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NSG 555/ NSG555 Exam 1 – Nurse Practitioners in Primary Care II Guide| Wilkes (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NSG 555/ NSG555 Exam 1 – Nurse Practitioners in Primary Care II Guide| Wilkes (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION Palliative care Answer: medical care focused on improving quality of life for people living with serious illness (carries a high risk of mortality, negatively impacts QOL and daily function, and/or is burdensome in sx, tx, or caregiver stress. QUESTION Palliative care can be provided Answer: alongside life-prolonging tx -near the end of life - may become the sole focus of care QUESTION Palliative care basics Answer: 1-routinely identify and take initial steps to manage sx 2-communicate about prognosis and elicit pt preferences for care 3-help identify and address sources of distress QUESTION Discussing prognostics Answer: -ask for permission before discussing prognosis -ask how they want to receive information: direct, through others, or not all information QUESTION Communication about serious illness Answer: 1-obtain consent 2-assess what pt and family already knows 3-provide clinical information, be brief and direct and avoid jargon 4-allow time for processing and emotions 5-collabarative decision-making 6-briefly summarize conversation and next steps QUESTION Advanced care planning Answer: a process that supports adults at any age or stage of health in understanding and sharing their personal values, life goals, and preferences regarding future medical care. QUESTION Advanced care planning goal Answer: help ensure that people receive medical care that is consistent with their values, goals, and preferences during serious and chronic illness QUESTION Advanced care planning considerations Answer: -appoint a surrogate decision-maker -talk to that person about their preferences for future care -document their wishes QUESTION Advanced directives Answer: written or oral statements made by pts when they are competent which are intended to guide care should they lose the capacity to make and communicate their decisions QUESTION When discussing CPR with someone with short prognosis, help them understand Answer: it is not about whether they will live, but about how they will die QUESTION Advanced directives Answer: also focus on which interventions will be continued and started to promote comfort, rather than focusing only on which interventions will be stopped or withheld QUESTION Durable Power of Attorney for Health Care Answer: a surrogate decision-maker who is to use "substituted judgment" to decide what the patient would have wanted when the patient has become unable to make and communicate their own decisions QUESTION Physician Orders for Life-Sustaining Treatment (POLST) Answer: active orders, including for resuscitation, that complement advance directives and can guide care for pts especially in the setting of an emergency QUESTION Chronic cough Answer: lasts 8 or more weeks QUESTION Causes of chronic cough Answer: Upper airway cough syndrome Asthma GERD Nonasthmatic eosinophilic bronchitis QUESTION Chronic cough symptoms Answer: Persistent Usually dry QUESTION UACS sx Answer:

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NSGl 555/l NSG555l Examl 1l –l Nursel
Practitionersl inl Primaryl Carel IIl Guide|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A


Q:l Palliativel care
Answer:
medicall carel focusedl onl improvingl qualityl ofl lifel forl peoplel livingl withl seriousl illnessl
(carriesl al highl riskl ofl mortality,l negativelyl impactsl QOLl andl dailyl function,l and/orl isl
burdensomel inl sx,l tx,l orl caregiverl stress.



Q:l Palliativel carel canl bel provided
Answer:
alongsidel life-prolongingl tx
-nearl thel endl ofl lifel -l mayl becomel thel solel focusl ofl care



Q:l Palliativel carel basics
Answer:
1-routinelyl identifyl andl takel initiall stepsl tol managel sx
2-communicatel aboutl prognosisl andl elicitl ptl preferencesl forl care
3-helpl identifyl andl addressl sourcesl ofl distress



Q:l Discussingl prognostics
Answer:
-askl forl permissionl beforel discussingl prognosis

,-askl howl theyl wantl tol receivel information:l direct,l throughl others,l orl notl alll information



Q:l Communicationl aboutl seriousl illness
Answer:
1-obtainl consent
2-assessl whatl ptl andl familyl alreadyl knows
3-providel clinicall information,l bel briefl andl directl andl avoidl jargon
4-allowl timel forl processingl andl emotions
5-collabarativel decision-making
6-brieflyl summarizel conversationl andl nextl steps



Q:l Advancedl carel planning
Answer:
al processl thatl supportsl adultsl atl anyl agel orl stagel ofl healthl inl understandingl andl
sharingl theirl personall values,l lifel goals,l andl preferencesl regardingl futurel medicall care.



Q:l Advancedl carel planningl goal
Answer:
helpl ensurel thatl peoplel receivel medicall carel thatl isl consistentl withl theirl values,l goals,l
andl preferencesl duringl seriousl andl chronicl illness



Q:l Advancedl carel planningl considerations
Answer:
-appointl al surrogatel decision-maker
-talkl tol thatl personl aboutl theirl preferencesl forl futurel care
-documentl theirl wishes



Q:l Advancedl directives

,Answer:
writtenl orl orall statementsl madel byl ptsl whenl theyl arel competentl whichl arel intendedl tol
guidel carel shouldl theyl losel thel capacityl tol makel andl communicatel theirl decisions



Q:l Whenl discussingl CPRl withl someonel withl shortl prognosis,l helpl theml understand
Answer:
itl isl notl aboutl whetherl theyl willl live,l butl aboutl howl theyl willl die



Q:l Advancedl directives
Answer:
alsol focusl onl whichl interventionsl willl bel continuedl andl startedl tol promotel comfort,l
ratherl thanl focusingl onlyl onl whichl interventionsl willl bel stoppedl orl withheld



Q:l Durablel Powerl ofl Attorneyl forl Healthl Care
Answer:
al surrogatel decision-makerl whol isl tol usel "substitutedl judgment"l tol decidel whatl thel
patientl wouldl havel wantedl whenl thel patientl hasl becomel unablel tol makel andl
communicatel theirl ownl decisions



Q:l Physicianl Ordersl forl Life-Sustainingl Treatmentl (POLST)
Answer:
activel orders,l includingl forl resuscitation,l thatl complementl advancel directivesl andl canl
guidel carel forl ptsl especiallyl inl thel settingl ofl anl emergency



Q:l Chronicl cough
Answer:
lastsl 8l orl morel weeks

, Q:l Causesl ofl chronicl cough
Answer:
Upperl airwayl coughl syndrome
Asthma
GERD
Nonasthmaticl eosinophilicl bronchitis



Q:l Chronicl coughl symptoms
Answer:
Persistent
Usuallyl dry



Q:l UACSl sx
Answer:
Usuallyl havel nasall congestionl andl throatl clearing



Q:l Asthmal chronicl coughl sx
Answer:
Usuallyl havel wheezing,l dyspnea,l coughl atl night



Q:l GERDl chronicl coughl sx
Answer:
Usuallyl havel heartburnl andl regurgitation



Q:l PEl ofl chronicl cough

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