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8/22/24, 2:00 AM ANCC IQ Domain 1-5 Flashcards | QuizletANCC IQ Domain 1-5
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Practice questions for this set
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- Annual or lifetime dollar limits on mental health and substance use disorder benefits are
no lower than any such dollar limits for medical and surgical benefits offered by a group
health plan.
Rationale: The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) provides
federal legislation that requires any annual or lifetime limits on medical and surgical
benefits be the same for mental health and substance use disorder benefits. Small
employers who insure 2 to 50 employees can apply for an "opt-out" waiver, but they are
not automatically exempt from the MHPAEA requirements. The group health plan will be
required to provide in-network and out-of-network mental health and substance use
disorder benefits only if it provides both in-network and out-of-network medical and
surgical benefits. The group health plan my obtain an exemption or waiver if the first year
of implementation results in 2% increase in group health plan costs over prior year that
covers the following year, and if implementation results in 1% increase in group health
plan costs in subsequent years. A section on actuarial determination of these increased
costs is included in the law.
Choose matching term
1. During a session, your patient asks to be able to contact you via your Facebook page on the
internet. You reply:
- I cannot do that because I have a concealed Facebook identity; and I cannot reveal that to my
patients
1
- I would be happy to communicate with you. It makes it easier for me to reach you this way.
- I would be happy to use Facebook but you will have to use a private message so that you can be
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anonymous
- I cannot do that because Facebook does not protect your Private Health Information
When assessing for alcohol use. What does the CAGE questionnaire ask?
- Have you ever felt you should Cut down on your drinking, do you become Avoidant when you
drink, do you feel Guilty about your alcohol use, have you ever had an Eye Opener in the morning to
get rid of a hangover?
- Have you ever felt you should Cut down on your drinking, do you get Angry when you drink, do
you feel Guilty about your alcohol use, have you ever had an Eye Opener in the morning to get rid of
2 a hangover?
- Have you ever felt you should Cut down on your drinking, have people Annoyed you by criticizing
your drinking, have you felt Guilty about your drinking, have you ever had an Eye Opener in the
morning to get rid of a hangover?
- Have you ever felt you should Cut down on your drinking, do people get Angry when you drink, do
you feel Good about your alcohol use, have you ever had an Eye Opener in the morning to get rid of
a hangover?
1. The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) insures which of the
following?
- Small employers who insure 50 or fewer covered lives are exempt from the provisions of this
MHPAEA law.
- Annual or lifetime dollar limits on mental health and substance use disorder benefits are no lower
3 than any such dollar limits for medical and surgical benefits offered by a group health plan.
- Mental health and substance use disorder benefits must be available through both in-network
providers and out-of-network providers by a group health plan.
- Group health plans may obtain an exemption if they can demonstrate expected cost increase
resulting from implementation of the parity provisions greater than a 5% increase in the cost under
existing plan.
1. When screening potential female clients for an incest survivor's group, which client would you
exclude from selection to the group?
- 36-year-old divorcee who brings a signed consent form to consult with her individual therapist
4 - 26-year-old mother inquiring because her husband is concerned about her lack of interest in sex
- 18-year-old college freshman who is talking openly about her incest experience for the first time.
- 50-year-old third grade teacher who last attended a sexual abuse group when flashbacks
occurred.
Don't know?
Terms in this set (241)
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1. You see a patient for a routine medication - Up-coding
visit. At the end of the session, the patient Rationale: Up-coding is a fraudulent practice in which the provider services are billed at
asks questions and the session ends up 50 higher procedure codes than were actually performed, resulting in a higher payment by
minutes in length. You normally charge for Medicare or other third-party payers.
the 30-minute appointment, but instead you
charge for the 1-hour appointment. The 1-
hour appointment includes a full body
assessment that you did not perform. This
violation is known as:
- Over-coding
- Super-coding
- Down-coding
- Up-coding
1. During a session, your patient asks to be - I cannot do that because Facebook does not protect your Private Health Information
able to contact you via your Facebook page Rationale: Using Facebook breaks patient-provider confidentiality, in addition to
on the internet. You reply: blurring ethical boundaries of the therapeutic relationship. Facebook does not protect
- I cannot do that because I have a private health information. Information on the site is available for anyone to see or hack
concealed Facebook identity; and I cannot into even if private messaged.
reveal that to my patients
- I would be happy to communicate with
you. It makes it easier for me to reach you
this way.
