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Nurs 6531 Exam |256 Questions & 100% Solutions
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Nurs 6531 Exam |256 Questions & 100% SolutionsA primary care provider administers the "Newest Vital Sign" health literacy test to a patient
newly diagnosed with a chronic disease. What information is gained by administering this test?
a. Ability to calculate data, along with general knowledge about health
b. Ease of using technology and understanding of graphic data
c. Reading comprehension and reception of oral communication
d. Understanding of and ability to discuss health care concerns - ✔ANS: A
The "Newest Vital Sign" tests asks patients to look at information on an ice cream container label
and answer questions that evaluate ability to calculate caloric data and to grasp general
knowledge about food allergies. It does not test understanding of technology or directly measure
reading comprehension. It does not assess oral communication. The "Ask Me 3" tool teaches
patients to ask three primary questions about their health care and management.
What is the main reason for using the REALM-SF instrument to evaluate health literacy? p. 27
a. It assesses numeracy skills.
b. It enhances patient-provider communication.
c. It evaluates medical word recognition.
d. It measures technology knowledge. - ✔ANS: C
The Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) is an easy and fast tool
that measures medical word recognition. It does not evaluate numeracy. The "Ask Me 3" tool
enhances patient-provider communication. This tool does not evaluate understanding of
technology.
,A female patient who is from the Middle East schedules an appointment in a primary
care office. To provide culturally responsive care, what will the clinic personnel do when
meeting this patient for the first time?
a. Ensure that she is seen by a female provider.
b. Include a male family member in discussions about health care.
c. Inquire about the patient's beliefs about health and treatment.
d. Research middle eastern cultural beliefs about health care. - ✔ANS: C
It is important not to make assumptions about beliefs and practices associated with health care
and to ask the patient about these. While certain practices are common in some cultural and
ethnic groups, assuming that all members of those groups follow those norms is not culturally
responsive.
A primary care provider is providing care for a postsurgical client who recently immigrated to
the United States and speaks English only marginally. What intervention will provide the most
effective means of communicating postdischarge information to the client?
a. Postpone discharge until the client is fully recovered from the surgery.
b. Requesting that a family member who speaks English be present during the
teaching session
c. Providing the necessary information in written form in the client's native language
d. Requesting the services of a professional interpreter fluent in the client's native
language - ✔ANS: D
Only approved, professional interpreters experienced in health care interpretation are
appropriate interpreters for patients. Family members or friends should not be used
as interpreters. Use of family members or friends may create misinterpretation or
misunderstanding between the provider and the patient. Family members may not
understand medical terms or may interpret only what they feel is important, or patients might
feel uncomfortable divulging personal information to the person interpreting. Written
information in the client's native language may be a means of reinforcing instructions but are
not a substitute of person-to-person education. It is neither realistic nor necessary to
postpone discharge for this reason.
,What question asked by the client newly diagnosed with congestive heart failure demonstrates
the effectiveness of previous education concerning the Ask Me 3 health literacy tool? p. 31
(Select all that apply.)
a. "Where can I get assistance with the cost of my medications?"
b. "Why is it important for me to take this newly prescribed medication?"
c. "Is it true that high blood pressure isn't causing my problem?"
d. "Is congestive heart failure curable with appropriate treatment?"
e. "Would watching my intake of salt help me manage this problem? - ✔ANS: B, C, E
While all these questions are appropriate, the Ask Me 3 tool encourages the client to
question what the problem is, what they need to do to manage the problem, and why it is
important to follow the treatment plan. Financial support and curability of the problem is not
directly addressed by this tool.
A patient expresses concern that she is at risk for breast cancer. To best assess the risk for
this patient, what is the best initial action?
a. Ask if there is a family history of breast cancer.
b. Gather and record a three-generation pedigree.
c. Order a genetic test for the breast cancer gene.
d. Recommend direct-to-consumer genetic testing. - ✔ANS: B
The three-generation pedigree is the best way to evaluate genetic risk. Asking about a
family history is not a systematic risk assessment and does not specify who in the family has
the history or whether there is a pattern. Genetic testing and direct-to-consumer (DTC)
genetic testing are not the initial actions when assessing genetic risk.
A patient asks about direct-to-consumer (DTC) genetic testing. What will the provider tell
the patient? p. 42
a. It is not useful for identifying genetic diseases.
b. Much of the information does not predict disease risk.
c. The results are shared with the patient's insurance company.
d. The results must be interpreted by a provider. - ✔ANS: B
, DTC testing gives a lot of information, but much of it does not contribute to disease prediction,
since mutations are not necessarily related to specific diseases. The tests are useful but must be
interpreted accurately. The results are confidential and do not have to be interpreted by a
provider.
What is an important part of patient care that can minimize the risk of a formal
patient complaint even when a mistake is made? p. 49
a. Ensuring informed consent for all procedures
b. Maintaining effective patient communication
c. Monitoring patient compliance and adherence
d. Providing complete documentation of visits - ✔ANS: B
Effective patient communication is key to building trust and rapport and ineffective
communication is a predictor for malpractice claims. The other items are important aspects
of care and may help the provider during the investigation of a claim, but do not minimize
the risk.
What are some causes for failures or delays in diagnosing patients resulting in malpractice
claims? (Select all that apply.)
a. Failing to recognize a medication complication
b. Failing to request appropriate consultations
c. Improper performance of a treatment
d. Not acting on diagnostic test results
e. Ordering a wrong medication - ✔ANS: B, D
Failing to obtain consultations when indicated or not acting on diagnostic test results can
lead to diagnosis-related failures. Failing to recognize medication complications and ordering
a wrong medication lead to medication prescribing allegations. Improper
performance of a treatment can lead to treatment-related malpractice claims.
A primary care provider is performing a Tzanck test to evaluate possible herpes simplex lesions.
To attain accurate results, the provider will perform what intervention? p. 232
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