NP role final Exam Study Questions & Verified
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Explain the impact of healthcare disparities and vulnerability on health outcomes. -
✔✔Healthcare disparities comprise differences in healthcare quality among individuals or
groups with regard to access, treatment options, and preventative services. Segments of the
global population experience social inequalities and are at risk for poor health outcomes. While
any individual can become vulnerable at any point in their life, as documented in the literature,
health outcomes and vulnerability fall along a social gradient and poorer people experience
poorer health.
For the culturally competent nurse practitioner, the delivery of patient care is influenced by
which principle?
a. High-income countries are not subject to health disparities.
b. Access to primary health care services is a human right.
c. Gaps in health outcomes between different groups of people are inevitable.
d. Certain forms of health inequities are considered to be fair and just. - ✔✔Access to
primary health care services is a human right.
The nurse practitioner explores a patient's social determinants of health. When assessing
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lifestyle and behaviors, which question does the nurse practitioner ask the patient?
a. "Do you use tobacco products?"
b. "Are you currently employed?"
c. "Do you have sufficient food?"
d. "What is your level of education?" - ✔✔"Do you use tobacco products?"
The nurse practitioner plans to advocate for improving access to health care among all
populations. Which strategy does the nurse practitioner implement to advocate at the
macrosystem level?
,a. Becoming motivated to act on the behalf of other individuals
b. Developing cultural skills
c. Working through the chain of command of a healthcare organization
d. Gaining insight into self - ✔✔Working through the chain of command of a healthcare
organization
Describe key social and environmental factors that coexist with poverty. - ✔✔Beyond
representing strictly a socioeconomic issue, poverty impacts health, well-being, and quality of
life for generations to come. Key social and environmental factors that coexist with poverty
include poor housing; inadequate nutrition; lack of clean water; increased exposure to violence;
fragmented health care; and a higher prevalence of physical illness, mental health issues, and
disabilities.
Discuss factors that contribute to financial insecurity among the elderly. - ✔✔While social
security income is often identified as a protective factor against elderly poverty, increases in the
life expectancy of the elderly over time mean that financial resources have to last longer.
Simultaneously, healthcare and housing costs are rising and employer benefit pension plans
have decreased. As a result, elderly individuals face significant insecurity about whether or not
their resources are sufficient to cover the duration of their lives after retirement.
Discuss transgenerational trauma and its impact on disease development. -
✔✔Transgenerational or intergenerational trauma comprises wounding from a traumatic
event that produces effects upon generations after the initial trauma. Transgenerational
trauma may occur in individual families. In addition, transgenerational trauma may occur
among groups who have experienced various traumatic events (such as genocide, terrorism,
and natural disasters) as collective trauma. For both individuals and groups, long-lasting
harmful effects on physiological processes in the body may lead to the development of chronic
disease
Describe the nurse practitioner's approach to assessing and assisting an individual who may be
subject to human trafficking. - ✔✔The NP must be educated on identifying victims of human
trafficking, developing culturally appropriate caring patient/provider relationships, becoming
knowledgeable on reporting laws, and assisting colleagues to better identify and refer potential
victims. Potential indicators of trafficking include (a) being accompanied by someone who
,appears to be controlling the individual and the scenario; (b) fear; (c) sadness; (d) bruises and
other traumatic injuries; (e) lack of documentation; (f) discrepancy of behavior and reported
age; and (g) generally poor health. Recommended approaches to assessment of individuals who
may be subject to human trafficking include (a) assuring safety and confidentiality as a primary
step; (b) asking about the individual's living arrangements and freedom to come and go at will;
(c) asking if the individual is subject to threats or harm; and (d) asking if the individual has been
forced to have sex or perform sex acts. Useful laboratory testing includes complete blood
count, STD testing (including HIV), ova and parasites, hepatitis B and C, and tuberculosis. By
working as a team with social services and law enforcement, the NP can help get the victim to
safety and into services to assist transitioning to safe housing with long-term treatment for
psychological and medical issues.
