Page | 1
ANCC IQ DOMAIN 1-5 QUESTIONS REVIEW
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
, Page | 2
- 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
- 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
, Page | 3
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 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
, Page | 4
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.
ANCC IQ DOMAIN 1-5 QUESTIONS REVIEW
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
, Page | 2
- 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
- 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
, Page | 3
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 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
, Page | 4
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.
