Question: Because of the potential for exploitation of older adults, the geriatric population is … a vulnerable one when it comes to obtaining informed consent for serving as a research subject. Safeguards you should adhere to when conducting research on a geriatric population include which of th...
nr 511 differential diagnosis and primary care practicum
nr 511 week 1 quiz practice questions answers
ecause of the potential for exploitation of older adults
the geriatric population is … a vulnera
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Issues in Primary Care
Question 1. Because of the potential for exploitation of older adults, the geriatric population is designated a
vulnerable one when it comes to obtaining informed consent for serving as a research subject. Safeguards
you should adhere to when conducting research on a geriatric population include which of the following?
Assessing the competence of the individual before obtaining consent.
Question 2. If conflict arises during a job negotiation, you should consider:
Separating the issue from the person.
Question 3. Most health maintenance organizations (HMOs) use a reimbursement mechanism called
capitation. This means that the:
HMO reimburses the provider a predetermined fee per client per month based on the client’s age and sex.
Question 4. Elder abuse and neglect are increasing concerns, and it is estimated that 4% to 10% of older
Americans are abused or neglected. What is the legal responsibility of the health care provider in reporting
elder abuse and neglect?
The health care provider must report the suspected abuse or neglect to the appropriate state protective agency.
Question 5. Relapse is a common phenomenon seen during behavioral changes. Useful strategies for the
health care provider to institute to aid the client in a relapse situation include:
Telling the client that the relapse is a learning opportunity in preparation for the next action stage.
Question 6. Mrs. Smith, age 85, lost her husband 6 months ago. Since that time, she has been overwhelmed
and has had difficulty coping. Today, she is in your office, tearful, weak, and discouraged. Her mobility is
also becoming increasingly limited because of her need for a hip replacement. She is indecisive, expresses
fear about the surgery, and tells you she does not want the surgery. Your best action is to:
Treat the client’s psychological problems and provide support.
Question 7. The Affordable Care Act (ACA) passed in 2010 has a number of provisions, including the
establishment of health exchanges. The purpose of a health insurance exchange is to:
Create an online marketplace for the sale and purchase of health insurance for consumers.
Question 8. It is important to do which of the following before negotiating a contract?
Do your homework.
Question 9. Health behaviors can be difficult to change. Which of the following is most important in
influencing behavioral change?
Motivation
Question 10. There are advantages to owning your own practice. However, there are also barriers to the
ability to do this. These barriers include which of the following?
Getting and keeping a collaborating physician, if required by law; getting on managed care panels; and getting
privileges at hospitals.
, Question 11. Mr. Griffin, age 85, has been given a diagnosis of bowel cancer, and surgery is indicated. He is
mentally alert; however, he is refusing to give consent for the procedure. You respond by:
Respecting his wishes
Question 12. The term credentialing means that:
The practitioner has met certain criteria through licensure, certification, and education.
Question 13. When caring for a client who speaks a language different from yours, the ideal strategy is to:
Review the case first with an interpreter before beginning the clinical visit.
Question 14. The best way you, as an individual advanced practice registered nurse (APRN), can make a
difference or real impact is by:
Writing letters to the editor supporting APRNs.
Question 15. Which of the following nonverbal communication techniques is important in the establishment
of rapport with a client?
Making direct eye contact with the client, with periodic breaks to take or check notes.
Question 16. It is important to prepare for your interview as an advanced practice registered nurse (APRN).
You should be prepared to answer which of the following?
Why you should be hired, how many clients per day you will see, what you can bring to the practice, your
willingness to work evenings and/or weekends and to take calls, and how independent you are in your practice.
Question 17. The research function of the advanced practice registered nurse (APRN) may be
operationalized as both a consumer of research findings and a researcher. Being a consumer of research
findings involves a number of activities, including:
Reading the literature, analyzing its clinical applicability, and using new interventions.
Question 18. Mr. Jones, age 44, is admitted to the emergency department complaining of chest pain. Which
of the following actions would be the best way to establish a therapeutic relationship with Mr. Jones?
Asking open-ended questions to elicit pertinent clinical data.
Question 19. As an advanced practice registered nurse (APRN), you begin a new job in a small practice with
2 other physicians. You have been hired to be a partner in the practice, but the eldest partner is reluctant to
allow you to take on new clients. This is an example of:
Role conflict
Question 20. Certain characteristics differentiate research from quality improvement. Which of the
following is an example of research?
A new intervention being implemented and compared with current practice to determine which is better.
Question 21. You are working in an emergency department as an advanced practice registered nurse
(APRN). An adolescent boy is brought in, unconscious, with a head injury after being struck by a car. He has
no identification, and there is no parent or adult with him. What should you do?
Provide the appropriate medical treatment even if it involves surgery.
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