NRNP 6531 primary care adults gerontology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

NRNP EXAM ms




Exam Solution
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NURS 6531 Final part one Cartes 2026 A+ GRADE ASSU
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RED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (
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7F0D5)




QUESTION 1 ms




Terme
ANSWER

Définition



QUESTION 2 ms




A small, rural hospital is part of an Accountable Care Organization (ACO) and is desig
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nated as a Level 1 ACO. What is part of this designation? p. 2
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a. Bonuses based on achievement of benchmarks
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b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves
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d. Strict requirements for financial reporting
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ANSWER

ANS: A A Level 1 ACO has the least amount of financial risk and requirements, but receives shared s
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avings bonuses based on achievement of benchmarks for quality measures and expenditures. Care co
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ordination and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3 AC
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Os have strict requirements for financial reporting.
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QUESTION 3 ms




What was an important finding of the Advisory Board survey of 2014 about primary c
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are preferences of patients? p. 2
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a. Associations with area hospitals
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b. Costs of ambulatory care
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c. Ease of access to care
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d. The ratio of providers to patients
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,ANSWER

ANS: C As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
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care, walk- ms



in settings and the ability to be seen within 30 minutes, and care that is close to home. Associations
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with hospitals, costs of care, and the ratio of providers to patients were not part of these results.
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QUESTION 4 ms




What is the purpose of Level II research? p. 6
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a. To define characteristics of interest of groups of patients
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b. To demonstrate the effectiveness of an intervention or treatment
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c. To describe relationships among characteristics or variables
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d. To evaluate the nature of relationships between two variables
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ANSWER

ANS: C Level II research is concerned with describing the relationships among characteristics or vari
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ables. Level I research is conducted to define the characteristics of groups of patients. Level II resea
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rch evaluates the nature of the relationships between variables. Level IV research is conducted to de
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monstrate the effectiveness of interventions or treatments.
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QUESTION 5 ms




Which is the most appropriate research design for a Level III research study? p. 6
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a. Epidemiological studies
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b. Experimental design
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c. Qualitative studies
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d. Randomized clinical trials
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ANSWER

ANS: B The experimental design is the most appropriate design for a Level III study. Epidemiological
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studies are appropriate for Level II studies. Qualitative designs are useful for Level I studies. Rando
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mized clinical trials are used for Level IV studies.
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QUESTION 6 ms




What is the purpose of clinical research trials in the spectrum of translational researc
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h? p. 6 ms ms



a. Adoption of interventions and clinical practices into routine clinical care
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b. Determination of the basis of disease and various treatment options
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c. Examination of safety and effectiveness of various interventions
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d. Exploration of fundamental mechanisms of biology, disease, or behavior
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ANSWER

ANS: C Clinical research trials are concerned with determining the safety and effectiveness of interve
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ntions. Adoption of interventions and practices is part of clinical implementation. Determination of t
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,he basis of disease and treatment options is part of the preclinical research phase. Exploration of th
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e fundamental mechanisms of biology, disease, or behavior is part of the basic research stage.
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QUESTION 7 ms




What is the Quadruple Aim? p. 15
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ANSWER

1) Improved patient satisfaction 2) Reduce per capita costs 3) Improve population health 4) Improv
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e patient care team experience
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QUESTION 8 ms




What is the main reason for using the REALM-
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SF instrument to evaluate health literacy? p. 27
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a. It assesses numeracy skills.
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b. It enhances patient-provider communication.
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c. It evaluates medical word recognition.
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d. It measures technology knowledge.
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ANSWER

ANS: C The Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-
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SF) is an easy and fast tool that measures medical word recognition. It does not evaluate numeracy.
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The "Ask Me 3" tool enhances patient-
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provider communication. This tool does not evaluate understanding of technology.
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QUESTION 9 ms




A patient expresses concern that she is at risk for breast cancer. To best assess the ri
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sk for this patient, what is the best initial action?
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a. Ask if there is a family history of breast cancer.
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b. Gather and record a three-generation pedigree.
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c. Order a genetic test for the breast cancer gene.
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d. Recommend direct-to-consumer genetic testing.
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ANSWER

ANS: B The three- ms ms ms



generation pedigree is the best way to evaluate genetic risk. Asking about a family history is not a s
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ystematic risk assessment and does not specify who in the family has the history or whether there i
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s a pattern. Genetic testing and direct-to-
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consumer (DTC) genetic testing are not the initial actions when assessing genetic risk.
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QUESTION 10 ms

, A patient asks about direct-to-
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consumer (DTC) genetic testing. What will the provider tell the patient? p. 42
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a. It is not useful for identifying genetic diseases.
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b. Much of the information does not predict disease risk.
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c. The results are shared with the patient's insurance company.
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d. The results must be interpreted by a provider.
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ANSWER

ANS: B DTC testing gives a lot of information, but much of it does not contribute to disease predicti
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on, since mutations are not necessarily related to specific diseases. The tests are useful but must be
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interpreted accurately. The results are confidential and do not have to be interpreted by a provider.
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QUESTION 11 ms




What is an important part of patient care that can minimize the risk of a formal patie
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nt complaint even when a mistake is made? p. 49
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a. Ensuring informed consent for all procedures
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b. Maintaining effective patient communication
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c. Monitoring patient compliance and adherence
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d. Providing complete documentation of visits
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ANSWER

ANS: B Effective patient communication is key to building trust and rapport and ineffective communi
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cation is a predictor for malpractice claims. The other items are important aspects of care and may
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help the provider during the investigation of a claim, but do not minimize the risk.
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QUESTION 12 ms




What are some causes for failures or delays in diagnosing patients resulting in malpra
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ctice claims? (Select all that apply.)
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a. Failing to recognize a medication complication
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b. Failing to request appropriate consultations
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c. Improper performance of a treatment
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d. Not acting on diagnostic test results
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e. Ordering a wrong medication
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ANSWER

ANS: B, D Failing to obtain consultations when indicated or not acting on diagnostic test results can
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lead to diagnosis-
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related failures. Failing to recognize medication complications and ordering a wrong medication lead
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to medication prescribing allegations. Improper performance of a treatment can lead to treatment-
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related malpractice claims.
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QUESTION 13 ms