Quiz 2

Question 1

In order for a provider to be culturally competent, they need to have a sense of self-awareness, reflective practice and knowledge on core cultural issues. Which of the following questions will not provide more insight to a patient’s culture:
What worries you the most about your illness?
What do you think is the cause of your illness?
What is a major problem your illness has caused you?
How many people do you know with diabetes?

Answer 1

How many people do you know with diabetes?

Question 2

When using a screening tool across different cultural groups, the provider recognize that
Do not adapt any screening tool to a specific cultural group as this will make the results different across the groups
The screening tool is always accurate regardless of culture
Cultural variations should not affect any screening tool

When possible, use screening tools that have been tested and adapted for each specific cultural group

Answer 2

When possible, use screening tools that have been tested and adapted for each specific cultural group

Question 3

Which of the following should NOT be considered during cultural assessment with a patient
What is the patient’s health belief and practices
What is their Faith-base and do they have any Faith-based rituals?
How wealthy was the patient’s grandparents?
Their language of communication and dietary practices

Answer 3

How wealthy was the patient’s grandparents?

Question 4

When talking with patients about medication use and how it affects them, it is important to ask the following questions EXCEPT:
What are the names and dosage of all medications you are currently taking?
Who else in your family takes medications?
Do you use any complementary alternative therapy?
What drug allergies do you have and what happens when you have drug allerigies?

Answer 4

Who else in your family takes medications?

Question 5

Which of the following statement is TRUE about culturally sensitive communication:
Personal space and eye contact do not make any cultural difference
Non-verbal clues and moments of silence do not matter across cultures
Some physical gestures like touching, hand shake and embracing are viewed differently across cultures
Every culture has the same trust for healthcare professionals

Answer 5

Some physical gestures like touching, hand shake and embracing are viewed differently across cultures

Question 6

During an encounter, some of the patient’s assessment is based on the provider’s observation and interaction with the patient. Which of the following will not be considered a mental status assessment of the patient:
Cognitive ability and emotional stability
Apperance and Behavior
Family pets and children
Speech and Language

Answer 6

Family pets and children

Question 7

While considering Neuro assessment you agree that the following statements are True EXCEPT:
The verbal skills and general knowledge base continue to increase as we age up to 80 years of life
Time to process information increases as we age, so older adults should be given ample time to respond when asked a question
Cognitive function declines for all older adults starting at age 70 years and getting steadily worse
The neurons are all present at birth for a full term infant but brain development continue for several years

Answer 7

Cognitive function declines for all older adults starting at age 70 years and getting steadily worse

Question 8

When considering the differential diagnosis for Delirium, Dementia and Depression, you agree that which of the following statement is TRUE
Consciousness is not affected for both Delirium and Depression meanwhile consciousness for Dementia patients depend how long they have been diagnosed.
The onset for delirium is sudden; Dementia is insidious and relentless; Depression can be sudden or insidious.
All three conditions are reversible if detected within the first year of onset
Duration for Delirium and Depression are days or months and Dementia last a life time

Answer 8

The onset for delirium is sudden; Dementia is insidious and relentless; Depression can be sudden or insidious.

Question 9

Which of the following Body Mass Index (BMI) range measured in kilogram per meters squared is considered normal weight for height for an adult ?

16. 5 - 24.9
17. 0 - 26.0
18. 5 - 24.9
19. 0 - 29.9

Answer 9

18.5 - 24.9

Question 10

The information below represent which Tanner stage for both male and female?

“Breast and areola enlarged with no contour separation; Sparse dark visible pigmented curly pubic hair; Enlargement of penis especially in length with decent of scrotum.”

Tanner stage 4
Tanner stage 1
Tanner stage 3
Tanner stage 2

Answer 10

Tanner stage 3

Question 11

Match the following parts of a patient’s encounter

T & A 1964, Lapchole 2000

Ear pain X 3 days

No changes in ability to smell, frequency of colds, congestion, epitaxis, postnasal discharge, sinus pain

Stabbing pain of 6/10 on Baker Wong scale

Smokes Cigarettes 1.5 ppd x 25 years

MGM: HTN, DM; PGM: Breast cancer; Father: CHD

Answer 11

Past Medical History
Chief Concern
Review of Systems
History of Present Illness
Social History
Family History

Question 12

Use the case below to match the documentation components provided.

