Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th Edition

Chapter 81. The 15-Minute Hour: Practical Approaches to Behavioral Health forPrimary CareMULTIPLE CHOICE1. According to the World Health Organization data on 1,500 patients around the world, howmany patients presenting with medical/somatic complaint had a psychiatric problem?A. 25% of all patientsB. One-quarter of all patientsC. One-half of all patientsD. 60% of

19. delayed serum sickness–type reactions in response to multiple bee, wasp, or fire-ant stings can be managed with which of the following? a. a corticosteroid such as prednisone (deltasone), 60 to 100 mg, tapered over 2 weeks b. an oral antihistamine, such as hydroxyzine, for 2 weeks c.

Section 12. Hematological and Immunological ProblemsMULTIPLE CHOICE1. Sandra is 70 years old and has just been diagnosed with leukemia. She is complaining of boneand joint pain. Which type of leukemia is most likely the culprit?A. Acute lymphoblastic leukemia (ALL)B. Acute myelogenous leukemia (AML)C. Chronic myelogenous leukemia (CML)D. Chronic lymphocytic leukemia

Section 3. Eye ProblemsMULTIPLE CHOICE1. An acutely presenting, erythematous, tender lump within the eyelid is called:A. BlepharitisB. HordeolumC. ChalazionD. IritisANS: BPTS: 12. A granulomatous infection of a meibomian gland that presents as a painless swelling on theeyelid is called a:A. IritisB. ChalazionC. Viral conjunctivitisD. Nuclear cataractsANS: BPTS: 13. Billy presents

Section 1. Neurological ProblemsMULTIPLE CHOICE1. Which statement about confusion is true?A. Confusion is a disease process.B. Confusion is always temporary.C. Age is a reliable predictor of confusion.D. Polypharmacy is a major contributor to confusion in older adults.ANS: DPTS: 12. Which of the following indicates a diagnosis of dementia?A. Onset after

Section 7. Abdominal ProblemsMULTIPLE CHOICE1. A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which ofthe following should be included in the examination?A. Lumbar punctureB. Family history of cardiac problemsC. Contrast venographyD. Pelvic examANS: DPTS: 12. Which of the following is a condition that results in

Section 8. Renal ProblemsMULTIPLE CHOICE1. A patient is seen in the clinic with a chief complaint of hematuria. To make a differentialdiagnosis, which of the following questions should be asked?A. “Do you have a history of liver disease?”B. “What medications are you currently taking?”C. “Have you noticed swelling in your

Section 11. Endocrine and Metabolic ProblemsMULTIPLE CHOICE1. A patient is 66 inches in height, weighing 200 lbs, and newly diagnosed with type 2 diabetesmellitus (DM). The A1c is 7.1%. What is the best initial treatment?A. No treatment at this timeB. Diet and exerciseC. Diet, exercise, and metforminD. Diet, exercise, and

Section 10. Musculoskeletal ProblemsMULTIPLE CHOICE1. One of the initial steps in assessing patients with musculoskeletal complaints is to determinewhether the complaint is articular or nonarticular in origin. Which of the following is anexample of an articular structure?A. BoneB. SynoviumC. TendonsD. FasciaANS: BPTS: 12. You have detected the presence of crepitus

Section 13. Psychosocial ProblemsMULTIPLE CHOICE1. The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of thefollowing neurotransmitters plays a role in anxiety?A. AcetylcholineB. Gamma-aminobutyric acid (GABA)C. DopamineD. SerotoninANS: BPTS: 12. The criteria for diagnosing generalized anxiety disorder in the American PsychiatricAssociation’s Diagnostic and Statistical Manual of Mental Disorders,

Chapter 82. Putting Caring Into Practice: Caring for SelfMULTIPLE CHOICE1. The World Health Organization defines self-care as:A. An important global activity for all health-care providersB. A set of deliberate actions that all individuals, families, and communities shouldengage in to maintain good healthC. Essential to efficacious advanced practice nursing practiceD. An

