N674_WEEK_4_EXAM...questions and answers

Secondary prevention is: (select all that apply) Correct! Checking the blood pressure Correct! Getting a mammography screen Using an inhaler to prevent wheezing when you have asthma Correct! Colonoscopy screening Your patient is a 75-year-old woman with hypertension, diabetes, renal insufficiency, and a history of a stroke. She is unable to walk farther than half of a city block and needs assistance with bathing, cleaning, and shopping. Her daughter helps manage her finances and her medication. What is your estimate of her current life expectancy? Longer than the average 75-year-old woman Equal to the average 75-year-old woman Correct! Shorter than the average 75-year-old woman Mrs. A is 95 years old. You review her medical conditions and functional ability, then use the life expectancy table to estimate her life expectancy at 2.6 years, average for a 95-year-old woman. She is not experiencing any concerning symptoms. What factor should you consider when deciding whether or not to screen her for hyperlipidemia and diabetes? Correct! How long it will take treatment for diabetes and hyperlipidemia to benefit her? Does she have a family history of hyperlipidemia or diabetes? Has she been tested for hyperlipidemia and diabetes before? Do the USPSTF guidelines recommend screening for 95-year-old women? The United States Preventive Services Task Force makes sure its recommendations are consistent with the American Cancer Society and the American Heart Association recommendations. True Correct! False Your patient is an 80-year-old woman who lives independently, manages her own financial and household affairs well, and swims 4 days a week. Her only medication is amlodipine for hypertension. She has had regular medical care all her life and has had routine screenings up to now. The average life expectancy for 80-year-old women is 9.1 years. Colon cancer screening is expected to benefit those who have at least 10 years of life expectancy. Would you recommend a colonoscopy? Yes Correct! No The patient discloses that her partner controls all finances and restricts her from purchasing anything without his direct consent over an allowance of $10/week, yet he expects her to prepare three meals per day at circumscribed times within these means. Any additional funds if approved are accompanied by belittling attacks on her character and value. Without further information, these allegations suggest that the patient is experiencing: Sexual and economic abuse Correct! Economic and emotional abuse Physical and economic abuse Economic and psychological abuse Read the following scenario and answer the question: A 36-year-old female patient presents to your clinic with abdominal pain, chills, tremor, fever, and anxiety. She is pale, thin, and avoids eye contact. A thorough history is taken and she reports that she drinks with her husband and he gives her pills, which she takes most every day. She is not sure what they are for but she feels better when she wakes up. Her husband is not with her but will return to pick her up at the clinic. You suspect IPV. Given your suspicion, what are the possible outcomes for this patient? Death due to injury Pregnancy Suicide Correct! All of the above Providers at a primary care clinic that serves all ages and genders should adhere to the recommendations from the U.S. Preventive Services Task Force when screening IPV for which of these patients: Correct! Women of childbearing age Elderly or vulnerable adult populations Men All of the above If required to make a child abuse report to CPS in the State of California, the nurse practitioner must assess for safety and have a plan of action in place before the report is made for the following individuals. Choose all that apply. Correct! The suspected abused child Correct! The suspected offending parent/caretaker Correct! The suspected unoffending parent/caretaker Correct! The nurse practitioner and clinic staff A 20-year-old transgender patient presents to the office with multiple bruises and periorbital hematoma. You notice in the chart that there were three other reported injuries during the past 6 months. Universal steps in all 50 U.S. states for assessing possible IPV include: Provide confidential space for patient interview Ask simple, direct, nonjudgmental questions Use patient’s words to record the identity of the alleged assailant and details about the event Correct! All of the above Which of the following is not a part of routine screening for all pregnant women at the first prenatal visit (before 16 weeks): Complete blood count with platelets Correct! Glucose load test Maternal blood type Rubella immunity