Nursing

Decision making discussion
Decision making discussion
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Question 1
Decision making is a function relegated to department officers of rank who are empowered with the authority to make decisions that affect many other emergency response personnel. Discuss the concepts and importance of CRM and The 2&7 Tool as both are applied to the fire service. Include details of each element of both managerial decision making applications.
Your response should be at least 200 words in length. You are required to use at least your textbook as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.
19 points
Question 2
Hazardous material incidents require keen observation and a cautious approach, as many hazardous materials may not be properly identified or known to emergency responders. Incident management is critical in order to reduce injury and loss of life. Discuss the appropriate methodology for approaching a hazardous material incident. Include details of managerial responsibility and personnel safety, including proper protective clothing.
Your response should be at least 200 words in length. You are required to use at least your textbook as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations. Hazardous material incidents require keen observation and a cautious approach, as many hazardous materials may not be properly identified or known to emergency responders. Incident management is critical in order to reduce injury and loss of life. Discuss the appropriate methodology for approaching a hazardous material incident. Include details of managerial responsibility and personnel safety, including proper protective clothing.
Your response should be at least 200 words in length. You are required to use at least your textbook as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.
19 points

DISCUSSION : Theories of Life-Span
DISCUSSION : Theories of Life-Span
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Zastrow and Kirst-Ashman (2016) stated, “We need theories to guide our thinking and our work so that we may undertake research-informed practice” (p. 127-128). At the same time, the authors asserted, “No theory will be perfectly applicable. Perhaps you will decide that only one or two concepts make any sense to you in terms of working with clients” (p. 128). Though you may be able to apply only a few concepts in a particular theory to your work with clients, as a social worker, you should be applying evidence-based research to your work. Empirically-based developmental theories may guide you as you assess clients and their presenting problems. You may also apply developmental theories to your treatment decisions.
For this Assignment, you discuss theories of life-span development by evaluating a theory that seems especially relevant to you and your role as a social worker. Select a theory of life-span development to address in this Discussion. This may be a theory described in the resources of this course, or you may select a theory based on personal research. Locate at least one scholarly resource (not included in the course resources) that addresses the theory you selected.
· Post a Discussion in which you analyze the theory of life-span development that you selected.

· Summarize the theory; then, identify the strengths and weaknesses of this theory, especially as it relates to social work practice.
· Explain one way you might apply the theory to your social work practice.
Be sure to support your posts with specific references to the resources. If you are using additional articles, be sure to provide full APA-formatted citations for your references.
References
Dybicz, P. (2012). The hero(ine) on a journey: A postmodern conceptual framework for social work practice. Journal of Social Work Education, 48(2), 267–283.
Villadsen, K. (2008). ‘Polyphonic’ welfare: Luhmann’s systems theory applied to modern social work. International Journal of Social Welfare,17(1), 65–73.
Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment (10th ed.). Boston, MA: Cengage Learning.

Assignment: PMHNP’s priority
Assignment: PMHNP’s priority
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Question 20
A patient recovering from shingles presents with tenderness and sensitivity to the upper back. He states it is bothersome to put a shirt on most days. This patient has end stage renal disease (ESRD) and is scheduled to have hemodialysis tomorrow but states that he does not know how he can lie in a recliner for 3 hours feeling this uncomfortable. What will be the PMHNP’s priority?
a) order herpes simplex virus (HSV) antibody testing
b) Order a blood urea nitrogen (BUN) and creatinine STAT
c) Prescribe lidocaine 5%
d) Prescribe hydromorphone (dilaudid) 2mg
Question 21
The PMHNP prescribed a patient lamotrigine (Lamictal), 25 mg by mouth daily, for nerve pain 6 months ago. The patient suddenly presents to the office with the complaint that the medication is no longer working and complains of increased pain. What action will the PMHNP most likely take?
a) Increase the dose of lamotrigine (Lamictal) to 25mg twice daily
b) Ask if the pt has been taking the medication as prescribed
c) Order gabapentin, 100mg TID because lamotrigine is no longer working for this patient
d) Order a CBC to assess for an infection
Question 22
An elderly woman with a hx of alzheimer’s disease, coronary artery disease, and myocardial infarction had a fall at home 3 months ago that resulted in her receiving an open reduction internal fixation. While assessing this patient, the pmhnp is made aware that the patient continues to experience mild to moderate pain. What is the pmhnp most likely to do?
