NR 511 Week 1 Assignment Clinical Readiness Exam 2020 – Chamberlain College of Nursing | NR511 Week 1 Assignment Clinical Readiness Exam 2020 latest

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NR 511 Week 1 Assignment Clinical Readiness Exam 2020 – Chamberlain College of Nursing 76 verified questions and answers 1. Define diagnostic reasoning 2. What is subjective data? 3. What ... is objective data? 4. Components of HPI 5. Why must every procedure code have a corresponding diagnosis code? 6. What are the three components required in determining an outpatient office visit E&M code? 7. What is medical coding? 8. What is medical billing? 9. What are CPT codes? 10. What are ICD codes? 11. What is specificity? 12. What is sensitivity? 13. What is predictive value? 14. What elements need to be considered when developing a plan? 15. What are the components of medical decision making in E&M coding? 16. Correctly order the E&M office visit codes based on complexity from least to most complex. 17. Define the components of a SOAP note 18. What are purposes of the written H&P in relation to the importance of documentation? 19. When is a pt considered a "new" pt? 20. What does a well-rounded clinical experience mean? 21. What are the maximum number of hours that time can be spent "rounding" in a facility during clinicals? 22. What are 9 things that must be documented in the clinical encounter logs? 23. What is the first "S" in the SNAPPS presentation? 24. What is the "N" in the SNAPPS presentation? 25. What is the "A" in the SNAPPS presentation? 26. What is the first "P" in the SNAPPS presentation? 27. What is the second "P" in the SNAPPS presentation? 28. What is the last "S" in the SNAPPS presentation? 29. Drew Brees is scheduled for an acute visit for a skin lesion. After looking at his lesion he pulls out a long list of things he wants to discuss. You are 30 minutes behind on your schedule and you only have 15 minutes for this appointment. Which of the following is the best response to the patient?
A. I see you have a list of concerns and I want to discuss them but my schedule will only allow for a few items today. Let's look at them together and identify the 3 most important items for you to discuss today. Then we can make a plan to address the remaining concerns for another visit.
B. I'd really like to go over your concerns with you but you were only booked for an acute visit, which is a limited amount of time. I am already behind and I don't want to make the other patients who are waiting mad. Can you the front desk to schedule your next appointment for a longer time slot please?
C. Wow that's quite a list. If you came in more regularly as I've recommended, you might not have all of these concerns.
D. I wish I could address all of your issues this visit, but I'm already behind and my evaluation is based on productivity. 30. Which statement(s) regarding practice guidelines is (are) NOT true?
a. They are flexible
b. They should be utilized in every circumstance
c. They provide a reference point for decision making
d. All of the above 31. T/F
A maximum of 20 alternative hours can be used as part of the 125 hour practicum requirement for each clinical course. True 32. The number of cases of a particular disease in a population at a given time is known as:
a. Prevalence
b. Risk
c. Incidence
d. Morbidity 33. Which of the following is required when documenting clinical experiences in your student clinical encounter log?
a. E&M visit code (99202, etc.)
b. Date of service
c. Age
d. All of the above 34. T/F
New practitioners especially need support to develop confidence in their diagnostic and treatment-planning capabilities. 35. Which of the following statement(s) is (are) true?
a. Clinical logs are not legal documents
b. You may make an amendment to your NR511 clinical log when you are in NR601
c. Clinical logs must demonstrate a well-rounded clinical experience by graduation
d. All of the above 36. Your pt presents with a sore throat x2 days. You suspect that he may have strep pharyngitis because his best friend had it last week. You do not have rapid antigen tests in your office, so you send a throat swab for culture. Which ICD-10 code should you use on the lab requisition?

