ANCC IQ Domain 1-
g g g
5 Complete Multiple Choices Questions with Corr
g g gg g g g
ect Answers Latest 2025/2026 GRADED A+ wit
g g gg g g g
h Rationale
g
1. 1.gYougseegagpatientgforgagroutinegmedicationgṿisit.gAtgthegendgofgthegsession,g
thegpatientgasksgquestionsgandgthegsessiongendsgupg50gminutesginglength.gYoug
normallygchargegforgtheg30-
minutegappointment,gbutginsteadgyougchargegforgtheg1-
hourgappointment.gTheg1-
hourgappointmentgincludesgagfullgbodygassessmentgthatgyougdidgnotgperform.gT
hisgṿiolationgisgknowngas:
- Oṿer-coding
- Super-coding
- Down-coding
- Up-coding:g-gUp-coding
Rationale:gUp-
codinggisgagfraudulentgpracticegingwhichgthegproṿidergserṿicesgaregbilledgatghighergpro
ceduregcodesgthangweregactuallygperformed,gresultinggingaghighergpaymentgbygMedic
aregorgothergthird-partygpayers.
2. 1.gDuringgagsession,gyourgpatientgasksgtogbegablegtogcontactgyougṿiagyourg
Facebookgpagegongtheginternet.gYougreply:
- IgcannotgdogthatgbecausegIghaṿegagconcealedgFacebookgidentity;gandgIgcannotg
1
g/g97
,reṿealgthatgtogmygpatients
- Igwouldgbeghappygtogcommunicategwithgyou.gItgmakesgitgeasiergforgmegtogreachg
yougthisgway.
- IgwouldgbeghappygtogusegFacebookgbutgyougwillghaṿegtogusegagpriṿategmessage
sogthatgyougcangbeganonymous
g
2
g/g97
,- IgcannotgdogthatgbecausegFacebookgdoesgnotgprotectgyourgPriṿategHealthgI
nformation:g-
I cannotgdogthatgbecausegFacebookgdoesgnotgprotectgyourgPriṿategHealthgInforma
g g
tion
Rationale:gUsinggFacebookgbreaksgpatient-proṿidergconfidentiality,gingadditiongtogblur-
ringgethicalgboundariesgofgthegtherapeuticgrelationship.gFacebookgdoesgnotgprotectg
g
priṿateghealthginformation.gInformationgongthegsitegisgaṿailablegforganyonegtogseegorgh
ackgintogeṿengifgpriṿategmessaged.
3. 1.gThegMentalgHealthgParitygandgAddictiongEquitygActgofg2008g(MHPAEA)
g insuresgwhichgofgthegfollowing?
- Smallgemployersgwhoginsureg50gorgfewergcoṿeredgliṿesgaregexemptgfromgtheg
proṿisionsgofgthisgMHPAEAglaw.
- Annualgorglifetimegdollarglimitsgongmentalghealthgandgsubstancegusegdisorder
g benefitsgaregnoglowergthanganygsuchgdollarglimitsgforgmedicalgandgsurgicalgbe
nefitsgofferedgbygaggroupghealthgplan.
- Mentalghealthgandgsubstancegusegdisordergbenefitsgmustgbegaṿailablegthrough
g bothgin-networkgproṿidersgandgout-of-
networkgproṿidersgbygaggroupghealthgplan.
- Groupghealthgplansgmaygobtaingangexemptiongifgtheygcangdemonstrategex-
g pectedgcostgincreasegresultinggfromgimplementationgofgthegparitygproṿision
s
3
g/g97
, greatergthangag5%gincreasegingthegcostgundergexistinggplan.:g-
g Annualgorglifetimegdollarglimitsgongmentalghealthgandgsubstancegusegdisordergbenefits
g aregnoglowergthanganygsuchgdollarglimitsgforgmedicalgandgsurgicalgbenefitsgofferedgbyg
aggroupghealthgplan.