a) order an X-ray because it is possible that she dislocated her hip
b) order ibuprofen because she mayneed long term treatment and chronic pain is not uncommon
c) Order naproxen because she may havarthritis and chronic pain is not uncommon
d) Order morphine and physical therapy
Question 23
The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic stress disorder (PTSD), alcoholism with malnutrition, diabetes mellitus type 2, and hypertension. His physical assessment is unremarkable with the exception of peripheral edema bilaterally to his lower extremities and a chief complaint of pain with numbness and tingling to each leg 5/10. The PMHNP starts this patient on a low dose of doxepin (Sinequan). What is the next action that must be taken by the PMHNP?
a) Orders liver function tests
b) Educate the patient on avoiding grapefruits when taking this medication
c) Encourage this patient to keep fluids to 1500ml/day until the swelling subside
d) Order BUN/Creatinine test
Question 24
The PMHNP is evaluating a 30-year-old female patient who states that she notices pain and a drastic change in mood before the start of her menstrual cycle. The patient states that she has tried diet and lifestyle changes but nothing has worked. What will the PMHNP most likely do?
a) Prescribe estrin FE 24 birth control
b) Prescribe Ibuprofen 800mg every 8 hours as needed for pain
c) Prescribe desvenlafaxine (Pristiq) 50mg daily
d) Prescribe Risperdal 2mg TID
Question 25
A patient with chronic back pain has been prescribed a serotonin-norepinephrine reuptake inhibitor (SNRI). How does the PMHNP describe the action of SNRIs on the inhibition of pain to the patient?
a) “the SNRI can increase noradrenergic neurotransmission in the descending spinal pathway to the dorsal horn”
b) “the SNRI can decrease noradrenergic neurotransmission in the descending spinal pathway to the dorsal horn”
c) “the SNRI can reduce brain atrophy by slowing the gray matter loss in the dorsolateral prefrontal cortex”
d) “the SNRI can increase neurotransmission to descending neurons”
Question 26
A patient with fibromyalgia and major depression needs to be treated for symptoms of pain. Which is the PMHNP most likely to prescribe for this patient?
a) Venlafaxine (Effexor)
b) Duloxetine (Cymbalta)
c) Clozapine (Clozaril)
d) Phenytoin (Dilantin)
Question 27
The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How does the PMHNP anticipate the drug to work?
a) It will bind to the alpha-2-delta ligand subunit of voltage-sensitive calcium channels
b) It will induce synaptic changes, including sprouting
c) It will act on the presynaptic neuron to trigger sodium influx
d) It will Inhibit activity of dorsal horn neurons to suppress body input from reaching the brain
Question 28
Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the PMHNP prescribe for Mrs. Rosen to improve this condition?
a) Venlafaxine (Effexor)
b) Armodafinil (Nuvigil)
c) Bupropion (Wellbutrin)
d) All of the above
Question 29
The PMHNP is caring for a patient with fibromyalgia. Which second-line treatment does the PMHNP select that may be effective for managing this patient’s pain?
a) Methylphenidate (Ritalin)
b) Viloxazine (Vivalan)
c) Imipramine (Tofranil)
d) Bupropion (Wellbutrin)
Question 30
The PMHNP is attempting to treat a patient’s chronic pain by having the agent bind the open channel conformation of VSCCs to block those channels with a “use-dependent” form of inhibition. Which agent will the PMHNP most likely select?
a) Pregabalin (Lyrica)
b) Duloxetine (Cymbalta)
c) Modafinil (Provigil)
d) Atomoxetine (Strattera)
Question 31
A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP wants to prescribe the patient an agent that will cause irrelevant nociceptive inputs from the pain to be ignored and no longer perceived as painful. Which drug will the PMHNP prescribe?
a) Pregabalin (Lyrica)
b) Gabapentin (Neurontin)
c) Duloxetine (Cymbalta)
d) B and C
Question 32
The PMHNP wants to use a symptom-based approach to treating a patient with fibromyalgia. How does the PMHNP go about treating this patient?
