test to a patient newly diagnosed with a chronic disease. What information

NSG 554 - Nurse Practitioners in Primary Care I

Exam 1

Question:

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?

• Ability to calculate data, along with general knowledge about health
• Ease of using technology and understanding of graphic data
• Reading comprehension and reception of oral communication
• Understanding of and ability to discuss health care concerns

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.

• / 4

Question:

What is the main reason for using the REALM-SF instrument to evaluate health literacy?

• It assesses numeracy skills.
• It enhances patient-provider communication.
• It evaluates medical word recognition.
• It measures technology knowledge.

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.

Question:

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?

• Ensure that she is seen by a female provider.
• Include a male family member in discussions about health care.
• Inquire about the patient's beliefs about health and treatment.
• Research middle eastern cultural beliefs about health care.

Answer:

ANS: C 2 / 4

It is important not to make assumptions about beliefs and practices associated with health care and to ask the patient about these. While certain practices are common in some cultural and ethnic groups, assuming that all members of those groups follow those norms is not culturally responsive.

Question:

Which behavior is most characteristic of early adolescence?

• Arguing with parents and teachers
• Assimilating adult roles and thinking
• Exhibiting fatigue more frequently
• Experimenting with sex and risky behaviors

Answer:

ANS: A

Early adolescents challenge authority, experience wide mood swings, reject the ideation of childhood, and can be argumentative and disobedient.Middle adolescents experience fatigue and begin experimenting with sex and risky behaviors. Late adolescents begin to assimilate adult roles.

Question:

What is the initial sign of puberty in the adolescent male?

• Deepening of the voice
• Elongation of the penis 3 / 4

• Nocturnal emissions
• Testicular enlargement

Answer:

ANS: D

Testicular enlargement is the initial sign of puberty in adolescent males.Penile growth and nocturnal emissions occur later as does deepening of the voice.

Question:

What is the focus of the Minority Stress Theory?

• Clarifying the various terms used to describe the LGBTQ community
• Understanding the health needs of select members of the sexual minority

community

• Helping health care providers eliminate biases in the care they provide to

the members of the LGBTQ community

• Facilitating the management of stress related to the lifestyle choices made

by members of sexual minority populations.

Answer:

ANS: B

The focus of the Minority Stress Theory is to provide a framework to the understanding of the health disparities in the sexual and gender minority (SGM) communities. The theory may help achieve some aspect of the other options, but that is not its focus.

• / 4