NR 511 Week 1 Assignment_Clinical Readiness Exam 2020 – Chamberlain College of Nursing | NR511 Week 1 Assignment_Clinical Readiness Exam 2020

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NR 511 Week 1 Assignment_Clinical Readiness Exam 2020 – Chamberlain College of Nursing 1. Define diagnostic reasoning Reflective thinking because the process involves questioning one's thinkin... g to determine if all possible avenues have been explored and if the conclusions that are being drawn are based on evidence.
 Seen as a kind of critical thinking. 2. What is subjective data? What the patient tells you, complains of, etc.

Chief complaint
HPI
ROS 3. What is objective data? What YOU can see, hear, or feel as part of your exam.

Includes lab data, diagnostic test results. 4. Components of HPI Specifically related to the chief complaint only.

Detailed breakdown of CC.

OLDCART 5. Why must every procedure code have a corresponding diagnosis code? Diagnosis code explains the necessity of the procedure code.

Insurance won't pay if they don't correspond. - - - - - - - - - - - - - - - - 19. When is a pt considered a "new" pt? If that pt has never been seen in that clinic or by that group of providers OR if the pt has not been seen in the past 3 years. 20. What does a well-rounded clinical experience mean? Includes seeing kids from birth through young adult visits for well child and acute visits, as well as adults for wellness or acute/routine visits.

Seeing a variety of pt's, including 15% of peds and 15% of women's health of total time in the program. 21. What are the maximum number of hours that time can be spent "rounding" in a facility during clinicals? No more than 25% of total practicum hours in the program 22. What are 9 things that must be documented in the clinical encounter logs? Date of service
Age
Gender and ethnicity
Visit E&M code
CC
Procedures
Tests performed and ordered
Dx
Level of involvement (mostly student, mostly preceptor, together, etc.) 23. What is the first "S" in the SNAPPS presentation? Summarize: present the pt's H&P findings - - - - - - - - - - - - - - - - - -- 41. T/F
The level of Evaluation & Management (E&M) codding for new and established pt's is based on documentation that is provided in the pt's medical record. True 42. Systematic reviews of randomized clinical trial studies are considered level ____ evidence:
a. 1
b. 2
c. 3
d. 4 1 43. T/F
Experience is a necessary component in exercising clinical judgement. True 44. Tom Brady is seen in your office with c/o sore throat x2 days. Which body system would not be included in the H&P for this problem-focused visit?
a. Skin
b. Neuro
c. EENT
d. Respiratory Neuro 45. Which of the following is NOT a requirement when developing a practice guideline?
a. Literature review of EBM
b. Rating of the available evidence
c. The panel of experts must all be physicians
d. Panel members should be chosen based on the focus of the guideline The panel of experts must all be physicians 46. T/F
Sporadic outbreaks occur when there are occasional cases of an event unrelated in space or time. True 47. Which of the following statements is NOT true?
a. Diagnostic tests can be used to confirm or rule out hypotheses
b. Diagnostic tests may be used to screen for conditions
c. Diagnostic tests may be used to monitor the progress in managing a chronic condition
d. Diagnostic tests vary in usefulness based on severity, specificity, and predictability Diagnostic tests vary in usefulness based on severity, specificity, and predictability - - - - - - - - - - - - - - - - - - - - - - -- ton receives a passing midterm and final eval from his preceptor along with 76% in the didactic portion of the class. Cam will pass the class. False 69. T/F
Episodic visits are also known as problem-focused visits. True 70. T/F
Subjective info is what the pt reports, complains of, or tells you in response to your questions. True 71. HIPAA legislation is important to the daily management of the practitioner practice setting. Precautions should be used to protect pt electronic personal info at all times. Which of the following is an appropriate precautionary measure?
a. Use of computer screens
b. Taping a list of passwords to the back of your keyboard
c. Forwarding lab results to your personal email account or server.
d. Storing pt documents in an unlocked file cabinet. Use of computer screens [Show More]

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