a) Prescribing the patient an agent that ignores the painful symptoms by initiating a reaction known as “fibro-fog”
b) Targeting the patient’s symptoms with anticonvulsants that inhibits gray matter loss in the dorsolateral prefrontal cortex
c) Mzatching the patient’s symptoms with the malfunctioning brain circuits and neurotransimitters that might mediate those symptoms
d) None of the above
Question 33
The PMHNP is working with the student to care for a patient with diabetic peripheral neuropathic pain. The student asks the PMHNP why SSRIs are not consistently useful in treating this particular patient’s pain. What is the best response by the PMHNP?
a) “SSRIs only increase norepinephrine levels”
b) “SSRIs only increase serotonin levels”
c) “SSRIs only increase serotonin and norepinephrine levels”
d) “SSRIs do not increase serotonin or norepinephrine levels”
Question 34
A patient with gambling disorder and no other psychiatric comorbidities is being treated with pharmacological agents. Which drug is the PMHNP most likely to prescribe?
a) Antipsychotics
b) Lithium
c) SSRI
d) Naltrexone
Question 35
Kevin is an adolescent who has been diagnosed with kleptomania. His parents are interested in seeking pharmacological treatment. What does the PMHNP tell the parents regarding his treatment options?
a) “Naltrexone may be an appropriate option to discuss”
b) “there are many medicine options that treat Kleptomania”
c) “Kevin may need to be prescribed antipsychotics to treat this illness”
d) “Lithium has proven effective for treating kleptomania”
Question 36
Which statement best describes a pharmacological approach to treating patients for impulsive aggression?
a) Anticonvulsant mood stabilizers can eradicate limbic irritability
b) Atypical antipsychotics can increase subcortical dopaminergic stimulation
c) Stimulants can be used to decrease frontal inhibition
d) Opioid antagonists can be used to reduce drive
Question 37
A patient with hypersexual disorder is being assessed for possible pharmacologic treatment. Why does the PMHNP prescribe an antiandrogen for this patient?
a) It will prevent feelings of euphoria
b) It will amplify impulse control
c) It will block testosterone
d) It will redirect the patient to think about other things
Question 38
Mrs. Kenner is concerned that her teenage daughter spends too much time on the Internet. She inquires about possible treatments for her daughter’s addiction. Which response by the PMHNP demonstrates understanding of pharmacologic approaches for compulsive disorders?
a) “Compulsive internet use can be treated similarly to how we treat people with substance use disorders”
b) “internet addiction is treated with drugs that help block the tension/arousal state your daughter experiences”
c) “When it comes to internet addiction, we prefer to treat patients with pharmaceuticals rather than psychosocial methods”
d) “there are no evidence-based treatments for internet addiction, but there are behavioral therapies your daughter can try”
Question 39
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of 33, Mr. Peterson is obese and needs to modify his food intake. “Sometimes I think I’m addicted to food the way some people are addicted to drugs”, he says. Which statement best describes the neurobiological parallels between food and drug addiction?
a) There is decreased activation of the prefrontal cortex
b) There is increased sensation of the reactive reward system
c) There is reduced activation of regions that process palatability
d) There are amplified reward circuits that activate upon consumption
Question 40
The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could the PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactive state to a sleep state?
a) Histamine 2 receptor antagonist
b) Benzodiazepines
c) Stimulants
d) Caffeine
Question 41
The PMHNP is caring for a patient who experiences too much overstimulation and anxiety during daytime hours. The patient agrees to a pharmacological treatment but states, “I don’t want to feel sedated or drowsy from the medicine.” Which decision made by the PMHNP demonstrates proper knowledge of this patient’s symptoms and appropriate treatment options?
a) Avoiding prescribing the patient a drug that blocks H1 receptors
b) Prescribing the patient a drug that acts on H2 receptors
c) Stopping the patient from taking medicine that unblocks H1 receptors
d) None of the above

Response Guidelines Discussion
Response Guidelines Discussion
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Provide a substantive contribution that advances the discussion in a meaningful way by identifying strengths of the posting, challenging assumptions, and asking clarifying questions. Your response is expected to reference the assigned readings, as well as other theoretical, empirical, or professional literature to support your views and writings. Reference your sources using standard APA guidelines. Review the Participation Guidelines section of the Discussion Participation Scoring Guide to gain an understanding of what is required in a substantive response.
