ANCC IQ Domain 1-5 Exam Questions
And Answers
1. You see a patient for a routine medication visit. At the end of the
session, the patient asks questions and the session ends up 50 minutes
in length. You normally charge for 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 - correct answer ✅- Up-coding
Rationale: Up-coding is a fraudulent practice in which the provider
services are billed at higher procedure codes than were actually
performed, resulting in a higher payment by Medicare or other third-
party payers.
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
- 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
,ANCC IQ Domain 1-5 Exam Questions
And Answers
- I cannot do that because Facebook does not protect your Private
Health Information - correct answer ✅- I cannot do that because
Facebook does not protect your Private Health Information
Rationale: Using Facebook breaks patient-provider confidentiality, in
addition to blurring ethical boundaries of the therapeutic relationship.
Facebook does not protect private health information. Information on
the site is available for anyone to see or hack into even if private
messaged.
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 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. -
correct answer ✅- 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.
,ANCC IQ Domain 1-5 Exam Questions
And Answers
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.
1. A 68-year-old, retired African-American widower who served for 30
years as an Army 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
, ANCC IQ Domain 1-5 Exam Questions
And Answers
- Respect - correct answer ✅- Respect
Rationale: Respect of cultural values and beliefs is violated in this
scenario.
1. PMHNPs seeking admitting privileges at a community hospital with
inpatient psychiatric services need to influence policymakers at which
of the following levels?
- State board of nursing
- State legislature
- County board of health
- Local hospital - correct answer ✅- Local hospital
Rationale: Local PMHNPs who want admitting privileges will want to
persuade the appropriate hospital decision maker, through facts,
figures, and a presentation of projected benefits to the hospital, of the
need to change policy and allow PMHNPs to admit patients.
1. To demonstrate her support for social justice, within her role as a
PMHNP caring for the person who is homeless with mental illness, the
PMHNP:
- Volunteers to serve food at the local Home for Girls.
- Teaches Sunday School.
- Volunteers to walk at the March of Dimes walk each year.
And Answers
1. You see a patient for a routine medication visit. At the end of the
session, the patient asks questions and the session ends up 50 minutes
in length. You normally charge for 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 - correct answer ✅- Up-coding
Rationale: Up-coding is a fraudulent practice in which the provider
services are billed at higher procedure codes than were actually
performed, resulting in a higher payment by Medicare or other third-
party payers.
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
- 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
,ANCC IQ Domain 1-5 Exam Questions
And Answers
- I cannot do that because Facebook does not protect your Private
Health Information - correct answer ✅- I cannot do that because
Facebook does not protect your Private Health Information
Rationale: Using Facebook breaks patient-provider confidentiality, in
addition to blurring ethical boundaries of the therapeutic relationship.
Facebook does not protect private health information. Information on
the site is available for anyone to see or hack into even if private
messaged.
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 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. -
correct answer ✅- 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.
,ANCC IQ Domain 1-5 Exam Questions
And Answers
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.
1. A 68-year-old, retired African-American widower who served for 30
years as an Army 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
, ANCC IQ Domain 1-5 Exam Questions
And Answers
- Respect - correct answer ✅- Respect
Rationale: Respect of cultural values and beliefs is violated in this
scenario.
1. PMHNPs seeking admitting privileges at a community hospital with
inpatient psychiatric services need to influence policymakers at which
of the following levels?
- State board of nursing
- State legislature
- County board of health
- Local hospital - correct answer ✅- Local hospital
Rationale: Local PMHNPs who want admitting privileges will want to
persuade the appropriate hospital decision maker, through facts,
figures, and a presentation of projected benefits to the hospital, of the
need to change policy and allow PMHNPs to admit patients.
1. To demonstrate her support for social justice, within her role as a
PMHNP caring for the person who is homeless with mental illness, the
PMHNP:
- Volunteers to serve food at the local Home for Girls.
- Teaches Sunday School.
- Volunteers to walk at the March of Dimes walk each year.
