Adult gerontology clinical nurse specialists are talking about the ability to produce
an effect. What term best describes what they are talking about?
a. Marketing.
b. Budget.
c. Reimbursement.
d. Efficacy. Correct Answer: 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 intervention or medication to produce an
expected outcome.
Frankie is a patient who has been diagnosed with pancreatitis. 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 pancreatitis is acute.
c. Bilirubin is grossly elevated.
d. Glucose may be severely decreased if pancreatitis is severe. Correct Answer: b.
White blood count will be elevated if the pancreatitis is acute.
White blood count will be elevated if the pancreatitis is acute. Lipase is elevated
in pancreatitis. Bilirubin is mildly elevated in 20% of patients. Glucose may be
increased in severe pancreatitis.
,Creating a culture amenable to innovation is necessarily based on the relative
understanding and application of equity within an organizational framework.
Equity is characterized by which of the following?
a. It is morality-based.
b. It reflects delegatory authority.
c. It is comprised of vertical relationships.
d. It is inclusive, suggesting ownership. Correct Answer: d. It is inclusive,
suggesting ownership.
Equity is characterized by being inclusive, suggesting ownership. It is value-based,
reflects accountability and is comprised of horizontal relationship. Equity is also
characterized by equality in relationships.
Which of the following drugs, when mixed with aged cheese or cured meats has a
clinical implication for severe hypertensive reactions?
a. benzodiazepines
b. angiotensin-converting enzyme (ACE) inhibitors
c. warfarin
d. monoamine oxidase (MAO) inhibitors Correct Answer: d. monoamine oxidase
(MAO) inhibitors
Clinically important drug-nutrient interactions between monoamine oxidase
(MAO) inhibitors and aged and cured cheese and meats can have implications
that produce severe hypertensive reactions. Other foods can produce a negative
drug-nutrient reaction with MAO inhibitors include banana peels, fava bean pods,
yeast extracts, sauerkraut or soy sauce, among others. Monoamine oxidase found
in the GI tract inactivates tyramine. Tyramine can cause hypertension when
absorbed into the systemic system.
Which of the following drugs for benign prostatic hypertrophy (BPH) requires up
to six months to be effective?
,a. Minipress
b. Proscar
c. Hytrin
d. Cardura Correct Answer: b. Proscar
Proscar (finasteride) shrinks the prostate. It requires up to 6 months to be
effective. The other drugs require a 2 - 3 month trial.
When controlling organizational costs, bringing the individuals' desires and the
organization's needs together is referred to as which of the following?
a. goal congruence
b. motivation
c. quality care
d. bonus effect Correct Answer: a. goal congruence
In order to be certain that the human beings will in fact want to control
organizational 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 patient. Which of the following is NOT a normal aging change?
a. Older adults often experience an increased pulse pressure.
b. There is a decreased amount of blood pumped throughout the circulatory
system.
c. Premature contractions and arrhythmias may occur.
d. Older adults often experience higher diastolic pressure. Correct Answer: d.
Older adults often experience higher diastolic pressure.
, Older adults often 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-time data is which of the following?
a. prospective payment system
b. diagnosis related groups
c. decision support system
d. capitation Correct Answer: c. decision support system
Decision support systems allow managers to make financial decisions and
adjustments through computer modeling that uses real-time data. Computer-
generated financial forecasting allows organizations to develop alternative
scenarios on the basis of the interplay among numerous variables.
Which of the following is NOT an instructional strategy?
a. role modeling
b. mini in-service
c. evidence-based practice
d. critical incident Correct Answer: c. evidence-based practice
Evidence-based practice is not an instructional strategy; it is a decision-making
strategy. Other instructional strategies include rounds and family as "faculty."
In terms of intrarenal autoregulation, 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
an effect. What term best describes what they are talking about?
a. Marketing.
b. Budget.
c. Reimbursement.
d. Efficacy. Correct Answer: 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 intervention or medication to produce an
expected outcome.
Frankie is a patient who has been diagnosed with pancreatitis. 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 pancreatitis is acute.
c. Bilirubin is grossly elevated.
d. Glucose may be severely decreased if pancreatitis is severe. Correct Answer: b.
White blood count will be elevated if the pancreatitis is acute.
White blood count will be elevated if the pancreatitis is acute. Lipase is elevated
in pancreatitis. Bilirubin is mildly elevated in 20% of patients. Glucose may be
increased in severe pancreatitis.
,Creating a culture amenable to innovation is necessarily based on the relative
understanding and application of equity within an organizational framework.
Equity is characterized by which of the following?
a. It is morality-based.
b. It reflects delegatory authority.
c. It is comprised of vertical relationships.
d. It is inclusive, suggesting ownership. Correct Answer: d. It is inclusive,
suggesting ownership.
Equity is characterized by being inclusive, suggesting ownership. It is value-based,
reflects accountability and is comprised of horizontal relationship. Equity is also
characterized by equality in relationships.
Which of the following drugs, when mixed with aged cheese or cured meats has a
clinical implication for severe hypertensive reactions?
a. benzodiazepines
b. angiotensin-converting enzyme (ACE) inhibitors
c. warfarin
d. monoamine oxidase (MAO) inhibitors Correct Answer: d. monoamine oxidase
(MAO) inhibitors
Clinically important drug-nutrient interactions between monoamine oxidase
(MAO) inhibitors and aged and cured cheese and meats can have implications
that produce severe hypertensive reactions. Other foods can produce a negative
drug-nutrient reaction with MAO inhibitors include banana peels, fava bean pods,
yeast extracts, sauerkraut or soy sauce, among others. Monoamine oxidase found
in the GI tract inactivates tyramine. Tyramine can cause hypertension when
absorbed into the systemic system.
Which of the following drugs for benign prostatic hypertrophy (BPH) requires up
to six months to be effective?
,a. Minipress
b. Proscar
c. Hytrin
d. Cardura Correct Answer: b. Proscar
Proscar (finasteride) shrinks the prostate. It requires up to 6 months to be
effective. The other drugs require a 2 - 3 month trial.
When controlling organizational costs, bringing the individuals' desires and the
organization's needs together is referred to as which of the following?
a. goal congruence
b. motivation
c. quality care
d. bonus effect Correct Answer: a. goal congruence
In order to be certain that the human beings will in fact want to control
organizational 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 patient. Which of the following is NOT a normal aging change?
a. Older adults often experience an increased pulse pressure.
b. There is a decreased amount of blood pumped throughout the circulatory
system.
c. Premature contractions and arrhythmias may occur.
d. Older adults often experience higher diastolic pressure. Correct Answer: d.
Older adults often experience higher diastolic pressure.
, Older adults often 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-time data is which of the following?
a. prospective payment system
b. diagnosis related groups
c. decision support system
d. capitation Correct Answer: c. decision support system
Decision support systems allow managers to make financial decisions and
adjustments through computer modeling that uses real-time data. Computer-
generated financial forecasting allows organizations to develop alternative
scenarios on the basis of the interplay among numerous variables.
Which of the following is NOT an instructional strategy?
a. role modeling
b. mini in-service
c. evidence-based practice
d. critical incident Correct Answer: c. evidence-based practice
Evidence-based practice is not an instructional strategy; it is a decision-making
strategy. Other instructional strategies include rounds and family as "faculty."
In terms of intrarenal autoregulation, 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