a. Rule out strep pharyngitis (no code)
b. Streptococcal pharyngitis (J02.0)
c. Chronic pharyngitis (J31.2)
d. Acute pharyngitis, unspecified (J02.9) 37. Point of care strategy involves:
a. Having readily available evidence-based resources
b. Asking a clinical question
c. Applying the findings to the individual pt
d. All of the above 38. Which statement is true regarding SOAP notes?
a. SOAP notes are a way to document an interaction between a pt and provider.
b. SOAP notes become part of the pt's permanent record
c. SOAP notes can serve as a means of communication between health care professionals
d. All of the above 39. Which statement is true?
a. The differential diagnosis is the final diagnosis determined for the visit.
b. A problem list is a list of possible diagnoses for the pt's CC
c. A differential is a list of plausible diagnoses that fit the presentation and findings of a pt
c. The differential is ranked in order from least likely to most likely 40. Which of the following statements regarding diagnostic reasoning is NOT true?
a. Diagnostic reasoning involves using a person's intuition as the sole basis for decision making
b. Diagnostic reasoning is hypothesis driven
c. Diagnostic reasoning involves the recognition of clues and the analysis of clinical data
d. Diagnostic reasoning involves developing conclusions based on research evidence 41. T/F
The level of Evaluation & Management (E&M) codding for new and established pt's is based on documentation that is provided in the pt's medical record. 42. Systematic reviews of randomized clinical trial studies are considered level ____ evidence:
a. 1
b. 2
c. 3
d. 4 1 43. T/F
Experience is a necessary component in exercising clinical judgement. 44. Tom Brady is seen in your office with c/o sore throat x2 days. Which body system would not be included in the H&P for this problem-focused visit?
a. Skin
b. Neuro
c. EENT
d. Respiratory 45. Which of the following is NOT a requirement when developing a practice guideline?
a. Literature review of EBM
b. Rating of the available evidence
c. The panel of experts must all be physicians
d. Panel members should be chosen based on the focus of the guideline 46. T/F
Sporadic outbreaks occur when there are occasional cases of an event unrelated in space or time. 47. Which of the following statements is NOT true?
a. Diagnostic tests can be used to confirm or rule out hypotheses
b. Diagnostic tests may be used to screen for conditions
c. Diagnostic tests may be used to monitor the progress in managing a chronic condition
d. Diagnostic tests vary in usefulness based on severity, specificity, and predictability 48. Which one of the following students is not meeting the practicum expectations?
a. Brianna has a phone in her lab coat; the ringer and notification settings are muted
b. Taylor wears a below-the-knee-length skirt on a designated "casual Friday"
c. Hannah texts a friend during "down-time" in-between pt's
d. Hailey has her Chamberlain student ID visible at all times 49. Evidence from well-designed case-control and cohort studies are considered which level of evidence in research design?
a. 1
b. 2
c. 3
d. 4 50. Seat belt use is considered ___________ prevention.
a. Primary
b. Secondary
c. Tertiary
d. Unnecessary 51. Chloe complains of acute pain in the R ear. Her exam reveals a normal exam on the L side. The R external ear is non-erythemic and non-tender. The EAC is free of debris or obstruction and without redness. The TM is visible, bright red and bulging with cloudy fluid. Which is the best ICD-10 diagnosis code for your findings?
a. Acute suppurative otitis media with spontaneous rupture of ear drum, right ear (H66.011)
b. Acute suppurative otitis media with spontaneous rupture of ear drum, left ear (H66.012)
c. Acute suppurative otitis media without spontaneous rupture of ear drum, right ear (H66.001)
d. Acute supperative otitis media without spontaneous rupture of the ear drum, left ear (H66.002) 52. What are the three main components in determining the E&M code?
a. Hx, PE, Dx
b. Hx, PE, MDM
c. Risk, data, Dx
d. Dx, age of pt, complexity of visit 53. Which one of the following do NOT meet the requirements of this program?
a. MS degree with board certification as an Adult Nurse Practitioner (ANP)
b. DNP degree with board certification as an Acute Care Nurse Practitioner (ACNP)
c. Graduate degree with board certification as a Physician's Assistant (PA-C)
d. Current, unencumbered state license as MD, NP, or PA 54. T/F
Morbidity refers to the number of people who have died from a particular disease. 55. Malaria in the Southern Hemisphere (Africa) is considered to be a(an) ____________ disease.
