1
NSG 555 Exam 1 – Nurse
Practitioners in Primary Care |
Newest Proctored Version |
Comprehensive Q&A Study Guide
How can knowledge of medications be applied across different diseases?
ANSWER: Medications learned for one disease may be relevant in managing
another, allowing for cumulative learning.
What are the areas of risk for Nurse Practitioners (NPs)?
ANSWER: Areas of specialty include aging services, neonatal and pediatric
specialties, NP office practice, and behavioral/psych facilities.
What practices can reduce risk for Nurse Practitioners?
ANSWER: Practice within the nurse practice act, comply with organizational
policies, maintain competencies, document care thoroughly, and use a risk
management team.
What are the 5Ms in geriatric care?
ANSWER: Mind (Dementia, delirium, depression), Mobility (falls, gait disorders),
Medications, Multicomplexity (geriatric assessment), What matters most (patient
values and goals).
What is the purpose of the Beers Criteria? ANSWER: To guide clinicians in
avoiding potentially harmful medications for geriatric patients.
,2
What categories are included in the Beers Criteria?
ANSWER: 1. Potentially inappropriate medications, 2. Medications inappropriate
for certain diseases, 3. Medications to use with caution, 4. Potentially inappropriate
drug-drug interactions, 5. Medications needing dosage adjustments based on renal
function.
What is advanced care planning?
ANSWER: It allows patients to share their personal values, life goals, and
preferences regarding future medical care.
What are advance directives?
ANSWER: Written or oral statements made by patients to guide care when they
are incompetent.
What is the focus of palliative care?
ANSWER: To improve the quality of life for patients with serious illnesses by
managing symptoms like dyspnea.
What should be addressed due to opioid use in palliative care?
ANSWER: Constipation, which can be managed with medications like Senna or
bisacodyl.
What are common reversible causes of terminal restlessness?
ANSWER: Urinary retention, constipation, pain, anticholinergic effects, and sleep
disruption.
,3
What is the significance of thorough documentation in NP practice?
ANSWER: It ensures objective, timely, and complete records of patient care
assessments and actions.
What should be done if an adverse event occurs in NP practice?
ANSWER: Report it to a clinical supervisor or risk manager and complete an
incident report.
Why is it important for NPs to maintain up-to-date education?
ANSWER: To ensure compliance with evidence-based practices and maintain
clinical competencies.
What is the role of effective communication in risk management for NPs?
ANSWER: It is essential for addressing patient care concerns and ensuring safety.
How should NPs handle claims and adverse medical events?
ANSWER: They should disclose errors and manage issues according to
established policies.
What is the importance of a comprehensive geriatric assessment?
ANSWER: It helps manage multiple chronic conditions and geriatric syndromes in
concert.
, 4
What does 'multicomplexity' refer to in geriatric care?
ANSWER: The need for a comprehensive assessment to address multiple health
issues in elderly patients.
What is the significance of understanding atypical disease presentations in
geriatrics?
ANSWER: Many disorders present atypically or with nonspecific symptoms,
requiring careful evaluation.
What is the impact of aging services on NP practice?
ANSWER: Increased areas of NP work in underserved areas, particularly in aging
services.
What should NPs do to ensure compliance with standard care?
ANSWER: Practice within the requirements of their nurse practice act and
organizational policies.
What should be addressed to ensure patient comfort in terminal care?
ANSWER: Fatigue, nausea, or vomiting.
What tools can be used to provide accurate prognosis in palliative care?
ANSWER: Palliative care tools and predictors.
What signs indicate that a patient is nearing death?
ANSWER: Skin changes, altered breathing patterns, and changes in mental status.
NSG 555 Exam 1 – Nurse
Practitioners in Primary Care |
Newest Proctored Version |
Comprehensive Q&A Study Guide
How can knowledge of medications be applied across different diseases?
ANSWER: Medications learned for one disease may be relevant in managing
another, allowing for cumulative learning.
What are the areas of risk for Nurse Practitioners (NPs)?
ANSWER: Areas of specialty include aging services, neonatal and pediatric
specialties, NP office practice, and behavioral/psych facilities.
What practices can reduce risk for Nurse Practitioners?
ANSWER: Practice within the nurse practice act, comply with organizational
policies, maintain competencies, document care thoroughly, and use a risk
management team.
What are the 5Ms in geriatric care?
ANSWER: Mind (Dementia, delirium, depression), Mobility (falls, gait disorders),
Medications, Multicomplexity (geriatric assessment), What matters most (patient
values and goals).
What is the purpose of the Beers Criteria? ANSWER: To guide clinicians in
avoiding potentially harmful medications for geriatric patients.
,2
What categories are included in the Beers Criteria?
ANSWER: 1. Potentially inappropriate medications, 2. Medications inappropriate
for certain diseases, 3. Medications to use with caution, 4. Potentially inappropriate
drug-drug interactions, 5. Medications needing dosage adjustments based on renal
function.
What is advanced care planning?
ANSWER: It allows patients to share their personal values, life goals, and
preferences regarding future medical care.
What are advance directives?
ANSWER: Written or oral statements made by patients to guide care when they
are incompetent.
What is the focus of palliative care?
ANSWER: To improve the quality of life for patients with serious illnesses by
managing symptoms like dyspnea.
What should be addressed due to opioid use in palliative care?
ANSWER: Constipation, which can be managed with medications like Senna or
bisacodyl.
What are common reversible causes of terminal restlessness?
ANSWER: Urinary retention, constipation, pain, anticholinergic effects, and sleep
disruption.
,3
What is the significance of thorough documentation in NP practice?
ANSWER: It ensures objective, timely, and complete records of patient care
assessments and actions.
What should be done if an adverse event occurs in NP practice?
ANSWER: Report it to a clinical supervisor or risk manager and complete an
incident report.
Why is it important for NPs to maintain up-to-date education?
ANSWER: To ensure compliance with evidence-based practices and maintain
clinical competencies.
What is the role of effective communication in risk management for NPs?
ANSWER: It is essential for addressing patient care concerns and ensuring safety.
How should NPs handle claims and adverse medical events?
ANSWER: They should disclose errors and manage issues according to
established policies.
What is the importance of a comprehensive geriatric assessment?
ANSWER: It helps manage multiple chronic conditions and geriatric syndromes in
concert.
, 4
What does 'multicomplexity' refer to in geriatric care?
ANSWER: The need for a comprehensive assessment to address multiple health
issues in elderly patients.
What is the significance of understanding atypical disease presentations in
geriatrics?
ANSWER: Many disorders present atypically or with nonspecific symptoms,
requiring careful evaluation.
What is the impact of aging services on NP practice?
ANSWER: Increased areas of NP work in underserved areas, particularly in aging
services.
What should NPs do to ensure compliance with standard care?
ANSWER: Practice within the requirements of their nurse practice act and
organizational policies.
What should be addressed to ensure patient comfort in terminal care?
ANSWER: Fatigue, nausea, or vomiting.
What tools can be used to provide accurate prognosis in palliative care?
ANSWER: Palliative care tools and predictors.
What signs indicate that a patient is nearing death?
ANSWER: Skin changes, altered breathing patterns, and changes in mental status.