Peer 1 Response: Cait
Anderson & Bushman (2001) conducted the meta-analysis, Effects of Violent Video Games On Aggressive Behavior, Aggressive Cognition, Aggressive Affect, Physiological Arousal, and Prosocial Behavior: A Meta-Analytic Review of the Scientific Literature, which determined that there was a correlation between playing video games and aggressive behaviors. In a set of 21 controlled experimental studies, Anderson & Bushman (2001) concluded that there was a correlation between playing video games (x) and engaging in the aggressive behavior (y). Table 1 determined that aggressive behavior was measured at r= .19, therefore concluding that the correlation was statistically significant due to a large number of participants that were involved in the research study. Aggressive behavior in conjunction with playing violent video games was tested with 3,033 participants. If there was a smaller sample size (in this case, less than 3,033 participants), the correlation r=.19 may not have been as large or as significant. This result also yielded significant results because r=.19 is positive, rather than negative. In Table 1 it can also be determined that the results displayed significant results because of the homogeneity test. The homogeneity test determined an outcome of x2(32) 23.25, p > .05 (Anderson & Bushman, 2001). It was measured that the p score was 23.25, compared to the normal value used by SPSS and researchers, which is .05. Because the p-value was larger than .05, it yielded significant results for this research study. If the p-value was smaller than .05, it would not hold the same level of significance.
Reference
Anderson, C. A., & Bushman, B. J. (2001). . Psychological Science, 12(5), 353–359.
Peer 2 Response: Teddick
A meta-analysis (Anderson & Bushman, 2001) reported that the average correlation between time spent playing video games (X) and engaging in aggressive behavior (Y) in a set of 21 well-controlled experimental studies was .19. This correlation was judged to be statistically significant. In your own words, what can you say about the nature of the relationship?
Warner (2013) explained that in a result of .19 will fall among the small (r<.10) and the medium (r<.30) and in less than the large (r<.50). This is an indicator that there is a compelling association, but this does not mean there is a causation between aggressive behavior and video games. Because of the insufficient information provided, we must consider every factor that contributes to the research, for example age of the gamer, time spent playing, time spent watching movies of violence, how much the parents are involved in their child’s life, if that person is involved with the wrong group of individuals, their surrounding neighborhood, and even their social and academic intellect. However, there still is a relationship of correlation on the meta-analysis, but does not necessarily means a causation. The meta-analysis shows a significant association on aggressive behavior being affected by playing violent video games, but does not prove or show that it causes the behavior. If anything it does encourage parents to look for more age appropriate video games and limit the access of violent-themed games for their kids (Anderson, C. & Bushman, B., 2001). References: Anderson, C. A., & Bushman, B. J. (2001). Effects of violent video games on aggressive behavior, aggressive cognition, aggressive affect, physiological arousal, and prosocial behavior: A meta-analytic review of the scientific literature. Psychological Science, 12(5), 353–359. Warner, R. M. (2013). Applied Statistics: From Bivariate Through Multivariate Techniques (2nd ed.). Sage Publications. Posted: a year ago Due: 10/05/2018 Budget: $3

ADMINISTRATIVE AND CLINICAL EHR USE
ADMINISTRATIVE AND CLINICAL EHR USE
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1. Plan of care, evaluation, subjective data, and objective data are all parts of
A. a telephone encounter.
B. documentation.
C. the progress note.
D. a clinic visit.
2. Mr. Smith has an appointment with Dr. Johnson at 9:00 A.M. for his annual wellness exam. Mrs. Adams calls the clinic first thing in the morning due to fever, chills, and cough for 3 days and is given an appointment at 9:00 A.M. with Dr. Johnson as well. This is an example of
A. overlap.
B. accommodating.
C. jamming.
D. double-booking.
3. A provider performs _______ to signify that everything in the note is correct.
A. technological signature
B. digital signature
C. annotation
D. autograph
4. Dan has made an appointment for review of his medication, as he recently relocated to the area with his family. Before his appointment, he has been asked to fill out and bring _______ form.
A. disclosure
B. health history
C. review of systems
D. consent
5. Incident reports are reviewed by the staff to aid in
A. policies.
B. prevention.
C. change.
D. procedures.
6. Which of the following is an appropriate way to reduce no-show appointments?
A. Ensure the patient writes down their appointment.
B. Perform reminder calls one to two days preceding the appointment.
C. There are no good ways to reduce no-shows.
D. Schedule all appointments within seven days of the appointment day.
7. A patient notes that they smoke a half a pack of cigarettes per day and drink a six pack of beer every night. Where would this be documented in the chart?
