Medical Coding and Billing Sample Certification Questions

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Home>Homework Answsers>Nursing homework help4.   Which one of the following statements accurately represents the practice known asunbundling?A.Combination codes are assigned separately in ICD-10-CM.B.Codes that should be grouped into one code are broken into separate codes to maximize physician reimbursement.C.ICD-10-PCS codes are broken into separate codes for congruent assignment.D.Codes listed as separate procedures are assigned individually.5.   Placing a catheter into the aorta or directly into an artery or vein is calledA.brachiocephalic manipulation.B.third order placement.C.selective catheter placement.D.nonselective catheter placement.6.   What ICD-10-CM code would be assigned for a patient with acute tubule-interstitial nephritis?A.L50.0B.Z02.6C.N10D.B96.27.   The suffix-sismeansA.inflammation.B.drooping.C.condition.D.process.8.   The concept ofmeaningful usepertains toA.medical office protocol and document organization.B.electronic health record implementation.C.resource management in the inpatient setting.D.categorization of patient information.9.   In what CPT code range is Surgical Pathology found?A.88400–80499B.88000–80299C.88300–88309D.88515–8859810.   According to the CMS National Physician Fee Schedule, what is the conversion factor for basic life support mileage?A.$32.4726B.$34.5741C.$28.8457D.$36.066611.   A patient who was involved in a motor vehicle accident is taken to the hospital by ambulance and admitted to the hospital in critical care. The physician sees the patient for 74 minutes in critical care. The physician leaves to attend to other patients in the ICU and the NICU of the same hospital. Five hours later, the physician returns to the patient and continues to treat the patient in critical care for an additional 30 minutes. The patient spends a total of 104 minutes in critical care. What codes are assigned?A.99291, 99292B.99292, 99293C.99291, 99291D.99292, 99292, 9929312.   The prefixendo-meansA.beneath.B.outside of.C.adjacent to.D.within.13.   What is the CPT code for a three-view x-ray of the mandible?A.70200B.70100C.70150D.7024014.   Rules of evidence control theA.amount of evidence that may be admitted during a civil trial.B.processes and procedures for question and answer sessions.C.documents that can be considered during jury trial.D.length of criminal court proceedings, but not civil court proceedings.15.   The ampulla, isthmus, interstitium, and fimbria are examples ofA.implantation sites of ectopic pregnancy.B.incision sites for pacemaker insertion.C.membranes in the abdomen.D.bones in the ankle.16.   Code J9165 is assigned for intravenous diethylstilbestrol diphosphate. According to the code description, what dosage was administered?A.20 mgB.50 mgC.Up to 0.5 mgD.250 mg17.   Members of the uniformed services, their families and survivors, and retired members and their families qualify forA.TRICARE.B.OIG Recovery.C.Medicare.D.Medicaid.18.   A patient comes to the emergency room complaining of abdominal pain. She was previously diagnosed with type I diabetes. She also complains of watery eyes, congestion, pressure in the sinuses, and difficulty breathing. Her final diagnoses are right lower quadrant abdominal pain, type I diabetes, acute sinusitis, and asthma. What CPT and ICD-10-CM codes are assigned?A.99222, R18.91, E16.9, J01.91, J45.919B.99221, R17.41, E17.9, J01.90, J45.909C.99221, R10.31, E10.9, J01.90, J45.909D.99223, R14.31, E15.9, J01.90, J45.92919.   Under HIPAA, health care facilities mustA.follow up with patients who repeatedly miss scheduled appointments for mandatory services.B.keep records of patients who refill prescriptions more than once within a three-month timeframe.C.maintain a clean, safe working environment.D.choose a privacy officer in accordance with HIPAA policies and procedures.20.   What is the ICD-10-CM code for unspecified acute pericarditis?A.I30.89B.I30.9C.I30D.I30.7921.   What is the full code description for 25515?A.Open treatment of radial shaft fracture, includes internal fixation, when performedB.Closed treatment of ulnar shaft fracture; without manipulationC.Closed treatment of radial shaft fracture; without manipulationD.Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex22.   Which of the following anatomical locations would contain the diaphysis?A.MetatarsalB.DiaphragmC.SeptumD.Tibia23.   A patient recently became eligible for health insurance through her employer. Her health insurance is considered to be an 80-20 policy. Under the terms of an 80-20 policy, the insurer pays 80 percent and the insured pays 20 percent of expenses. This 80-20 policy is an example ofA.coinsurance.B.prospective payment.C.capitation.D.case management.24.   The Outpatient Prospective Payment System (OPPS) paysA.an established rate for outpatient services in specific hospitals.B.a percentage of the national average for the same surgery performed in a different geographic location.C.65% of the schedule C rate for all surgeries.D.subsidies to contain health care costs in rural facilities.25.   The study of disease is calledA.physiology.B.pathology.C.urology.D.neurology.26.   Superficial injuries such as abrasions or contusions areA.not coded when associated with more severe injuries of the same site.B.queried to determine if the injuries are confined to the same site.C.coded when associated with more severe injuries of the same site.D.coded only when debridement is performed.27.   Another name for XXY syndrome isA.Turner’s syndrome.B.Cooley’s anemia.C.Klinefelter syndrome.D.Huntington’s chorea.28.   The method that physicians use to bill for each service or visit individually rather than on a pre-paid basis is calledA.fee-for-service.B.capitation.C.pre-paid care.D.managed care.29.   A physician has a meeting with a pharmaceutical sales representative. During the course of the conversation, the physician reveals the diagnosis and past family, medical, and social history of a patient currently being treated with one of the medications that the sales representative is selling. In this situation, the doctor could be sued forA.invasion of privacy.B.malfeasance.C.undue harm and fraud.D.malice.30.   A patient is prescribed a medication that narrows the blood vessels and raises her blood pressure. The medication is most likely aA.tranquilizer.B.cardiogenic.C.vasoconstrictor.D.cardiotonic31.   Physicians typically refer to anatomical locations using directional terms, which are oftenA.paired in opposites.B.used primarily by chiropractors.C.used to describe surgical incisions.D.referenced horizontally.32.   The study of tissue disease using macroscopic or microscopic analysis is calledA.immunology.B.histopathology.C.cytopathology.D.microbiology.33.   A physician obtains cells from the bone marrow cavity using a needle and a syringe. How would this procedure be coded?A.36575B.37328C.38220D.3509234.   What is Medicare Part D?A.The component of Medicare Part A that covers outpatient surgeriesB.Add-on coverage for prescription drugs provided through insurance companies approved by MedicareC.Supplemental coverage for war veterans and their dependentsD.Add-on coverage for dental procedures35.   A female patient is seen for her annual gynecological examination. During the examination, the physician performs a test to detect cervical cancer. This test is called a/anA.immunoassay test.B.Pap smear.C.carcinoembryonic antigen test.D.mycobacterial culture.36.   A physician is called to the intensive care unit for a patient with second-degree burns sustained on 55% of his body while cooking in the kitchen where he works. The physician sees the patient in the critical care unit for two hours, leaves the unit, and returns later the same day to provide an additional hour of critical care. What ICD-10-CM and CPT codes would be assigned?A.L91.8, 99291 × 2, 99292 × 4B.R53.81, 99291, 99293 × 5C.Z30.09, 99293, 99294 × 2D.T31.50, 99291, 99292 × 437.   A change in the tissues and cells within a specific area on or in the body is called aA.lesion.B.cyst.C.neoplasm.D.tumor.38.   Information about a patient can becan be released for research under the terms of HIPAA, only ifA.the patient signs an authorization immediately upon admission.B.the research is critical for technological development.C.the patient has authorized the release and only a limited amount of information is released.D.researchers obtain authorization from the admitting physician.39.   A patient is diagnosed with breast cancer and undergoes a partial mastectomy. What CPT code would be assigned?A.19305B.19307C.19304D.1930140.   To conform to the HIPAA Privacy Rule, which of the following safeguards must be maintained in health care facilities?A.Immunization and injection safeguardsB.Reasonable administrative, technical, and physical safeguardsC.ICD-7 provisional safeguardsD.Hazardous waste protection safeguards41.   A patient sustains a fracture of the femur while playing football in a nearby park. What ICD-10-CM code would be assigned?A.S72.001AB.S72.009AC.S72.003AD.S49.006A42.   