Wilkes University FNP NSG554
Exam 1 QUESTIONS AND
VERIFIED SOLUTIONS |2025
EXAM | ELABORATED
&DETAILED ANSWERS!! NSG
554 exam 1;NSG554- Exam 1
2026
New Model for primary care - CORRECT ANSWER-interprofessional collaboration
Evidence-based practice
"pay for performance"
VALUE-BASED PURCHASING:
Policy to reduce adverse events associated with care transitions - CORRECT ANSWER-Hospital
Readmissions Reduction Program (HRRP), provides hospitals with a financial incentive to
improve their communication and care coordination and work more successfully with patients
and caregivers on post-discharge planning.
transitional care teams
coordinated chronic care?
interventions responsible for lower costs and rehospitalizations in older high-risk patients -
CORRECT ANSWER-
,Health Literacy test - CORRECT ANSWER-four that are readily translatable into primary care
settings: (1) the Patient Education Materials Assessment Tool (PEMAT), 34 , 35 (2) Rapid
Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) 36 ; (3) Ask Me 3 37 ; and the (4)
Newest Vital Sign 38 - 40 or ice cream label assessment
culturally responsive care - CORRECT ANSWER-address cultural variations among diverse patient
groups
create a patient-centered environment
minimize clinician bias
overcome patient barriers; language environment
Adolescence behaviors - CORRECT ANSWER-adolescence starts at puberty through the
transition to young adulthood.
behaviors:
signs of puberty in adolescents - CORRECT ANSWER-menses or wet dreams, growth spurt,
greater sexual interest, experimentation
Minority stress theory - CORRECT ANSWER-The Minority Stress Theory 4 provides a framework
to understand the health disparities in SGM communities.
health disparities in sexual minority people are due to societal prejudice and hostility towards
gay, lesbian, and bisexual people.
Medical diagnostic terms to diagnose LGBTQ - CORRECT ANSWER-Intersex (adjective) A person
who has discordance in their sexual organs (e.g., having both a penis and ovaries)
,Genderqueer Gender nonconforming Gender fluid Gender non-binary Terms that some people
may use to describe fluidity in gender as well as an expression of gender that is neither male
nor female
Queer (adjective) A term that describes a sexual orientation or gender identity different from
the majority
Human trafficking symptoms to watch for - CORRECT ANSWER-
International travel recommendations - CORRECT ANSWER-
Healthy people goals - CORRECT ANSWER-
Assessment requirements for obese patients - CORRECT ANSWER-
Medications associated with weight gain - CORRECT ANSWER-
symptoms of early lyme disease - CORRECT ANSWER-The symptoms of early Lyme are viral like
such as fatigue, fever, headache, myalgia, arthalgia, and lymphadenopathy. Typically show up 7-
14 days after exposure.
Patient-centered medical home (PCMH) - CORRECT ANSWER-Safe, effective, patient-centered,
timely, efficient, equitable. This model provides increased access to medical providers and
coordinated care between providers.
Research studies provided evidence that high-risk older patients who had posthospital care
coordinated by an APN had reduced rehospitalization rates. It did not include clinic visits with a
primary care provider, inclusion of extended family members in the plan of care, or telephone
follow-up by a pharmacist.
, 7. A 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 - CORRECT ANSWER-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.
8. What is the main reason for using the REALM-SF instrument to evaluate health literacy?
a. It assesses numeracy skills.
b. It enhances patient-provider communication.
c. It evaluates medical word recognition.
d. It measures technology knowledge. - CORRECT ANSWER-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.
9. 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?
Exam 1 QUESTIONS AND
VERIFIED SOLUTIONS |2025
EXAM | ELABORATED
&DETAILED ANSWERS!! NSG
554 exam 1;NSG554- Exam 1
2026
New Model for primary care - CORRECT ANSWER-interprofessional collaboration
Evidence-based practice
"pay for performance"
VALUE-BASED PURCHASING:
Policy to reduce adverse events associated with care transitions - CORRECT ANSWER-Hospital
Readmissions Reduction Program (HRRP), provides hospitals with a financial incentive to
improve their communication and care coordination and work more successfully with patients
and caregivers on post-discharge planning.
transitional care teams
coordinated chronic care?
interventions responsible for lower costs and rehospitalizations in older high-risk patients -
CORRECT ANSWER-
,Health Literacy test - CORRECT ANSWER-four that are readily translatable into primary care
settings: (1) the Patient Education Materials Assessment Tool (PEMAT), 34 , 35 (2) Rapid
Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) 36 ; (3) Ask Me 3 37 ; and the (4)
Newest Vital Sign 38 - 40 or ice cream label assessment
culturally responsive care - CORRECT ANSWER-address cultural variations among diverse patient
groups
create a patient-centered environment
minimize clinician bias
overcome patient barriers; language environment
Adolescence behaviors - CORRECT ANSWER-adolescence starts at puberty through the
transition to young adulthood.
behaviors:
signs of puberty in adolescents - CORRECT ANSWER-menses or wet dreams, growth spurt,
greater sexual interest, experimentation
Minority stress theory - CORRECT ANSWER-The Minority Stress Theory 4 provides a framework
to understand the health disparities in SGM communities.
health disparities in sexual minority people are due to societal prejudice and hostility towards
gay, lesbian, and bisexual people.
Medical diagnostic terms to diagnose LGBTQ - CORRECT ANSWER-Intersex (adjective) A person
who has discordance in their sexual organs (e.g., having both a penis and ovaries)
,Genderqueer Gender nonconforming Gender fluid Gender non-binary Terms that some people
may use to describe fluidity in gender as well as an expression of gender that is neither male
nor female
Queer (adjective) A term that describes a sexual orientation or gender identity different from
the majority
Human trafficking symptoms to watch for - CORRECT ANSWER-
International travel recommendations - CORRECT ANSWER-
Healthy people goals - CORRECT ANSWER-
Assessment requirements for obese patients - CORRECT ANSWER-
Medications associated with weight gain - CORRECT ANSWER-
symptoms of early lyme disease - CORRECT ANSWER-The symptoms of early Lyme are viral like
such as fatigue, fever, headache, myalgia, arthalgia, and lymphadenopathy. Typically show up 7-
14 days after exposure.
Patient-centered medical home (PCMH) - CORRECT ANSWER-Safe, effective, patient-centered,
timely, efficient, equitable. This model provides increased access to medical providers and
coordinated care between providers.
Research studies provided evidence that high-risk older patients who had posthospital care
coordinated by an APN had reduced rehospitalization rates. It did not include clinic visits with a
primary care provider, inclusion of extended family members in the plan of care, or telephone
follow-up by a pharmacist.
, 7. A 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 - CORRECT ANSWER-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.
8. What is the main reason for using the REALM-SF instrument to evaluate health literacy?
a. It assesses numeracy skills.
b. It enhances patient-provider communication.
c. It evaluates medical word recognition.
d. It measures technology knowledge. - CORRECT ANSWER-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.
9. 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?
