NP ROLE FINAL EXAM LATEST ACTUAL EXAM TEST BANK 270 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

NP ROLE FINAL EXAM LATEST 2023-2024

ACTUAL EXAM TEST BANK 270 QUESTIONS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) |ALREADY

GRADED A+

Explain the impact of healthcare disparities and vulnerability on health

outcomes. - ANSWER- Healthcare disparities comprise differences in

healthcare quality among individuals or groups with regard to access,

treatment options, and preventative services. Segments of the global

population experience social inequalities and are at risk for poor health

outcomes. While any individual can become vulnerable at any point in

their life, as documented in the literature, health outcomes and

vulnerability fall along a social gradient and poorer people experience

poorer health.

For the culturally competent nurse practitioner, the delivery of patient

care is influenced by which principle?

a. High-income countries are not subject to health disparities.

b. Access to primary health care services is a human right.

c. Gaps in health outcomes between different groups of people are

inevitable.

d. Certain forms of health inequities are considered to be fair and just. -

ANSWER- Access to primary health care services is a human right.

The nurse practitioner explores a patient's social determinants of health.

When assessing lifestyle and behaviors, which question does the nurse

practitioner ask the patient?

a. "Do you use tobacco products?"

b. "Are you currently employed?"

c. "Do you have sufficient food?"

d. "What is your level of education?" - ANSWER- "Do you use tobacco

products?"

The nurse practitioner plans to advocate for improving access to health

care among all populations. Which strategy does the nurse practitioner

implement to advocate at the macrosystem level?

a. Becoming motivated to act on the behalf of other individuals

b. Developing cultural skills

c. Working through the chain of command of a healthcare organization

d. Gaining insight into self - ANSWER- Working through the chain of

command of a healthcare organization

Describe key social and environmental factors that coexist with poverty.

- ANSWER- Beyond representing strictly a socioeconomic issue,

poverty impacts health, well-being, and quality of life for generations to

come. Key social and environmental factors that coexist with poverty

include poor housing; inadequate nutrition; lack of clean water;

increased exposure to violence; fragmented health care; and a higher

prevalence of physical illness, mental health issues, and disabilities.

Discuss factors that contribute to financial insecurity among the elderly.

- ANSWER- While social security income is often identified as a

protective factor against elderly poverty, increases in the life expectancy

of the elderly over time mean that financial resources have to last longer.

Simultaneously, healthcare and housing costs are rising and employer

benefit pension plans have decreased. As a result, elderly individuals

face significant insecurity about whether or not their resources are

sufficient to cover the duration of their lives after retirement.

Discuss transgenerational trauma and its impact on disease development.

- ANSWER- Transgenerational or intergenerational trauma comprises

wounding from a traumatic event that produces effects upon generations

after the initial trauma. Transgenerational trauma may occur in

individual families. In addition, transgenerational trauma may occur

among groups who have experienced various traumatic events (such as

genocide, terrorism, and natural disasters) as collective trauma. For both

individuals and groups, long-lasting harmful effects on physiological

processes in the body may lead to the development of chronic disease

Describe the nurse practitioner's approach to assessing and assisting an

individual who may be subject to human trafficking. - ANSWER- The

NP must be educated on identifying victims of human trafficking,

developing culturally appropriate caring patient/provider relationships,

becoming knowledgeable on reporting laws, and assisting colleagues to

better identify and refer potential victims. Potential indicators of

trafficking include (a) being accompanied by someone who appears to

be controlling the individual and the scenario; (b) fear; (c) sadness; (d)

bruises and other traumatic injuries; (e) lack of documentation; (f)

discrepancy of behavior and reported age; and (g) generally poor health.

Recommended approaches to assessment of individuals who may be

subject to human trafficking include (a) assuring safety and

confidentiality as a primary step; (b) asking about the individual's living

arrangements and freedom to come and go at will; (c) asking if the

individual is subject to threats or harm; and (d) asking if the individual

has been forced to have sex or perform sex acts. Useful laboratory

testing includes complete blood count, STD testing (including HIV), ova

and parasites, hepatitis B and C, and tuberculosis. By working as a team

with social services and law enforcement, the NP can help get the victim

to safety and into services to assist transitioning to safe housing with

long-term treatment for psychological and medical issues.

When discussing gender and sexuality, a patient identifies as being

"gender fluid." The nurse practitioner understands the patient's gender

identification to be reflective of which self- perception?

a. The patient does not identify with any gender.

b. The patient identifies as mixed or neutral gender.

c. The patient identifies with the gender assigned at birth.

d. The patient's gender is not static but shifts. - ANSWER- The patient's

gender is not static but shifts.

When discussing sexual orientation, the patient tells the nurse

practitioner, "I view myself as being female, but I am attracted to other

people regardless of how they view their gender or gender identity."

Which sexual preference best describes the patient's perspective?

a. Pansexual

b. Homosexual

c. Asexual

d. Bisexual - ANSWER- Pansexual