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PMHNP BOARDS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION
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PMHNP BOARDS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONPMHNP BOARDS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION
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PMHNP BOARDS EXAM QUESTIONS AND ANSWERS WITHCOMPLETE SOLUTION
1)Medicare Part A Coverage - Correct answer Hospital insurance that covers inpatient and most skilled care. Mandatory copays for hospital days 21-150, getting higher with each period of time.
2)Medicare Part A Eligibility - Correct answer >65 in social security automatic enrollment
3)Medicare Part A Cost - Correct answer No cost if automatically qualified. 30-39 work quarters: ~$250/mo <30 work quarters: ~$450/mo
4)Medicare Part B Coverage - Correct answer Supplemental medical insurance. Outpatient services, care, physical/speech therapy, some home health care, medical equipment
5)Medicare Part B Eligibility - Correct answer Voluntary if >65
6)Medicare Part B Cost - Correct answer Deducted from monthly social security check. *Enroll 3 months before 65th birthday or 4 months after, otherwise increased costs to enroll*
7)Medicare Part C - Correct answer Medicare Advantage. Get all their medical services through that plan.
8)Medicare Part D coverage - Correct answer Prescription drug coverage
9)Medicare Part D Cost - Correct answer Varies depending on how extensive drug
benefit is. Different plans have different benefits.
10)Medigap Plans - Correct answer Fill gaps in coverage that occur with Medicare
11)Medicare Advantage Plan - Correct answer Will likely eliminate need for medigap insurance?
12)Medicaid Eligibility - Correct answer Automatic coverage not guaranteed except for poor pregnant women and children. States can refuse to cover adults/head of households who lose Temporary Assistance to Needy Families d/t refusal to work. Generally covers poor people.
13)Medicaid funding - Correct answer Federal + state. States determine how much they want to pay in, different states have different qualities of Medicaid
P a g e 1 | 24 14)HMO - Correct answer Four components: Enrolled population, prepayment of premiums, coverage of comprehensive medical svcs, centralization of medical and hospital svcs
15)Closed-panel HMO - Correct answer Specific providers identified by plan to provide the medical services to members. Staff can be salaried by HMO or an agency/group contracted by the HMO.
16)Open-panel HMO - Correct answer Network HMO, Individual Practice Association, Point of Service Plans
17)Network HMO - Correct answer HMO contracts with more than one group of practices
18)Individual Practice Association - Correct answer Insurance coverage. Contract with an association of physicians to provide services to members
19)Point of Service (POS) and Preferred Provider Organizations (PPOs) - Correct answer Insurance coverage. Patients allowed to self-refer to specialist but pay higher premium to do so. POS requires PCP is gatekeeper but pt can see a provider outside of HMO for more $$. PPOs contract to a selected group of participating providers and give discount for using a selected group of providers. Financial risk held by insurer in PPO, held by providers in POS
20)Managed indemnity - Correct answer Traditional model insurance coverage.. Pre-certification, catastrophic case management, minimal contract arrangement with providers. Provider groups and health plans can use quality control, utilization review, bundling of services, incentives for health behaviors. MUST seek National Committee on Quality Assurance (NCQA) accreditation
21)Licensure - Correct answer Member of profession is granted ability to practice
22)Accreditation - Correct answer Formal review and approval by a recognized agency of
23)educational degree or certification programs in nursing or nursing-related programs.
24)Certification - Correct answer Tests knowledge, skills, abilities for entry into practice. Formal recognition of the knowledge, skills, and experience
25)demonstrated by the achievement of standards identified by the profession
26)Education - Correct answer Formal preparation of APRNs in graduate degree-
granting or postgraduate
27)certificate programs
P a g e 2 | 24 28)Factors facilitating NP growth - Correct answer Demand for svcs, acceptance of role, emphasis on integrated healthcare svcs, emergence of PMHNP and decreasing stigmatization
29)Factors constraining NP growth - Correct answer Growth competition, reimbursement struggles, overlapping scopes with other NPs, concerns about reimbursement fraud/abuse, scope of practice requiring physician supervision/collab
30)Exceptions to confidentiality - Correct answer Information given to attorneys involved in litigation, records to insurance companies, answering court orders, mandatory state reporting, harm to self or others or child/elder abuse, determined
need for info outweighs principle of confidentiality
31)Deontological Theory - Correct answer Action is judged as good or bad based on the act itself regardless of the consequences
32)Teleological Theory - Correct answer An action is judged as good or bad based on the consequence or outcome
33)Virtue Ethics - Correct answer Actions are chosen based on moral virtues (honesty, courage, compassion, etc) or the character of the person making the decision
34)Elements of negligence that must be established to prove malpractice - Correct answer Duty, breach of duty, proximate cause, damages
35)Duty (negligence) - Correct answer NP had a duty to exercise reasonable care when undertaking and providing treatment to the client
36)Breach of duty (negligence) - Correct answer The NP violated the applicable standard of care in treating the client's condition
37)Proximate cause (negligence) - Correct answer There is a causal relationship between the breach in the standard of care and the client's injuries
38)Damages (negligence) - Correct answer Client experiences permanent and substantial damages as a result of the breach in the standard of care
39)Competency: Legal or medical? - Correct answer Legal (NOT medical)
40)Competency - Correct answer Determination that a client can make reasonable judgments and decisions regarding treatment and other health concerns
41)Durable power of attorney - Correct answer Designates an agent to act on behalf of person should he/she become unable to make healthcare decisions. P a g e 3 | 24
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