NP role final Questions With Complete Solutions
The nurse practitioner (NP) is planning strategies to prevent
HIV among a population of college students. To implement
primary prevention, which strategy does the NP include in the
plan?
a. Increasing fellow providers' knowledge about signs of acute
retroviral infection
b. Requiring students to complete counseling prior to
undergoing HIV testing
c. Completing continuing education about HIV/AIDS
d. Providing students with pre-exposure prophylaxis
Providing students with pre-exposure prophylaxis
Summarize the responsibility of nurse practitioner (NP) with
regard to reporting emergent illness and untimely or unexplained
deaths.
The NP as a primary care provider is on the front lines of
detecting emergent illness. Routine surveillance measures such
as the use of health indicator data serve as baseline data.
Hospitals routinely collect statistics on emergency room visits
and volume, nosocomial infections, and unexplained or untimely
deaths. Healthcare providers, hospitals, clinics, and public health
departments must submit reports on specific communicable
diseases. Nurse practitioners are expected to file communicable
disease reports pending assessment findings.
,Describe the application of syndromic surveillance to identify
potential biological terrorism.
Syndromic surveillance is one mechanism that can be used to
detect uncommon and unusual health occurrences. This
approach is based on an epidemiologic perspective and relies on
the recognition of unusual patterns of illness. Biological
terrorism can be expected if a set of health patterns appear that
are out of the ordinary, as in the following (a) a cluster of
diseases with similar clinical presentations and at a similar stage
of illness; (2) a cluster of unexplained illness in a well-defined
population; (3) unusually severe disease or higher mortality than
expected for a given agent; (4) a cluster of cases with an unusual
mode of transmission; (5) multiple or serial outbreaks; (6) a
disease not typical for a specific age group; (7) a disease unusual
for a season or region of the country; (8) clusters of the same
illness in various locations; and (9) clusters of morbidity or
mortality in animals or livestock similar to humans.
Discuss the potential benefits of using an electronic health
record (EHR) in relationship to care coordination.
Research indicated commercial ambulatory care electronic
medical records (EMRs) enhance care coordination in the
clinical setting by making data available at the point of care. Use
of an EHR is associated with increased organization and
accessibility of information, as well as increased data accuracy.
Sharing of patient information among physician, therapist, and
other healthcare providers, hospitals, and health systems greatly
facilitates coordination of care.
,Summarize the main purpose of each stage of the Centers for
Medicare & Medicaid Services (CMS) Meaningful Use program
for adopting an electronic health record (EHR) system
Stage 1 of the Centers for Medicare & Medicaid Services (CMS)
Meaningful Use program includes the basic functionalities for
EHRs. The requirements are focused on providers capturing
patient data and sharing that data either with the patient or with
other healthcare professionals. Stage 2 of the Meaningful Use
program focuses on advanced clinical processes. During Stage 2,
the requirements emphasize health information exchange
between providers and promote patient engagement by giving
patients secure online access to their health information. Stage 3
of the Meaningful Use program emphasizes improved outcomes.
As described by the Centers for Medicare & Medicaid Services
(CMS), Stage 1 of the Meaningful Use program includes which
action?
a. Transmitting patient care summaries electronically across
multiple settings
b. Increasing requirements for e-prescribing and incorporating
lab results
c. Incorporating decision support for national high-priority
conditions
d. Electronically capturing health information in a standardized
format
Electronically capturing health information in a standardized
format
, In comparison to an electronic medical record (EMR), the
electronic health record (EHR) offers which advantage?
a. Inclusion of provider generated treatment plans
b. Storage of radiology imaging
c. Data sharing between providers
d. Accessibility of laboratory test results
Data sharing between providers
Explain the potential benefits of electronic health records
(EHRs) on population health
Electronic health records (EHRs) have great potential for
improving public and population health through their ability to
allow the aggregation of multiple sets of patient data. In
addition, EHRs allow for enhanced reporting and investigation
of diseases and conditions that are mandated for reporting to
state and local public health agencies. Electronic health records
also have the potential to provide estimates of the burden and
distribution of disease among the population and population
subgroups. This data could be useful for facilitating program
planning, targeting, implementation, and monitoring.
Members of the healthcare organization anticipate conversion to
an electronic health record (EHR). During the preparation phase,
as healthcare team members set the goal and vision, which
question is most important to consider?
a. "How much customization of the EHR is necessary?"
b. What are the technologic requirements of the EHR?
c. "Why are we implementing an EHR?"
d. "What is the cost of the EHR?"