A. Medical history
B. Social history
C. Chief complaint
D. Problem list
8. Which of the following is not considered an integrated device?
A. Telephone
B. Signature pad
C. Scanners
D. Camera
9. _______ allows for disclosure of protected health information (PHI) through phone, fax, or email without specific patient authorization.
A. Confidentiality
B. HIPAA Security Rule
C. HIPAA Privacy Rule
D. Clinic policies and procedures
10. _______ is the most important responsibility of all members of the medical office.
A. Communication
B. Accountability
C. Documentation
D. Punctuality
11. All of the following require an incident report to be filed except
A. if the wrong patient is contacted for an appointment reminder.
B. if the employee suffers a needle stick.
C. if the wrong medication is administered to the patient.
D. if the patient falls in the hallway.
12. The process of a data code being unreadable until its destination is reach is called
A. cryptic.
B. jumble.
C. decryption.
D. encryption.
13. The _______ is a centralized location for a summary of a patient’s acute and chronic conditions.
A. chief complaint
B. medical history
C. disease list
D. problem list
14. Which of the following are not guidelines for proper telephone etiquette?
A. Answer by the third ring is possible
B. Answer with a pleasant greeting
C. Speak slowly and clearly
D. Keep a straight, professional face
15. Myrtle uses a cane to ambulate. She came to the clinic for an appointment, but before making it inside the building she tripped and fell on the curb. What type of document needs to be created?
A. Incident report
B. Fall report
C. Accident report
D. Injury report
16. Through the use of _______ a patient may view open appointments or schedule their own appointment.
A. patient access
B. patient flow
C. patient gateway
D. patient portal
17. Cindy has a hand-written fax number from a patient’s parent to fax a note to the school for use of a medication while at school. Cindy is unable to read all of the fax numbers. What should she do?
A. Avoid sending the note since the correct number wasn’t given
B. Call the patient to confirm the number
C. Send to the closest number
D. Ask other office staff
18. What’s the default landing page in SCMO when entering a patient encounter?
A. Allergies
B. Chief complaint
C. Vital signs
D. Progress note
19. _______ is a rundown of organ systems that can be used to pinpoint certain concerns or unusual findings.
End of exam
A. Review of systems
B. Report of symptoms
C. Report of systems
D. Review of symptoms
20. “It feels like an ice pick in my head” and “I’m coughing up a lung” are considered
A. chief complaints.
B. reason for visit.
C. presenting symptom.
D. medical concerns.

Assignment: Example of central value
Assignment: Example of central value
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Which of the following is an example of a central value?
I buy Advil to show that I’m modern consumer.
I like Advil because we were both born in the 80s.
I prefer Advil because I like the flavor.
I prefer Advil because it’s easier to swallow.
Which of the following specialties likely has the MOST emergency calls?
Cardiology
Psychiatry
Urology
All specialists have the same number of emergency calls
What affects the rate of active transport?
The availability of carriers, but not energy
The availability of energy, but not carriers
The availability of carriers and energy
Neither the availability of carriers nor the availability of energy
Over the last few decades, what has happened to the FDA approval time for new drugs?
It has been lengthened to ensure safer drug products.
It has been lengthened to limit DTC marketing.
It has been shortened to improve drug quality.
It has been shortened to reduce the cost of new drug development.
Which of the following would NOT help improve compliance?
Patients liking their providers
Patients using only one pharmacist
Pharmacists understanding how generics differ from brand name drugs
Support groups
As the price a patient pays for prescription increases, what happens to the likelihood that the patient will fill it?
It decreases
It increases
It remains unaffected because the prescription is needed
It remains unaffected because the prescription’s increased cost is offset by its perceived value
Which of the following is NOT one of the body’s major organ systems?
The cardiovascular system
The cellular system
The gastrointestinal system
The musculoskeletal system
How do most drugs exert their primary physiological effects?
By activating synapses between different types of tissues
By binding to cell receptors that are sensitive to their presence
By inhibiting synapses between different types of tissues
Through genetic mutation
What should a sale representative do if all of the prime spaces in a drug cabinet are occupied?
