A PMHNP is planning to open an independent practice. As he prepares a budget, he examines the cost of doing business. During the pandemic, his former partners complained about the amount of postage they had to use to mail patients their updated COVID-19 clinic rules. Postage is an example of what type of cost?
Fixed
Objective
Managerial
Variable
The Correct Answer is D
Choice A reason: Fixed costs remain constant regardless of the volume of patients or services, such as rent or salaries, unlike postage.
Choice B reason: Objective cost is not a standard accounting classification for business expenses.
Choice C reason: Managerial cost refers to costs used for internal decision-making, not the nature of the cost itself.
Choice D reason: Variable costs change in direct proportion to the volume of service, such as postage or supplies, which increase with patient communication needs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Factitious disorder involves intentionally producing or feigning symptoms to assume the sick role. This patient’s cognitive deficits are clearly related to trauma, not deliberate deception.
Choice B reason: Transient global amnesia is a brief, temporary episode of memory loss, often lasting hours, from which the patient recovers. This patient’s memory loss is permanent, ruling out this diagnosis.
Choice C reason: Major neurocognitive disorder due to traumatic brain injury involves significant cognitive decline after head trauma, including memory loss, impaired executive function, and the need to relearn daily living skills. This matches the patient’s presentation.
Choice D reason: Ataque de nervios is a culturally bound syndrome characterized by acute anxiety, emotional outbursts, and somatic symptoms, unrelated to trauma-induced cognitive deficits.
Correct Answer is B
Explanation
Choice A reason: Occasional accidents in young children may be normal, but recurrent bedwetting at least twice a week for three months, especially in a previously toilet-trained child, suggests a clinical condition rather than a purely normal variation.
Choice B reason: Nocturnal enuresis is defined as repeated voiding of urine during sleep in a child aged five years or older, occurring at least twice a week for at least three months. Stressful life events, such as the arrival of a new sibling, can precipitate or exacerbate this condition, making it the most appropriate explanation.
Choice C reason: Diabetes mellitus may cause polyuria, but it is usually accompanied by other symptoms such as excessive thirst and weight loss. There is no mention of these symptoms in this case.
Choice D reason: Neurogenic bladder involves dysfunction of bladder control due to neurological causes and is uncommon in a healthy child without neurological history or congenital issues.
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