According to the guidelines for medical records outlined in the Health Insurance Portability and Accountability Act (HIPAA), patientsA.have the right to have errors reviewed by a hospital administrator.B.have the right to correct errors in identification data only.C.have the right to have errors in their medical records corrected.D.do not have the right to have errors corrected, as the data has been previously verified by the physician.43.   Modifier -23 indicates thatA.two surgeons performed a procedure.B.a procedure was performed bilaterally.C.a physician reviewed and interpreted a radiology procedure.D.the patient received general anesthesia for a procedure that would ordinarily be performed with local or no anesthesia.44.   The Health Insurance Portability and Accountability Act (HIPAA) was created for the purpose ofA.streamlining claims processing and reducing paperwork through electronic transmission.B.stabilizing administrative costs and productivity.C.decreasing employee turnover and reducing the volume of new hire paperwork.D.modifying legal and ethical issues surrounding medical records retention.45.   A patient is seen in the emergency room complaining of abdominal pain in the left lower quadrant. It’s determined that the patient is experiencing inflammation of the pancreas, which is also calledA.pancreaticoduodonal arcade.B.pancreatitis.C.pancreatolysis.D.pancreatonia.46.   A 55-year-old patient was injured while working as a carpenter on a construction site. While framing the roof of a two-story house, he fell and hit his head. He was diagnosed with a concussion to the left side of his head, and underwent a right frontal parietal craniotomy with removal of a subdural hematoma. During the patient’s period of recovery, he was given a medication that resulted in a rash on his abdomen. The physician conducted an expanded problem focused history and exam, with straightforward medical decision making. What CPT code(s) should be assigned?A.99251B.99252C.99292, 99291D.9925347.   Taking certain steps to protect PHI from being accidentally released to individuals who don’t need to know the information is called theA.minimum necessary standard.B.privacy management statute.C.health information guardianship guideline.D.information provision standard.48.   Themain termrepresents the most basic aspect of a disease or condition. For example, the main term of a diagnosis involving a broken arm isA.broken.B.break.C.fracture.D.arm.49.   Performing a daily check for viruses and malware is one of theA.requirements of the Help Desk.B.routine aspects of software maintenance.C.sensible guidelines for Internet use in health care facilities.D.functions of HIM encoders.50.   A coder overhears a confidential statement made outside of the court, and then, when called to testify, repeats the statement as being truth. This is an example ofA.cross-examination.B.hearsay.C.speculation.D.a direct quote.51.   A patient receives two venous pressure clamps for hemodialysis. What HCPCS Level II code is assigned?A.A4751B.A4751 × 2C.A4918 × 2D.A491852.   The process of removing tissue for histopathology is calledA.shaving.B.debridement.C.excision.D.biopsy.53.   A coder would assign modifier -53 to reportA.dental procedures.B.repeat procedures.C.anesthesia administration.D.procedures cancelled due to the patient’s condition.54.   Alternative dispute resolution (ADR) allowsA.resolving medical malpractice suits by submitting pretrial depositions.B.lawyer-to-lawyer mediation during trial recess.C.mediating disputes with a judge in the presence of the bailiff.D.litigants to resolve disputes prior to or after the start of litigation.55.   Code range 99231–99233 pertains toA.initial hospital care.B.subsequent hospital care.C.consultation services.D.hospital discharge services.56.   A patient comes to the emergency room complaining of abdominal pain, nausea, and intractable vomiting. Unable to pinpoint the source of the patient’s complaints, the physician decides to admit the patient to the hospital. After conducting a complete history and examination, the patient’s final diagnosis is determined to be chronic duodenal ulcer. The patient remains hospitalized for three days. The physician sees the patient on the day of discharge. What ICD-10 and CPT codes are assigned?A.99234, N17.9B.99223, I48.91C.99238, K26.7D.99291, D63.157.   The specific guidelines that constitute a valid release of information under the HIPAA Privacy Rule are described asA.OIG specifications.B.E/M levels.C.considerations in relation to risk management.D.core elements.58.   The suffix–centesismeansA.abnormal condition.B.calculus or stone.C.a surgical puncture for fluid removal.D.separation, breakdown, destruction.59.   The code for an ESWL would be found in theA.Urinary and Male Genital Systems of CPT.B.Chemotherapy section of HCPCS.C.Digestive System of CPT.D.Cardiovascular System of CPT.60.   A female patient is diagnosed with breast cancer of the lower-inner quadrant of the right breast. The patient undergoes a modified radical mastectomy of the right breast in an attempt to circumvent the spread of the cancer to any secondary anatomical sites. The procedure was performed in three stages. In addition to the radical mastectomy, the physician also performed a right breast biopsy to treat the breast tumor in the lower-inner quadrant. What ICD-10-CM and CPT codes are assigned?A.19307-58-RT, 19101-59-RT, C50.311B.15852-58, Z48.01C.11602, 15240, C50.312D.19307-RT, 19101-RT, C50.21161.   A patient comes to the ambulatory surgery center for a fusion of the cervical spine. Prior to the beginning of the surgery, the patient suffers an allergic reaction to the anesthesia shortly after it’s administered. Because of this reaction, the surgery is not performed. What code would be assigned as the first-listed diagnosis?A.The observation codeB.The reason that the surgery was scheduled to be performedC.The allergy codeD.The anesthesia administration62.   Anti-inflammatory drugs applied to the skin to relieve skin disorders are calledA.topical corticosteroids.B.antiseptics.C.keratolytics.D.astringents.63.   The _______ nerve sends visual data to the occipital lobe of the brain.A.abducensB.trochlearC.opticD.oculomotor64.   The root wordOBSTETR/OmeansA.pregnancy.B.cesarean.C.midwife.D.birth.65.   The root wordENTER/OmeansA.tooth.B.stomach.C.intestine.D.secretion.66.   What code would be assigned for gastropathy?A.K29.7B.K41.31C.K31.9D.K41.267.   A patient comes to the physician’s office complaining of neck irritation. The physician examines her neck and notes that she has a 15 cm neck scar. Upon further examination, the physician notes that the neck scar requires extensive debridement and retention sutures. The physician performs a dermabrasion to treat the neck scar and then closes the complex wound with the sutures. What ICD-10 and CPT codes are assigned?A.13132, 13133 × 2, L90.5B.13132, 13133 × 3, H81.09, L92.9C.13133-51, 13131-79, L60.0D.13132, L76.8268.   The bulbourethral gland is found in the _______ system.A.neurologicalB.cardiovascularC.male genitalD.female genital69.   A tethered health record allows patients toA.restructure insurance copayments.B.use a secure portal to access their own records.C.compare their health records to the records of patients with similar diagnoses.D.amend the diagnoses listed in the health record.70.   A patient is diagnosed with lymphocytic lymphoma. Another patient is seen several weeks later and is diagnosed with histiocytic lymphoma. Both of these diagnoses are examples of _______ lymphoma.A.basicB.Hodgkin’sC.non-Hodgkin’sD.Burkitt’s71.   A patient receives a blood glucose monitor. What HCPCS Level II code would be assigned?A.E0976B.E0607C.E0562D.E475272.   A good compliance program in the health care setting includesA.HHS surveillance.B.regular tracking and monitoring of coding activities.C.meetings with compliance officers.D.regular audit consultations with trustees of the AAPC.73.   A patient with numerous symptoms is seen in the laboratory for a general health panel to gauge her overall physical well-being. What CPT code would be assigned for a general health panel?A.80051B.82136C.84135D.8005074.   Code 71030-TC indicates a/anA.complete chest x-ray, four views, technical component only.B.incomplete chest x-ray, two views, technical and professional component.C.complete chest x-ray, two views, technical component only.D.incomplete chest x-ray, three views, technical and professional component75.   If patients choose to obtain copies of their medical records, under the terms of HIPAA, providers canA.also fulfill requests for prescription data.B.reschedule office visits to allow time to update medical records.C.complete employee paperwork.D.charge a reasonable fee for providing copies of those records.76.   A patient comes to the clinic complaining of fever, diarrhea, nausea, and vomiting. The patient is diagnosed with salmonella meningitis. What ICD-10-CM code would be assigned?A.A23.24B.A02.21C.A05.26D.A07.2177.   A patient comes to the emergency room complaining of right knee pain. He states that he was playing baseball the previous evening and accidentally fell when sliding into first base. The physician obtains an expanded problem focused history and examination, as well as a two-view x-ray of the right knee. The physician reviews the x-ray, as well as the notes in the medical record, and renders a diagnosis of osteoarthritis of the knee. The physician performs a patellofemoral arthroplasty to repair the knee. What ICD-10-CM and CPT codes are assigned?A.27477, M17.12B.27506-RT, N17.11C.27477-RT, D17.39D.27447-RT, M17.1178.   