Ask staff for permission to move some of the other products in the cabinet
Ask staff for permission to throw away expired product in the cabinet
Ask the doctor if he still needs some of the other products in the cabinet
Surreptitiously move your largest competitor’s products out of the way
It is inappropriate for physicians’ prescribing behaviors to be educated by their personal tastes and idiosyncrasies
True
False
The FDA defines API as the active———-ingredient in a drug, which produces the desired change in the body.
Pharmaceutical
Positive
Potent
Primary
What term describes the usage of a medication for purposes other than the FDA-approved indications on the labeling?
Contraindicative indication
Off-indication usage
Off label use
Off usage

Advanced Coding: Medicine and Anesthesia
Advanced Coding: Medicine and Anesthesia
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1. Anesthesia administered to a normal, healthy patient undergoing an esophageal procedure is coded as
A. 00500-P1. B. 00502-P1. C. 00500-P2. D. 00506-P1.
2. A new patient comes into the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned?
A. G0185 B. G7869 C. G7452 D. G0147
3. A new patient is seen for a home visit that involves a comprehensive history, examination, and medical decision making of high complexity. What code should be assigned?
A. 99349 B. 99345 C. 99342 D. 99350
4. A prolonged evaluation and management service before and/or after direct patient care for one hour is coded as
A. 99359. B. 99358. C. 99361. D. 99360.
5. A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What anesthesia CPT code should be assigned?
A. 01242-P2 B. 01202-P1 C. 01202-P3 D. 01202-P5
6. Anesthesia for procedures performed on the larynx and trachea in an 11-month-old child would be assigned to code
A. 00620. B. 00625. C. 00326. D. 00532.
7. A patient returns for a follow-up office visit regarding the repair of her fractured knee. The office visit consists of a detailed history, detailed examination, and medical decision making of moderate complexity. What CPT code is assigned?
A. 99213 B. 99212 C. 99211 D. 99214
8. Intramuscular nonhormonal antineoplastic chemotherapy administration would be assigned to code
A. 96402. B. 96405. C. 96406. D. 96401.
9. Home infusion with specialty drug administration during a 6-hour visit would be assigned what codes?
A. 99606, 99607 ×3 B. 99601, 99602 ×4 C. 99604, 99605 ×2 D. 99603, 99604 ×2
10. A patient is seen for a psychiatric diagnostic evaluation. The physician obtains a complete history of the patient’s mental status and does a complete biological and psychosocial assessment along with a complete physical examination. The physician’s final diagnosis is recurrent episode of severe major depressive disorder, without any psychotic behavior involved. The patient also has a history of psychological trauma. What codes are assigned?
A. F33.2, Z91.49 B. F33.1, Z91.47 C. F34.2, Z91.49 D. F36.2, Z91.46
11. A 17-year-old patient is diagnosed with a severe form of nutritional anemia. What ICD-10-CM code should be assigned?
A. D45.9 B. D53.9 C. D74.9 D. D65.9
12. A 32-year-old patient receives anesthesia for spinal surgery. The anesthesia is complicated by utilization of controlled hypotension. What add-on anesthesia code would be assigned?
A. 99174 B. 92117 C. 99100 D. 99135
13. Nursing facility discharge day management of 19.5 minutes would be assigned to code
A. 99317. B. 99319. C. 99316. D. 99315.
14. A patient is admitted to the hospital for leukemia. She has a comprehensive history, comprehensive examination, and medical decision making of high complexity. What CPT code should be assigned?
A. 99202 B. 99223 C. 99213 D. 99251
15. A service that is rarely provided, unusual, variable, or new may require a
A. physician’s authorization. B. patient’s authorization. C. staged or related procedure. D. special report.
16. A new patient is seen for a prescription refill. During the visit, the physician obtains a problem focused history, problem focused examination, and medical decision making is straightforward. What CPT code should be assigned for this service?
A. 99214 B. 99215 C. 99213 D. 99201
17. A 7-year-old child is brought to the clinic due to recurrent ear infections. The physician performs a bilateral tympanostomy under general anesthesia. What CPT code should be assigned?
A. 69436-50 B. 69536-50 C. 69426-50 D. 69736-50
18. Code 00906 is assigned for
A. an angioscopy. B. anesthesia for surgery performed on the bony pelvis. C. an osteotomy. D. anesthesia provided for a vulvectomy.
