Quiz 1

Question 1

beck depression inventory

Answer 1

assesses severity of depression in adults and adolescents (13 and up) with a diagnosis of psychiatric illness

NOT a sole diagnostic measure

score <15 indicates mild depression, 15-30 moderate depression, and >30 severe depression

Question 2

PHQ-9

Answer 2

multipurpose tool for screening, diagnosis, monitoring, and measuring severity of depression

question 9 screens for presence and duration of suicidal ideation

Question 3

5 P’s of sexual assessment

Answer 3

partners

practice

prevention of STI’s

prevention of pregnancy

and past history of STI’s

Question 4

CAGE questionnaire

Answer 4

C- have you ever been CONCERNED about your drinking/feel the need to CUT down?

A- have you ever felt ANNOYED by criticism about your drinking?

G- have you ever felt GUILTY about your drinking or what you did while drinking?

E- have you ever felt the need for a morning EYE-OPENER

Question 5

RAFFT questionnaire

Answer 5

R- do you drink/do drugs to RELAX or fit in?

A- do you drink/do drugs when you are ALONE?

F- do any of your FRIENDS use drugs/alcohol?

F- does a FAMILY member have a drug/alcohol problem?

T- have you ever gotten in TROUBLE because of drugs/alcohol?

Question 6

any culture has 4 basic characteristics:

Answer 6

learned from birth through language and socialization

shared by all members of the same group

can be adapted to situations

dynamic and ever changing

Question 7

social determinants of health

Answer 7

combination of:

environment

economic stability

education

social/community

health/healthcare

Question 8

BMI interpretation

Answer 8

underweight <18.5

normal 18.5-24.9

overweight 25-29.9

obese >30

Question 9

SCOFF screening tool

Answer 9

S- do you make yourself SICK when you feel uncomfortably full?

C- do you worry you have lost CONTROL over how much you eat?

O- have you recently lost more than 15 pounds in a ONE- month period?

F- do you believe yourself to be FAT when others say you are thin?

F- would you say that FOOD dominates your life?

Question 10

what is MET?

Answer 10

metabolic equivalence testing

how much is burned per workout

Question 11

HEADS questions for adolescents?

Answer 11

H: how are things at HOME?

E: how is school? grades? subjects? EDUCATION

A: what kind of ACTIVITIES do you do? what is AFFECT, AMBITION, ANGER?

D: do you use DRUGS/ETOH? does anyone in your family?

S: are you engaging in SEX? sexuality issues- sexting? oral sex? anal sex?

Question 12

mini mental state test (MMSE)

Answer 12

max score is 30

score affected by age, education, environment, cerebrovascular factors, and behavioral factors

depressed clients w/o dementia score 24-30

score of 20 or less is found with dementia, delirium, schizophrenia, or an affective disorder

Question 13

MOCA assessment

Answer 13

a brief 10 minute screening tool for mild cognitive impairment

can detect people who score in the normal range of MMSE

more sensitive for the early or mild impairment

MCI is a risk factor for dementia

normal score of 26-30

lower score requires more in depth assessment

Question 14

primary prevention

Answer 14

before it occurs

exercise, nutrition, smoking cessation or immunizations

Question 15

secondary prevention

Answer 15

detecting and treating asymptomatic risk factors

health fair to screen for HTN/DM

detecting and treating early asymptomatic disease

mammogram/colonoscopy

Question 16

tertiary prevention

Answer 16

reduction in subsequent morbidity and mortality

managing meds/blood sugar to prevent complications from DM

Question 17

definition of new patient

Answer 17

has not received any professional service from any provider at your same practice in the last 3 years

Question 18

consultation

Answer 18

may initiate diagnostic or therapeutic services, but is NOT taking over care of the patient

if taking over care, this is a REFERRAL

Question 19

your middle aged patient has a BMI of 29. you would tell him that he is at risk for what?

Answer 19

CAD and DM

Question 20

you realize that as an advanced practice nurse, you must ask questions regarding sensitive topics. to be most effective you employ the basic principles that guide responses to sensitive topics. what is the most important?

Answer 20

be nonjudgmental

Question 21

susie lee presents for a checkup to your office. you have not seen her before but she was last seen by the MD in your group for a URI 2 years ago. according to the CPT definition she is classified as what kind of patient?

Answer 21

established

Question 22

ms. waters is being assessed for a job physical. you ask her about her exercise regimen. she responds that she uses the treadmill every day for 30 minutes. what would be your next question?

Answer 22

how long have you been doing this?

Question 23

what would a woman age 19 need to get yearly?

Answer 23

dental screen

Question 24

shirley, age 56, presents with a blood pressure of 156/94 mmhg. your history taking should include what?

Answer 24

be directed toward symptoms suggesting causes of HTN

include an evaluation of dietary intake and physical activity

evaluate all OTC drugs, herbal remedies, or illicit drug use

Question 25

screening is considered a form of what type of prevention?

Answer 25

secondary

Question 26

you are planning to promote the flu vaccine with your patients. what type of prevention is this?

Answer 26

primary prevention