Provision of security against a hurt, loss, or damage with specific cash payments is calledA.copayment.B.protection.C.indemnity.D.secured loss.79.   HCPCS modifier –E2 indicates that the patient had a surgical procedure performed on theA.lower left eyelid.B.upper left eyelid.C.upper right eyelid.D.lower right eyelid.80.   When is code 58120 assigned?A.The code is assigned for permanent pacemaker insertion.B.The code has been deleted and cannot be assigned.C.The code is assigned for a patient undergoing dilatation and curettage.D.The code is assigned as an add-on code.81.   Epithelial tissue that secretes its products directly into the bloodstream is made ofA.extracellular matrix.B.endocrine gland cells.C.endoplasmic reticulum.D.columnar epithelial cells.82.   Which of the following modifiers would be assigned for a moribund patient?A.P4B.P1C.P5D.P383.   The anatomical location of the calyx is theA.spine.B.brain.C.arm.D.kidney.84.   Which one of the following requirements is outlined in the guidelines established in HIPAA’s Privacy Rule?A.Hospital administrators must encrypt data within older data files.B.Physicians must not disclose patient information to consulting physicians.C.Patients must receive notice if their information will be used or disclosed to third parties.D.Managers must secure medical records immediately following patient admission.85.   The I-10 helps coders classify patientA.morbidity and mortality.B.management information.C.evaluation files.D.reimbursement data.86.   During a routine examination, a male patient is diagnosed with an elevated PSA. The physician performs a biopsy of the prostate with a rectal ultrasound to pinpoint the source of the problem. Which CPT and ICD-10-CM codes would be assigned?A.55725, 76000-26, R93.6B.55700, 76872-26, R97.2C.55734, 73200-26, R97.2D.55720, 74000-26, R97.387.   Health care practitioners must maintain records of privacy policy practices and procedures forA.20 years.B.10 months.C.2 years.D.6 years.88.   A patient comes to the emergency department of a rural hospital. He complaints of problems sleeping, foot swelling, and insomnia. After a detailed review of the patient’s history and a detailed examination, the patient is diagnosed with chronic renal insufficiency, nephrotic syndrome, and anemia, based on the values listed in his blood test. The patient undergoes a biopsy of the left and right kidneys under physician guidance. A CT scan is also used for guidance and needle placement. A follow-up CT scan with physician review and interpretation is also performed. What ICD-10 and CPT codes are assigned?A.50500-73, 51200-LT, C79.2, C61B.50200-RT-LT, 50310-RT, 51252-26, E46, N18.9, N04.9C.51000, 50310-59-LT, J90, Z90.12, E85.4D.50200-50, 50200-59-RT, 77012.26, N18.9, N04.9, D64.989.   Data stored in a health care facility mustA.comply with HIPAA rules and must be maintained securely.B.adhere to OIG policies and procedures.C.be organized in accordance with state standards for electronic data interchange.D.conform to the physician’s expectations for data storage.90.   Health care practitioners who submit fraudulent bills to increase reimbursement mayA.be blacklisted according to geographic location.B.be listed in the Coding Directory of Fraudulent Billing published annually by the Department of Health and Human Services.C.be reported to the Office of the Attorney General.D.face financial penalties or, in some cases, imprisonment.91.   Which of the following anesthesia modifiers indicates a normal, healthy patient?A.P3B.P1C.P4D.P292.   When coding burns, coders shouldA.classify all burns as acute burns.B.assign separate codes for each burn site.C.assign the code for third-degree burns.D.assign the code for chronic burns.93.   A 65-year-old patient is admitted to the hospital for 48 hours to receive treatment from her physician. This patient would be covered underA.Medicare Part D.B.Medicare Part A.C.Medicare Part B.D.Medicare Part C.94.   A patient comes to the clinic complaining of ongoing headaches. The headaches began one week prior and have persisted ever since. A lumbar spinal tap is performed to pinpoint the source of the patient’s headaches. What CPT and ICD-10-CM codes are assigned?A.62270, G44.1B.62270, G74.3C.62141, G46.8D.62272, G46.995.   What code would be assigned for a tube pericardiostomy?A.33210B.33026C.33015D.3305096.   What is the code description for 65101-LT?A.Removal of ocular implant performed laterallyB.Fine needle aspiration of orbital contents on the left third of the orbitC.Biopsy of cornea performed on the lower third of the corneaD.Enucleation of eye, without implant, performed on the left side of the body97.   Another name for diazepam isA.Flexeril.B.Valium.C.Norflex.D.Myolastan.98.   Thegatekeeper conceptrefers to the operation ofA.prospective payment organizations.B.retrospective payment organizations.C.ambulatory payment surgery centers.D.health maintenance organizations.99.   The CPT code for thrombolysis isA.93000.B.92975.C.92920.D.93797.100.   According to HIPAA, a patient’s information may be released forA.paternity testing.B.research.C.determining premiums based on a patient’s past medical history.D.transferring electronic medical records to remote locations.101.   Which of the following statements istrueof the Affordable Care Act?A.It includes a provision for military service members who served in Afghanistan.B.It requires health care facilities to maintain health records for at least 10 years.C.It makes it mandatory for patients to carry health insurance.D.It offers parents supplementary coverage for dependents with chronic illness102.   A patient is seen in the physician’s office after the results of an earlier mammogram demonstrated microcalcification in the right breast as well as a breast lesion. The lesion is excised using needle localization. The patient’s final diagnosis is fibrosclerosis of the right breast. What CPT and ICD-10-CM codes are assigned?A.19120-RT, L10.11B.19125-RT, N60.31C.19126-LT, M25.1D.19123-RT, H16.11103.   A coder would assign a Q code as a temporary code forA.holistic treatments for spinal procedures.B.durable medical equipment only.C.procedures or services only.D.procedures, services, and supplies104.   Which of the following forms is used to bill outpatient charges?A.HCFA-1350 or CMS-650B.HCFA-1400 or CMS-1540C.AMA-14 or UCF-1250D.CMS-1500 or UCF-1500.105.   During a routine examination, a patient indicates that she is taking an antihypertensive medication that causes her kidneys to excrete more urine. These antihypertensive medications are calledA.calcium-channel blockers.B.anticoagulants.C.beta blockers.D.diuretics.106.   A patient comes to the emergency room complaining of postnasal drip, frequent nosebleeds, headaches, and difficulty breathing. She is diagnosed with a deviated nasal septum, hypertrophy of the turbinate, and inflammation of the ethmoid sinuses. The physician performs an endoscopic ethmoidectomy of the left nasal sinus, septoplasty, and turbinate excision. What ICD-10-CM and CPT codes are assigned?A.31255, 30520, 30130, J34.2, J34.3, J32.2B.31255-LT, 30520-51, 30130-51, J34.2, J34.3, J32.2C.31230, 30520, J34.2, J34.3, J32.2D.31230-51, 30520-LT, J34.2107.   A physician is analyzing specific organs in a particular region of the patient’s body. In her notes, she refers to the transverse or cross-sectional plane, which divides the bodyA.inferiorly.B.vertically.C.horizontally.D.bilaterally.108.   A patient comes to the emergency room after having dinner at a restaurant, where she began to experience chest tightness during the meal. She is seen for a cardiology consultation in the outpatient setting for a diagnosis of chest tightness. Which CPT and ICD-10-CM codes would be assigned?A.99245, R07.89B.99244, R07.59C.99242, R17.52D.99243, R25.96109.   Providers that receive reimbursement after health care services have been provided are being compensated under the _______ system.A.prospective paymentB.retrospective paymentC.capitationD.UCR110.   The regulations in HIPAA apply to three groups of individual and corporate entities, each involved in electronic medical records transfer. These groups are collectively referred to asA.health care administrators.B.covered entities.C.provisional health care data collectors.D.protected personnel.111.   The largest salivary glands are called the _______ glands.A.amylaseB.parotidC.sublingualD.submandibular112.   Which modifier indicates a staged or related procedure performed during the postoperative period?A.-59B.-57C.-58D.-54113.   The voluntary program that’s financed through a combination of payments from general federal revenues and premiums paid by beneficiaries who elect to participate is calledA.CHAMPVA.B.Medicare Part B.C.Medicaid.D.TRICARE.114.   What is the full code description for 33536?A.Repair of postinfarction ventricular septal defect, with or without myocardial resectionB.Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial graftsC.Repair of double outlet right ventricle with intraventricular tunnel repairD.Closure of atrioventricular valve (mitral or tricuspid) by suture or patch115.   