Section 4. Ear, Nose, and Throat ProblemsMULTIPLE CHOICE1. Which of the following is an example of sensorineural hearing loss?A. Perforation of the tympanic membraneB. OtosclerosisC. CholesteatomaD. PresbycusisANS: DPTS: 12. The clinician is assessing a patient complaining of hearing loss. The clinician places a tuningfork over the patient’s mastoid process, and

Section 2. Skin ProblemsMULTIPLE CHOICE1. Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crownof his head. How do you respond when he asks you the cause?A. “You must be under a lot of stress lately.”B. “It is hereditary. Did your father experience this also?”C. “The

Section 6. Cardiovascular ProblemsMULTIPLE CHOICE1. What of the following patients is a candidate for statins?A. Jerry is a 55-year-old male with a history of syncope.B. Christa is a 65-year-old female with a history of myocardial infarction (MI).C. Manny is a 75-year-old male with a 10-year cardiovascular risk of 6.5%.D. April

Section 5. Respiratory ProblemsMULTIPLE CHOICE1. A chronic cough lasts longer than:A. 3 weeksB. 8 weeksC. 6 monthsD. 1 yearANS: BPTS: 12. You are doing a cerumen extraction and touch the external meatus of your patient’s ear. Hewinces and starts coughing. What is the name of this reflex?A. Baker phenomenonB. Arnold

Section 9. Gender-Related Health ProblemsMULTIPLE CHOICE1. Which of the following is a correct recommendation of when to begin prostate screening?A. Men with no symptoms of prostate cancer and who are in good health should startscreening at age 60.B. Asian American men should start screening at age 45.C. Men who have

Chapter 3. Health PromotionMULTIPLE CHOICE1. Which of the following is a primary prevention measure for a 76-year-old man newlydiagnosed with a testosterone deficiency?A. Calcium supplementationB. Testicular self-examinationC. Bone density testD. Digital rectal examinationANS: APTS: 12. Which of the following is an example of secondary prevention in a 50-year-old woman?A. Yearly

Chapter 5. Evidence-Based CareMULTIPLE CHOICE1. What is the goal of nursing research?A. Make decisions regarding nursing education based on published literatureB. Determine topics that could develop nursing knowledgeC. Gather information from published literature to make decisions about applicationto clinical practiceD. Conduct studies to develop a body of nursing knowledgeANS: DPTS:

Chapter 76. Sports PhysicalsMULTIPLE CHOICE1. Which of the following is TRUE regarding sports physicals?A. The sports physical as a screening tool changes and updates yearly.B. They are meant to exclude athletes who are not in shape from participation insports.C. The sports physical is a formal requirement, and it is done

Chapter 77. Primary Care of Older AdultsMULTIPLE CHOICE1. Which of the following is true regarding old age and life expectancy?A. It is always defined as an adult aged 65 and older.B. The human life cycle is mostly consistent throughout the world.C. Old age is not a definite biological state.D. The

Chapter 80. The Business of Advanced Practice NursingMULTIPLE CHOICE1. Identify the primary challenge for insurance carriers in today’s health delivery model.A. Preventing illnessB. Screening for diseaseC. Educating the publicD. Reducing health-care spendingANS: DPTS: 12. Medicare benefits were offered to U.S. beneficiaries beginning in 1965. What was the serviceadded with the

Chapter 78. Palliative Care and Pain ManagementMULTIPLE CHOICE1. Which of the following statements is TRUE regarding pain?A. If a patient complains of pain but has no physical signs, he or she is most likelyexhibiting drug-seeking behaviors.B. Acute pain is more intense and severe than chronic pain.C. Pain is a subjective

Chapter 79. Ethical and Legal Issues of a Caring-Based PracticeMULTIPLE CHOICE1. Which statement about the American Nurses Association Code of Ethics is accurate?A. Each state’s legal requirements exceed those of the Code.B. A primary purpose of the Code is to show physicians that nurses are professional.C. Nurses, with input from