When discussing gender and sexuality, a patient identifies as being "gender fluid." The nurse
practitioner understands the patient's gender identification to be reflective of which self-
perception?
a. The patient does not identify with any gender.
b. The patient identifies as mixed or neutral gender.
c. The patient identifies with the gender assigned at birth.
d. The patient's gender is not static but shifts. - ✔✔The patient's gender is not static but
shifts.
When discussing sexual orientation, the patient tells the nurse practitioner, "I view myself as
being female, but I am attracted to other people regardless of how they view their gender or
gender identity." Which sexual preference best describes the patient's perspective?
a. Pansexual
b. Homosexual
c. Asexual
d. Bisexual - ✔✔Pansexual
Research suggests the delivery of disparate health services is most prevalent among patients
who receive mental health treatment in which setting?
a. Primary care
, b. Psychiatric
c. Community health
d. Pediatric - ✔✔Primary care
The term "co-occurring diagnosis" best describes a patient who is diagnosed with which
concurrent health alterations?
a. Schizophrenia and opioid abuse disorder
b. Emphysema and chronic bronchitis
c. Hypertension and borderline personality disorder
d. Bipolar depression and conduct disorder - ✔✔Schizophrenia and opioid abuse disorder
Which disorder most significantly impacts out-of-home placement for children?
a. Conduct disorder
b. Autism spectrum disorder
c. Post-traumatic stress disorder
d. Substance use disorder - ✔✔Substance use disorder
Which single intervention is most appropriate for the nurse practitioner to consider including in
the plan of care for a patient who is struggling with opioid and marijuana dependencies?
a. Buprenorphine
b. Motivational interviewing
c. Naltrexone
d. Family psychotherapy - ✔✔Motivational interviewing
Discuss health outcomes associated with alterations in cortisol release secondary to chronic
stress and traumatic events. - ✔✔Systemic cortisol release enables the body to respond to
stressful stimuli. However, stress and traumatic events may lead to alterations in the
hypothalamic-pituitary-adrenal (HPA) axis. For example, individuals who experience chronic
stress may be subject to excessive cortisol production or to cortisol release in response to
Answers Already Graded A+
Explain the impact of healthcare disparities and vulnerability on health outcomes. -
✔✔Healthcare disparities comprise differences in healthcare quality among individuals or
groups with regard to access, treatment options, and preventative services. Segments of the
global population experience social inequalities and are at risk for poor health outcomes. While
any individual can become vulnerable at any point in their life, as documented in the literature,
health outcomes and vulnerability fall along a social gradient and poorer people experience
poorer health.
For the culturally competent nurse practitioner, the delivery of patient care is influenced by
which principle?
a. High-income countries are not subject to health disparities.
b. Access to primary health care services is a human right.
c. Gaps in health outcomes between different groups of people are inevitable.
d. Certain forms of health inequities are considered to be fair and just. - ✔✔Access to
primary health care services is a human right.
The nurse practitioner explores a patient's social determinants of health. When assessing
GRADESLAB.COM
lifestyle and behaviors, which question does the nurse practitioner ask the patient?
a. "Do you use tobacco products?"
b. "Are you currently employed?"
c. "Do you have sufficient food?"
d. "What is your level of education?" - ✔✔"Do you use tobacco products?"
The nurse practitioner plans to advocate for improving access to health care among all
populations. Which strategy does the nurse practitioner implement to advocate at the
macrosystem level?
,a. Becoming motivated to act on the behalf of other individuals
b. Developing cultural skills
c. Working through the chain of command of a healthcare organization
d. Gaining insight into self - ✔✔Working through the chain of command of a healthcare
organization
Describe key social and environmental factors that coexist with poverty. - ✔✔Beyond
representing strictly a socioeconomic issue, poverty impacts health, well-being, and quality of
life for generations to come. Key social and environmental factors that coexist with poverty
include poor housing; inadequate nutrition; lack of clean water; increased exposure to violence;
fragmented health care; and a higher prevalence of physical illness, mental health issues, and
disabilities.
Discuss factors that contribute to financial insecurity among the elderly. - ✔✔While social
security income is often identified as a protective factor against elderly poverty, increases in the
life expectancy of the elderly over time mean that financial resources have to last longer.
