FNP1 Midterm Study Guide Final
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Risk Assessment - 4 step approach - correct ans:collection of information about risk factors for disease
states that present themselves during a patient's visit.
,PREVENTION is most important in regards to patient's health and we do this by identifying certain risk
factors that may lead to DM or HTN.
1) risk assessment
2) risk reduction
3) screening
4) immunizations
Risk Factors - correct ans:identified while taking patient's history, ROS, PE, and evaluating labs for the
condition the patient presented with.
At the END of the visit, AFTER managing the patient's chief complaint, this is the GOLD standard time to
engage the patient in a risk assessment discussion, as a step in providing preventative services.
USPSTF - GOLD STANDARD recommendation on screening tests, counseling, preventive meds; A and B
categories best
Example of Preventative Risk Assessment - correct ans:Colon Cancer is preventable if found early. Most
people diagnosed >50 years ago.
Recommendation for colon cancer screening for ALL men and women should start at 50 yrs old.
Case Study for Risk Assessment - Ginger is 51 yr old. Presents with a cough. You treat her cough. What
do you do next? - correct ans:At the end of the visit you say, "I see you are 51 years old. Have you had a
colonoscopy to be screened for colon cancer?"
Types of Risk Factors - correct ans:Personal Characteristics - smoking, occupational exposure (coal mine)
Anthropomorphic Parameters - obesity
,Chronic Disease - HTN, hyperlipidemia
Family History - family member died of MI at early age
How serious is the target condition? - correct ans:Seriousness is best judged by it's frequency and
severity.
Top 3 diagnoses often see together that have serious outcomes in regards to morbidity and mortality? -
correct ans:DM, HTN, Hyperlipidemia
Frequency - correct ans:measured in terms of incidence and prevalence
Incidence - correct ans:measure of the proportion of the population that ACQUIRES the disease in a
given time period
Prevalence - correct ans:measure of the proportion of the population that HAD the disease at any given
time
How common is the Risk Factor?
Should I screen for it? - correct ans:Uncommon: may not be worthy of screening
Common: some risk factors that are extremely common may be weak predictors of disease
Magnitude of Risk: Relative Risk vs Absolute Risk?
Accuracy of Risk Detection - correct ans:Inaccurate Screening Tests: can produce false-positive results;
leads to anxiety and patient's think they have the disease.
False-negatives: delays diagnosis and treatment
, Before you screen know the evidence: - correct ans:Ex: Alzheimer's Disease - why get screened if there
are no identifiable interventions that can prevent the disease?
Structural Family Theory - Minuchin - correct ans:Family structure: invisible set of functional
demands/rules
Family subsystems: parents, spouses, kids, etc.
Boundaries: emotional barriers
Techniques: mapping, enactments, reframing
Family System Theory - Bowen
8 Concepts - correct ans:Ex: mom and dad are fighting and mom moves her attention to her newborn
baby, ignoring her husband (triangle: mom, dad, baby)
Ex: mom and dad are fighting and dad puts all of his attention towards work (triangle: mom, dad, work)
Family: integrated unit
Triangles: when there is conflict and stress in a family between 2 individuals, there will always be a third
person/thing to avoid the stress; triangles are fluid - constantly shifting.
Differentiation of self: having a healthy sense of self
Emotional cut off: everyone knows there is a problem but no one wants to deal with it; cut emotions
off/divert attention away
8 Concepts:
-*triangles
Latest recent & frequently tested exam
and well elaborated questions with
questions and correct answers
GRADED A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
Risk Assessment - 4 step approach - correct ans:collection of information about risk factors for disease
states that present themselves during a patient's visit.
,PREVENTION is most important in regards to patient's health and we do this by identifying certain risk
factors that may lead to DM or HTN.
1) risk assessment
2) risk reduction
3) screening
4) immunizations
Risk Factors - correct ans:identified while taking patient's history, ROS, PE, and evaluating labs for the
condition the patient presented with.
At the END of the visit, AFTER managing the patient's chief complaint, this is the GOLD standard time to
engage the patient in a risk assessment discussion, as a step in providing preventative services.
USPSTF - GOLD STANDARD recommendation on screening tests, counseling, preventive meds; A and B
categories best
Example of Preventative Risk Assessment - correct ans:Colon Cancer is preventable if found early. Most
people diagnosed >50 years ago.
Recommendation for colon cancer screening for ALL men and women should start at 50 yrs old.
Case Study for Risk Assessment - Ginger is 51 yr old. Presents with a cough. You treat her cough. What
do you do next? - correct ans:At the end of the visit you say, "I see you are 51 years old. Have you had a
colonoscopy to be screened for colon cancer?"
Types of Risk Factors - correct ans:Personal Characteristics - smoking, occupational exposure (coal mine)
Anthropomorphic Parameters - obesity
,Chronic Disease - HTN, hyperlipidemia
Family History - family member died of MI at early age
How serious is the target condition? - correct ans:Seriousness is best judged by it's frequency and
severity.
Top 3 diagnoses often see together that have serious outcomes in regards to morbidity and mortality? -
correct ans:DM, HTN, Hyperlipidemia
Frequency - correct ans:measured in terms of incidence and prevalence
Incidence - correct ans:measure of the proportion of the population that ACQUIRES the disease in a
given time period
Prevalence - correct ans:measure of the proportion of the population that HAD the disease at any given
time
How common is the Risk Factor?
Should I screen for it? - correct ans:Uncommon: may not be worthy of screening
Common: some risk factors that are extremely common may be weak predictors of disease
Magnitude of Risk: Relative Risk vs Absolute Risk?
Accuracy of Risk Detection - correct ans:Inaccurate Screening Tests: can produce false-positive results;
leads to anxiety and patient's think they have the disease.
False-negatives: delays diagnosis and treatment
, Before you screen know the evidence: - correct ans:Ex: Alzheimer's Disease - why get screened if there
are no identifiable interventions that can prevent the disease?
Structural Family Theory - Minuchin - correct ans:Family structure: invisible set of functional
demands/rules
Family subsystems: parents, spouses, kids, etc.
Boundaries: emotional barriers
Techniques: mapping, enactments, reframing
Family System Theory - Bowen
8 Concepts - correct ans:Ex: mom and dad are fighting and mom moves her attention to her newborn
baby, ignoring her husband (triangle: mom, dad, baby)
Ex: mom and dad are fighting and dad puts all of his attention towards work (triangle: mom, dad, work)
Family: integrated unit
Triangles: when there is conflict and stress in a family between 2 individuals, there will always be a third
person/thing to avoid the stress; triangles are fluid - constantly shifting.
Differentiation of self: having a healthy sense of self
Emotional cut off: everyone knows there is a problem but no one wants to deal with it; cut emotions
off/divert attention away
8 Concepts:
-*triangles
