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University of California, San Francisco
(UCSF)
NCC National Certification Corporation
NCC Women’s Health Care Nurse
Practitioner WHNP-BC Exam
Course Title and Number: NCC Women’s Health Care Nurse Practitioner WHNP-BC Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
**1. Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you** **have completed the Exam.
- This test has a time limit, The test will save and submit** **automatically when the time expires
- This is Exam which will assess your knowledge on the course** Learning Resources.
Good Luck!
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📧 Hybridgrades101@gmail.com NCC National Certification Corporation 2024- Women’s Health Care Nurse Practitioner NCC WHNP Boards: Professional Issues Exam Review Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - How often do you renew WHNP certification and through who? - Answer>> - every 3 yrs Through National Certification Corporation (NCC) How can you renew WHNP certification? - Answer>> Must be renewed through ONE of the following ways:
- Professional development certification maintenance program: take NCC specialty assessment evaluation, which covers topics that reflect major content areas tested on certification exam; results determine topics and mount of continuing education required (15 - 50 hrs, including 5 hrs for taking assessment)
- Complete 50 continuing education hours covering all core certification knowledge competency areas
- Retake the certification examination What is Integrated primary care? - Answer>> - comprehensive, coordinated care, focused on particular needs of patient, clinician continuity, patient record continuity, effective communication of information Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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- Promote quality of life, healthy development, and healthy behaviors across all life stages. What is the Baby Friendly Hospital Initiative? - Answer>> - Launched by WHO and UNICEF in 1991
- Purpose: encourage and recognize birthing hospitals and centers that offer an optimal level of care for infant feeding and mother-baby bonding Qualifications to receive Baby-Friendly designation? - Answer>> - implementation of the Ten Steps to Successful Breastfeeding
- Compliance with the International Code on Marketing Breastmilk Substitutes Ten Steps to Successful Breastfeeding - Answer>> - Have written breastfeeding policy that is routinely communicated to all heatlhcare staff
- Train all staff in skills necessary to implement this policy
- inform all pregnant women about benefits and management of breastfeeding
- help moms initiate breastfeeding within one hour of birth
- show mothers how to breastfeed and how to maintain lactation, even if they are separated from infant
- give infants no food or drink other than breastmilk, unless medically indicated Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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- practice rooming in: allow mothers and infants to remain together 24hrs/day
- encourage breastfeeding on demand
- give no pacifiers or artificial nipples to breastfeeding infants
- foster establishment of breastfeeding support groups and refer mothers to them on dischrage from hospital International code on marketing breastmilk substitute - Answer>> - no advertising of breastmilk substitutes to families
- no free samples or supplies in healthcare system
- no promotion of products through healthcare facilities, including no free or low-cost formula
- no contact between marketing personnel and mothers
- no gifts or personal samples to health workers
- no words or pictures idealizing artificial feeding, including pictures of infants, on the labels or product
- information to healthcare workers should be scientific and factual only
- all info on artificial feeding, including labels, should explain benefits of breastfeeding and costs and hazards associated with artificial feeding
- unsuitable products should not be promoted for babies
- all products should be of high quality and take account of climate and storage conditions of the country where they are used What is the Consensus model? - Answer>> - developmetn of a national regulatory model for APRNs Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com What are the Nurse Practice Acts? - Answer>> - legislative enactments that define practice of nursing, give guidance within scope of practice issues, and set standards for practice
- passage through state legislatures makes these the law under which nursing is practiced who are the Nurse Practice Acts regulated by? - Answer>> regulated state by state Definition of Licensure - Answer>> - process by which government agency authorizes individuals to practice a profession or occupation by validating that the individual has attained the required degree of competency as prescribed by law to protect public welfare Definition of Full practice authority for NPs - Answer>> - collection of state practice and licensure laws that allow NPs to evaluate patients; diagnose, order, and interpret diagnostic tests; initiate and manage treatments, including prescribe meds under exclusive license authority of the state board of nursing Definition of Certification - Answer>> - the formal process by which a private agency or organization certifies (usually by exam) that an individual has met standards as specified by that profession Definition of Prescriptive Authority - Answer>> - legal authority to prescribe meds or devices Definition of Standards of Practice - Answer>> - statements that the nursing profession uses to describe Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com the responsibilities of its members to provide safe and competent care Standards of Practice for NPs include: - Answer>> - Process of care: assessment, diagnose, development of treatment plan, implementation of plan, follow up, and evaluation of pt
