NRNP EXAM vc
Exam Solution vc
NURS 6531 Final part one Cartes 2026 A+ GRADE ASSUR
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ED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (E
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D6BB)
QUESTION 1 vc
Terme
ANSWER
Définition
QUESTION 2 vc
A small, rural hospital is part of an Accountable Care Organization (ACO) and is designat
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ed 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 savin
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gs bonuses based on achievement of benchmarks for quality measures and expenditures. Care coordinat
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ion and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3 ACOs have stri
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ct requirements for financial reporting.
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QUESTION 3 vc
What was an important finding of the Advisory Board survey of 2014 about primary care
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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 care
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, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home. Associations wit
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h hospitals, costs of care, and the ratio of providers to patients were not part of these results.
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QUESTION 4 vc
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 variabl
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es. Level I research is conducted to define the characteristics of groups of patients. Level II research eval
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uates the nature of the relationships between variables. Level IV research is conducted to demonstrate t
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he effectiveness of interventions or treatments.
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QUESTION 5 vc
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 stu
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dies are appropriate for Level II studies. Qualitative designs are useful for Level I studies. Randomized cl
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inical trials are used for Level IV studies.
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QUESTION 6 vc
What is the purpose of clinical research trials in the spectrum of translational research?
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p. 6 vc
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 interventi
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ons. Adoption of interventions and practices is part of clinical implementation. Determination of the basi
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,s of disease and treatment options is part of the preclinical research phase. Exploration of the fundamen
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tal mechanisms of biology, disease, or behavior is part of the basic research stage.
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QUESTION 7 vc
What is the Quadruple Aim? p. 15 vc vc vc vc vc vc
ANSWER
1) Improved patient satisfaction 2) Reduce per capita costs 3) Improve population health 4) Improve pa
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tient care team experience
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QUESTION 8 vc
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. The
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"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 vc
A patient expresses concern that she is at risk for breast cancer. To best assess the risk f
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or 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- vc vc vc
generation pedigree is the best way to evaluate genetic risk. Asking about a family history is not a syste
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matic risk assessment and does not specify who in the family has the history or whether there is a patte
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rn. 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 vc
, 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 prediction, si
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nce mutations are not necessarily related to specific diseases. The tests are useful but must be interpret
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ed accurately. The results are confidential and do not have to be interpreted by a provider.
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QUESTION 11 vc
What is an important part of patient care that can minimize the risk of a formal patient c
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omplaint even when a mistake is made? p. 49vc vc vc vc vc vc vc vc
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 communicati
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on is a predictor for malpractice claims. The other items are important aspects of care and may help the
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provider during the investigation of a claim, but do not minimize the risk.
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QUESTION 12 vc
What are some causes for failures or delays in diagnosing patients resulting in malpracti
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ce 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 lead
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to diagnosis-
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related failures. Failing to recognize medication complications and ordering a wrong medication lead to
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medication prescribing allegations. Improper performance of a treatment can lead to treatment-
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related malpractice claims. vc vc
QUESTION 13 vc
Exam Solution vc
NURS 6531 Final part one Cartes 2026 A+ GRADE ASSUR
vc vc vc vc vc vc vc vc vc
ED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (E
vc vc vc vc vc vc
D6BB)
QUESTION 1 vc
Terme
ANSWER
Définition
QUESTION 2 vc
A small, rural hospital is part of an Accountable Care Organization (ACO) and is designat
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ed 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 savin
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gs bonuses based on achievement of benchmarks for quality measures and expenditures. Care coordinat
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ion and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3 ACOs have stri
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ct requirements for financial reporting.
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QUESTION 3 vc
What was an important finding of the Advisory Board survey of 2014 about primary care
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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 care
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, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home. Associations wit
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h hospitals, costs of care, and the ratio of providers to patients were not part of these results.
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QUESTION 4 vc
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 variabl
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es. Level I research is conducted to define the characteristics of groups of patients. Level II research eval
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uates the nature of the relationships between variables. Level IV research is conducted to demonstrate t
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he effectiveness of interventions or treatments.
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QUESTION 5 vc
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 stu
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dies are appropriate for Level II studies. Qualitative designs are useful for Level I studies. Randomized cl
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inical trials are used for Level IV studies.
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QUESTION 6 vc
What is the purpose of clinical research trials in the spectrum of translational research?
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p. 6 vc
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 interventi
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ons. Adoption of interventions and practices is part of clinical implementation. Determination of the basi
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,s of disease and treatment options is part of the preclinical research phase. Exploration of the fundamen
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tal mechanisms of biology, disease, or behavior is part of the basic research stage.
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QUESTION 7 vc
What is the Quadruple Aim? p. 15 vc vc vc vc vc vc
ANSWER
1) Improved patient satisfaction 2) Reduce per capita costs 3) Improve population health 4) Improve pa
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tient care team experience
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QUESTION 8 vc
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.
vc vc vc vc
ANSWER
ANS: C The Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-
vc vc vc vc vc vc vc vc vc vc vc
SF) is an easy and fast tool that measures medical word recognition. It does not evaluate numeracy. The
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"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 vc
A patient expresses concern that she is at risk for breast cancer. To best assess the risk f
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or 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- vc vc vc
generation pedigree is the best way to evaluate genetic risk. Asking about a family history is not a syste
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
matic risk assessment and does not specify who in the family has the history or whether there is a patte
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rn. 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 vc
, A patient asks about direct-to-
vc vc vc vc
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 prediction, si
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nce mutations are not necessarily related to specific diseases. The tests are useful but must be interpret
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ed accurately. The results are confidential and do not have to be interpreted by a provider.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 11 vc
What is an important part of patient care that can minimize the risk of a formal patient c
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omplaint even when a mistake is made? p. 49vc vc vc vc vc vc vc vc
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
vc vc vc vc vc
ANSWER
ANS: B Effective patient communication is key to building trust and rapport and ineffective communicati
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on is a predictor for malpractice claims. The other items are important aspects of care and may help the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
provider during the investigation of a claim, but do not minimize the risk.
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QUESTION 12 vc
What are some causes for failures or delays in diagnosing patients resulting in malpracti
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ce 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
vc vc vc vc
ANSWER
ANS: B, D Failing to obtain consultations when indicated or not acting on diagnostic test results can lead
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
to diagnosis-
vc vc
related failures. Failing to recognize medication complications and ordering a wrong medication lead to
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
medication prescribing allegations. Improper performance of a treatment can lead to treatment-
vc vc vc vc vc vc vc vc vc vc vc
related malpractice claims. vc vc
QUESTION 13 vc
