NR 503 QUESTIONS AND CORRECT ANSWERS:
HEALTHCARE ACCESS, EPIDEMIOLOGY, AND GENOMICS,
EXAMS OF NURSING
Nurse practitioner in both acute and primary care must be aware of the relationship between
determinants of health and the impact on their community of practice. How might a nurse
practitioner apply determinants of health to practice? Choose all that apply. - ANSWER-A.
Implementing tertiary leveled interventions
B. Monitoring morbidity. and mortality data
C. Examining the issue of feed deserts
D. Application is at the state level and not applicable to acute or primary care
HP2020 indicates that genetic tests have the potential to inform health care in which of the
following ways: - ANSWER-1.risk prediction
2.participation in randomized controlled trials
3.increased mortality
4.identification of social risk factors
Which of the following is considered a self-examination of one's own prejudices and biases
towards another culture? - ANSWER-cultural awareness
In the article by Xue & intrator (2016), how are vulnerable populations described? - ANSWER-1.
Those who have less incidence of chronic disease
2. A group with lower health economic expenditures.
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3. Those individuals who are located in urban areas.
4. Groups that are most susceptible to adverse outcomes
When integrating the field of genomics into health care , the provider would: - ANSWER-
Incorporate family health history.
Assess for family history of automobile accidents.
Review occupational exposures.
Review health promotion strategies
As a nurse practitioner its is necessary to understand the concept of "risk". Which of the
following terms assesses the strength of association between risk factor and outcome? -
ANSWER-odds ratio
Which of the following would be appropriate to integrate in order to provide culturally
competent care? - ANSWER-1. Health care strategies that are from one case-study
2. Health care strategies that are based on cultural heritage and beliefs
3. Health care strategies that a peer recommends
4. Health care strategies that are based generalized norms
Your work in practice providing care to migrant farm workers. In order to provide culturally
congruent health care you: - ANSWER-ask coworkers their strategies for care
2. seek out cultural brokers
3. use standardized interventions
4. implement assessments that are focused on age-based needs.
Why is field of Genomics critical to population health? Select all that apply. - ANSWER-1. it can
guide interventions
2. it is useful only on a case-by-case basis
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3. it's too early to predict its use
4. genomics is useful for policy development
HP2020 defines health disparity as a health difference linked with social, economic and
environmental disadvantage. As a nurse practitioner how might you assess for these
disadvantages categories in your practice? - ANSWER-1. office of minority health
2. CDC
3. Quick health Data online
4. all of the above
How does the ANA Codes of Ethics relate to health policy? - ANSWER-1. Establishes the
commitments of the nurse.
2. it is unrelated to health policy.
3. Specifies policy interventions.
4. Mandates specific language to use
What are the two (2) overcharging goals of HP2020 which will assist the provider in providing
care? - ANSWER-1. increase years of healthy living
2. elimination of health disparities
how does implicit bias impact access and provision of healthcare - ANSWER-1. implicit bias has
no impact on access to healthcare
2.Implicit bias has been found to have a negative impact on healthcare access.
3. Implicit bias has never been linked to access of care issues.
4. Implicit bias is solely found within the acute care setting.
How does disaster epidemiology inform the practice of healthcare? - ANSWER-1. Health care
decisions are dependent on national priorities not epidemiology.