- I would be happy to use Facebook but you
will have to use a private message so that
you can be anonymous
- I cannot do that because Facebook does
not protect your Private Health Information
1. The Mental Health Parity and Addiction - Annual or lifetime dollar limits on mental health and substance use disorder benefits
Equity Act of 2008 (MHPAEA) insures which are no lower than any such dollar limits for medical and surgical benefits offered by a
of the following? group health plan.
- Small employers who insure 50 or fewer Rationale: The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA)
covered lives are exempt from the provisions provides federal legislation that requires any annual or lifetime limits on medical and
of this MHPAEA law. surgical benefits be the same for mental health and substance use disorder benefits.
- Annual or lifetime dollar limits on mental Small employers who insure 2 to 50 employees can apply for an “opt-out” waiver, but
health and substance use disorder benefits they are not automatically exempt from the MHPAEA requirements. The group health
are no lower than any such dollar limits for plan will be required to provide in-network and out-of-network mental health and
medical and surgical benefits offered by a substance use disorder benefits only if it provides both in-network and out-of-network
group health plan. medical and surgical benefits. The group health plan my obtain an exemption or waiver
- Mental health and substance use disorder if the first year of implementation results in 2% increase in group health plan costs over
benefits must be available through both in- prior year that covers the following year, and if implementation results in 1% increase in
network providers and out-of-network group health plan costs in subsequent years. A section on actuarial determination of
providers by a group health plan. these increased costs is included in the law.
- Group health plans may obtain an
exemption if they can demonstrate expected
cost increase resulting from implementation
of the parity provisions greater than a 5%
increase in the cost under existing plan.
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1. A 68-year-old, retired African-American - Respect
widower who served for 30 years as an Army Rationale: Respect of cultural values and beliefs is violated in this scenario.
officer was recently diagnosed with terminal
lung cancer. He made plans to die at home
with hospice care. He was hospitalized for a
broken hip and succumbed to complications
in the hospital. Despite his request to be
addressed as "Mr. Baxter" the hospital staff
persisted in calling him by his first name,
"John." Which principle of culturally
competent care does this violate?
- Autonomy
- Advocacy
- Collaboration
- Respect
1. PMHNPs seeking admitting privileges at a - Local hospital
community hospital with inpatient psychiatric Rationale: Local PMHNPs who want admitting privileges will want to persuade the
services need to influence policymakers at appropriate hospital decision maker, through facts, figures, and a presentation of
which of the following levels? projected benefits to the hospital, of the need to change policy and allow PMHNPs to
- State board of nursing admit patients.
- State legislature
- County board of health
- Local hospital
1. To demonstrate her support for social - Volunteers her clinical services at the psychiatric clinic, run by a local mission project.
justice, within her role as a PMHNP caring for Rationale: Social justice is bringing things to those who have the least means of getting
the person who is homeless with mental them but need them the most. In this case, the homeless mentally ill need the PMHNP’s
illness, the PMHNP: skills more.
- Volunteers to serve food at the local Home
for Girls.
- Teaches Sunday School.
- Volunteers to walk at the March of Dimes
walk each year.
- Volunteers her clinical services at the
psychiatric clinic, run by a local mission
project.
1. You have students from local psychiatric - Preceptor
nurse practitioner programs follow you in Rationale: The preceptor is a 1;1 relationship sustained over a short time where each
your clinical practice to show them what you person brings something to the relationship. It is a contracted, defined role with goals.
do as a PMHNP. This is called being a: The preceptor is in a teaching role. Teaching is completed through the observed
- Preceptor performance, examples, and role modeling.
- Mentor
- Teacher
- Professor
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