NSG 555 Quiz 1 UPDATED ACTUAL Questions and CORRECT
Answers
Areas of risk - specialties with highest claims Neonatal and pediatric
, Areas of risk for NP Underserved areas
Aging services facility
NP office practice
Behavioral/psych facility
ER
Practices to reduce risk 1-practice within requirements of NP act
2- comply with organizational policies and procedures and within standards of
care
3- document pt care assessment, observations, communications, actions in an
objective, timely and complete manner
4- Use a chain of command or risk management ream regarding pt care of
practice concerns
5- appropriate communication
6-thorough documentation
7-effective adverse event management
8-detailed pt assessment
9-well-documented informed consent
10-explained tx and referral processes
Disclosure of errors and adverse medical events 1-report to clinical supervisor or risk manager per policy
2-complete an incident report
General principals of geriatric care 1-many disorders are multifactorial in origin and are best managed by
multifactorial interventions
2- disesases often present atypically or with nonspecific sx (eg confusion or
functional decline)
3- not all abnormalities require evaluation and tx
4- multiple chronic conditions and geriatric syndromes often coexist and should
be managed in concert with one another
Geriatrics - address the 5 Ms 1-Mind (dementia, delirium, and depression)
2-Mobility (immobility, falls, and gait disorders)
3-Medications (polypharmacy)
4-Multicomplexity (comprehensive geriatric assessment guides tx decisions)
5-what Matters most (assess pt values and goals)
Multicomplexity 1-expands upon the conventional assessment of sx, dz, and meds
2-considers the biopsychosocial situation
3-includes an analysis of prognosis, values and preferences, and ability to function
independently
Assessment of prognosis If less than 10 years (especially if much less), choices of tests and tx should be
made based on their ability to affect a clinicl outcome that is valued by the
patient in the context of their life expectancy
Assessment of values and preferences many frail older adults may prioritize maintaining their independence over
prolonging survival
-may change over time
Answers
Areas of risk - specialties with highest claims Neonatal and pediatric
, Areas of risk for NP Underserved areas
Aging services facility
NP office practice
Behavioral/psych facility
ER
Practices to reduce risk 1-practice within requirements of NP act
2- comply with organizational policies and procedures and within standards of
care
3- document pt care assessment, observations, communications, actions in an
objective, timely and complete manner
4- Use a chain of command or risk management ream regarding pt care of
practice concerns
5- appropriate communication
6-thorough documentation
7-effective adverse event management
8-detailed pt assessment
9-well-documented informed consent
10-explained tx and referral processes
Disclosure of errors and adverse medical events 1-report to clinical supervisor or risk manager per policy
2-complete an incident report
General principals of geriatric care 1-many disorders are multifactorial in origin and are best managed by
multifactorial interventions
2- disesases often present atypically or with nonspecific sx (eg confusion or
functional decline)
3- not all abnormalities require evaluation and tx
4- multiple chronic conditions and geriatric syndromes often coexist and should
be managed in concert with one another
Geriatrics - address the 5 Ms 1-Mind (dementia, delirium, and depression)
2-Mobility (immobility, falls, and gait disorders)
3-Medications (polypharmacy)
4-Multicomplexity (comprehensive geriatric assessment guides tx decisions)
5-what Matters most (assess pt values and goals)
Multicomplexity 1-expands upon the conventional assessment of sx, dz, and meds
2-considers the biopsychosocial situation
3-includes an analysis of prognosis, values and preferences, and ability to function
independently
Assessment of prognosis If less than 10 years (especially if much less), choices of tests and tx should be
made based on their ability to affect a clinicl outcome that is valued by the
patient in the context of their life expectancy
Assessment of values and preferences many frail older adults may prioritize maintaining their independence over
prolonging survival
-may change over time
