Exam (elaborations)
AG-CNS QUESTIONS WITH COMPLETE SOLUTIONS
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AG-CNS QUESTIONS WITH COMPLETE SOLUTIONS
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AG-CNS QUESTIONS WITHCOMPLETE SOLUTIONS
Adult gerontology clinical nurse specialists are talking about the ability to produce an
effect. What term best describes what they are talking about?
a. Marketing.
b. Budget.
c. Reimbursement.
d. Efficacy. - right answer✔d. Efficacy
Efficacy is a concept that adult gerontology clinical nurse specialists should be aware of.
The word efficacy is used to describe the ability to produce an effect. More directly, it
means the ability of an intervention or medication to produce an expected outcome.
Frankie is a patient who has been diagnosed with pancreatitis. Which of the following
test results is most likely to be consistent with this diagnosis?
a. Lipase is lowered.
b. White blood count will be elevated if the pancreatitis is acute.
c. Bilirubin is grossly elevated.
d. Glucose may be severely decreased if pancreatitis is severe. - right answer✔b. White
blood count will be elevated if the pancreatitis is acute.
White blood count will be elevated if the pancreatitis is acute. Lipase is elevated in
pancreatitis. Bilirubin is mildly elevated in 20% of patients. Glucose may be increased in
severe pancreatitis.
Creating a culture amenable to innovation is necessarily based on the relative
understanding and application of equity within an organizational framework. Equity is
characterized by which of the following?
a. It is morality-based.
b. It reflects delegatory authority.
c. It is comprised of vertical relationships.
d. It is inclusive, suggesting ownership. - right answer✔d. It is inclusive, suggesting
ownership.
Equity is characterized by being inclusive, suggesting ownership. It is value-based,
reflects accountability and is comprised of horizontal relationship. Equity is also
characterized by equality in relationships.
Which of the following drugs, when mixed with aged cheese or cured meats has a
clinical implication for severe hypertensive reactions?
a. benzodiazepines
b. angiotensin-converting enzyme (ACE) inhibitors
c. warfarin
,d. monoamine oxidase (MAO) inhibitors - right answer✔d. monoamine oxidase (MAO)
inhibitors
Clinically important drug-nutrient interactions between monoamine oxidase (MAO)
inhibitors and aged and cured cheese and meats can have implications that produce
severe hypertensive reactions. Other foods can produce a negative drug-nutrient
reaction with MAO inhibitors include banana peels, fava bean pods, yeast extracts,
sauerkraut or soy sauce, among others. Monoamine oxidase found in the GI tract
inactivates tyramine. Tyramine can cause hypertension when absorbed into the
systemic system.
Which of the following drugs for benign prostatic hypertrophy (BPH) requires up to six
months to be effective?
a. Minipress
b. Proscar
c. Hytrin
d. Cardura - right answer✔b. Proscar
Proscar (finasteride) shrinks the prostate. It requires up to 6 months to be effective. The
other drugs require a 2 - 3 month trial.
When controlling organizational costs, bringing the individuals' desires and the
organization's needs together is referred to as which of the following?
a. goal congruence
b. motivation
c. quality care
d. bonus effect - right answer✔a. goal congruence
In order to be certain that the human beings will in fact want to control organizational
costs, the manager needs to make sure that it is somehow in their direct best interests
for costs to be controlled. The key is to establish some way that the normally divergent
desires of both are congruent. This is goal congruence.
There are a number of normal aging changes that a health care professional must
recognize in a patient. Which of the following is NOT a normal aging change?
a. Older adults often experience an increased pulse pressure.
b. There is a decreased amount of blood pumped throughout the circulatory system.
c. Premature contractions and arrhythmias may occur.
d. Older adults often experience higher diastolic pressure. - right answer✔d. Older
adults often experience higher diastolic pressure.
Older adults often experience lower diastolic pressure. Blood flow is slower. Low
diastolic pressure is a risk for cerebrovascular accidents or strokes.
The system that allows managers to make financial decisions and adjustments through
computer modeling that uses real-time data is which of the following?
,a. prospective payment system
b. diagnosis related groups
c. decision support system
d. capitation - right answer✔c. decision support system
Decision support systems allow managers to make financial decisions and adjustments
through computer modeling that uses real-time data. Computer-generated financial
forecasting allows organizations to develop alternative scenarios on the basis of the
interplay among numerous variables.
Which of the following is NOT an instructional strategy?
a. role modeling
b. mini in-service
c. evidence-based practice
d. critical incident - right answer✔c. evidence-based practice
Evidence-based practice is not an instructional strategy; it is a decision-making strategy.
Other instructional strategies include rounds and family as "faculty."
In terms of intrarenal autoregulation, to prevent large changes in GFR, mean arterial
pressure is maintained at which of the following?
a. 0 - 40 mm Hg
b. 40 - 80 mm Hg
c. 80 to 180 mm Hg
d. 180 - 280 mm Hg - right answer✔c. 80 to 180 mm Hg
As a general principle of intrarenal autoregulation, mean arterial pressure (MAP) is
maintained in a range of 80 to 180 mm Hg to prevent large changes in GFR. The major
site of autoregulation is the afferent arteriole.
Which of the following is the most commonly reported illness among older adults?
a. osteoarthritis
b. constipation
c. osteoporosis
d. dementia - right answer✔a. osteoarthritis
Osteoarthritis is the most commonly reported illness among older adults. It is a type of
arthritis that occurs when flexible tissue at the ends of bones wears down. It is more
likely to occur in the weight bearing joints, especially the hips and knees.
When the clinical nurse specialist has the job of acting as a mentor assisting with
socialization of a novice nurse during orientation, he or she is known as which of the
following?
a. coach
b. preceptor
c. role model
d. transitioner - right answer✔b. preceptor
, Being a preceptor means that an experienced person acts as mentor for a new nurse,
assisting with the new nurse's orientation. Preceptor programs have gained popularity
as a means to socialize the novice nurse into the profession.
In terms of statistical analysis, addressing it as the likelihood of accurately predicting an
event or the extent of an effect is which of the following?
classical hypothesis testing
probability theory
measures of central tendency
kurtosis - right answer✔probability theory
Probability theory addresses statistical analysis as the likelihood of accurately predicting
an event or the extent of an effect. Nurse researchers might be interested in the
probability of a particular nursing outcome in a particular patient care situation.
Probability is expressed as a lowercase p.
Your patient tells you that he has large red nodules in the pit of his arm. He tells you
that he has had them before and they have resolved but now they are draining pus. You
understand that this person has which of the following?
early Lyme disease
pityriasis rosea
scabies
hidradenitis suppurativa - right answer✔hidradenitis suppurativa
Hidradenitis suppurativa is a chronic scarring skin disease that affects the apocrine
glands. Treatment includes antibiotics to reduce inflammation, fight infection, prevent
HS from worsening, and stop new breakouts, and corticosteroids to reduce
inflammation which can help clear HS and prevent new breakouts.
An adult gerontology clinical nurse specialist knows, that with age, people change in
which of the following ways?
In physical ways only.
Biological ways.
Psychological ways.
Both biological and psychological ways. - right answer✔Both biological and
psychological ways
An adult gerontology clinical nurse specialist knows, that with age, people change in
both biological and psychological ways. Nurses can recommend lifestyle changes that
can help decrease the effects of aging.
The oldest model of decision making is assumed to maximize satisfaction and fulfills the
"perfect knowledge assumption: that in any given situation calling for a decision, all
possible choices and consequences and potential outcome of each are known." This
model is which of the following?
normative model
descriptive model
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