19. A 25-year-old patient receives a Hepatitis A vaccination. The vaccine is administered intramuscularly in the clinic. What CPT codes should be assigned?
A. 90632, 90471 B. 90541, 90489 C. 90637, 90472 D. 90672, 90451
20. A dark adaptation examination with interpretation and report is assigned to code
A. 92326. B. 92284. C. 92287. D. 92325.

Discussion: Interpersonal theory of depression
Discussion: Interpersonal theory of depression
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# 1.46
(1 pts.) Which of the following statements best describes the psychodynamic component of the interpersonal theory of depression?
A) The theory emphasizes id ego and superego.
B) The theory incorporates behavioral contracting.
C) The theory explores the disturbed attachment bonds from early childhood.
D) The theory posits psychosexual stages of development.
# 1.47
(1 pts.) Mary has been in a continual state of dysfunction that has kept her from feeling truly happy or well-adjusted but she has never had a full-blown depressive episode. Mary might be diagnosed as suffering from
A) cyclothymic disorder.
B) dysthymic disorder.
C) bipolar disorder.
D) major depressive disorder.
# 1.48
(1 pts.) Although Katy is on medication to control her bipolar disorder, her psychiatrist is still concerned that she may have another manic episode in the weeks to come. Katy’s doctor is worried about the phenomenon known as
A) directing.
B) kindling.
C) snow-balling.
D) spontaneous recovery.
# 1.49
(1 pts.) Harriet’s therapist is focusing on how the death of her husband has disrupted her important automatic behavior patterns or “scripts” and how this disruption seems to be worsening her depression. Based on this information, what kind of orientation does Harriet’s therapist seem to have?
A) psychodynamic
B) cognitive
C) behavioral
D) humanistic
# 1.50
(1 pts.) Debbie has been diagnosed with the rapid cycling type of bipolar disorder. Which of the following types of medication is most likely to help her improve?
A) lithium carbonate
B) selective serotonin reuptake inhibitors
C) monoamine oxidase inhibitors
D) anticonvulsant medications
# 1.51
(1 pts.) Margaret is highly committed to dying but she has chosen to ingest ten aspirin tablets. Her suicide attempt would be described as being ______ in suicidal intent and ______ in suicidal lethality.
A) low; low
B) high; high
C) low; high
D) high; low

Assignment: Online Classroom
Assignment: Online Classroom
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QUESTION 1
When will you lose access to your completed courses (excluding this Student Readiness Orientation)?
a Never
b 30 days after the course end date
c 60 days after the course end date
d 120 days after the course end date
1 points Save Answer
QUESTION 2
When you submit an assignment, when should you have the assignment complete by on the day assigned?
a 11:59 pm Mountain Time (MT)—which is 1:59 am Eastern Time (ET) the next day; the time stamp in the classroom will reflect Eastern Time (ET), regardless of your time zone
b 11:59 pm Central Time (CT)—which is 10:59 pm Mountain Time (MT); the time stamp in the classroom will reflect Mountain Time (MT), regardless of your time zone
c 11:59 pm Eastern Time (ET)—which is 8:59 pm Pacific Time (PT); the time stamp in the classroom will reflect Pacific Time (PT), regardless of your time zone
d 10:59 pm Mountain Time (MT)—which is 12:59 am Eastern Time (ET) the next day; the time stamp in the classroom will reflect Eastern Time (ET), regardless of your time zone
1 points Save Answer
QUESTION 3
Where in your online course will you find the contact information for your Instructor?
a Syllabus
b Student Support
c Contact the Instructor
1 points Save Answer
QUESTION 4
If you are having trouble accessing your online classroom, what should you do first?
a Clean your browser’s cookies and cache
b Check firewall settings
c Deactivate pop-up blockers
1 points Save Answer
QUESTION 5
In an online course, students can participate in the online classroom and submit assignments whenever it is convenient for them to do so
True
False
1 points Save Answer
QUESTION 6
In which area will you retrieve written assignments with comments from your instructor?
a Discussion
b My Grades area
c Assignment Link
1 points Save Answer
QUESTION 7
If you have a question about which courses you should register for next term, who should you contact?
