FNP 1 ACTUAL EXAMS SCRIPT QUESTIONS AND ANSWERS
MARKED A+
✔✔tertiary prevention - ✔✔-treatment
-care of people with established or known diseases to try to restore them to the highest
functioning and minimizing negative effects
-ex: pt with known DM II - focus on preventing complications such as blindness, kidney
disease, and foot amputations
✔✔What is the most cost effective level of prevention - ✔✔Primary prevention
✔✔What does screening accomplish - ✔✔Distinguishes between who has the disease
and who does not have the disease
✔✔Sensitivity - ✔✔-Refers to the proportion of the population with the condition who
test positive
-How was does the test tell you who has the disease
✔✔Specificity - ✔✔-Refers to the proportion of the population you do the test on who
test negative
-How well does the test tell you who does not have the disease
✔✔Test with a sensitivity of 95% - the population has 100 people with the disease. The
test will correctly identify how many who have it and miss how many who have it? -
✔✔Correctly identify 95 people who have the disease and miss 5 people who actually
have it
✔✔Test with a specificity of 85% - the population consists of 100 healthy people. This
test will correctly identify how many people who do not have it and miss how many? -
✔✔Correctly identity 85 people who do not have the disease as negative and incorrectly
identify 15 people who do not have the disease as positive
✔✔PPV - ✔✔refers to the proportion of persons with a positive test who have the
condition: true positives
✔✔NPV - ✔✔refers to the proportion of persons with a negative test who do not have
the condition, true negatives
✔✔The higher the prevalence the higher the ________ - ✔✔PPV
✔✔Prevalence - ✔✔The burden of disease in a population at a given time includes old
and new cases
#of cases/ population x 1000
,✔✔Incidence - ✔✔Number of new cases
#of new cases/those at risk x 1000
✔✔I or P?
There are 29.1 people diagnose with diabetes int he US - ✔✔P
✔✔I or P?
1.4 million people in the US were diagnosed with DM in 2014 - ✔✔I
✔✔I or P?
25.9% of Americans age 65 and older have diabetes - ✔✔P
✔✔I or P?
11.8 million seniors in the US have diabetes - ✔✔P
✔✔I or P?
There were 67,071 deaths from diabetes in the US in 2010 - ✔✔I
✔✔I or P?
1.25 million American children and adults have DM - ✔✔P
✔✔Morbidity - ✔✔-How many people have a disease
- Incidence and prevalence rates are measures of morbidity
✔✔Mortality - ✔✔- number of deaths / number at risk x 1000
✔✔Endemic - ✔✔Refers tot he constant presence and/or usual prevalence of a disease
or infectious agent in a geographical area
✔✔Epidemic - ✔✔Refers to an increase, often sudden, in the number of cases of a
disease above what is normally expected in that population in that area
✔✔Pandemic - ✔✔Refers to an epidemic that has spread to several countries or
continents
✔✔Endem-, Epi-, or Pandemic
Urban violence in higher rates than normal in Chicago, London, and Cartegena,
Columbia - ✔✔Epidemic
✔✔Endem-, Epi-, or Pandemic
Increased rates of obesity in all continents - ✔✔Pandemic
, ✔✔Endem-, Epi-, or Pandemic
Increased traffic accidents from texting while driving in several continents -
✔✔Pandemic
✔✔Endem-, Epi-, or Pandemic
Yellow fever at Iguaza Falls, Argentina - ✔✔Endemic
✔✔Endem-, Epi-, or Pandemic
Ebola virus in West Africa 2013-2016 - ✔✔Epidemic
✔✔Endem-, Epi-, or Pandemic
1918 worldwide flu costing 40-50million deaths - ✔✔Pandemic
✔✔PCMH-patient centered medical home - ✔✔Redesigned primary care approach
model of care that should continue to improve pt outcomes and allow pts and providers
to reach optimal health with a more coordinated and pt centered approach
✔✔What does the PCMH approach emphasize - ✔✔-population health management
- multidisciplinary teams
- care for at risk patients
GOAL: better patient outcomes
✔✔Triple Aim of Healthcare - ✔✔Improve health outcomes, improve quality of care,
reduce per capita costs
✔✔Aims of patient centered care: care should be ________ - ✔✔safe, efficient,
effective, pt-centered, equitable, and timely
✔✔What is at the top of the PCMH model - ✔✔Whole person orientation
✔✔What is the cornerstone of PCMH model - ✔✔team based coordinated care
✔✔Fee for service/ competing on volume is now transitioning to - ✔✔Value-based care/
compete on outcomes
✔✔Informatics - ✔✔science and art of turning data into information
✔✔Nursing informatics - ✔✔uses information and technology to support all aspects of
nursing --> delivery of care, education, research, and administration
✔✔Health Informatics - ✔✔Application of computer and information science to facilitate
the acquisition, processing, interpretation, and communication of health related data