Categorically needy and medically needy patients may qualify forA.Medicaid.B.CHAMPVA.C.Champus.D.Medicare Advantage116.   ICD-10-CM code S50.351A indicates that the patient has a superficial foreign body of the right elbow. The A indicates thatA.code S50.351A should be assigned to page 1 of the medical record, but not subsequent pages.B.this is the patient’s first encounter.C.this is the patient’s second encounter for the same original diagnosis.D.code S50.351A should be sequenced before secondary codes.117.   The foramen ovale is found in which anatomical location?A.FibulaB.HeartC.PancreasD.Liver118.   A new patient is seen in a clinic for complaints of shortness of breath, fever, difficulty swallowing, runny nose, and cough. The physician performs a detailed history, detailed examination, and medical decision making of low complexity. The physician also obtains a chest x-ray and lab workup. Based on the results of the diagnostic tests, the physician renders a diagnosis of upper respiratory tract infection and lymphadenopathy. What ICD-10 and CPT codes are assigned?A.99203, J06.9, R59.0B.99202, D63.1, J45.909C.99213, R06.82, F10.229D.99215, M19.011, R13.10119.   A patient has a disorder in which the bone marrow produces an overabundance of white blood cells. What is this disorder called?A.LeukemiaB.HemophiliaC.CoagulationD.Septicemia120.   A patient is diagnosed with acne. What ICD-10-CM code would be assigned?A.L74.2B.L72.3C.L70.0D.L73.1121.   A coder assigns a HCPCS Level II code to a patient’s medical record. The code description reads as follows: Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape. Based on this description, which HCPCS Level II code was assigned?A.B4072B.B4125C.B4034D.B4278122.   The Health Insurance Portability and Accountability Act (HIPAA) standards were developed toA.ensure that coders could easily access each medical record.B.determine the structure of insurance carrier payments for health care practitioners.C.protect patient confidentiality when health information is transferred electronically.D.define XLTM standards for health records management.123.   Another name for third-party contractors who have access to medical information isA.business associates.B.insurance administrators.C.healthcare vendors.D.covered entities.124.   Bones inside the nose are calledA.maxillae.B.turbinates.C.ethmoids.D.septal mucosa.125.   The atrioventricular (tricuspid) valve is located in theA.fibula.B.lung.C.heart.D.brain.126.   Another term for disease evolution isA.exacerbation.B.remission.C.pathogenesis.D.morphology.127.   The vitreous humor can be found in theA.ear.B.tongue.C.nose.D.eye.128.   The codes for pacemakers and implantable defibrillators would be found in what section of CPT?A.33202–33273B.33200–33205C.33437–33537D.33533–33799129.   The HIPAA Privacy Rule indicates thatA.practitioners should disclose only the minimum amount of health information necessary for the purpose of the disclosure.B.physicians may release medical information at their own discretion.C.restrictions on information disclosure exist only for patients with life-threatening illnesses.D.the level of information disclosure permitted is based on the nature of the procedure.130.   The abbreviation INH indicates what route of drug administration?A.Inhaled and intrathecal administrationB.Inhaled and intravenous administrationC.Intrathecal injectionD.Inhalant solution131.   A patient comes to the clinic complaining of nausea, vomiting, fever, dizziness, and intermittent confusion. The physician conducts a detailed history and examination and reviews the patient’s lab results. The patient is diagnosed with pyelonephritis and is scheduled for an ultrasound to review the state of the kidneys and other organs. What CPT and ICD-10-CM codes are assigned?A.76775-TC, N15B.76775-26, N10C.73256-TC, M11D.71010-26, B12132.   What happens when HIPAA rules conflict with state law?A.Conflicting state rules are overridden by federal law.B.The interpretation of HIPAA rules is left to the physician’s discretion.C.State laws overrule federal law.D.The Supreme Court’s decision becomes final in binding arbitration133.   Which of the following statements istrueof the olfactory nerve?A.It’s susceptible to erosion due to Peyronie’s disease.B.It’s located in the mitral valve and helps to circulate blood throughout the heart.C.It conveys the fluid from lymph glands to other areas of the body.D.It’s found in the nose and allows the senses to detect and distinguish odors.134.   The first step in EHR implementation isA.structuring the timeline for EHR implementation.B.analyzing the content of the traditional medical record.C.conducting an assessment of the goals, needs, and financial stability of the health care practice.D.reviewing the list of established patients currently being seen in the practice.135.   The outcome of delivery code should beA.omitted from the maternal record for stillborn delivery.B.assigned to the newborn record only.C.assigned to the maternal record when a delivery occurs.D.assigned to both the maternal and newborn records.136.   A patient is seen in the office for complaints of dizziness and insomnia. The physician records a chronological description of specific elements of the patient’s condition. This chronological description is called theA.history of present illness.B.examination.C.review of systems.D.chief complaint.137.   What is the CPT code description for 64483?A.Injection(s) anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single levelB.Injection, anesthetic agent, sphenopalatine ganglionC.Injection(s) anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, multiple levelsD.Transforaminal epidural injection under ultrasound guidance138.   Releasing genetic information is forbidden under the terms of HIPAA because it mayA.allow immediate family members to have access to a patient’s medical records.B.require physicians to fulfill contractual obligations for treatments provided in ambulatory surgery centers.C.indicate susceptibility to a future illness, without the patient actually being diagnosed with the condition.D.not be successfully transmitted to all health care facilities.139.   Prescribing combination drugs that contain multiple medications to cut down on the number of pillspatients take on a daily basisA.compounds the drugs’ effectiveness.B.increases the likelihood of compliance.C.decreases the frequency of drug interactions.D.supports good body function.140.   A patient who has paralysis of all four limbs is calledA.quadriplegic.B.paraplegic.C.tetraplegic.D.hemiplegic.141.   Which of the following istrueabout HIPAA national standards?A.The national standards apply to any electronic data interchange.B.The national standards apply only to data exchange within a specified geographical region.C.The national standards do not apply to surgical procedures in the inpatient setting.D.The national standards do not apply to data exchanged within a claim clearinghouse.142.   A patient undergoes an appendectomy and later returns to the operating room for a related procedure the same day. Which modifier should be assigned to the CPT code?A.-51B.-AAC.-78D.-76143.   The portion of health insurance that an insured pays before he or she is entitled to receive benefits from an insurance plan is called theA.deductible.B.OPPS reimbursement.C.capitation.D.coinsurance.144.   A patient is seen in follow-up two weeks after undergoing cholecystectomy. During the follow-up examination, the physician notes that the abdominal wound has not yet healed. The patient undergoes a split-thickness autograft due to a nonhealing left lower abdominal wound that’s 10 square centimeters. Which CPT and ICD-10-CM codes would be assigned?A.15350, L52.64B.15250, L34.74C.15200, L85.64D.15100, L76.82145.   The Female Genital System subsection covers which CPT code range?A.56203–56303B.56607–56809C.56300–56499D.56405–58999146.   What ICD-10-CM code would be assigned for unilateral primary osteoarthritis of the right hip?A.M16.12B.M16.30C.M16.11D.M16.10147.   Which of the following anatomical locations would contain the superior vena cava?A.HipB.NoseC.LungsD.Heart148.   A patient receives an injection of nandrolone decanoate. What HCPCS Level II code would be assigned?A.J2323B.J3530C.J2320D.J2300149.   The suffix–stasismeansA.breakdown.B.stopping and controlling.C.kinetic.D.flow.150.   A patient undergoes a sigmoidoscopy. The coder would assign CPT codeA.45852.B.45330.C.45397.D.45919.8 years ago30.11.201735Report issueAnswer(2)indigo114.3(336)5.0(13)ChatPurchase the answer to view itNOT RATEDanswers.docx8 years agoplagiarism checkPurchase $35GOOGLESCHOLAR4.8(246)(Not rated)ChatPurchase the answer to view itNOT RATEDAnswers1.docx8 years agoplagiarism checkPurchase $30Bids(10)GOOGLESCHOLARKiwmoodGoodwritersolution.jkim woodsperfectoTutor_GruhhMartin WriterTalentedtutorGuru Profother Questions(10)Final Project (JAMIE ACKER)The sciense class wants to see how far a paper airplane will travel on a windy day the teacher throws…FOR AROKA ONLY- 1 ASSGNMT BY SAT @3 PM AND THE OTHERS BY SUNDAY AT 3 PM ESTHP vs. DELL financial performanceLeadership Development Succession PaperNeed urgent HelpCritical thinking assignmentsupply chain assignmentdiscussionautomatics power