The nurse practitioner (NP) is planning strategies to prevent
HIV among a population of college students. To implement
primary prevention, which strategy does the NP include in the
plan?
a. Increasing fellow providers' knowledge about signs of acute
retroviral infection
b. Requiring students to complete counseling prior to
undergoing HIV testing
c. Completing continuing education about HIV/AIDS
d. Providing students with pre-exposure prophylaxis
Providing students with pre-exposure prophylaxis
Summarize the responsibility of nurse practitioner (NP) with
regard to reporting emergent illness and untimely or unexplained
deaths.
The NP as a primary care provider is on the front lines of
detecting emergent illness. Routine surveillance measures such
as the use of health indicator data serve as baseline data.
Hospitals routinely collect statistics on emergency room visits
and volume, nosocomial infections, and unexplained or untimely
deaths. Healthcare providers, hospitals, clinics, and public health
departments must submit reports on specific communicable
diseases. Nurse practitioners are expected to file communicable
disease reports pending assessment findings.
,Describe the application of syndromic surveillance to identify
potential biological terrorism.
Syndromic surveillance is one mechanism that can be used to
detect uncommon and unusual health occurrences. This
approach is based on an epidemiologic perspective and relies on
the recognition of unusual patterns of illness. Biological
terrorism can be expected if a set of health patterns appear that
are out of the ordinary, as in the following (a) a cluster of
diseases with similar clinical presentations and at a similar stage
of illness; (2) a cluster of unexplained illness in a well-defined
population; (3) unusually severe disease or higher mortality than
expected for a given agent; (4) a cluster of cases with an unusual
mode of transmission; (5) multiple or serial outbreaks; (6) a
disease not typical for a specific age group; (7) a disease unusual
for a season or region of the country; (8) clusters of the same
illness in various locations; and (9) clusters of morbidity or
mortality in animals or livestock similar to humans.
Discuss the potential benefits of using an electronic health
record (EHR) in relationship to care coordination.
Research indicated commercial ambulatory care electronic
medical records (EMRs) enhance care coordination in the
clinical setting by making data available at the point of care. Use
of an EHR is associated with increased organization and
accessibility of information, as well as increased data accuracy.
Sharing of patient information among physician, therapist, and
other healthcare providers, hospitals, and health systems greatly
facilitates coordination of care.
,Summarize the main purpose of each stage of the Centers for
Medicare & Medicaid Services (CMS) Meaningful Use program
for adopting an electronic health record (EHR) system
Stage 1 of the Centers for Medicare & Medicaid Services (CMS)
Meaningful Use program includes the basic functionalities for
EHRs. The requirements are focused on providers capturing
patient data and sharing that data either with the patient or with
other healthcare professionals. Stage 2 of the Meaningful Use
program focuses on advanced clinical processes. During Stage 2,
the requirements emphasize health information exchange
between providers and promote patient engagement by giving
patients secure online access to their health information. Stage 3
of the Meaningful Use program emphasizes improved outcomes.
As described by the Centers for Medicare & Medicaid Services
(CMS), Stage 1 of the Meaningful Use program includes which
action?
a. Transmitting patient care summaries electronically across
multiple settings
b. Increasing requirements for e-prescribing and incorporating
lab results
c. Incorporating decision support for national high-priority
conditions
d. Electronically capturing health information in a standardized
format
Electronically capturing health information in a standardized
format
, In comparison to an electronic medical record (EMR), the
electronic health record (EHR) offers which advantage?
a. Inclusion of provider generated treatment plans
b. Storage of radiology imaging
c. Data sharing between providers
d. Accessibility of laboratory test results
Data sharing between providers
Explain the potential benefits of electronic health records
(EHRs) on population health
Electronic health records (EHRs) have great potential for
improving public and population health through their ability to
allow the aggregation of multiple sets of patient data. In
addition, EHRs allow for enhanced reporting and investigation
of diseases and conditions that are mandated for reporting to
state and local public health agencies. Electronic health records
also have the potential to provide estimates of the burden and
distribution of disease among the population and population
subgroups. This data could be useful for facilitating program
planning, targeting, implementation, and monitoring.
Members of the healthcare organization anticipate conversion to
an electronic health record (EHR). During the preparation phase,
as healthcare team members set the goal and vision, which
question is most important to consider?
a. "How much customization of the EHR is necessary?"
b. What are the technologic requirements of the EHR?
c. "Why are we implementing an EHR?"
d. "What is the cost of the EHR?"
