NR 511 DIFFERENTIAL DIAGNOSIS AND PRIMARY CARE

NR 511 DIFFERENTIAL DIAGNOSIS AND PRIMARY CARE Week 1 Quiz 1. Which of the following demonstrates a subjective finding? 1. Eye Color 2. Extremity edema 3. Pulse rate 4. PAIN LEVEL 2. The affordable Care Act (ACA) which passed in 2010 has a number of provisions, including the establishment of health exchanges. The purpose of a health insurance exchange is to: 1. CREATE AN ONLINE MARKETPLACE FOR THE SALE AND PURCHASE OF HEALTH INSURANCE FOR CONSUMERS 2. Reduce the overall out-of-pocket cost of health insurance to the consumer 3. Require each state to sell health insurance policies to consumers. 4. Reduce the number of consumer health claims to their insurer 3. What is an Accountable Care Organization (ACO)? 1. A risk pool that save the overall organization money and maximizes reimbursement. 2. A bundling of pilot organizations 3. A payment system for episodes of care to save money for the health care system 4. A group of providers and suppliers who come together voluntarily to give coordinated, high-quality care to Medicare patients. 4. A screening test identified correctly identified 80 individuals who did not have a breast cancer out of 100 individuals… 1. 40% 2. 80% 3. 20% 4. 60% 5. Which one of the following is true regarding the importance of documentation? 1. It allows you to communicate your findings to other providers and serves as a medical record for visit. 2. It is only important to bill 3. It is only important for defending yourself 4. It allows you to communicate findings to public 6. In relations to writing a patient encounter notes, the acronym SOAP stands for? 1. Subjective, objective, assessment, plan 7. What must you do as an APRN before billing for visits Obtain a provider number and familiarize yourself with the rules and policies of the third party payer 8. Which of the following demonstrates an objective finding? Respiratory rate 9. The phrase usual and customary refers to: How charges for a service compares with charges made to other persons receiving similar services and supplies 10. An 81-year old patient presents for a physical. She recently had a fall and now has problems with walking upstairs. Her bathroom is upstairs. Where does this information belong? Functional Health Problems 11. Which of the following statements about Medicaid is true? Medicaid is a program for the indigent financed jointly by the federal and state governments. 12. Which of the following is the best method for evaluating efficacy of a new clinical intervention? A randomized controlled trial 13. Which of the following statements does not belong in the past medical history portion of your chart note? Your patient had lab work done at their last appointment; CBC was normal 14. Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does this mean? The HMO reimburses the provider a predetermined fee per client per month based on the client’s age and sex. 15. Denial of a provider status is something that seriously impedes a nurse practitioner’s ability to practice. If that occurs, some steps one can take include: Writing letters to the organization’s president and chief executive officer (CEO), activating others to lobby on your behalf and reapplying after a 6-month period.