- care priorities: pt and family education, facilitation of pt participation in self-care, promotion of optimal health, etc
- interdisciplinary and collaborative responsibilities = accurate documentation of pt status and care
- responsibility as pt advocate
- quality assurance and continued competence
- adjunct roles of nurse practitioners (mentor, educator, researcher, etc)
- research as base for practice Definition of Standards of Care - Answer>> - also called practice guidelines
- define a standard of appropriate care
- used in legal decisions about care provided
- evidence based and continuously evolving Medicare Part A - Answer>> - Hospital insurance Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com APRN qualifications to be a medicare provider? - Answer>> - Current RN and APRN license to practice in state in which services rendered
- national certification in an advanced practice nurse role
- master's in nursing
- national provider identifier (NPI) number: obtained from Centers for Medicare and Medicaid Services (CMS) Fee-for-service Medicare reimbursement - Answer>> - APRN submits bills to local Medicare carrier agent for each visit or procedure
- NP reimbursed at 85% of physician fee for same service
- CNM reimbursed at 100% Capitated Medicare reimbursement - Answer>> - fee paid to healthcare provider, per patient, per month, for care of Medicare pt enrolled in managed care organization (MCO)
- APRN applied to MCO to be on panel of providers "Incident to" services reimbursement - Answer>> - services are billed at 100% under supervising physician's NPI number
- physician must be present in office Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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- doesn't include APRN seeing pt for an initial visit or subsequent visit with a new problem
- Physician must demonstrate ongoing participation in the management of the patient's care
- limits APRN autonomy and professional visibility Medicare vs Medicaid - Answer>> - Medicare: federal program that provides insurance for those older than 65 or disabled; not income dependent
- Medicaid: federal program administered by the states to cover mandated healthcare costs for eligible low- income individuals and families People eligible for Medicaid - Answer>> - pregnant women and children younger than 6 yrs with family income up to 133% of federal poverty level
- children who are younger than 19, in families whose income in at or below poverty level
- adults with short-term (1 yr or less) disability and who qualify on basis of poverty
- other adults without short-term disability or children may also qualify on basis of poverty General Medicaid coverage includes: - Answer>> - hospital and provider services
- labs and radiologic services
- nursing home and home health services
- prenatal and postpartum care
- preventive services Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com What is Children's Health Insurance Program (CHIP)? - Answer>> - federal program with set proportion matched by state funds to extend insurance to children not income eligible for Medicaid but who can't afford health insurance 3 mechanisms for CHIP used by states - Answer>> - Expanded Medicaid programs
- Separate child health insurance plans
- Combination plans What is an Indemnity (private) insurance company? - Answer>> - insurance company that pays for medical care of its insured but doesn't deliver health care
- pay on a per-visit, per-procedure basis
- fee schedules are negotiated between provider and insurance company; usually based on usual and customary charges for the local area
- APRN direct reimbursement by indemnity insurance companies varies from state to state
- APRN must apply to insurance company for provider status
- APRN must submit billing form to insurance company for reimbursement What are MCOs? - Answer>> - Managed Care Organization
- insurer that provides both healthcare services and payment for services Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Types of Managed Care plans under MCOs - Answer>> - Health maintenance organization (HMO)
- Preferred provider organizations (PPO)
- Point-of-service (POS) plan What is Health Management Organization (HMO)? - Answer>> - patient is assigned or chooses a primary care provider who manages total care and must make referrals for pts to see a specialist and for nonemergency hospital admissions
- Healthcare providers are paid a preset amount in advance for all services the insured populations is projected to need over a period of time
