CMN 571 END OF COURSE EXAM QUESTIONS AND
ANSWERS GRADED A+
✔✔What are risk factors for colorectal cancer - ✔✔certain diets, smoking, ETOH,
obesity, lack of physical exercise, hx of colorectal polyps/adenomas, or family hx, hx of
IBS
✔✔What type of prevention is a guaiac or colonoscopy for colon cancer - ✔✔secondary
✔✔What are risk factors for cervical cancer - ✔✔HPV, multiple sexual partners,
smoking
✔✔How is cervical cancer detected - ✔✔PAP, HPV testing
✔✔Risk factors for lung cancer - ✔✔smoking, environmental exposure, radon
✔✔How is lung cancer screened for - ✔✔CXR, low-dose CT
✔✔What type of programs can you use to help a patient quit smoking? What type of
prevention is this - ✔✔federal state programs, primary
✔✔What are risk factors for osteoporosis - ✔✔age, ETOH, lack of appropriate exercise
✔✔How are pt screened for osteoporosis - ✔✔FRAX tool, BMD, determine adult tx
history
✔✔What is a primary prevention method if a patients sexual partner is HIV + -
✔✔Preexposure prophylaxsis
✔✔What type of prevention is a PHQ9 screen - ✔✔secondary prevention
✔✔What type of prevention is CBT for depression - ✔✔tertiary
✔✔What are higher risk for intimate partner violence - ✔✔younger age, female gender,
pregnancy, single/divorced/separated, ETOH or drug use in either partner, smoking,
poverty
✔✔What are the core principles of motivational interviewing - ✔✔*Express empathy-
build rapport
*Roll w/resistance- respect client autonomy
*Develop discrepancy- elicits pros and cons, identify b/t goals and current behavior
*Support Self-efficacy- communicate to the client he/she is capable of change
, ✔✔What step should NP take if patient is resistant to motivational interviewing -
✔✔respond different to the patient. use understanding, empathy, get clarification, new
perspectives are invite, repeat back your understanding, the person is a primary
resources in finding answers /solutions
✔✔How are core principles of motivational interviewing achieved - ✔✔open-ended
questions, affirmations, reflections, summaries
✔✔What is the highest level of reflective listening - ✔✔Reflection of feeling. focuses on
emotional part of statement- When you refuse-that is very painful to deal with
✔✔Which stage of change is the pt unaware, unwilling, too discourage. won't change
within next 6 months
worst strategy: persuasion
best strategy: listening, empathy, identifying barriers - ✔✔Precontemplation (I won't)
✔✔Which stage of change is the pt open to info, thinking about trying something in the
next 6 months.
Good place for information, emotional support - ✔✔Contemplation (I might)
✔✔Which state of change is the pt. getting ready to try out new behaviors within 30
days.
best strategies- goal setting, praising for their readiness, enlisting support of others -
✔✔Preparation (I will)
✔✔Which state of change is the patient taking steps, needing will power, habituating
behaviors, need stimulus control. reinforcing positive behaviors, continuing emotional
support.
Supporting efficiency is critical - ✔✔action (I am)
✔✔Which state of change has engaged for at least 6 months, continues to give
emotional support, relapse prevention/identification - ✔✔Maintenance (I have)
✔✔What is GAWPOW - ✔✔used to help pt. establish goals
G= What is the goal
A= what actions need to take place to meet the goal
W=When does the client want to do this
P=What people are available to help or support the goal
O= What are the obstacles or barriers to change
W= How will you know the plan is working
✔✔Medical conditions that require antibiotic prpphylaxis - ✔✔Heart valves, previous
bac. endocarditis, congenital heart disease (if defects are expected to remain exposed
ANSWERS GRADED A+
✔✔What are risk factors for colorectal cancer - ✔✔certain diets, smoking, ETOH,
obesity, lack of physical exercise, hx of colorectal polyps/adenomas, or family hx, hx of
IBS
✔✔What type of prevention is a guaiac or colonoscopy for colon cancer - ✔✔secondary
✔✔What are risk factors for cervical cancer - ✔✔HPV, multiple sexual partners,
smoking
✔✔How is cervical cancer detected - ✔✔PAP, HPV testing
✔✔Risk factors for lung cancer - ✔✔smoking, environmental exposure, radon
✔✔How is lung cancer screened for - ✔✔CXR, low-dose CT
✔✔What type of programs can you use to help a patient quit smoking? What type of
prevention is this - ✔✔federal state programs, primary
✔✔What are risk factors for osteoporosis - ✔✔age, ETOH, lack of appropriate exercise
✔✔How are pt screened for osteoporosis - ✔✔FRAX tool, BMD, determine adult tx
history
✔✔What is a primary prevention method if a patients sexual partner is HIV + -
✔✔Preexposure prophylaxsis
✔✔What type of prevention is a PHQ9 screen - ✔✔secondary prevention
✔✔What type of prevention is CBT for depression - ✔✔tertiary
✔✔What are higher risk for intimate partner violence - ✔✔younger age, female gender,
pregnancy, single/divorced/separated, ETOH or drug use in either partner, smoking,
poverty
✔✔What are the core principles of motivational interviewing - ✔✔*Express empathy-
build rapport
*Roll w/resistance- respect client autonomy
*Develop discrepancy- elicits pros and cons, identify b/t goals and current behavior
*Support Self-efficacy- communicate to the client he/she is capable of change
, ✔✔What step should NP take if patient is resistant to motivational interviewing -
✔✔respond different to the patient. use understanding, empathy, get clarification, new
perspectives are invite, repeat back your understanding, the person is a primary
resources in finding answers /solutions
✔✔How are core principles of motivational interviewing achieved - ✔✔open-ended
questions, affirmations, reflections, summaries
✔✔What is the highest level of reflective listening - ✔✔Reflection of feeling. focuses on
emotional part of statement- When you refuse-that is very painful to deal with
✔✔Which stage of change is the pt unaware, unwilling, too discourage. won't change
within next 6 months
worst strategy: persuasion
best strategy: listening, empathy, identifying barriers - ✔✔Precontemplation (I won't)
✔✔Which stage of change is the pt open to info, thinking about trying something in the
next 6 months.
Good place for information, emotional support - ✔✔Contemplation (I might)
✔✔Which state of change is the pt. getting ready to try out new behaviors within 30
days.
best strategies- goal setting, praising for their readiness, enlisting support of others -
✔✔Preparation (I will)
✔✔Which state of change is the patient taking steps, needing will power, habituating
behaviors, need stimulus control. reinforcing positive behaviors, continuing emotional
support.
Supporting efficiency is critical - ✔✔action (I am)
✔✔Which state of change has engaged for at least 6 months, continues to give
emotional support, relapse prevention/identification - ✔✔Maintenance (I have)
✔✔What is GAWPOW - ✔✔used to help pt. establish goals
G= What is the goal
A= what actions need to take place to meet the goal
W=When does the client want to do this
P=What people are available to help or support the goal
O= What are the obstacles or barriers to change
W= How will you know the plan is working
✔✔Medical conditions that require antibiotic prpphylaxis - ✔✔Heart valves, previous
bac. endocarditis, congenital heart disease (if defects are expected to remain exposed