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nursing education

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Home>Homework Answsers>Nursing homework helpAs faculty members, you have been asked to design a 4-hour Leadership Strategies course that would accommodate the learning styles for a selected 10 students. The students have all completed a learning style inventory in which three of the students are determined visual learners, four are kinesthetic learners, and the rest are auditory learners. Note: The intended audience for the course can be either newly graduated nurses or experienced staff nurses as you choose.  Compose a 1,000-1,250-word paper which describes your plan to accommodate the learning styles of each student. This plan starts with defining course objectives; use the “A-B-C-D Method of Writing Objectives” resource as a guide. The objectives should incorporate Bloom’s taxonomy, be written at the appropriate level for the audience, and include at least two learning domains (cognitive, psychomotor, and affective). Make sure to include the following: 1. An outline of the course content and agenda that will be covered.    2. Descriptions of the learning activities and the rationale for the learning activities selected   3. Strategies to assess learning, based on the learner objectives   4. Use at least three scholarly, peer-reviewed sources less than 5 years old in addition to the course materials.    Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.  Refer to “Learning Styles Rubric,” prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Please use the -A-B-C-D Approach to Objective provided.    SEE A-B-C-D APPROACH BELOW.A-B-C-D Approach to Objective WritingWriting objectives is much like writing outcomes in the nursing process. Objectives must be measurable, contain action verbs, be specific, include timelines, and indicate the degree to which you expect the learner to achieve.  A helpful formula to write objectives is the A-B-C-D approach:  Audience: Who is the audience for the class? Is it a student nurse? A staff nurse? A participant in a class?  Behavior: What do I want the audience to accomplish by the end of the class? An example of a behavior is being able to identify the signs and symptoms of infection.  Condition: How will students demonstrate mastery and be assessed in their learning? An example could be that students will demonstrate their knowledge of a lab or clinical area by taking a written test.  Degree: How well will students perform their new knowledge? Should students be able to identify all signs and symptoms of infection, or would it be satisfactory if they identified only two symptoms?  A sample objective that illustrates these points is: “After reading this lecture (condition), the graduate student in the nurse educator track (audience) will be able to write an objective (behavior) using the A-B-C-D approach (degree).”  The above objective dictates that the student will be able to write an objective, as opposed to discussing or identifying it. Since the objective says “write,” the student must write an objective to meet this objective. If the objective instead said: “List the components of a complete learner objective,” the appropriate evaluation would require that the student list the A-B-C-D; whereas the objective “describe the components” would have students describe the meaning of each A-B-C-D step. Well-written objectives will dictate the evaluation process.7 years ago11.02.201840Report issueAnswer(2)kim woods4.5(6k+)4.2(157)ChatPurchase the answer to view itNOT RATEDorder_81274_199626.doc7 years agoplagiarism checkPurchase $40Bethuel Best4.8(310)5.0(45)ChatPurchase the answer to view itNOT RATEDNURSINGLEADERSHIPSTRATEGIES.docx7 years agoplagiarism checkPurchase $40Bids(41)seniorwriterwork solutionsMichelle Lewis PhdFadia NawazFrederick JohnstoneDr SairaElprofessoriEmily JonesTalented WriterMiss Professorkatetutordensa89Top-Performerkristine tutorSnow23writerphyllis youngJulie WayneProf. Moses GeekUltimate_WriterAustin Rayother Questions(10)New homeworkFor creative instructorMT450 DB10Types of Market EfficiencyASHWORTH EN120 ONLINE EXAM 1Softwaresee attachmentECO 365 WEEK 4 Microeconomics and the Laws of Supply and DemandDiscussion Post. Plagarism checker will be usedSAINT GBA440 MODULE 5 MIDTERM EXAM

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NR 507 Week 1 Discussion (Parts 1, 2, 3) + Quiz Answers

