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ANCC MEDSURG Certification Exam Review (Latest Update 2025 / 2026) Questions & Answers | Grade A | 100% Correct (Verified Solutions)
Question:
Coping Strategy
Answer:
What it is:
A conscious or unconscious response to negative life experiences such as stress, grief, loss, injury, loneliness, or invasion of privacy; positive and negative coping strategies exist and may become barriers to health promotion.
Nursing Application:
Through therapeutic communication, assist the patient and/or family to identify negative coping behaviors and assess for potential substitute behaviors. Education may be needed to adjust patient expectations about plan of care and outcomes. Part of planning interventions for negative coping behaviors may include the recommendation for mental health consultation and/or medications. The nurse should allow patient to express and explore emotions and feelings without judgment.
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Question:
Management Terms
Answer:
Utilization review: the detailed evaluation of health-care services provided to
patients for necessity and cost-effectiveness; also monitors quality of care
Risk management: the process of identifying, assessing, and prioritizing risks;
goal is to prevent accidents and injuries, and control liability
Performance improvement: the measurement of current performance and the
implementation of methods to focus and improve performance to better meet the goals of the organization
Case management: provides cost-effective continuity of care by linking people
across clinical settings best suited to meet the patient needs
Managed care: provides continuity of care by linking tasks and department
functions within an organization
Question:
Trend Data Analysis (TDA)
Answer:
What it is:
The use of past and/or present data to predict future problems, outcomes, costs, and more by identifying and monitoring trends.
Nursing Application:
TDA is used heavily in the nursing field. Everything from error trends related to length of nursing shifts to predicting the likelihood that DVTs will result in 2 / 4
to increase the minimum education level of staff RNs. Healthcare facilities use TDA to proactively alter treatment protocols, staffing ratios, and provision of specialized services based on costs, community disease trends, and insurance reimbursements.
Question:
Conflict Resolution
Answer:
What it is:
The process of facilitating a peaceful end to conflict and retribution; closely connected with the concept of negotiation.
Nursing Application:
Conflict usually results from deep personal needs, known or unknown. These needs can be correlated to a part of Maslow's Hierarchy. Good conflict
resolution skills include 4 abilities:
• To remain alert and calm while managing stress quickly • To control emotions and behavior (personal non-verbal communication) to avoid creating fear or a threat to others • To pay attention to both verbal and non-verbal communications from others • To know and respect differences to avoid offensive words and actions
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Question:
HIPAA
Answer:
What it is:
• The Health Insurance Portability and Accountability Act of 1996
• Title I: regulates restrictions on individual insurance policies regarding
preexisting conditions; limited-coverage plans (dental, vision) are exempt from HIPAA requirements unless they are part of a general coverage plan
• Title II: regulates privacy/security of identifiable health information;
regulates programs to control fraud/abuse in the healthcare system; required the HHS to draft rules to standardize use and dissemination of PHI
Nursing Application:
Misuse of PHI (including posting pictures on the internet) may result in loss of employment, fines, and personal lawsuits from the affected party. The 2013 Final Omnibus Rule Update revised the PHI protection to 50 years after death.
Question:
OBRA
Answer:
What it is:
• Omnibus Budget Reconciliation Act of 1987 (Nursing Home Reform Act) • Regulates nursing home and long-term facility quality of care, care planning, and assessment
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