1
what is the leading cause of cancer death in men?
1 lung
2 prostate
3 colorectal
what is the leading cause of cancer death in women?
1 lung
2 breast
3 colorectal
osteoporosis screen, age to start
65 years
Which of the following statements is false regarding the HITECH Act of 2009?
A. It encouraged healthcare providers to adopt electronic health records (EHR)
B. It improved the security protections for healthcare data C. It provided financial incentives for adoption of EHRs
D. Healthcare providers are not required to use EHRs if a hard copy of the chart is available
2. D) Healthcare providers are not required to use EHRs if a hard copy of the chart is available Option D is a false statement. After 2015, HITECH began to issue financial penalties (e.g., reductions of Medicare and Medicaid reimbursement) for providers and entities who had not adopted EHR technologies.
when to take the seasonal influenza vaccine?
start end of October, it takes 2 weeks to develop antibodies
what is the leading cause of death in adolescents?
1 accident/ unintended injury (high risk 16 to 19)
2 suicide
what is the average life expectancy?
78.6 years
All of the following are covered under Medicare Part B, except:
A. Persons age 65 years or older
B. Durable medical equipment
C. Mammograms annually starting at age 50
D. Anesthesia services during emergency appendicitis surgery performed in a hospital
D) Anesthesia services during emergency appendicitis surgery performed in a hospital According to the Medicare.gov website, Medicare Part A covers anesthesia that is received while in an inpatient hospital. Medicare Part B covers outpatient care, durable medical equipment, home health services, and other medical services, including some preventive services such as annual physical exams and mammograms (baseline age 50 years).
Some NPs bill directly for their services. Regarding reimbursement, who is considered a third-party payer? A. Patient
B. Healthcare provider
C. Health insurance companies, health plans, Medicare, and Medicaid
D. Federal government
C) Health insurance companies, health plans, Medicare, and Medicaid
Third-party payers are health insurance companies, health plans, Medicare, and Medicaid. The “first party” is the patient. The “second party” is the healthcare provider.
All of the following services are covered under Medicare Part A, except:
A. Inpatient hospital care
B. Inpatient psychiatric hospital care
C. Custodial care
C) Custodial care Medicare Parts A and B do not cover custodial care or nursing home care (help with bathing, dressing, using the bathroom, and eating).
What is the leading cause of death in the US?
Heart Disease
what is the most common cancer ?
skin
HIPAA was passed by Congress in 2003. All of the following statements about HIPAA are correct, except:
A. It provides federal protections for personal health information
B. It applies to all healthcare providers and payers who bill electronically and transmit health information over the internet
C. Patients have the right to view their mental health–related and psychotherapy-related health information
D. It gives patients the right to view and correct errors in their medical records
C) Patients have the right to view their mental health–related and psychotherapy-related health information Mental health and psychotherapy/psychiatric records do not have to be released to patients even if they request those records. Otherwise, any type of medical records can be released if requested by the health insurance or health plan for billing purposes and reimbursement. HIPAA applies to all healthcare providers, health plans, health insurance companies, medical clearinghouses, and others who bill electronically and transmit health information over the internet.
Which is a true statement regarding claims-based malpractice insurance policies? A. If the insurance company’s lawyer finds the NP negligent, it is the nurse’s responsibility to pay for the claim
B. Claims against the NP are covered as long as the nurse had an active malpractice policy at the time of the incident
C. Claims against the NP are usually paid if the nurse is found not to be negligent
D. Claims against the NP are covered if both the incident and claim happen when the policy is still active
D) Claims against the NP are covered if both the incident and claim happen when the policy is still active When the NP stops paying the premiums for this type of policy, it is no longer active.
4. All of the following statements are correct regarding licensure for NPs, except:
A. It ensures a minimum level of professional competency
B. It grants permission for an individual to practice in a profession
C. It requires verification of educational training from an accredited graduate program
D. It reviews information via a nongovernmental agency
D) It reviews information via a nongovernmental agency
The SBON is a regulatory agency created by the state government and is devoted to monitoring nurses’ personal and professional behaviors. SBONs have the legislative power to initiate, regulate, and enforce provisions of the nurse practice act.
what is the leading cause of cancer death in men and women?
lung cancer
most common type of skin cancer
. BCC
. Melanoma causes the majority of skin cancer death
specificity
The specificity screen test is very good at identifying/ detecting those people without the disease, true negative
remember, specificity - rule out
Nurse practitioners and clinical nurse specialists derive their legal right to practice from:
A. The nurse practice act in the state where they practice
B. The laws of the state where they practice
C. The Medicare statute
A) The nurse practice act in the state where they practice The nurse practice act is a statute enacted by the legislature of each state. The act delineates the legal scope of the practice of nursing within the geographic boundaries of the jurisdiction. The purpose of the act is to protect the public. The SBON is the agency that enforces the Nurse Practice Act. The Medicare statute provides the funds for paying for health services at the age of 65 years and older.
USPSTF Grade D
recommends AGAINST- likely harm
or no benefits
what is the leading cause of death by age group?
birth to 12 months: congenital malformation
1 year to 44: unintended injuries
45 to 64: Cancer
65 and older: heart disease
most common cancer among all children
ALL, acute lymphoblastic leukemia
Sensitivity
The sensitivity screen test is very good at identifying/ detecting who have the disease = true positive
remember, sensitivity - rule in
what is included in a well visit?
. routine health care (weight, height, skin exam, heart and bone health, DM, breast, reproductive, colorectal, eye, ears)
. additional screening ( obesity, tobacco, alcohol, drugs, mental health issues, violence, use of safety devices,...)
obesity screening
. start age 6 to 18
. offer or refer for intensive behavioral interventions