Example Questions (1).pdf

Chapter 2 Review Questions 1. Which of the following is the initial step in the process of collecting patient data to begin the history of the present illness? A. Establishing the chief complaint B. Updating the electronic medical record C. Interviewing the family D. Obtaining informed consent 2. Wh...

Chapter 2 Review Questions 1. Which of the following is the initial step in the process of collecting patient data to begin the history of the present illness? A. Establishing the chief complaint B. Updating the electronic medical record C. Interviewing the family D. Obtaining informed consent 2. Which of the following best describes the additional certification palliative APRNs must receive in order to perform a palliative care assessment? A. They must have passed the ACHPN examination. B. They must have passed the CHPN examination. C. They must have a palliative master's certificate. D. They must have received primary palliative care education. 3. All of the following elements are necessary for performing a comprehensive history, EXCEPT? A. Family history B. Social history C. Vital signs D. Review of systems 4. Which of the following choices best represents the amount of time needed to successfully accomplish performing a comprehensive exam? A. 15 minutes B. 30 minutes C. 35 minutes D. 60 minutes 5. The National Consensus Guidelines Domains for Quality Palliative Care Domains for the APRN include all of the following, EXCEPT? A. Physical aspects B. Social aspects C. Care of the patient at end of life D. Billing aspects 6. All of the following are mnemonics for further investigating the history of present illness, EXCEPT? A. OLDCARTS- Onset, Locations, Duration, Character, Aggravating/associated factors, Relieving factors, Temporal factors, Severity B. PEACE tool- Physical; Emotional, Psych, Mental: Autonomy; Communication: Economic and Transcendent C. FED TACOS- Food, Exercise, Drugs, Tobacco, Alcohol, Caffeine, Occupation, Sexual history D. On Old Olympus's Towering Top, A Finn and German Viewed Some Hops 7. Which of the following are objectives for the APRN when discussing advance directives? A. Identify desire concerning place of death. B. Measure cultural competence. C. Locate the surrogate decision-maker document. D. Identify the surrogate decision-maker. 8. Why is a history and physical an essential aspect of the palliative APRNS assessment? A. It is required because a consultation is a legal document. B. It is part of a comprehensive assessment. C. It is required by Centers for Medicare and Medicaid document. D. It is the basis of formulating a diagnosis and treatment plan. 9. Which statement is true regarding a focused assessment in palliative care? A. It usually is performed for facility admission. B. It is necessary to develop a care plan. C. It usually is confined to a specific system. D. It requires minimal communication. 10. Objective data collected when performing a physical consists of all of the following elements, EXCEPT ? A. Musculoskeletal exam B. Pain scale C. Genogram D. Vital signs ANSWER KEY FOR THE CHAPTER 2 REVIEW QUESTIONS 1. D. Obtaining informed consent Informed consent (either verbal or non-verbal) is the initial step in obtaining patient data. 2. D. They must have received primary palliative care education Although specialty certification is not required, APRNs seek specialty palliative care certification to demonstrate population competency. In fact, all patients with serious illness should be screened for palliative care. 3. C. Vital signs Vital signs (VS) are an objective finding and captured by the provider, whereas the history is subjective data provided by the patient. 4. D. 60 minutes Due to the depth and comprehensive inquiry, adequate time allotment is needed and usually requires a block of 60 minutes. 5. D. Billing aspects Billing is an important factor for the APRN. Understanding the components needed for differentiating between a focused and comprehensive history and physical is essential; however, the billing aspect of APRN practice is not considered a domain for the delivery of quality palliative care. 6. D. On Old Olympus's Towering Top, A Finn and German Viewed Some Hops. This tool is useful for assessing cranial nerves. 7. B. Measure cultural competence All APRNs are educationally and experientially prepared for delivering culturally competent care, which is a domain specific to palliative care. Although important, measuring patient cultural competence is not considered an objective for discussing advance directives. 8. D. It is the basis of formulating a diagnosis and treatment plan Competently performing a focused or comprehensive assessment allows for the APRN to develop multiple differentials and utilize clinical judgment to arrive at a correct diagnosis and management plan. 9. C. It usually is confined to a specific system. A focused assessment and physical usually are confined to one body system (may include more than one). The APRN performs the exam based on the presenting chief compliant. 1 0. C. Genogram Patients and families may face uncertainty when confronted with serious and complex medical illnesses, and their expectations and hopes may exceed what technology and medical science can deliver. Often, these desires are barriers to realistic treatment plans, and the APRN may be challenged to help patients/families maintain hope and find meaning. The best initial intervention is to offer an empathic presence by listening, acknowledging, and exploring the patient's/families' hopes and fears to ensure that they are understood.