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Home>Homework Answsers>Nursing homework helpNR 507 Week 1 Discussion:PART 1:John is a 19-year-old college football player who presents with sneezing, itchy eyes, and nasal congestion that worsens at night. He states that he has a history of asthma, eczema and allergies to pollen. There is also one other person on the football team that has similar symptoms. His vitals are BP 110/70, P 84, R 18, T 100 F.Write a differential of at least three (3) possible items from the most likely to less likely. For each disease include information about the epidemiology, pathophysiology and briefly argue why this disease fits the presentation and why it might not fit the presentation.PART 2:A patient has been admitted into the emergency room that was in the passenger side of a car that collided with another car head on. The patient is pale, barely conscious and has a weak and thready pulse. An IV is started. The vitals are BP 80/50, P 140, T 96.0 and R 26. As the team fights to keep the patient alive they have to remove the spleen. Blood is given but it has been mistyped. A transfusion reaction occurs.Describe the type of hypersensitivity reaction that has occurred and discuss the molecular pathophysiology of the specific type of hypersensitive reaction you have chosen.In the event that this patient survived the car accident and the transfusion reaction which organs are most likely to be damaged and why?PART 3:A 44-year-old patient presents with lump in the chest of approximately 2 cm in diameter. There is a slight dimple over the location of the lump and when the lump is manipulated it seems to be attached to the surrounding tissue. A lumpectomy is performed and the mass is sent to pathology. The pathology report comes back and the mass is confirmed to be an estrogen receptor negative, a progesterone receptor negative and a her2/neu receptor positive breast cancer.• What are some of the risk factors for breast cancer?• What tumor suppressor genes are associated with breast cancer?• What tumor oncogenes are associated with breast cancer?• Compare and contrast tumor suppressor genes from oncogenes?NR 507 Week No. 1 Quiz:1. Which statement about vaccines is true? (Points : 2)2. Which statement is true about fungal infections? (Points : 2)3. What is the role of reverse transcriptase in HIV infection? (Points : 2)4. What of the following remains a significant cause of morbidity and mortality worldwide? (Points : 2)5. Once they have penetrated the first line of defense, which microorganisms do neutrophils actively attack, engulf, and destroy by phagocytosis? (Points : 2)6. After sexual transmission of HIV, a person can be infected yet seronegative for _____ months. (Points : 2)7. Deficiencies in which element can produce depression of both B- and T-cell function? (Points : 2)8. Hypersensitivity is best defined as a(n) (Points : 2)9. A person with type O blood is likely to have high titers of anti-___ antibodies. (Points : 2)10. What mechanism occurs in Raynaud phenomenon that classifies it as a type III hypersensitivity reaction? (Points : 2)11. During an IgE-mediated hypersensitivity reaction, what causes bronchospasm? (Points : 2)12. In a type II hypersensitivity reaction, when soluble antigens from infectious agents enter circulation, tissue damage is a result of (Points : 2)13. In which primary immune deficiency is there a partial to complete absence of T-cell immunity? (Points : 2)14. Which cytokines initiate the production of corticotropin-releasing hormone (CRH)? (Points : 2)15. What effect does estrogen have on lymphocytes? (Points : 2)16. Which hormone increases the formation of glucose from amino17. During a stress response, increased anxiety, vigilance, and arousal is prompted by (Points : 2)18. Which cytokine is involved in producing cachexia syndrome? (Points : 2)19. Which of the viruses below are oncogenic DNA viruses? (Points : 2)20. By what process does the ras gene convert from a proto-oncogene to an oncogene? (Points : 2)21. What is the role of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), and transforming growth factor-alpha (TGF-) in cell metastasis? (Points : 2)22. Many cancers create a mutation of ras. What is ras? (Points : 2)23. In chronic myeloid leukemia (CML), a piece of chromosome 9 fuses to a piece of chromosome 22. This is an example of which mutation of normal genes to oncogenes? (Points : 2)24. Tobacco smoking is associated with cancers of all of the following except (Points : 2)25. What percentage of children with cancer can be cured? (Points : 2)7 years agoReport issueNR 507 Week 1 Discussion (Parts 1, 2, 3) + Quiz AnswersNOT RATEDPurchase the answer to view itNR507Week1TDParts123plusQuizQA.docxplagiarism checkPurchase $35

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For Essays Guru – Benchmark – Research Critiques and PICOT Statement Final Draft

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Home>Homework Answsers>Nursing homework helpDetails:Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.PICOT StatementRevise the PICOT statement you wrote in the Topic 1 assignment. (See attached)The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).Research CritiquesIn the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions. (Both are attached)The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper. (See attached)Proposed Evidence-Based Practice ChangeDiscuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. (Rubric attached)NRS433PICOTD.S.graded.docxNRS433QualitativeResearchCritiqueD.S.graded.docxNRS433QuantitativeresearchD.S.graded.docxNRS-433V-RS-Research-Critique-Guidelines2.docxRUBRIC.docx7 years ago03.05.201830Report issueAnswer(1)YourStudyGuru4.8(2k+)4.8(126)ChatPurchase the answer to view itPICOTStatementandResearchCritique.docx7 years agoplagiarism checkPurchase $35Bids(22)seniorwriterDr shamille ClaraMiss ProfessorWendy LewisCatherine OwensElvis the writerResearchProFadia Nawazphyllis youngTop-PerformerOriginal GradeRey writerMichelle Lewis PhdMegan TillmankatetutorPhd isaac newtonkim woodsAstro-Tutorbrilliant answersMich Michieother Questions(10)FIN565 – Analytical Application – Week 5 – Graded (30/30)NEED DONE IN 20 MIN….ONE QUESTIONInternationally KnownnonaNR 443 Week 7 DQ 1 How Do You Define HealthIn a 2-3 page paper, using APA style formatting, based on your reading and research, is a juvenile too too young to be charged with murder? Consider the following issues when responding to this topic: 1) Did the juvenile have the mental capacity to know ra lexical analyzer in javaResearch helppart4InventoryPIW DQ VI

