NSG 554 Exam 1, With Complete Verified
Solution 2023
ACO level 1
Least amount of risk and financial risk. Usually have a legal team and IT to track
benchmarks.
Receive shared savings bonuses for achieving benchmarks in care and spending.
ACO level 2
Ability to capture large amounts of lower cost services and more advanced IT systems
to track
benchmarks. Also able to provide care coordination for chronic diseases.
ACO level 3
Offers a full range of services and has a large infrastructure to provide comprehensive
health services. It has an advanced IT system and EMR and can track outcome, care
experiences, and quality of life benchmarks.
Health literacy tests
the Patient Education Materials Assessment Tool (PEMAT), Rapid Estimate of Adult
Literacy in Medicine-Short Form (REALM-SF), Ask Me 3, and Newest Vital Sign
Materials
Measures to reduce health literacy impact:
1. Routinely assess patients for health literacy level
2. Routinely assess providers for communication skills
3. Use the teach back method in patient interactions
4. Provide written patient education materials at reading level appropriate for every
patient
5. Use pictographs and symbols to convey information in patient education materials
6. Minimize the use of text in written materials
7. Provide alternative formats of information (audio and video formats)
Signs of puberty in adolescents: Males
Beginning of puberty: 9.5 to 14 years old Average age 11.5
First pubertal change: enlargement of the testicles
Penis enlargement: begins approximately 1 year after the testicles begin enlarging
Appearance of pubic hair: 13.5 years old
Nocturnal emissions: 14 years old
Hair under the arms and on the face, voice change, and acne: 15 years old
Signs of puberty in adolescents: Females
Beginning of puberty: 8 to 13 years Average age 12.5
First pubertal change: breast development
Pubic hair development: shortly after breast development
Hair under the arms: 12 years old
Menstrual periods: 10.5 to 14.5 years old
Minority Stress Theory
sexual minority health disparities can be explained in large part by stressors induced by
a hostile, homophobic culture, which often results in a lifetime of harassment,
, maltreatment, discrimination and victimization and may ultimately impact access to
care.
Lesbian
A sexual orientation that describes a woman who is emotionally and sexually attracted
to other women.
Gay
A sexual orientation that describes a person who is emotionally and sexually attracted
to people of their own gender. It can be used regardless of gender identity, but is more
commonly used to describe men.
Bisexual
A sexual orientation that describes a person who is emotionally and sexually attracted
to people of their own gender and people of other genders.
Transgender
Gender Dysphoria
Describes a person whose gender identity and assigned sex at birth do not
correspond.
Also used as an umbrella term to include gender identities outside of male and female.
Sometimes abbreviated as trans.
Queer
An umbrella term used by some to describe people who think of their sexual orientation
or gender identity as outside of societal norms. Some people view the term queer as
more fluid and inclusive than traditional categories for sexual orientation and gender
identity. Due to its history as a derogatory term, the term queer is not embraced or used
by all members of the LGBT community.
Intersex
Group of rare conditions where the reproductive organs and genitals do not develop as
expected.
Some prefer to use the term disorders (or differences) of sex development.
Intersex is also used as an identity term by some community members and advocacy
groups.
Asexual
Describes a person who experiences little or no sexual attraction to others. Asexuality is
not the same as celibacy.
Pregnancy Assessment
o Family History
o Physical Exam
o Prenatal Labs- Blood type, Rh factor, serology, rubella titer, HIV, Hepatitis B & C,
GC/Chlamydia/Syphilis
o Blood pressure
o Wt, BMI
o Pelvic space
o Cervix position, effacement, dilation
o Fundal lHeight
o Fetal Heart Rate and position
o Breast exam and assessment of the nipple
Solution 2023
ACO level 1
Least amount of risk and financial risk. Usually have a legal team and IT to track
benchmarks.
Receive shared savings bonuses for achieving benchmarks in care and spending.
ACO level 2
Ability to capture large amounts of lower cost services and more advanced IT systems
to track
benchmarks. Also able to provide care coordination for chronic diseases.
ACO level 3
Offers a full range of services and has a large infrastructure to provide comprehensive
health services. It has an advanced IT system and EMR and can track outcome, care
experiences, and quality of life benchmarks.
Health literacy tests
the Patient Education Materials Assessment Tool (PEMAT), Rapid Estimate of Adult
Literacy in Medicine-Short Form (REALM-SF), Ask Me 3, and Newest Vital Sign
Materials
Measures to reduce health literacy impact:
1. Routinely assess patients for health literacy level
2. Routinely assess providers for communication skills
3. Use the teach back method in patient interactions
4. Provide written patient education materials at reading level appropriate for every
patient
5. Use pictographs and symbols to convey information in patient education materials
6. Minimize the use of text in written materials
7. Provide alternative formats of information (audio and video formats)
Signs of puberty in adolescents: Males
Beginning of puberty: 9.5 to 14 years old Average age 11.5
First pubertal change: enlargement of the testicles
Penis enlargement: begins approximately 1 year after the testicles begin enlarging
Appearance of pubic hair: 13.5 years old
Nocturnal emissions: 14 years old
Hair under the arms and on the face, voice change, and acne: 15 years old
Signs of puberty in adolescents: Females
Beginning of puberty: 8 to 13 years Average age 12.5
First pubertal change: breast development
Pubic hair development: shortly after breast development
Hair under the arms: 12 years old
Menstrual periods: 10.5 to 14.5 years old
Minority Stress Theory
sexual minority health disparities can be explained in large part by stressors induced by
a hostile, homophobic culture, which often results in a lifetime of harassment,
, maltreatment, discrimination and victimization and may ultimately impact access to
care.
Lesbian
A sexual orientation that describes a woman who is emotionally and sexually attracted
to other women.
Gay
A sexual orientation that describes a person who is emotionally and sexually attracted
to people of their own gender. It can be used regardless of gender identity, but is more
commonly used to describe men.
Bisexual
A sexual orientation that describes a person who is emotionally and sexually attracted
to people of their own gender and people of other genders.
Transgender
Gender Dysphoria
Describes a person whose gender identity and assigned sex at birth do not
correspond.
Also used as an umbrella term to include gender identities outside of male and female.
Sometimes abbreviated as trans.
Queer
An umbrella term used by some to describe people who think of their sexual orientation
or gender identity as outside of societal norms. Some people view the term queer as
more fluid and inclusive than traditional categories for sexual orientation and gender
identity. Due to its history as a derogatory term, the term queer is not embraced or used
by all members of the LGBT community.
Intersex
Group of rare conditions where the reproductive organs and genitals do not develop as
expected.
Some prefer to use the term disorders (or differences) of sex development.
Intersex is also used as an identity term by some community members and advocacy
groups.
Asexual
Describes a person who experiences little or no sexual attraction to others. Asexuality is
not the same as celibacy.
Pregnancy Assessment
o Family History
o Physical Exam
o Prenatal Labs- Blood type, Rh factor, serology, rubella titer, HIV, Hepatitis B & C,
GC/Chlamydia/Syphilis
o Blood pressure
o Wt, BMI
o Pelvic space
o Cervix position, effacement, dilation
o Fundal lHeight
o Fetal Heart Rate and position
o Breast exam and assessment of the nipple