a. Sporadic
b. Endemic
c. Pandemic
d. None of these 56. Alternative activities can be used toward your clinical requirement. Which of the following should NOT be documented as an "alternative activity?"
a. Telephone and/or electronic message communication w/pt's
b. Authorizing Rx refill requests
c. Tele-visit or e-Visit
d. Reviewing lab results from the previous day 57. The Resource-Based Relative Value Scale )RBRVS) is used by Centers for Medicare and Medicaid Services (CMS) to set reimbursement rates which are designed to reflect the costs needed to provide services. Which of the following is NOT one of the components in determining set reimbursement rates for provider services?
a. Professional liability and malpractice expenses
b. The provider's work or medical expertise
c. The pt's insurance coverage
d. The practice overhead expense 58. The HPI is a detailed breakdown of the ______ and is documented as ________.
a. Review of systems; PMH
b. PMH; SOAP
c. CC; ROS
d. CC; OLDCARTS 59. T/F
You are required to submit at least 4 SOAP notes from your practicum site for this class. 60. Which statement(s) is true regarding documentation of your clinical encounter?
a. Using the correct codes in your clinical encounter log is especially important because it provides evidence of the population of pt's that you have seen.
b. When faculty reviews your log, we will be looking for both preventative and complaint office visit codes across all age groups.
c. If I do not see a sufficient amount of a certain population, such as pediatric pt's or complex visits, I may be required to find a different practicum site than what I originally had planned in a future course.
d. All of the above 61. Which one of the following preceptors would NOT meet the FNP program preceptor requirements?
a. Board Certified Adult-Gerontology Nurse Practitioner working in a primary care setting with 2yrs experience in an advanced practice role.
b. Board Certified Pediatric Nurse Practitioner working in a pediatric care setting with 6mo experience in an advanced practice role.
c. Physician, board certified in Internal Medicine, working in a primary care setting with 1yr experience.
d. Board Certified FNP working in an urgen care setting for 1yr. 62. Aaron Rogers presents to your clinic in the off-season with a painful, red, swollen L calf. Without any other further info given, which one of the following is a reasonable differential to investigate further?
a. Cellulitis
b. DVT
c. Acute musculoskeletal injury
d. All of the above 63. Nursing research should be utilized by:
a. Nurses at the bedside
b. Advanced practice nurses
c. Nurse researchers
d. Nurses at all levels of practice 64. Maddie has a h/o asthma that is classified as mild, intermittent asthma. She comes to the office today w/wheezing which is not improving with her inhaler. Which would be ther best ICD-10 code to apply with only the info given?
a. Severe persistent asthma (J45.5)
b. Mild intermittent asthma with acute exacerbation (J45.21)
c. Unspecified asthma with acute exacerbation (J45.901)
d. Other asthma (J45.998) 65. Which of the following is NOT a secondary prevention measure?
a. Testosterone replacement
b. Testicular self-exam
c. Bone density test
d. Perform digital rectal exam (DRE) 66. T/F
Having a family practice site for all 5 practicum courses guarantees that you will have a well-rounded clinical experience to all ages and conditions. 67. T/F
Reimbursement policy changes by insurance carriers over the years has resulted in a reduction of health care spending. 68. T/F
Cam Newton receives a passing midterm and final eval from his preceptor along with 76% in the didactic portion of the class. Cam will pass the class. 69. T/F
Episodic visits are also known as problem-focused visits. 70. T/F
Subjective info is what the pt reports, complains of, or tells you in response to your questions. 71. HIPAA legislation is important to the daily management of the practitioner practice setting. Precautions should be used to protect pt electronic personal info at all times. Which of the following is an appropriate precautionary measure?
a. Use of computer screens
b. Taping a list of passwords to the back of your keyboard
c. Forwarding lab results to your personal email account or server.
d. Storing pt documents in an unlocked file cabinet. [Show More]

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