Exam (elaborations)
FNP- FINAL EXAM PRACTICE QUESTIONS
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FNP- FINAL EXAM PRACTICE QUESTIONS
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FNP- FINAL EXAM PRACTICE QUESTIONS____ 1. What is the most influential factor that has shaped the nursing profession?
1)
Physicians need for handmaidens
2)
Societal need for healthcare outside the home
3)
Military demand for nurses in the field
4)
Germ theory influence on sanitation - answer- 3
____ 2. Which of the following is an example of an illness prevention activity? Select all
that apply.
1)
Encouraging the use of a food diary
2)
Joining a cancer support group
3)
Administering immunization for HPV
4)
Teaching a diabetic patient about his diet - answer- 3
- food diary- health promotion activity
____ 12. Which of the following is an example of what traditional medicine and
complementary and alternative medicine therapies have in common?
1)
Both can produce adverse effects in some patients.
2)
Both use prescription medications.
3)
Both are usually reimbursed by insurance programs.
4)
Both are regulated by the FDA. - answer- ANS: 1
Both traditional and complementary therapies can produce adverse effects in some
patients. Many medications are derived from herbs, but the alternative treatments
usually use the herbs, not prescription medication. Insurance programs do not
necessarily reimburse alternative treatments, because many are not supported by
sound scientific research methodology. Alternative medications are not regulated by the
FDA.
____ 13. Of the following, the biggest disadvantage of having nursing assistive
personnel (NAP) help nurses is that the nurse
1)
Must know what aspects of care can legally and safely be delegated to the NAP
2)
,May rely too heavily on information gathered by the NAP when making patient care
decisions
3)
Is removed from many components of direct patient care that have been delegated to
the NAP
4)
Still maintains responsibility for the patient care given by the NAP - answer- ANS: 2
All of the options may be disadvantages to using NAPs, but making decisions based on
anothers information is the greatest drawback because of the potential for negatively
affecting patient care. Treatment decisions based on incorrect information may cause
harm to the patient.
____ 14. An older adult has type 1 diabetes. He can perform self-care activities but
needs help with shopping and meal preparation as well as with blood glucose
monitoring and insulin administration. Which type of healthcare facility would be most
appropriate for him?
1)
Acute care facility
2)
Ambulatory care facility
3)
Extended care facility
4)
Assisted living facility - answer- ANS: 4
Assisted living facilities are intended for those who are able to perform self-care
activities but who require assistance with meals, housekeeping, or medications. Acute
care facilities focus on preventing illnesses and treating acute problems. These facilities
include physicians offices, clinics, and diagnostic centers. Ambulatory care facilities
provide outpatient care. Clients live at home or in nonhospital settings and come to the
site for care. Ambulatory care facilities include private health and medical offices,
clinics, surgery centers, and outpatient therapy centers. Extended care facilities typically
provide long-term care, rehabilitation, wound care, and ongoing monitoring of patient
conditions.
____ 15. The nurse in the intensive care unit is providing care for only one patient, who
was admitted in septic shock. Based on this information, which care delivery model can
you infer that this nurse is following?
1)
Functional
2)
Primary
3)
Case method
4)
Team - answer- ANS: 3
,The nurse is following the case method model of nursing care. In this model, one nurse
cares for one patient during a single shift. When the functional nursing model is
employed, care is compartmentalized, and each task is assigned to a staff member with
the appropriate knowledge and skills. In primary nursing, one nurse plans the care for a
group of patients round-the-clock. The primary nurse assesses the patient and develops
the plan of care. When he or she is working, he or she provides care for those patients
that he or she is responsible for. In his or her absence, the associate nurses deliver
care. Although the nurse in this case could possibly be a primary nurse, there are not
enough data to confidently infer that. If the team nursing approach is utilized, a licensed
nurse (RN or LVN) is paired with a nursing assistant. The pair is then assigned to a
group of patients.
____ 16. Which healthcare worker should the nurse consult to counsel a patient about
financial and family stressors affecting healthcare?
1)
Social worker
2)
Occupational therapist
3)
Physicians assistant
4)
Technologist - answer- ANS: 1
The social worker coordinates services and counsels patients about financial, housing,
marital, and family issues affecting healthcare. The occupational therapist helps patients
regain function and independence for activities of daily living. Physicians assistants
work under the physicians direction to diagnose certain diseases and injuries.
Technologists provide a variety of specific functions in hospitals, diagnostic centers, and
emergency care. For example, laboratory technologists aid in the diagnosis and
treatment of patients by examining blood, urine, tissue, and body fluids. Radiology
technologists perform x-rays and other diagnostic testing.
____ 17. Which type of managed care allows patients the greatest choice of providers,
medications, and medical devices?
1)
Health maintenance organization
2)
Integrated delivery network
3)
Preferred provider organization
4)
Employment-based private insurance - answer- ANS: 3
Preferred provider organizations are a form of managed care that allows the patient a
greater choice of providers, medications, and medical devices within the designated list.
Health maintenance organizations allow the patient to choose a primary care provider
within the organization to coordinate his care. This type of program will only reimburse
medical care when the patient has first obtained a referral from the primary provider.
, Integrated delivery networks combine providers, healthcare facilities, pharmaceuticals,
and services into one system, and the patient must remain within the system to receive
care. Employment-based private insurance is not a managed care organization.
____ 18. A patient who underwent a total abdominal hysterectomy is assisted out of bed
as soon as her vital signs are stable. This intervention is most likely being directed by a
1)
Critical pathway
2)
Nursing care plan
3)
Case manager
4)
Traditional care model - answer- ANS: 1
This patients care is most likely being directed by a critical pathway. A critical pathway
is a multidisciplinary approach to care that sequences interventions over a length of stay
for a given case type, such as total abdominal hysterectomy. Using this model, the
patient can be assisted out of bed as soon as her vital signs are stable. Using the
traditional model, the nurse would have to obtain a physicians order to assist the patient
out of bed after surgery. The nursing care plan guides nursing care but cannot specify
when the patient can get out of bed postoperatively without a physicians order. When
case management is used, care is coordinated by the case manager across the
healthcare setting, but the case manager does not direct each care intervention.
____ 19. Which member of the healthcare team typically serves as the case manager?
1)
Occupational therapist
2)
Physician
3)
Physicians assistant
4)
Registered nurse - answer- ANS: 4
Typically, registered nurses serve as case managers for patients with specific
diagnoses. Their role is coordinator of care across the healthcare system. The
occupational therapist, physician, and physicians assistant all serve on the healthcare
team and take direction from the case manager.
____ 20. Which of the following is considered a primary care service?
1)
Providing wound care
2)
Administering childhood immunizations
3)
Providing drug rehabilitation
4)
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