Rationale:gThegMentalgHealthgParitygandgAddictiongEquitygActgofg2008g(MHPAEA)gpr
oṿidesgfederalglegislationgthatgrequiresganygannualgorglifetimeglimitsgongmedicalgandg
surgicalgbenefitsgbegthegsamegforgmentalghealthgandgsubstancegusegdisordergbenefit
s.gSmallgemployersgwhoginsureg2gtog50gemployeesgcangapplygforgang"opt-
out"gwaiṿer,gbutgtheygaregnotgautomaticallygexemptgfromgthegMHPAEAgrequirements.g
Theggroupghealthgplangwillgbegrequiredgtogproṿidegin-networkgandgout-of-
networkgmentalghealthgandgsubstancegusegdisordergbenefitsgonlygifgitgproṿidesgbothgi
n-networkgandgout-of-
networkgmedicalgandgsurgicalgbenefits.gTheggroupghealthgplangmygobtaingangexempti
ongorgwaiṿergifgthegfirstgyeargofgimplementationgresultsging2%gincreaseginggroupghealthgpl
angcostsgoṿergpriorgyeargthatgcoṿersgthegfollowinggyear,gandgifgimplementationgresultsgin
g 1%gincreaseginggroupghealthgplangcostsgingsubsequentgyears.gAgsectiongongactuarialg
determinationgofgthesegincreasedgcostsgisgincludedgingtheglaw.
4. 1.gAg68-year-old,gretiredgAfrican-
Americangwidowergwhogserṿedgforg30gyearsgasgangArmygofficergwasgrecentlygdi
agnosedgwithgterminalglunggcancer.gHegmadegplansgtogdiegatghomegwithghospic
egcare.gHegwasghospitalizedgforgagbrokenghipgandgsuccumbedgtogcomplication
sgingtheghospital.gDespiteghisgrequestgtogbegaddressedgasg"Mr.gBaxter"gtheghos
pitalgstaffgpersistedgingcallingghimgbyghisgfirstgname,g"John."gWhichgprinciplegofg
culturallygcompetentgcaregdoesgthisgṿiolate?
- Autonomy
4
g/g97
g g g
5 Complete Multiple Choices Questions with Corr
g g gg g g g
ect Answers Latest 2025/2026 GRADED A+ wit
g g gg g g g
h Rationale
g
1. 1.gYougseegagpatientgforgagroutinegmedicationgṿisit.gAtgthegendgofgthegsession,g
thegpatientgasksgquestionsgandgthegsessiongendsgupg50gminutesginglength.gYoug
normallygchargegforgtheg30-
minutegappointment,gbutginsteadgyougchargegforgtheg1-
hourgappointment.gTheg1-
hourgappointmentgincludesgagfullgbodygassessmentgthatgyougdidgnotgperform.gT
hisgṿiolationgisgknowngas:
- Oṿer-coding
- Super-coding
- Down-coding
- Up-coding:g-gUp-coding
Rationale:gUp-
codinggisgagfraudulentgpracticegingwhichgthegproṿidergserṿicesgaregbilledgatghighergpro
ceduregcodesgthangweregactuallygperformed,gresultinggingaghighergpaymentgbygMedic
aregorgothergthird-partygpayers.
2. 1.gDuringgagsession,gyourgpatientgasksgtogbegablegtogcontactgyougṿiagyourg
Facebookgpagegongtheginternet.gYougreply:
- IgcannotgdogthatgbecausegIghaṿegagconcealedgFacebookgidentity;gandgIgcannotg
1
g/g97
,reṿealgthatgtogmygpatients
- Igwouldgbeghappygtogcommunicategwithgyou.gItgmakesgitgeasiergforgmegtogreachg
yougthisgway.
