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"When disseminating research findings in a peer-reviewed journal, the adult-gerontology
primary care nurse practitioner:
(a) concludes that the study proves the hypothesis.
(b) excludes the discussion section, because the conclusion contains this information.
(c) recommends incorporating the results directly into clinical practice.
(d) uses the methodology section to support the validity of the study. - CORRECT ANSWER✅ (d)
uses the methodology section to support the validity of the study."
"A patient's adult child telephones the adult-gerontology primary care nurse practitioner to
inquire about the patient's illness. The patient's child reports that the parent relies upon the
child to explain everything to him or her. The nurse practitioner:
(a) asks the child to provide a copy of the patient's advance directive document.
(b) assures the child that the nurse practitioner can disclose requested information.
(c) informs the child that he or she must come to the clinic to discuss the parent's case.
(d) tells the child that the nurse practitioner can discuss the information only with the patient. -
CORRECT ANSWER✅ (d) tells the child that the nurse practitioner can discuss the information
only with the patient."
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,"The adult-gerontology primary care nurse practitioner is appointed to a hospital's
multidisciplinary medical ethics review committee. The nurse practitioner's role is to:
(a) evaluate standards, risks, benefits, and outcomes.
(b) identify how to anticipate and resolve similar future situations.
(c) investigate the need for disciplinary action.
(d) obtain agreement of all parties with a chosen solution. - CORRECT ANSWER✅ (a) evaluate
standards, risks, benefits, and outcomes."
"To improve the quality of clinical practice, the adult-gerontology primary care nurse
practitioner:
(a) charges a fee for patients who arrive late to clinic appointments.
(b) disseminates research study results to colleagues.
(c) expresses opinions about alternative therapies with patients who consider such treatments.
(d) schedules time during clinic hours to meet with pharmaceutical representatives. - CORRECT
ANSWER✅ (b) disseminates research study results to colleagues."
"One effect of using electronic health record applications, such as telemedicine and portable
monitoring systems, has been to:
(a) create stand-alone clinics.
(b) decrease billable visits.
(c) increase risks to patients.
(d) open access to care. - CORRECT ANSWER✅ (d) open access to care."
"The adult-gerontology primary care nurse practitioner evaluates an 80-year-old patient with
cognitive deficits, who is unaccompanied by the adult child who typically is present. The patient
has urinary symptoms, for which the nurse practitioner considers ordering sulfamethoxazole-
trimethoprim (Bactrim). The patient's previous medical record is unavailable. Before prescribing
the medication, the nurse practitioner:
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,(a) contacts the patient's adult child.
(b) queries the other staff members.
(c) relies on the patient's self-report.
(d) waits until the patient's chart is available. - CORRECT ANSWER✅ (a) contacts the patient's
adult child."
"The adult-gerontology primary care nurse practitioner conducts a small group class on weight
management. The nurse practitioner anticipates that the patient who may have the greatest
difficulty implementing the counseling is the:
(a) extroverted patient raising his or her grandchildren.
(b) introverted patient who does not speak in the group.
(c) personable patient who lives with his or her children.
(d) worried patient whose son is serving in military conflict. - CORRECT ANSWER✅ (d) worried
patient whose son is serving in military conflict."
"The adult-gerontology primary care nurse practitioner evaluates a patient with cold symptoms
who reports smoking half a pack of cigarettes a day and shows no interest in quitting. The nurse
practitioner's most appropriate approach is to treat the cold symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette. - CORRECT ANSWER✅ (a) advise
the patient to stop smoking."
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, "The adult-gerontology primary care nurse practitioner plans to provide smoking cessation
education at a community center to older adults and their families. The nurse practitioner
designs the program based on knowledge that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger smokers.
(d) receive more instruction to quit from health care providers than younger smokers. - CORRECT
ANSWER✅ (b) are more likely to be successful at quitting than younger smokers."
"An 84-year-old patient arrives at the office for an initial visit. The patient questions the need
for colorectal screening, since 10 years have passed since the last colonoscopy. The adult-
gerontology primary care nurse practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting. - CORRECT ANSWER✅ (d) watchful waiting."
"To evaluate for heart failure, which diagnostic test does the adult-gerontology primary care
nurse practitioner order for a patient with swelling in the lower extremities?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study. - CORRECT ANSWER✅ (b) Brain natriuretic peptide test."
"Before placing a patient with onychomycosis on a pulsed dose of itraconazole (Sporanox),
which laboratory values does the adult-gerontology primary care nurse practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
(d) White blood cell count. - CORRECT ANSWER✅ (a) Liver function studies."
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