nr511 all quiz and final exam may 2020

Week 1: Quiz 2020

Question 11 pts

The phrase usual and customary refers to:

Group of answer choices

 

The success rate of a specified procedure.

 

How charges for a service compares with charges made to other persons receiving similar services and supplies.

 

How an insurer evaluates the need for an ordered diagnostic test.

 

How much an insurer will charge to provide coverage.

 

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Question 21 pts

Which of the following statements does not belong in the past medical history portion of your chart note?

Group of answer choices

 

Your patient has an allergy to penicillin.

 

Your patient had a cholecystectomy 3 years prior.

 

Your patient’s father passed away from lung cancer.

 

Your patient had lab work done at their last appointment; CBC was normal.

 

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Question 31 pts

Which of the following statements about Medicaid is true?

 

Group of answer choices

 

Medicaid is a federal plan created to provide care for indigent persons.

 

Eligibility requirements for Medicaid are mandated by the Health Care Financing Administration.

 

Medicaid is a program for the indigent financed jointly by the federal and state governments.

 

Medicaid pays for family planning services, dental care, and eyeglasses.

 

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Question 41 pts

In relation to writing a patient encounter note, the acronym SOAP stands for which of the following?

 

Group of answer choices

 

Subjective, outward findings, assessment, plan.

 

Symptoms, objective findings, assessment, plan.

 

Subjective, objective, assessment, plan.

 

Symptoms, observations, assessment, plan.

 

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Question 51 pts

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:

 

Group of answer choices

 

Reduce the overall out-of-pocket cost of health insurance to the consumer.

 

Reduce the number of consumer health claims to the insurer.

 

Require each state to sell health insurance policies to consumers.

 

Create an online marketplace for the sale and purchase of health insurance for consumers.

 

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Question 61 pts

Which of the following demonstrates a subjective finding?

Group of answer choices

 

Extremity edema.

 

Pain level.

 

Eye color.

 

Pulse rate.

 

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Question 71 pts

Denial of provider status is something that seriously impedes a nurse practitioner’s ability to practice. If that occurs, some steps one can take include:

 

Group of answer choices

 

“Bashing” the organization to others and contacting an attorney.

 

Requesting that your clients lobby on your behalf by going to the newspapers.

 

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.

 

Requesting that your physician colleagues intervene on your behalf by writing critical letters to the organization in question.

 

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Question 81 pts

What is an Accountable Care Organization (ACO)?

 

Group of answer choices

 

A risk pool that saves the overall organization money and maximizes reimbursement.

 

A payment system for episodes of care to save money for the health care system.

 

A bundling of pilot organizations.

 

A group of providers and suppliers who come together voluntarily to give coordinated, high-quality care to Medicare patients.

 

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Question 91 pts

What must you do as an advanced practice registered nurse (APRN) before billing for visits?

 

Group of answer choices

 

Obtain a Drug Enforcement Administration (DEA) number.

 

Establish a collaborative agreement with a physician.

 

Obtain a provider number and familiarize yourself with the rules and policies of the third-party payer.

 

Provide evidence of continuing medical education.

 

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Question 101 pts

An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside her house she has to navigate in order to reach street level, and this is difficult for her. Where does this information belong in your chart note?

Group of answer choices

 

Assessment.

 

Plan.

 

Functional health problems.

 

Review of systems.

 

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Question 111 pts

Which of the following demonstrates an objective finding?

Group of answer choices

 

Headache.

 

Respiratory rate.

 

Ankle pain.

 

Shortness of breath.

 

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Question 121 pts

Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does this mean?

Group of answer choices

 

The HMO is not responsible for provider reimbursement.

 

The HMO reimburses the provider a predetermined fee per client per month based on the client’s age and sex.

 

The HMO reimburses the provider on a fee-for-service basis.

 

The HMO reimburses the provider only if the patient has paid their deductible.

 

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Question 131 pts

A screening test identified correctly identified 80 individuals who did not have breast cancer out of 100 individuals that were known to be free of the disease (true negatives). Thus, the test failed to recognize 20 individuals who did not have breast cancer. What is the specificity of the screening test?

 

Group of answer choices

 

80%.

 

20%.

 

60%.

 

40%.

 

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Question 141 pts

Which one of the following is true regarding the importance of documentation?

 

Group of answer choices

 

It allows you to communicate your findings to other providers and serves as a record for the visit.

 

It allows you to communicate your findings with the general public.

 

It is only important in order to bill the patient for your service.

 

It is only important for defending yourself in the event of a law suit.

 

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Question 151 pts

Which of the following is the best method for evaluating the efficacy of a new clinical intervention?

 

Group of answer choices

 

A correlational study.

 

A descriptive study.

 

A randomized controlled trial.

 

A case report.

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