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NR511 Midterm Exam Questions and Answers | 100% Pass

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 1/66 NR511 Midterm Exam Questions and Answers | 100% Pass Define diagnostic reasoning - Answer-Reflective thinking because the process involves questioning one's thinking to d...

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NR511 Midterm Exam Questions and
Answers | 100% Pass

Define diagnostic reasoning - Answer✔✔-Reflective thinking because the process involves questioning

one's thinking to determine 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.


What is subjective data? - Answer✔✔-Anything the patient tells you or complains of regarding their

symptoms




Chief complaint


HPI


ROS


What is objective data? - Answer✔✔-Anything YOU can see, touch, feel, hear, or smell as part of your

exam




Includes lab data, diagnostic test results, etc.




Page 1/66

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Identify components of HPI - Answer✔✔-Specifically related to the chief complaint only




Detailed breakdown of CC




OLDCARTS


Describe the differences between medical billing and medical coding. - Answer✔✔-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




Medical coding: the use of codes to communicate with payers about which procedures were performed

and why.


Compare and contrast the two coding classification systems that are currently used in the US healthcare

system. - Answer✔✔-ICD: International classification of disease codes are used to provide payer info on

necessity of visit or procedure performed. Shorthand for pt's dx.




CPT: common procedural terminology codes offer the official procedural coding rules and guidelines

required when reporting medical services and procedures performed by physician and non-physician

providers. Must have corresponding ICD.




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How do specificity, sensitivity, and predictive value contribute to the usefulness of diagnostic data? -

Answer✔✔-Specificity: ability of a test to correctly detect a specific condition. If a pt has a condition but

test is negative, it is a false negative. If pt does NOT have condition but test is positive, it is 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.




Diagnostic tests can be used to confirm or rule out hypotheses.




Diagnostic tests may be used to screen for conditions.




Diagnostic tests may be used to monitor the progress in managing a chronic condition.


Discuss the elements that need to be considered when developing a plan. - Answer✔✔-Pt's preferences

and actions


Research evidence



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Clinical state/circumstances


Clinical expertise


Describe the components of medical decision making in E&M coding. - Answer✔✔-Risk, data, diagnosis




The more time and consideration involved in dealing with a pt, the higher the reimbursement from the

payer.




Documentation must reflect MDM


Correctly order the E&M office visit codes based on complexity from least to most complex. -

Answer✔✔-New pt:


1. Minimal/RN visit: 99201


2. Problem focused: 99202


3. Expanded problem focused: 99203


4. Detailed: 99204


5. Comprehensive: 99205




Established pt:


1. Minimal/RN visit: 99211



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