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Adult gerontology clinical nurse specialists are talking about the ability to produce an effect.
What term best describes what they are talking about?
a. Marke ng.
b. Budget.
c. Reimbursement.
d. Efficacy. - Ans d. Efficacy
Efficacy is a concept that adult gerontology clinical nurse specialists should be aware of. The
word efficacy is used to describe the ability to produce an effect. More directly, it means the
ability of an interven on or medica on to produce an expected outcome.
Frankie is a pa ent who has been diagnosed with pancrea s. Which of the following test
results is most likely to be consistent with this diagnosis?
a. Lipase is lowered.
b. White blood count will be elevated if the pancrea s is acute.
c. Bilirubin is grossly elevated.
d. Glucose may be severely decreased if pancrea s is severe. - Ans b. White blood count will
be elevated if the pancrea s is acute.
White blood count will be elevated if the pancrea s is acute. Lipase is elevated in pancrea s.
Bilirubin is mildly elevated in 20% of pa ents. Glucose may be increased in severe pancrea s.
,Crea ng a culture amenable to innova on is necessarily based on the rela ve understanding
and applica on of equity within an organiza onal framework. Equity is characterized by which
of the following?
a. It is morality-based.
b. It reflects delegatory authority.
c. It is comprised of ver cal rela onships.
d. It is inclusive, sugges ng ownership. - Ans d. It is inclusive, sugges ng ownership.
Equity is characterized by being inclusive, sugges ng ownership. It is value-based, reflects
accountability and is comprised of horizontal rela onship. Equity is also characterized by
equality in rela onships.
Which of the following drugs, when mixed with aged cheese or cured meats has a clinical
implica on for severe hypertensive reac ons?
a. benzodiazepines
b. angiotensin-conver ng enzyme (ACE) inhibitors
c. warfarin
d. monoamine oxidase (MAO) inhibitors - Ans d. monoamine oxidase (MAO) inhibitors
Clinically important drug-nutrient interac ons between monoamine oxidase (MAO) inhibitors
and aged and cured cheese and meats can have implica ons that produce severe hypertensive
reac ons. Other foods can produce a nega ve drug-nutrient reac on with MAO inhibitors
include banana peels, fava bean pods, yeast extracts, sauerkraut or soy sauce, among others.
Monoamine oxidase found in the GI tract inac vates tyramine. Tyramine can cause
hypertension when absorbed into the systemic system.
Which of the following drugs for benign prosta c hypertrophy (BPH) requires up to six months
to be effec ve?
a. Minipress
,b. Proscar
c. Hytrin
d. Cardura - Ans b. Proscar
Proscar (finasteride) shrinks the prostate. It requires up to 6 months to be effec ve. The other
drugs require a 2 - 3 month trial.
When controlling organiza onal costs, bringing the individuals' desires and the organiza on's
needs together is referred to as which of the following?
a. goal congruence
b. mo va on
c. quality care
d. bonus effect - Ans a. goal congruence
In order to be certain that the human beings will in fact want to control organiza onal costs, the
manager needs to make sure that it is somehow in their direct best interests for costs to be
controlled. The key is to establish some way that the normally divergent desires of both are
congruent. This is goal congruence.
There are a number of normal aging changes that a health care professional must recognize in a
pa ent. Which of the following is NOT a normal aging change?
a. Older adults o<en experience an increased pulse pressure.
b. There is a decreased amount of blood pumped throughout the circulatory system.
c. Premature contrac ons and arrhythmias may occur.
d. Older adults o<en experience higher diastolic pressure. - Ans d. Older adults o<en
experience higher diastolic pressure.
, Older adults o<en experience lower diastolic pressure. Blood flow is slower. Low diastolic
pressure is a risk for cerebrovascular accidents or strokes.
The system that allows managers to make financial decisions and adjustments through
computer modeling that uses real- me data is which of the following?
a. prospec ve payment system
b. diagnosis related groups
c. decision support system
d. capita on - Ans c. decision support system
Decision support systems allow managers to make financial decisions and adjustments through
computer modeling that uses real- me data. Computer-generated financial forecas ng allows
organiza ons to develop alterna ve scenarios on the basis of the interplay among numerous
variables.
Which of the following is NOT an instruc onal strategy?
a. role modeling
b. mini in-service
c. evidence-based prac ce
d. cri cal incident - Ans c. evidence-based prac ce
Evidence-based prac ce is not an instruc onal strategy; it is a decision-making strategy. Other
instruc onal strategies include rounds and family as "faculty."
In terms of intrarenal autoregula on, to prevent large changes in GFR, mean arterial pressure is
maintained at which of the following?
a. 0 - 40 mm Hg
b. 40 - 80 mm Hg
c. 80 to 180 mm Hg