a Student Support Team
b One of your current instructors
c Your Academic Advisor
1 points Save Answer
QUESTION 8
As long as you save your work to your home computer’s hard drive, you are safe
True
False
1 points Save Answer
QUESTION 9
When sending and e-mail to your Instructor or any Walden staff, your e-mail should:
a Include color stationary as a background
b USE ALL CAPITAL LETTERS SO THEY KNOW YOUR EMAIL IS IMPORTANT
c Include your full legal name, your program or course, and your Walden ID Number
1 points Save Answer
QUESTION 10
The online classroom area where you can post an assignment and have your classmates and instructor respond to your ideas is called:
a My Grades area
b Discussion
c Assignment Link
1 points Save Answer
QUESTION 11
Students can always edit their posting in Discussion
True
False
1 points Save Answer
QUESTION 12
Who should you contact with questions about online classroom technical concerns?
a Your Instructor
b Walden Academic Advisor
c Student Support
d Program Director
1 points Save Answer
QUESTION 13
Since your online classroom could unexpectedly time out on occasion, what should you do before submitting a long Discussion posting?
a Type and save the assignment as a word-processed document first
b Tell your instructor you are going to submit an assignment
c Create a new topic
d Call the Student Support Team for help
1 points
Save Answer
QUESTION 14
Students should avoid referencing Wikipedia as a scholarly resource in their assignments
True
False
1 points Save Answer
QUESTION 15
Online students are expected to behave with academic integrity and honesty
True
False

Discussion: Clients With Disabilities
Discussion: Clients With Disabilities
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Lester is a 59-year-old, African American widower with two adult children. He lives in a medium-sized Midwestern city. Four months ago, he was a driver in a multiple vehicle crash while visiting his daughter in another city and was injured in the accident, although he was not at fault. Prior to the accident he was an electrician and lived on his own in a single-family home. He was an active member in his church and a worship leader. He has a supportive brother and sister-in-law who also live nearby. Both of his children have left the family home, and his son is married and lives in a nearby large metropolitan area.
When he was admitted to the hospital, Lester’s CT showed some intracerebral hemorrhaging, and the follow-up scans showed a decrease in bleeding but some midline shift. He seemed to have only limited cognition of his hospitalization. When his children came to visit, he smiled and verbalized in short words but could not communicate in sentences; he winced and moaned to indicate when he was in pain. He had problems with balance and could not stand independently nor walk without assistance. Past medical history includes type 2 diabetes; elevated blood pressure; a long history of smoking, with some emphysema; and a 30-day in-house treatment for binge alcoholism 6 years ago following his wife’s long illness with breast cancer and her subsequent death.
One month ago he was discharged from the hospital to a rehabilitation facility, and at his last medical review it was estimated he will need an additional 2 months’ minimum treatment and follow-up therapies in the facility.
As the social worker at the rehab center, I conducted a psychosocial assessment after his admission to rehabilitation.
At the time of the assessment, Lester was impulsive and was screened for self-harm, which was deemed low risk. He did not have insight into the extent of his injury or changes resulting from the accident but was frustrated and cried when he could not manipulate his hands. Lester’s children jointly hold power of attorney (POA), but had not expressed any interest to date in his status or care. His brother is his shared decision making (SDM) proxy, but his sister-in-law seemed to be the most actively involved in planning for his follow-up care. His son and daughter called but had not visited, but his sister-in-law had visited him almost daily; praying with him at the bedside; and managing his household financials, mail, and house security during this period. His brother kept asking when Lester would be back to “normal” and able to manage on his own and was eager to take him out of the rehabilitation center.
Lester seemed depressed, showed some flat affect, did not exhibit competency or show interest in decision making, and needed ongoing help from his POA and SDM. His medical prognosis for full recovery remains limited, with his Glasgow Coma Scale at less than 9, which means his injury is categorized as catastrophic.
Lester currently has limited mobility and is continent, but he is not yet able to self-feed and cannot self-care for cleanliness; he currently needs assistance washing, shaving, cleaning his teeth, and dressing. He continues with daily occupational therapy (OT) and physical therapy (PT) sessions.
He will also need legal assistance to apply for his professional association pension and benefits and possible long-term disability. He will also need help identifying services for OT and PT after discharge.
He will need assistance from family members as the determination is made whether he can return to his residence with support or seek housing in a long-term care facility. He will need long-term community care on discharge to help with basic chores of dressing and feeding and self-care if he is not in a residential care setting.
A family conference is indicated to review Lester’s current status and short-term goals and to make plans for discharge.