NR 511 Midterm Exam Study Guide (Version 1) NR 511 Differential Diagnosis and Primary Care Practicum, Chamberlain
3 views 0 purchase
Course
NR 511
Institution
NR 511
NR 511 Midterm Exam Study Guide (Version 1)
NR 511 Differential Diagnosis and Primary Care Practicum, Chamberlain
NR 511 - MIDTERM EXAM STUDY GUIDE; Week 1, 2 & 3 _ Chamberlain College of Nursing. A+
NR 511 Midterm Exam Study Guide NR 511 Week 1 1. Define diagnostic reasoning 2. Discuss and id...
nr 511 midterm exam study guide version 1 nr 511 differential diagnosis and primary care practicum
Written for
NR 511
All documents for this subject (2092)
Seller
Follow
QuizPlus
Reviews received
Content preview
NR 511 Midterm Exam Study Guide
NR 511 Differential Diagnosis and Primary
Care Practicum, Chamberlain
, NR511 Midterm Exam
Study Guide
Week 1
1. Define diagnostic reasoning
Reflective thinking because the process involves questioning one’s
thinking to determining if all possible avenues have been explored and if
the conclusions that are being drawn are based on evidence. *Seen as a
kind of critical thinking.
2. Discuss and identify subjective & objective data
- Subjective: What the pt tells you, complains of, etc. *Chief
complaint, HPI, ROS
- Objective: What YOU can see, hear, or feel as part of your exam.
*lab, data, dx test results.
3. Discuss and identify the components of the HPI
Specifically related to the CC only. Detailed breakdown of CC.
OLDCART.
4. Describe the differences between medical billing and medical
coding
- Medical coding: The use of codes to communicate with payers
about which procedures were performed and why
,- Medical billing: Process of submitting and following up on
claims made to a payer in order to receive payment for medical services
rendered by a healthcare provider.
5. Compare and contrast the 2 coding classification systems that
are currently used in the US healthcare system
- CPT codes: Common procedural terminology. Offers the official
procedural coding rules and guidelines required when reporting medical
services and procedures performed by physician and nonphysician
orders.
- ICD codes: International classification of disease. Used to
provide payer info on necessity of visit or procedure performed.
6. Discuss how specificity, sensitivity & predictive value
contribute to the usefulness of the diagnostic data
- Specificity: The ability of the test to correctly detect a specific
condition. If a patient has a condition but test is negative, it is a false
negative. If a patient does NOT have a condition but the test is positive ,
it is a false positive.
- Sensitivity: Test that has few false negatives. Ability of a test to
correctly identify a specific condition when it is present. The higher the
sensitivity, the lesser the likelihood of a false negative.
- Predictive Value: The likelihood that the pt actually has the
condition and is, in part, dependent upon the prevalence of the condition
in the population. If a condition is highly likely, the positive result
would be more accurate.
7. Discuss the elements that need to be considered when
developing a plan
Patient’s preferences and actions. Research evidence. Clinical
state/circumstances. Clinical expertise.
, 8. Describe the components of Medical Decision Making in E&M
coding
Risk – data – diagnosis. The more time and consideration involved in
dealing with a pt, the higher the reimbursement from the payer.
Documentation must reflect the MDM!
9. Correctly order the E&M office visit codes based on
complexity from least to most complex
New patient:
1. Minimal/RN visit: 99201
2. Problem focused: 99202
3. Expanded problem focused: 99203
4. Detailed: 99204
5. Comprehensive: 99205
Established patient:
6. Minimal/RN patient: 99211
7. Problem focused: 99212
8. Expanded problem focused: 99213
9. Detailed: 99214
10. Comprehensive: 99215
10. Discuss a minimum of three purposes of the written history and
physical in relation to the importance of documentation
- Important reference document that vies concise info about the pt’s
hx and exam findings
- outlines a plan for addressing issues that prompted the visit. Info
should be presented in a logical fashion that prominently features all
data relevant to the pt’s condition
- is a means of communicating info to all providers involved in
patient’s care.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller QuizPlus. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