Simultaneously, healthcare and housing costs are rising and employer benefit pension plans
have decreased. As a result, elderly individuals face significant insecurity about whether or not
their resources are sufficient to cover the duration of their lives after retirement.
Discuss transgenerational trauma and its impact on disease development. -
✔✔Transgenerational or intergenerational trauma comprises wounding from a traumatic
event that produces effects upon generations after the initial trauma. Transgenerational
trauma may occur in individual families. In addition, transgenerational trauma may occur
among groups who have experienced various traumatic events (such as genocide, terrorism,
and natural disasters) as collective trauma. For both individuals and groups, long-lasting
harmful effects on physiological processes in the body may lead to the development of chronic
disease
Describe the nurse practitioner's approach to assessing and assisting an individual who may be
subject to human trafficking. - ✔✔The NP must be educated on identifying victims of human
trafficking, developing culturally appropriate caring patient/provider relationships, becoming
knowledgeable on reporting laws, and assisting colleagues to better identify and refer potential
victims. Potential indicators of trafficking include (a) being accompanied by someone who
,appears to be controlling the individual and the scenario; (b) fear; (c) sadness; (d) bruises and
other traumatic injuries; (e) lack of documentation; (f) discrepancy of behavior and reported
age; and (g) generally poor health. Recommended approaches to assessment of individuals who
may be subject to human trafficking include (a) assuring safety and confidentiality as a primary
step; (b) asking about the individual's living arrangements and freedom to come and go at will;
(c) asking if the individual is subject to threats or harm; and (d) asking if the individual has been
forced to have sex or perform sex acts. Useful laboratory testing includes complete blood
count, STD testing (including HIV), ova and parasites, hepatitis B and C, and tuberculosis. By
working as a team with social services and law enforcement, the NP can help get the victim to
safety and into services to assist transitioning to safe housing with long-term treatment for
psychological and medical issues.
When discussing gender and sexuality, a patient identifies as being "gender fluid." The nurse
practitioner understands the patient's gender identification to be reflective of which self-
perception?
a. The patient does not identify with any gender.
b. The patient identifies as mixed or neutral gender.
c. The patient identifies with the gender assigned at birth.
d. The patient's gender is not static but shifts. - ✔✔The patient's gender is not static but
shifts.
When discussing sexual orientation, the patient tells the nurse practitioner, "I view myself as
being female, but I am attracted to other people regardless of how they view their gender or
gender identity." Which sexual preference best describes the patient's perspective?
a. Pansexual
b. Homosexual
c. Asexual
d. Bisexual - ✔✔Pansexual
Research suggests the delivery of disparate health services is most prevalent among patients
who receive mental health treatment in which setting?
a. Primary care
, b. Psychiatric
c. Community health
d. Pediatric - ✔✔Primary care
The term "co-occurring diagnosis" best describes a patient who is diagnosed with which
concurrent health alterations?
a. Schizophrenia and opioid abuse disorder
b. Emphysema and chronic bronchitis
c. Hypertension and borderline personality disorder
d. Bipolar depression and conduct disorder - ✔✔Schizophrenia and opioid abuse disorder
Which disorder most significantly impacts out-of-home placement for children?
a. Conduct disorder
b. Autism spectrum disorder
c. Post-traumatic stress disorder
d. Substance use disorder - ✔✔Substance use disorder
Which single intervention is most appropriate for the nurse practitioner to consider including in
the plan of care for a patient who is struggling with opioid and marijuana dependencies?
a. Buprenorphine
b. Motivational interviewing
c. Naltrexone
d. Family psychotherapy - ✔✔Motivational interviewing
Discuss health outcomes associated with alterations in cortisol release secondary to chronic
stress and traumatic events. - ✔✔Systemic cortisol release enables the body to respond to
stressful stimuli. However, stress and traumatic events may lead to alterations in the
hypothalamic-pituitary-adrenal (HPA) axis. For example, individuals who experience chronic
stress may be subject to excessive cortisol production or to cortisol release in response to