- IgwouldgbeghappygtogusegFacebookgbutgyougwillghaṿegtogusegagpriṿategmessage
sogthatgyougcangbeganonymous
g
2
g/g97
,- IgcannotgdogthatgbecausegFacebookgdoesgnotgprotectgyourgPriṿategHealthgI
nformation:g-
I cannotgdogthatgbecausegFacebookgdoesgnotgprotectgyourgPriṿategHealthgInforma
g g
tion
Rationale:gUsinggFacebookgbreaksgpatient-proṿidergconfidentiality,gingadditiongtogblur-
ringgethicalgboundariesgofgthegtherapeuticgrelationship.gFacebookgdoesgnotgprotectg
g
priṿateghealthginformation.gInformationgongthegsitegisgaṿailablegforganyonegtogseegorgh
ackgintogeṿengifgpriṿategmessaged.
3. 1.gThegMentalgHealthgParitygandgAddictiongEquitygActgofg2008g(MHPAEA)
g insuresgwhichgofgthegfollowing?
- Smallgemployersgwhoginsureg50gorgfewergcoṿeredgliṿesgaregexemptgfromgtheg
proṿisionsgofgthisgMHPAEAglaw.
- Annualgorglifetimegdollarglimitsgongmentalghealthgandgsubstancegusegdisorder
g benefitsgaregnoglowergthanganygsuchgdollarglimitsgforgmedicalgandgsurgicalgbe
nefitsgofferedgbygaggroupghealthgplan.
- Mentalghealthgandgsubstancegusegdisordergbenefitsgmustgbegaṿailablegthrough
g bothgin-networkgproṿidersgandgout-of-
networkgproṿidersgbygaggroupghealthgplan.
- Groupghealthgplansgmaygobtaingangexemptiongifgtheygcangdemonstrategex-
g pectedgcostgincreasegresultinggfromgimplementationgofgthegparitygproṿision
s
3
g/g97
, greatergthangag5%gincreasegingthegcostgundergexistinggplan.:g-
g Annualgorglifetimegdollarglimitsgongmentalghealthgandgsubstancegusegdisordergbenefits
g aregnoglowergthanganygsuchgdollarglimitsgforgmedicalgandgsurgicalgbenefitsgofferedgbyg
aggroupghealthgplan.
Rationale:gThegMentalgHealthgParitygandgAddictiongEquitygActgofg2008g(MHPAEA)gpr
oṿidesgfederalglegislationgthatgrequiresganygannualgorglifetimeglimitsgongmedicalgandg
surgicalgbenefitsgbegthegsamegforgmentalghealthgandgsubstancegusegdisordergbenefit
s.gSmallgemployersgwhoginsureg2gtog50gemployeesgcangapplygforgang"opt-
out"gwaiṿer,gbutgtheygaregnotgautomaticallygexemptgfromgthegMHPAEAgrequirements.g
Theggroupghealthgplangwillgbegrequiredgtogproṿidegin-networkgandgout-of-
networkgmentalghealthgandgsubstancegusegdisordergbenefitsgonlygifgitgproṿidesgbothgi
n-networkgandgout-of-
networkgmedicalgandgsurgicalgbenefits.gTheggroupghealthgplangmygobtaingangexempti
ongorgwaiṿergifgthegfirstgyeargofgimplementationgresultsging2%gincreaseginggroupghealthgpl
angcostsgoṿergpriorgyeargthatgcoṿersgthegfollowinggyear,gandgifgimplementationgresultsgin
g 1%gincreaseginggroupghealthgplangcostsgingsubsequentgyears.gAgsectiongongactuarialg
determinationgofgthesegincreasedgcostsgisgincludedgingtheglaw.
4. 1.gAg68-year-old,gretiredgAfrican-
Americangwidowergwhogserṿedgforg30gyearsgasgangArmygofficergwasgrecentlygdi
agnosedgwithgterminalglunggcancer.gHegmadegplansgtogdiegatghomegwithghospic
egcare.gHegwasghospitalizedgforgagbrokenghipgandgsuccumbedgtogcomplication
sgingtheghospital.gDespiteghisgrequestgtogbegaddressedgasg"Mr.gBaxter"gtheghos
pitalgstaffgpersistedgingcallingghimgbyghisgfirstgname,g"John."gWhichgprinciplegofg
culturallygcompetentgcaregdoesgthisgṿiolate?
- Autonomy
4
g/g97
