Ancc Fnp Nonclinical Test Questions

Front 1

The Patient Bill of Rights legislation has impacted primary healthcare delivery. All of the following are true regarding this EXCEPT:
It requires nurse practitioners to sign a contract with the federal government.
It includes provisions for a process for consumers to appeal the decisions of managed care organizations (MCO).
It requires managed care organizations to pay for certain emergency services.
It prescribes the availability of care.

Back 1

It requires nurse practitioners to sign a contract with the federal government

Nurse practitioners do not have to sign a contract with the federal government under the Patient Bill of Rights legislation. It has increased the understanding of managed care and the problems and ethical dilemmas that are associated with this healthcare approach.

Front 2

Medicaid is a health insurance plan that many nurse practitioners (NPs) will submit claims to for reimbursement of services rendered to patients. It is important that the NP has understanding of this program. All of the following are true statements regarding Medicaid EXCEPT:
Medicaid funds are provided by the federal government and administered by the states.
The Omnibus Budget Reconciliation Act of 1989 allowed for NPs to receive direct payment in the Medicaid program without the need for supervision or association with physicians or other health care providers.
All states have complied with federal legislation mandating Medicaid coverage of pediatric services in Medicaid programs.
Very few states at this time include nurse practitioners in coverage for their Medicaid programs.

Back 2

Very few states at this time include nurse practitioners in coverage for their Medicaid programs

The majority of states include all nurse practitioners in coverage for their Medicaid programs. Therefore, the answer choice, "very few states at this time include nurse practitioners in coverage for their Medicaid programs," is incorrect.

Front 3

Fraud and abuse by healthcare providers have increased during the last several years. Which of the following is correct concerning fraud and abuse?
The federal Health Insurance Portability and Accountability Act (HIPAA) allow for broad penalties for defrauding a health plan.
The Health Insurance Portability and Accountability Act (HIPAA) prohibits knowingly and willfully offering, paying, soliciting, or receiving anything of value in order to induce furnishing of services under federal and state programs.
The federal False Claims Act maintains a list of "safe harbors," which are arrangements that will not be considered a violation of the anti-kickback law.
There are no laws that limit physicians from directing patients to their privately owned laboratories or diagnostic centers.

Back 3

The federal Health Insurance Portability and Accountability Act (HIPAA) allow for broad penalties for defrauding a health plan
--The Health Insurance Portability and Accountability Act (HIPAA) provides required guidelines a health plan, provider and healthcare organization must adhere to in regards to fraud and abuse. Also, HIPAA has privacy rules that outlines protective measures that healthcare organizations must follow in order to keep patient health information private. Or, in the case of health insurance plans, HIPAA has mandates the health plans must follow in order to keep member health information private. Further, the federal anti-kickback statute prohibits knowingly and willfully offering, paying, soliciting, or receiving anything of value in order to induce furnishing of services under federal and state programs. The federal False Claims Act imposes civil liability on anyone who submits a false claim. The Stark I and II federal laws prohibit physicians from self-referring patients and then receiving payment for the referral.

Front 4

The system designed to evaluate and monitor the effectiveness and efficiency of patient care is which of the following?
performance assessment
risk management
code of ethics
quality assurance

Back 4

quality assurance

Quality assurance is the system designed to evaluate and monitor the effectiveness and efficiency of patient care. Quality assurance programs promote responsibility and accountability to deliver high-quality care, assist in the evaluation and improvement of patient care, and provide for an organized means of problem solving.

Front 5

Research utilization involves five steps. The nurse practitioner understands these to be:

Back 5

Identify the problem
Assess published research
Design the innovation
Evaluate the situation
Decide whether to use the innovation

The remaining answer choices, such as diagnosing the patient, implementing a treatment, providing patient instruction, reviewing the patient's medical record and developing a plan of care, are nursing actions. Therefore, these answer choices are incorrect regarding research utilization.

Front 6

Which of the following identifies six types of conduct that are considered felonies and may result in fines of up to $25,000 and/or up to 5 years in prison?
The Federal False Claims Act
Stark I Federal Law
The Medicare and Medicaid Patient Protection Act
The Anti-Kickback statute

Back 6

The Medicare and Medicaid Patient Protection Act

The Medicare and Medicaid Patient Protection Act was enacted in 1987 and prohibits the billing for services that were not provided. Further, this act prohibits other false statements with regard to billing.

Front 7

The normal ranges of blood pressure values are most similar to which statistical concept in nursing research?
standard error
standard deviation
median
mean

Back 7

Standard deviation

The normal ranges of blood pressure values are based on studies that identify the standard deviation for these values. The standard error is not applicable in this situation. Further, the median and the mean are averages.

Front 8

There are certain fundamental domains in human growth and development. Temperament and personality would fall into which domain?
psychological and social domain
cognitive domain
physical domain
maturational domain

Back 8

psychological and social domain

Temperament and personality are processes of human development that are part of the psychological and social domain. Other processes in the psychological and social domain include: interpersonal relationships; moral development; and home environment and other social contexts.

Front 9

In general, family theory serves as a basis for assessing and coming to understand the structure, development and function of families through the process of family assessment. There are several family theories including the communication theory. Which of the following is NOT a part of the communication theory?
The content of messages is time-bound and must be appreciated within context.
Families share common developmental processes with other families.
Lack of clarity in communication may lead to family dysfunction.
Communication conveys values and beliefs between members and the external environment.

Back 9

Families share common developmental processes with other families.

Although this statement is true, it is not a part of the communication theory. It is a part of the developmental theory promoted by Erikson, Piaget and Havinghurst.

Front 10

What is NOT true concerning the background and history of managed care?
The passing of the health maintenance organization (HMO) Act of 1973 initiated a change in thinking about how our healthcare system should be structured.
The early structure of managed care was a staff model HMO such as Kaiser-Permanente.
Employers, insurers, and physician groups bought into the concept and helped to further the development of managed care as a way to avoid government regulation.
Managed care of the 1970s was easily accessible, desirable, and relaxed.

Back 10

Managed care of the 1970s was easily accessible, desirable, and relaxed

Managed care of the 1970s was characterized as being a restrictive, not readily accepted, and undesirable insurance plan. The remaining answer choices are true concerning the history of managed care.