard hierarchy of evidence? - correct answers.Meta analysis or systematic review (pull several studies that have already been done) what is the middle hiearchy of evidence? - correct mized control trials, cohort studies, case control studies, cross sectional studies (all the C's - actual research) what is the lowest level of hiearchy of evidence? - correct rials and opinions (no real research) - longitudinal/retrospective what is the difference between Quasi experimental design vs randomized control trial - correct are middle levels of evidence Quasi - no randomization Random - is randomization of who gets placebo vs actual tx what explains and predicts health behaviors. It is based on perceived risks susceptibility belief of consequence, risk severity, benefits to action, self-efficacy and cues to action - correct h belief model what is the health belief model - correct e will not change their health behaviors unless they personally believe they are at risk and they want to avoid negative health consequences what gives you the ability to practice from your state - correct se what is your board exam for? (AANP or ANCC) - correct fication what is the process you go through in order to be allowed to bill medicare, medicaid, etc - correct ntials (verification process) what insurance is not affected by job changes or retirement. You are covered as long as you had an active policy when you saw the patient? - correct rence based what insurance is based on if you have coverage while you're still employed. You lose coverage as soon as you change jobs or retire (unless you purchase tail coverage when you leave) - correct s based what type of insurance would ensure you continue to have coverage in the event that you leave your job? - correct rence based what are the stages of change (5) - correct answers.1. Pre-contemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance/Relapse what is the theory where the family functions as a system, a cohesive unit, one big emotional unit. Each family member plays a specific role. If one member starts to slack, another family picks it up - correct y systems theory what are the 3 stages in Lewin's change model - correct answers.1. unfreeze - before change occurs, figuring out how to become motivated to change 2. change - when change occurs 3. refreeze - ensure the change is permanent and becomes a new habit. Incentivizing that change what model has a goal of preventing readmissions and exacerbations. For example, may transition the patient from the hospital to a rehab, to home with home health. It revolves a lot around case management and discharge planners. - correct itional care model 3 things you need when you're documenting a note about a patient with either ICD or CPT codes - correct answers.1. History 2. Physical Exam 3. Plan What must you document that identifies the diagnosis. Tells the insurance what disease process of condition that we are billing for - correct answers.ICD-10 what must you document that identifies the procedure performed? Examples - diagnostics, labs, xrays, surgical procedures - correct answers.CPT code what is when an error happens and we go back to see where this issue continually falls through the cracks/holes. It is for risk analysis and management to determine root cause to prevent a situation in the future and not focused on blame. - correct cheese model when a physician first sees a patient for a medical issue and then we (NP) sees the same patient for the same diagnosis later on, we are allowed to bill 100% for this is called what - correct ent to billing what allows us to reimburse at 100% instead of 85% if we see a patient for a similar problem as seen by the MD - correct ent to billing what sets our scope of practice as NP's and legal rights - correct nurse practice act who enforces our scope of practice - correct of nursing in the state you work in who are we able to have collaborative aggrements with other than physicians? - correct answers.DO and Dentists NOT chiro how are we improving access to care, especially for patients following up for routine things such as HF patient giving a weight log - correct ealth what are some key components of a good social history - correct ionship status sexual status who they live with highest level of education employed? smoking/drug/alcohol status exercise? social supports? stress? Medicare part A covers what - correct ient and hospice Medicare part B covers what - correct tient needs -diagnostic tests -second opinions -medical equipment -dialysis Medicare part C covers what - correct tage plans -supplemental insurances like dental and vision Medicare part D covers what - correct ity of drug coverage Who funds Medicare? - correct al who funds medicaid - correct and federal what allows us to get reimbursed up to 85% when seeing a patient? What act? - correct answers.Budget reconciliation act what requires NP's to have an NPI # (unique # to charge for our care) - correct answers.Balanced Budget Act what defined meaningful use for providers? Example summary of care, history, treatment, education, etc after leaving a doctors office - correct h act what is PHI - correct ction of health information - do not have patient identifiers when sharing info what mandated we all move to electronic medical records (EHR) to get paid? - correct answers.Meaningful use - Hitech Act what amount of income is considered being under the poverty level to qualify for medicaid - correct answers.$2,000 per month in household is Max to be considered who qualifies to medicaid - correct who can't afford health insurance because they live below the poverty level what program is available for children specifically under medicaid - correct answers.WIC does medicare or medicaid vary state to state - correct aid what is the program that is for those who do not qualify for medicaid but do not have access or cannot afford medical insurance. Children are eligible for his - correct answers.CHIP (Children's Health Insurance Program) what level of prevention is before an incident ever occurs. We prevent it - correct ry what level of prevention are screenings - correct dary what level of prevention is after an incident/illness has happened for example rehabilitation or treatment - correct ary what is truth telling - correct ity loyalty (another word) - correct ity a patient has the ability to make own decisions - correct omy you try to decide what is best for the patient because you disagree with what they choose - correct nalism to do good- action done for the benefit of others (health promotion) - correct icence do no harm - correct answers.Non-malficence everybody gets the same treatment - correct ce Erickson Stage 1 - correct answers.Mistrust vs Trust (0-1) Erickson's stage 2 - correct answers.Shame and doubt vs autonomy (1-3) erickson's stage 3 - correct vs initiative (3-6) erickson's stage 4 - correct try vs inferiority (6-12) erickson's stage 5 - correct confusion vs identity (12-20) erickson's stage 6 - correct answers.Isolation vs intimacy (20-40) erickson's stage 7 - correct ation vs generativity (40-65) erickson's stage 8 - correct rity vs despair (65+) what population uses shamans as healers and views illness as a punishment - correct answers.Native american's