PMHNP BOARDS 2024 EXAMINATION TEST
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⩥ Medicare Part A Eligibility. Answer: >65 in social security automatic
enrollment
⩥ Medicare Part A Cost. Answer: No cost if automatically qualified. 30-
39 work quarters: ~$250/mo <30 work quarters: ~$450/mo
⩥ Medicare Part B Coverage. Answer: Supplemental medical insurance.
Outpatient services, care, physical/speech therapy, some home health
care, medical equipment
⩥ Medicare Part B Eligibility. Answer: Voluntary if >65
⩥ Medicare Part B Cost. Answer: Deducted from monthly social
security check. *Enroll 3 months before 65th birthday or 4 months after,
otherwise increased costs to enroll*
⩥ Medicare Part C. Answer: Medicare Advantage. Get all their medical
services through that plan.
,⩥ Medicare Part D coverage. Answer: Prescription drug coverage
⩥ Medicare Part D Cost. Answer: Varies depending on how extensive
drug benefit is. Different plans have different benefits.
⩥ Medigap Plans. Answer: Fill gaps in coverage that occur with
Medicare
⩥ Medicare Advantage Plan. Answer: Will likely eliminate need for
medigap insurance?
⩥ Medicaid Eligibility. Answer: Automatic coverage not guaranteed
except for poor pregnant women and children. States can refuse to cover
adults/head of households who lose Temporary Assistance to Needy
Families d/t refusal to work. Generally covers poor people.
⩥ Medicaid funding. Answer: Federal + state. States determine how
much they want to pay in, different states have different qualities of
Medicaid
⩥ HMO. Answer: Four components: Enrolled population, prepayment of
premiums, coverage of comprehensive medical svcs, centralization of
medical and hospital svcs
,⩥ Closed-panel HMO. Answer: Specific providers identified by plan to
provide the medical services to members. Staff can be salaried by HMO
or an agency/group contracted by the HMO.
⩥ Open-panel HMO. Answer: Network HMO, Individual Practice
Association, Point of Service Plans
⩥ Network HMO. Answer: HMO contracts with more than one group of
practices
⩥ Individual Practice Association. Answer: Insurance coverage.
Contract with an association of physicians to provide services to
members
⩥ Point of Service (POS) and Preferred Provider Organizations (PPOs).
Answer: Insurance coverage. Patients allowed to self-refer to specialist
but pay higher premium to do so. POS requires PCP is gatekeeper but pt
can see a provider outside of HMO for more $$. PPOs contract to a
selected group of participating providers and give discount for using a
selected group of providers. Financial risk held by insurer in PPO, held
by providers in POS
⩥ Managed indemnity. Answer: Traditional model insurance coverage..
Pre-certification, catastrophic case management, minimal contract
arrangement with providers. Provider groups and health plans can use
quality control, utilization review, bundling of services, incentives for
, health behaviors. MUST seek National Committee on Quality Assurance
(NCQA) accreditation
⩥ Licensure. Answer: Member of profession is granted ability to
practice
⩥ Accreditation. Answer: Formal review and approval by a recognized
agency of
educational degree or certification programs in nursing or nursing-
related programs.
⩥ Certification. Answer: Tests knowledge, skills, abilities for entry into
practice. Formal recognition of the knowledge, skills, and experience
demonstrated by the achievement of standards identified by the
profession
⩥ Education. Answer: Formal preparation of APRNs in graduate degree-
granting or postgraduate
certificate programs
⩥ Factors facilitating NP growth. Answer: Demand for svcs, acceptance
of role, emphasis on integrated healthcare svcs, emergence of PMHNP
and decreasing stigmatization
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⩥ Medicare Part A Eligibility. Answer: >65 in social security automatic
enrollment
⩥ Medicare Part A Cost. Answer: No cost if automatically qualified. 30-
39 work quarters: ~$250/mo <30 work quarters: ~$450/mo
⩥ Medicare Part B Coverage. Answer: Supplemental medical insurance.
Outpatient services, care, physical/speech therapy, some home health
care, medical equipment
⩥ Medicare Part B Eligibility. Answer: Voluntary if >65
⩥ Medicare Part B Cost. Answer: Deducted from monthly social
security check. *Enroll 3 months before 65th birthday or 4 months after,
otherwise increased costs to enroll*
⩥ Medicare Part C. Answer: Medicare Advantage. Get all their medical
services through that plan.
,⩥ Medicare Part D coverage. Answer: Prescription drug coverage
⩥ Medicare Part D Cost. Answer: Varies depending on how extensive
drug benefit is. Different plans have different benefits.
⩥ Medigap Plans. Answer: Fill gaps in coverage that occur with
Medicare
⩥ Medicare Advantage Plan. Answer: Will likely eliminate need for
medigap insurance?
⩥ Medicaid Eligibility. Answer: Automatic coverage not guaranteed
except for poor pregnant women and children. States can refuse to cover
adults/head of households who lose Temporary Assistance to Needy
Families d/t refusal to work. Generally covers poor people.
⩥ Medicaid funding. Answer: Federal + state. States determine how
much they want to pay in, different states have different qualities of
Medicaid
⩥ HMO. Answer: Four components: Enrolled population, prepayment of
premiums, coverage of comprehensive medical svcs, centralization of
medical and hospital svcs
,⩥ Closed-panel HMO. Answer: Specific providers identified by plan to
provide the medical services to members. Staff can be salaried by HMO
or an agency/group contracted by the HMO.
⩥ Open-panel HMO. Answer: Network HMO, Individual Practice
Association, Point of Service Plans
⩥ Network HMO. Answer: HMO contracts with more than one group of
practices
⩥ Individual Practice Association. Answer: Insurance coverage.
Contract with an association of physicians to provide services to
members
⩥ Point of Service (POS) and Preferred Provider Organizations (PPOs).
Answer: Insurance coverage. Patients allowed to self-refer to specialist
but pay higher premium to do so. POS requires PCP is gatekeeper but pt
can see a provider outside of HMO for more $$. PPOs contract to a
selected group of participating providers and give discount for using a
selected group of providers. Financial risk held by insurer in PPO, held
by providers in POS
⩥ Managed indemnity. Answer: Traditional model insurance coverage..
Pre-certification, catastrophic case management, minimal contract
arrangement with providers. Provider groups and health plans can use
quality control, utilization review, bundling of services, incentives for
, health behaviors. MUST seek National Committee on Quality Assurance
(NCQA) accreditation
⩥ Licensure. Answer: Member of profession is granted ability to
practice
⩥ Accreditation. Answer: Formal review and approval by a recognized
agency of
educational degree or certification programs in nursing or nursing-
related programs.
⩥ Certification. Answer: Tests knowledge, skills, abilities for entry into
practice. Formal recognition of the knowledge, skills, and experience
demonstrated by the achievement of standards identified by the
profession
⩥ Education. Answer: Formal preparation of APRNs in graduate degree-
granting or postgraduate
certificate programs
⩥ Factors facilitating NP growth. Answer: Demand for svcs, acceptance
of role, emphasis on integrated healthcare svcs, emergence of PMHNP
and decreasing stigmatization