- Capitation: method that pays providers for services at per-member, per-month basis What is a Preferred Provider Organization (PPO)? - Answer>> - MCO contracts with independent providers for negotiated fee-for-service
- patient can choose provider
- PPO guarantees a certain volume of business to hospitals and providers in return for negotiated discount in fees What is Point-of-service(POS) plans? - Answer>> - utilizes some of features of both HMO and PPO
- patients may choose to see whichever provider they want either in the network plan or out of the network, Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com information about their healthcare needs What is Fidelity? - Answer>> - the healthcare professional should keep one's promises or commitments made in the therapeutic relationship what is Justice? - Answer>> - the healthcare professional should advocate for fair and equal treatment for all individuals What is tort law? - Answer>> - a branch of civil law that concerns legal wrongs committed by one person against another
- an act that causes harm to body or property and for which the injured party is seeking monetary damages
- includes assault, battery, intentional inflection of emotional distress, negligence What is negligence tort? - Answer>> - involves act of negligence
- conduct lacking in due care
- carelessness Most Malpractice suits based on negligence require which 4 elements to be present? - Answer>> - Duty: responsibility to act in accordance with a standard of care
- Breach of duty: violation or deviation from the standard of care
- Causation: determination of whether the injury is the result of negligence Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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- Damages: must be actual harm to person or property What is Breach of Confidentiality? - Answer>> - may be intentional tort, negligence tort, basis of disciplinary action by state health professional regulation board, or violation of state or federal law What is considered covered entity under HIPPA? - Answer>> - Health plan
- Healthcare provider
- Healthcare clearinghouse (billing services) Required disclosures by covered entities - Answer>> - To individuals (or personal representatives) specifically whne they request access to or an accounting of disclosures of their PHI
- To the USDHHS when it is undertaking a compliance investigation of their PHI Permitted disclosures by covered entities include: - Answer>> - the individual who is subject of PHI
- the entity's own treatment, payment, and healthcare operation activities
- Informal permission that clearly gives the individual the opportunity to agree or object and if the healthcare provider exercises professional judgment that the use of disclosure of PHI is determined to be in the best interest of individual
- public health interests (ex. communicable disease reporting, abuse or neglect reporting, serious threat...) What is the Risk Management Plan? - Answer>> - demonstrates that APRN is cognizant of risks, is taking Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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- provides protections for each policy period indefinitely
- broadest protection available Claims made insurance - Answer>> - incident must happen and be reported while policy is in force
- requires purchase of tail policy to protect, once policy period ends Models for implementiing EBP include following steps: - Answer>> - Identification of clinical problem/question
- Search for best evidence
- Critical appraisal of the strength of evidence
- Recommendation for action (change, no change, further study)
- implementation of the change if recommended
- evaluation of change in relationship to desired outcomes Categories of strength of reviewed evidence from individual research and other sources - Answer>> - Level 1: meta-analysis or multiple controlled studies
- Level II: individual experimental study
- Level III: quasi-experimental study
- Level IV: nonexperimental study Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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- Level V: case report or systematically obtained, verifiable quality, or program evaluation data
- Level VI: opinion of respected authorities; this level also includes regulatory or legal opinions Which studies are strongest? - Answer>> - Level I is strongest rating per type of research
- Levels can range from A to D; A indicates very well- designed study; D indicates study has major flaw that raises serious questions Quantitative research vs Qualitative research - Answer>> - Quantitative: formative, objective, systematic study process to describe and test relationships and/or to examine cause-and-effect interactions among variables
- Qualitative: systemic, interactive, subjective approach used to describe life experiences and give them meaning Major quantitative research designs - Answer>> - Descriptive
- Correlational
- Quasi-experimental
- Experimental Descriptive study - Answer>> - used to explore and describe phenomena in real-life situations, identify and describe variables within the phenomenon, develop conceptual and operational definitions for variables Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
