Q1. [Chapter 1: Primary Care in the 21st Century] Which feature is a
hallmark of the Patient-Centered Medical Home (PCMH)? A. Specialist-led
care coordination. B. Payment based solely on the volume of patients seen.
C. Integrated, team-based care with a focus on access and quality. D. Focus
on episodic rather than longitudinal care. Answer: C Rationale: PCMH is a
model of care that is patient-centered, comprehensive, coordinated,
accessible, and committed to quality and safety.
Q2. [Chapter 2: Caring and the APN] According to Swanson’s Theory of
Caring, "Doing For" refers to: A. Performing tasks for the patient that they
would do for themselves if they were able. B. Managing the patient's
insurance claims and billing. C. Educating the patient on how to perform their
own care. D. Being emotionally present during a difficult diagnosis. Answer:
A Rationale: "Doing for" means performing for others what they would do for
themselves if it were at all possible (preserving dignity while providing
necessary physical support).
Q3. [Chapter 4: Health Promotion] A 52-year-old male smoker with a
history of hypertension asks about "Primary Prevention." Which
intervention fits this category? A. A screening colonoscopy. B.
Administration of the Influenza vaccine. C. Taking a low-dose aspirin after a
previous MI. D. Measuring blood pressure at a health fair. Answer: B
Rationale: Primary prevention aims to prevent the onset of disease (e.g.,
immunizations). Screening (A and D) is secondary; preventing recurrence
after a disease exists (C) is tertiary.