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Ethical Case Studies

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Home>Homework Answsers>Nursing homework helpEthical Case StudiesConsider the ethical dilemma the health care professional faces in the selected case study. Pay particular attention to details that will help you analyze the situation using the three components of the Ethical Decision Making Model (moral awareness, moral judgment, and ethical behavior).Note: The case study may not supply all of the information you may need for the assignment. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any speculations that you make.Open Icon View AllOpen and Close IconReducing Hospital ReadmissionsCaleb Powell was preparing the agenda for the upcoming executive leadership meeting and he shook his head ruefully. As chief executive officer for Virginia County Regional Hospital (VCRH), Caleb believes that a key piece of VCRH’s future success lies in reducing readmission rates, not only in the areas identified by federal guidelines, but across the board. A few weeks ago, he read a piece from the National Institutes of Health discussing strategies associated with reduction in readmission rates. He decided that he wanted to discuss the issue in detail with his leadership team.Caleb’s goal is to align the hospital’s strategic planning with the goal of reducing readmissions. The stakes are high; under provisions of the Affordable Care Act, hospitals with higher than expected 30 day readmission rates for heart failure, heart attack and pneumonia are penalized with reduced payments. Historically, hospitals (including VCRH) have struggled to avoid the penalties, but Caleb believes that believes that a focused approach will allow them to be successful. He also believes that reducing readmission rates will improve patient satisfaction, which has become a key metric in measuring hospital quality.Caleb’s initial research into this issue revealed that while many facilities were incurring the Centers for Medicare and Medicaid Services (CMS) penalties, there was still significant variability in terms of hospitals implementing successful strategies for reducing their readmission rates. However, several themes have emerged. Hospitals that established partnerships with physicians, physician groups and other local hospitals have had greater success. In addition, a clear discharge planning process and nurse driven medication reconciliation have also been associated with reducing the risk of readmissions.At the same time, Caleb is concerned that an aggressive policy to avoid readmissions could be construed as too focused on the hospital’s bottom line and indifferent to patient needs. The last thing he wants is to create a policy that prevents patients from seeking or receiving care. Caleb hopes that this meeting will begin a productive discussion around developing strategies to improve VCRH’s performance in this area.Caleb’s email to the executive leadership team with the agenda for the meeting included the following note:“As we research the readmission rate issue for improvement, we need to be aware that we cannot add additional days to the patient’s initial stay. It’s a balancing act. We also cannot hinder a patient from coming back into the hospital for a readmission. I’ll be asking for your input about whether we should create a system to profile health care providers whose patients have high readmission rates.”Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5 page paper.For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. Read each portion of the assessment carefully and use the suggested resources to help you complete the assessment. This assessment provides an opportunity to consider ethical principles and how they can be applied in health care situations.Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:Access the Ethical Case Studies media piece linked in the Resources to review the case studies you may use for this assessment and select the case most closely related to your area of interest and use that case study to complete the assessment.Note: The case study may not supply all of the information you may need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.Identify which case study you selected, briefly summarize the facts surrounding the case study, and identify the problem or issue in the case study that presents an ethical dilemma or challenge and describe that dilemma or challenge.Use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) found in the Ethical Decision-Making Model media piece in the Resources to analyze the ethical issues.Analyze the factors that contributed to the problem or issue.Identify who is involved or affected by the problem or issue.Describe the factors that contributed to the problem or issue and explain how they contributed.In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation.Cite and apply the journal article as evidence to support your critical thinking and analysis of the case.Assess the credibility of the information source.Assess the relevance of the information source.Discuss the effectiveness of the communication approaches present in the case study.Describe how the health care professional communicated with others.Describe the communication and communication strategies that were applied, both in creating and in resolving the problems or issues presented.Assess instances where the professional communicated effectively or ineffectively.Discuss the effectiveness of the approach used by the professional related to any problems or issues involving ethical practice in the case.Describe the actions taken in response to the ethical dilemma or challenge presented in the case study.Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.Discuss the key lessons this case provides for health care professionals.Apply ethical principles to a possible solution to the proposed problem or issue from the case study.Describe the proposed solution.Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.Discuss how likely it is the proposed solution will foster professional collaboration.Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.Determine the proper application of the rules of grammar and mechanics.Write using APA style for in-text citations, quotes, and references.Determine the proper application of APA formatting requirements and scholarly writing standards.Apply the principles of effective composition.Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.Example Assessment:You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.Additional RequirementsLength: At least 3–5 typed, double-spaced pages, not including the title page and reference page.Font and font size: Times New Roman, 12 point.APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.Turnitin: Submit your assessment to Turnitin prior to grading. Then, only submit your final assessment to faculty for grading.Note: Read the Applying Ethical Principles Scoring Guide to fully understand how your paper will be graded.Submit your paper for evaluation by clicking on the assessment title and uploading the paper as a Word document.If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask your courseroom instructor or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.Ethics for Health CareAmerican College of Healthcare Executives. (2016).ACHE code of ethics. Retrieved from https://www.ache.org/abt_ache/code.cfmAmerican Nurses Association. (n.d.).Ethics topics and articles. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/ResourcesCenters for Disease Control and Prevention. (2017).Public health ethics resources. Retrieved from https://www.cdc.gov/od/science/integrity/phethics/resources.htmLevitt, D. (2014).Ethical decision-making in a caring environment: The four principles and LEADS.Healthcare Management Forum, 27(2), 105–107.Levitt-Rosenthal, N. (2013).Ethics, values, and decision making.Frontiers of Health Services Management, 30(1), 27–32.Mahoney, J. S., Mulder, C., Hardesty, S., & Madan, A. (2017).Integrating caring into patient-centered care through interprofessional education and ethics: The Caring Project.Bulletin of the Menninger Clinic, 81(3), 233–246.Maintaining Academic Honesty.7 years ago08.10.20185Report issueAnswer(2)Catherine Owens4.8(28k+)4.8(2k+)ChatPurchase the answer to view itHEALTHCAREETHICS1.docx7 years agoplagiarism checkPurchase $7Bill_Williams4.6(136)5.0(28)ChatPurchase the answer to view itApplying_Ethical_Principles-revised.docEthicalPrinciplesfinalpaper.docx7 years agoplagiarism checkPurchase $23Bids(53)Bill_Williamsprof. Kim NeumannNayeli JacksonAmanda SmithMary Warnock PhDDr. Claver-NNPROF. ANNFrank HopkinsMadam SarahMadni larybmistyeyezprof faizahLYNNRIGHTMs ElegantPROF washington watsonkelvinmwangiCatherine OwensGreat-WritersProf. KaylinlopezChrisProfother Questions(10)MATH 221 All Quizzes, Discussions, Labs, Final ExamGEN499:week3 journalGEN499:week1 assignmentCOMM 301 Week 2 Individual Assignment Design and Budget Elements of Proposal PaperCOM 350 Week 3 Individual Assignment Managerial Communication Interview PaperMGT 420 Learning Team Assignment Part I-III BJB Manufacturing Company Quality ManagemetISCOM 476 Week 2 Learning Team Assignment Riordan Manufacturing Supply Chain EvaluationFIN 486 Week 3 Individual Assignment Long-Term Financial Needsinternational marketingBiology Expert needed

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6512 WK 11 Assignment

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Home>Homework Answsers>Nursing homework helpAssignment: Ethical ConcernsAs an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?In this Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.Scenario 1:The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.Scenario 2:A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.Scenario 3:A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.Scenario 4:A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.Scenario 5:A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.Scenario 6:A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.Scenario 7:A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.To prepare:· Selectonescenarios, and reflect on the material presented throughout this course.· What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?· Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.To complete:Write adetailedone-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least 3 different references from current evidence based literature.6 years ago09.02.201950Report issueAnswer(2)Aabish Aabidah4.0(137)(Not rated)ChatPurchase the answer to view itNOT RATED6 years agoplagiarism checkPurchase $50Jane the tutor5.0(448)5.0(110)ChatPurchase the answer to view itNOT RATED6512Week11Assignment.docx6 years agoplagiarism checkPurchase $50Bids(72)grA+de plusAllRoundBest TutornicohwilliamOriginal GradeProfessional research writerProf Double RBrainy BrianSynco_SolutionsJane the tutorAgher EditorMichelle_MichySTANWRITTERAsad Ullahkristine tutorFavouritewriterPhd christineHonest Business WriterAngelina Mayindigo11RESPECT WRITERother Questions(10)BA 320 Population Trends and Retail PlanningDiscussion Post Bond Premiums and DiscountsTHE GENDER WAGE GAP.NegativityDue tomorrowfilm analyzeAssignment 3: Business-Level and Corporate-Level StrategiesenglishHomework paperBUS 323 Week 2 DQ 2 ( Insurance Contracts ) ~ 2 Different Answers ~ Perfect Tutorial With References (Scored 100%

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PICOT Question and Literature Search

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Home>Homework Answsers>Nursing homework helpThe first step of the evidence‐based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer‐revised research articles, as indicated below. The PICOT question and six peer‐reviewed research articles you choose will be utilized for subsequent assignments.Use the “Literature Evaluation Table” to complete this assignment.Select a nursing practice problem of interest to use as the focus of your research (use hypertension as a topic/problem). Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN‐BSN program of study).The PICOT question will provide a framework for your capstone project.Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer‐reviewed research articles to support your nursing practice problem.6 years ago21.03.201910Report issueAnswer(1)phyllis young4.3(11k+)4.3(321)ChatPurchase the answer to view itNOT RATEDorder_51144_108624.docx6 years agoplagiarism checkPurchase $10Bids(49)Great-WritersMichelle MalkDr. IgnatiusBrainy BrianWitnessProf. KimKarim AsadnjoshJenny BoomAngelina MayWendy LewisReem Hasanmagz64Catherine Owensbrilliant answersperfectoComputer_Science_ExpertMiss Ella WastonProf. Allwood Sonnerbergwangang_aother Questions(10)Discussion Post. Plagarism checker will be usedConstructivist Science Lesson Plans_Create two separate lesson plans that are supported by the theory of constructivism.science PaperACC403_strayer university_week one assignmentMAT 540 MIDTERM (40 Questions)need assistanceabout Biological AnthropologyPlease help in solving my online physics H.W on WileyplusCalculus 1 HomeworkResponding to Intolerance

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Balancing School and Life – My Quality of Life Self-Care Plan

