Page |1
ANCC IQ DOMAIN 1-5 EXAM 2025| BRAND NEW
ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
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
- 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
- I cannot do that because Facebook does not protect your Private
Health Information
, Page |2
- 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.
- 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.
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
, Page |3
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
- Respect
- 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
- 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.
, Page |4
- Volunteers her clinical services at the psychiatric clinic, run by a
local mission project.
- Volunteers her clinical services at the psychiatric clinic, run by a local
mission project.
Rationale: Social justice is bringing things to those who have the least
means of getting them but need them the most. In this case, the homeless
mentally ill need the PMHNP’s skills more.
1. You have students from local psychiatric nurse practitioner
programs follow you in your clinical practice to show them what you
do as a PMHNP. This is called being a:
- Preceptor
- Mentor
- Teacher
- Professor
- Preceptor
Rationale: The preceptor is a 1;1 relationship sustained over a short time
where each person brings something to the relationship. It is a contracted,
defined role with goals. The preceptor is in a teaching role. Teaching is
completed through the observed performance, examples, and role
modeling.
1. As an individual advanced practitioner, you cannot afford to have a
standalone Electronic Health Record (EHR) system to keep all of your
patients' health information on a computer-based system. How could
you problem-solve this dilemma?
- Process your patient records manually, in your current fashion. You
are keeping a full record according to HIPAA.
- Process your notes manually and keep them in a locked file. The
records are available for copy and distribution at any time.
- Process your notes and patient records on a laptop that you are able
to transport between your office and home office. You always have
the records available if needed.
- Process your notes and patient records in a secure electronic
system with a template for patient information and interactions,
supporting quick access within your network.
ANCC IQ DOMAIN 1-5 EXAM 2025| BRAND NEW
ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
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
- 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
- I cannot do that because Facebook does not protect your Private
Health Information
, Page |2
- 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.
- 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.
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
, Page |3
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
- Respect
- 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
- 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.
, Page |4
- Volunteers her clinical services at the psychiatric clinic, run by a
local mission project.
- Volunteers her clinical services at the psychiatric clinic, run by a local
mission project.
Rationale: Social justice is bringing things to those who have the least
means of getting them but need them the most. In this case, the homeless
mentally ill need the PMHNP’s skills more.
1. You have students from local psychiatric nurse practitioner
programs follow you in your clinical practice to show them what you
do as a PMHNP. This is called being a:
- Preceptor
- Mentor
- Teacher
- Professor
- Preceptor
Rationale: The preceptor is a 1;1 relationship sustained over a short time
where each person brings something to the relationship. It is a contracted,
defined role with goals. The preceptor is in a teaching role. Teaching is
completed through the observed performance, examples, and role
modeling.
1. As an individual advanced practitioner, you cannot afford to have a
standalone Electronic Health Record (EHR) system to keep all of your
patients' health information on a computer-based system. How could
you problem-solve this dilemma?
- Process your patient records manually, in your current fashion. You
are keeping a full record according to HIPAA.
- Process your notes manually and keep them in a locked file. The
records are available for copy and distribution at any time.
- Process your notes and patient records on a laptop that you are able
to transport between your office and home office. You always have
the records available if needed.
- Process your notes and patient records in a secure electronic
system with a template for patient information and interactions,
supporting quick access within your network.