MARKED A+
✔✔tertiary prevention - ✔✔-treatment
-care of people with established or known diseases to try to restore them to the highest
functioning and minimizing negative effects
-ex: pt with known DM II - focus on preventing complications such as blindness, kidney
disease, and foot amputations
✔✔What is the most cost effective level of prevention - ✔✔Primary prevention
✔✔What does screening accomplish - ✔✔Distinguishes between who has the disease
and who does not have the disease
✔✔Sensitivity - ✔✔-Refers to the proportion of the population with the condition who
test positive
-How was does the test tell you who has the disease
✔✔Specificity - ✔✔-Refers to the proportion of the population you do the test on who
test negative
-How well does the test tell you who does not have the disease
✔✔Test with a sensitivity of 95% - the population has 100 people with the disease. The
test will correctly identify how many who have it and miss how many who have it? -
✔✔Correctly identify 95 people who have the disease and miss 5 people who actually
have it
✔✔Test with a specificity of 85% - the population consists of 100 healthy people. This
test will correctly identify how many people who do not have it and miss how many? -
✔✔Correctly identity 85 people who do not have the disease as negative and incorrectly
identify 15 people who do not have the disease as positive
✔✔PPV - ✔✔refers to the proportion of persons with a positive test who have the
condition: true positives
✔✔NPV - ✔✔refers to the proportion of persons with a negative test who do not have
the condition, true negatives
✔✔The higher the prevalence the higher the ________ - ✔✔PPV
✔✔Prevalence - ✔✔The burden of disease in a population at a given time includes old
and new cases
#of cases/ population x 1000
,✔✔Incidence - ✔✔Number of new cases
#of new cases/those at risk x 1000
✔✔I or P?
There are 29.1 people diagnose with diabetes int he US - ✔✔P
✔✔I or P?
1.4 million people in the US were diagnosed with DM in 2014 - ✔✔I
✔✔I or P?
25.9% of Americans age 65 and older have diabetes - ✔✔P
✔✔I or P?
11.8 million seniors in the US have diabetes - ✔✔P
✔✔I or P?
There were 67,071 deaths from diabetes in the US in 2010 - ✔✔I
✔✔I or P?
1.25 million American children and adults have DM - ✔✔P
✔✔Morbidity - ✔✔-How many people have a disease
- Incidence and prevalence rates are measures of morbidity
✔✔Mortality - ✔✔- number of deaths / number at risk x 1000
✔✔Endemic - ✔✔Refers tot he constant presence and/or usual prevalence of a disease
or infectious agent in a geographical area
✔✔Epidemic - ✔✔Refers to an increase, often sudden, in the number of cases of a
disease above what is normally expected in that population in that area
✔✔Pandemic - ✔✔Refers to an epidemic that has spread to several countries or
continents
✔✔Endem-, Epi-, or Pandemic
Urban violence in higher rates than normal in Chicago, London, and Cartegena,
Columbia - ✔✔Epidemic
✔✔Endem-, Epi-, or Pandemic
Increased rates of obesity in all continents - ✔✔Pandemic
, ✔✔Endem-, Epi-, or Pandemic
Increased traffic accidents from texting while driving in several continents -
✔✔Pandemic
✔✔Endem-, Epi-, or Pandemic
Yellow fever at Iguaza Falls, Argentina - ✔✔Endemic
✔✔Endem-, Epi-, or Pandemic
Ebola virus in West Africa 2013-2016 - ✔✔Epidemic
✔✔Endem-, Epi-, or Pandemic
1918 worldwide flu costing 40-50million deaths - ✔✔Pandemic
✔✔PCMH-patient centered medical home - ✔✔Redesigned primary care approach
model of care that should continue to improve pt outcomes and allow pts and providers
to reach optimal health with a more coordinated and pt centered approach
✔✔What does the PCMH approach emphasize - ✔✔-population health management
- multidisciplinary teams
- care for at risk patients
GOAL: better patient outcomes
✔✔Triple Aim of Healthcare - ✔✔Improve health outcomes, improve quality of care,
reduce per capita costs
✔✔Aims of patient centered care: care should be ________ - ✔✔safe, efficient,
effective, pt-centered, equitable, and timely
✔✔What is at the top of the PCMH model - ✔✔Whole person orientation
✔✔What is the cornerstone of PCMH model - ✔✔team based coordinated care
✔✔Fee for service/ competing on volume is now transitioning to - ✔✔Value-based care/
compete on outcomes
✔✔Informatics - ✔✔science and art of turning data into information
✔✔Nursing informatics - ✔✔uses information and technology to support all aspects of
nursing --> delivery of care, education, research, and administration
✔✔Health Informatics - ✔✔Application of computer and information science to facilitate
the acquisition, processing, interpretation, and communication of health related data