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Home>Homework Answsers>Nursing homework helpBalancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.Use theQuality of Life Self-Care Wheelto assess your current state. After you determine your scores, in a 2-3 page paper complete the following:Discuss those areas that are strengths (higher scores) and those areas that need further development (lower scores).Identify two strategies you can use to maintain or maximize each identified strength.Identify two strategies you can use to strengthen each area needing development. Explain how you will put these strategies into action. Be specific. For example, instead of stating, “I need to exercise,” your action should state “I will begin to walk 20 minutes a day, 3 days a week.” The action should be SMART-Specific,Measurable,Attainable,Realistic,TimeframeAlso attach your completed formMinimum length 2-3 pages not including cover or referencing. APA formatting6 years ago12.04.201910Report issueAnswer(1)Wendy Lewis4.7(19k+)4.8(3k+)ChatPurchase the answer to view itBalancingSchoolandLife.docxQualityofLifeSelfCareWheelAssement.docx6 years agoplagiarism checkPurchase $10Bids(51)Prof Double RnicohwilliamRanju LewisMichelle MalkProCastrol01Math GuruuWitnessProf. KimColossal GeniusArizona WriterBrainy BrianReem Hasanfactorised_factsKATHERINE BECKSkite_solPapersGuruansRohanAngelina Maybrilliant answersWendy Lewisother Questions(10)Management of Human ResourcesDiscussion Questions 1 and 2A bakery use 4 cups of flour for a cake.  How much flour would you need for .80 of a…FOR CATHERINE OWENS ONLYLab reportA+ Work*****For Essays Guru only*****A+ WorkA+ WorkQ.2 Please use Maple to verify de Morgans laws

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Project Milestone Two: Ethical Components of the Malpractice Case

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Home>Homework Answsers>Nursing homework helpIn this assignment, you will complete a draft of the next section of your analysis of a malpractice case.To complete this assignment, review the Milestone Two Rubric and Guidelines document.You will use the following case to analyze:Surgery: Iturralde v. Hilo Medical Centerhttp://caselaw.findlaw.com/hi-intermediate-court-of-appeals/1597588.htmlIHP420MilestoneTwoGuidelinesAndRubric1.pdf6 years ago08.06.201920Report issueAnswer(1)brilliant answers4.8(3k+)4.9(349)ChatPurchase the answer to view itNOT RATEDEthicalComponentsoftheMalpracticeCase.docx6 years agoplagiarism checkPurchase $20Bids(51)Michelle MalkAmanda SmithBrainy BrianKATHERINE BECKSnjoshChance Of a LifetymWendy LewisAngelina MayBill_WilliamsAll Works solverDiscount Assignkim woodsbrilliant answersCatherine OwensperfectoJessica LuisTerry Robertswizard kimRESPECT WRITERJOHN JUNIOR001other Questions(10)Week 2 Homework Assignment Set 1Rough DraftPsychological Aspects of AgingRebuttal PaperNEED IN 12 HOURS PLAGIARISM-FREEPhase 2 DB Anxiety Disorders and Obsessive-Compulsive & Related Disorders”An Overview of Financial Management” Please respond to the following: • * From the e-Activity, examine ethical behavior within firms in relation to financial management. Provide two (2) examples of companies that have been guilty of ethics-based malfeasaFOR ZEEK THE GEEK ONLYA population has a known standard deviation of 25. A simple random sample of 49 items is taken from the selected population. The sample mean (x-bar) is 300. What is the margin of error at the 95% confidence level?You draw five cards, one at a time, from a standard deck

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2 Responses for 2 discussion questions

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Discussion 1

It is common practice in my ICU to stop all non-life sustaining medications. This seems practical at first given most of the medications we think of are doing the opposite of what we are trying to achieve (adequate blood pressure, protecting airway) but it also includes any psychiatric medications they were on. I spoke with two physicians in my practice and several charge nurses and they have seen the same thing repeated with the same results, longer stay in the ICU with a longer intubation time. In a study done by Gacouin et al., they found that psychiatric patient admitted for a self-harm event were more likely to survive their admission than their admission for medical reason counterparts (2017). Those with admission for chronic or acute medical needs were more difficult to treat and is thought to be associated with poor adherence to treatment required to stay healthy (Gacouin et al., 2017). Some common medications have been found to increase inflammatory responses so stopping those in many cases would be appropriate, however, not restarting them after the acute phase may cause setbacks in extubation.

To bring the problem to light I will explain a common scenario and the most extreme case I worked with: Patient comes in for respiratory failure and all medications are stopped. Patient is found to have sepsis due to pneumonia and it is now known they are on several psychiatric medications, but they are not restarted or even considered during rounds. Daily awakening trials take place with no success due to agitation. Patient then self-extubates and codes, we get the patient back. Spouse is also a psychiatric patient and has attempted suicide upon hearing of the changes. Patient remains a full code is on four pressers (that is the limit unless we get creative) and it looks grim. Patient rebounds, recovers enough to get a tracheostomy and feeding tube placed. The state designated crisis responder for this patient asks when the last dose of psychiatric medication was administered, it had never been restarted. Nearly 30 days into the stay home medications are restarted. Patient fully recovers but must do it in the hospital setting without formal rehabilitation, due to their psychiatric diagnosis on file no facility would accept the patient.

The quality of care in this case was lacking in respect to the patient and their full picture of health. Our facility ignored a significant diagnosis and it led to challenges that may have been avoided if we had continued to treat their chronic illness. This is not the first facility I have practiced in that employs this way of thinking, but it needs to change. Having a dedicated psychiatric practitioner available in the ICU would decrease these incidences and improve outcomes. This is not just a national problem but a global problem. In India they found on average 20%-60% of ICU patients have a psychiatric diagnosis and early identification along with early treatment resumption could lead to shorter stays and better outcomes (Nongmeikapam et al., 2018).

Discussion 2:

Participating in the collaborative interview was two staff nurses, a pharmacist, and a nursing administrator.  It was discussed in the collaborative meeting that obtaining adverse drug event (ADE) data is challenging because of a lack of reporting.  Current evidence suggests that only 5% of ADEs are reported in the clinical setting (Bailey et al., 2016).  Both nursing and pharmacy participants reaffirmed that they believe ADEs are underreported through their practice.  They informed that fear of being reprimanded, personal insecurity due to the error, time, workload, termination, and possible revoking of their licenses were core to not reporting ADEs.

Additionally, ADE reporting standardization and tools to report these events are lacking.  Currently, the U.S. Food and Drug Administration tracks ADEs, which are relayed to them from manufacturers, healthcare facilities, and individuals.  This system, however, is limited because it houses duplicate and incomplete reports.  Also, the reports have not been verified, there is no causation, and national rates of incidence cannot be established (U.S. Food and Drug Administration, 2019).  Currently, there is no comprehensive database to compare ADEs.  I would propose that the Agency for Healthcare Research and Quality (AHRQ) incorporate ADEs as a core healthcare quality indicator and develop means of tracking data without repercussion and with anonymity.  I believe that the need for more aggressive tracking is justifiable due to current evidence suggesting that most ADEs are not reported.  Also, medication errors are the most common challenges within healthcare that are endangering patients worldwide (Mirzaee et al., 2015).  Individuals must develop shareable and standardized tracking tools to provide transparency concerning ADEs between clinical settings and nationwide.

Causation of ADEs was discussed with errors occurring in multiple stages of administration.  The stages of administration considered were prescribing, transcribing, dispensing, administration, and monitoring.  The pharmacy participant reports that the most common ADEs, within the facility, occur at the dispensing and administration stages.  The pharmacist did say that throughout his time as a pharmacist, he has noticed a considerable reduction in medication errors from transcribing.  He attributed this reduction to the implementation of electronic medical records resulting in decreased handwritten orders.  Still, however, reported medication errors cause at least 1.5 million injuries and cost 3.5 billion dollars in the U.S. annually (Shitu et al., 2020).  The unfortunate part regarding ADEs in the clinical setting is that most are preventable (Bailey et al., 2016).

In my clinical setting, there have been 27 ADEs over the past three months.  My facility uses the National Coordinating Council for Medication Error Reporting and Prevention (NCC-MERP) index to classify potential severity and outcome of medication errors.  Twenty-three of the errors were classified as severity B.  In contrast, four were classified as severity A.  Both are the lowest two classifications of potential harm.  Even though these severity errors posed low severity ratings, nonintervention can cause more severe errors.  Knowing that most ADEs are preventable, healthcare facilities need to develop robust protocols and procedures to prevent medication errors from occurring because even one preventable ADE can be detrimental to the health of an individual.

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