Walden University NURSING 6560 Final Exam Study Guide Questions and Answers Latest Update June 2021. 100% Correct

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ISSUES/TRENDS/POLICY 1. You want to get more funding for your hospital’s Rapid Response Team. How should you present this issue to the committee? a. Stress importance of the team (answer is worded... as looking up evidence about how the team affects outcomes, like a meta-analysis) b. Describe how to improve and expand the team. 2. What is the best way for the AGACNP to get involved in policy making? a. Attend legislative days at the state capitol b. Join a hospital committee c. Write to your local congressman d. Review literature and give more in-services 3. What is the best way for the AGACNP to demonstrate and advocate for full scope of practice? a. Join a hospital committee b. Petition the government c. Bill for independent services d. Start your own practice 4. Which of the following is considered a high acuity role for the AGACNP? a. Primary care clinic b. Cardiology office c. Community health department d. Minute Clinic 5. What is the best way to advocate for gay and lesbian population in your area? a. Participate at a high state or national level b. Join a non-profit advocacy group c. Consider lobbying the government d. Start at your facility DECISION MAKING 1. You notice there have been less favorable outcomes and satisfaction surveys in patients treated for sickle cell anemia. How do you approach this problem? a. Ask the patients treated how care can be improved b. Look back at prior treatment given to see how outcomes can be improved c. Form a standardized Tx plans for all pts that can be used by all healthcare staf d. Form individualized Tx plans that can be used by all healthcare staff . 2. You have transferred a pt to the SNF. The MD in charge at that facility calls for info about the pt’s medical care. What do you do? a. Direct him to look it up in the EMR b. Refuse to share protected health information c. Instruct him to call the department head d. Share the information he requests 3. Your patient has refused human blood products based on religious beliefs. He is now rapidly destabilizing. What do you do? a. Administer PRBCs as needed b. Call the ethics committee c. Continue to research alternative treatments d. Ask the family to give permission now that he’s unconscious 4. What is the best way to make sure a patient will follow up as instructed? a. Instruct the patient to schedule the appointment b. Ask the patient the best time they can go to an appointment c. Have the office manager to schedule the appointment d. Schedule the appointment for the patient COMMON PROBS/CULTURE/RISK 1. Your 24M patient has been out hiking on vacation. He shows you the following rash, and thinks he has Rocky Mountain Spotted Fever. What is his diagnosis? Lyme Disease (Erythema Migrans/Bullseye rash) (both are treated with Doxycycline) 2. Your patient is a Chinese female immigrant living in the US. You notice she is avoiding eye contact. What is this due to? a. Shame because she feels the illness is her fault b. Embarrassment from the examination c. A sign of respect d. A normal response 3. Your patient speaks only Spanish and you need to evaluate his pain. What do you do? a. Ask a family member to translate for you b. Utilize the hospital’s interpreter service c. Call over the Hispanic housekeeper and ask her to translate d. Use a visual pain scale (less $$ than interpreter) Question where the patient spoke a foreign language and you wanted to get consent from him. The options were to give him the consent form in his own language, use the hospital’s telephone interpreter service, have a family member translate, and then an obviously wrong option. 4. 58yo Japanese M with CP 4/10 for 3 hours, reluctant to answer questions. Which of the following in the ED warrant admission? a. Age b. Gender c. Pain level d. Ethnicity (underestimates pain, taught to be stoic. Pain is probably much more severe) 5. A 77M patient’s wife cares for him at home. Which statement by the wife indicates a need for a SNF? a. My husband needs more help with his ADLs b. I can’t lift him out of bed anymore c. He has lost 20 pounds d. He has trouble swallowing and I’m worried he will choke on his food. [Show More]

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