Critical Thinking Case:

Worsening pain in right knee over past week. Pain is constant dull ache while awake rated as 4-6/10 on the Baker Wong pain scale. Awakened once or twice from sleep at which time he took 400mg of Ibuprofen which relieved the pain temporarily so he could sleep. Has not taken any other over the counter medication. Pain is worse when he is walking and improves when he rest. Does not currently have pain anywhere else. Has not tried ice or heat on the knee and has not injured it. Told several years ago the he has arthritis in his right thumb and wonders if this could be the same.

Chief Concern

Onset

Precipitating Factor

Quality/Quantity

Relieving Factor

Coexisting Symptoms

Timing

Patient Understanding

Answer 12

Right Knee pain x 1 week
1 week worsening pain
Walking
Dull ache, 4-6/10 on Baker Wong scale
Rest, Ibuprofen 400mg twice
no ther pain, no previous injury
during awake periods, has been awakened from sleep twice with pain
Maybe arthritis

Question 13

he cultural and physical characteristics of both patient and health care provider may significantly influence communication. All of the following characterize everyone EXCEPT?

Age
Gender
Religion
Social class

Answer 13

Religion

Question 14

Which of the following is not an example of a cultural characteristic?
Art and behavior pattern
Language
Hair texture
Shared belief

Answer 14

Hair texture

Question 15

Electronic Medical Records (EMR) replicating function is acceptable in which of the following situations?

Carrying forward static information such as FHx and PMHx
Copying another provider’s exam
Copying another patient’s exam
Carrying forward all information in your note from a previous visit

Answer 15

Carrying forward static information such as FHx and PMHx

Question 16

The NP sees a 2-weeks-old neonate who is accompanied by the 14-years-old mother. The primary goal of the visit is to:
Discuss returning to school as soon as possible
Discuss specific parenting skills using concrete examples of different parenting styles
Discuss birth control and review available methods
Discuss methods of establishing paternity through the legal system

Answer 16

Discuss specific parenting skills using concrete examples of different parenting styles

Question 17

Separation anxiety is a common developmental stage in which the child exhibits fears and unusual behavior when a parent is absent. This behavior is most often expected to begin at:
Age 15-18 months
Age 6-9 months
Age 12-15 months
Age 9-12 months

Answer 17

Age 6-9 months

Question 18

A 3-year-old child is brought to the clinic for a well-child visit. The mother is concerned about toilet training. The child refuses to use the toilet but will squat at a secluded corner with diaper on and have a bowel movement. The parents offer encouragement through rewards and the “big kid” approach to using toilet, but nothing seems to help. The NP should respond that:
All responsibilities, including clean up (with appropriate assistance), should be turned over to the child after wetting or soiling pants.
Most children eventually train themselves, but it is difficult for parents to wait.
The child should be forced to sit on the toilet every 2 hours for 5-10 minutes during the day.
Refusal to use the toilet after age two and a half years is the result of caregivers putting too much emphasis on the toilet training.

Answer 18

Most children eventually train themselves, but it is difficult for parents to wait.

Question 19

Culture has a profound effect on the way people communicate. Which of the following are useful while interviewing an individual from a different culture?
Family members are the first choice for translation of sensitive issues
Use direct questioning whenever possible
Nonverbal clues may be the best way to determine if the person is having difficulty understanding.
Maintaining eye contact during the interview.

Answer 19

Nonverbal clues may be the best way to determine if the person is having difficulty understanding.

Question 20

While interviewing a child, you should:
Ask all the difficult questions first to maintain the child’s attention as this will help in making sure the most important questions are discussed.
Address the child directly and include the child as much as possible in the interview process.
Ask the parent/caregivers the questions first to get the correct answers to your questions.
Do not ask the child any question so he/she will be more cooperative during the exam

Answer 20

Address the child directly and include the child as much as possible in the interview process.