May 30, | nursing, med, NURS, Paper
Assignment 2: Appropriate Use of Health Information (Essay Paper)
Assignment 2: Appropriate Use of Health Information (Essay Paper)
DETAILS
Assignment 2: Appropriate Use of Health Information (Paper)
30% of Total Grade
The introduction of the electronic health record and the use of other information and communication technologies have provided nurses and other healthcare professionals a more effective way of maintaining and communicating personal health information. However, this increased access to information at the point-of-care increases the nurse’s responsibility to maintain confidentiality of health information. There are several ways that a nurse using information technology may inadvertently breach confidentiality. What are the safeguards that need to be in place to support nurses in the appropriate use of health information? Accordingly, the purpose of this assignment is to support your critical thinking regarding the appropriate use and access to a person’s health information. Assignment 2: Appropriate Use of Health Information (Essay Paper).
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TASK:
Your manager, knowing that you are completing a course on nursing informatics asks that you share with her information on practices that support protection of patient information.
In this assignment, you will:
Discuss why protection of the privacy of health information is important.
Discuss the legislation governing protection of health information in Alberta OR your home province/territory (Cite ALBERTA HEALTH CARE LEGISLATURE ACT).
Reflect on the practices in place regarding protection of health information in a healthcare setting in which you have experience (e.g., currently practice or have practiced previously in an employed or student capacity).
Make recommendations on actions that can be taken in the practice setting to strengthen the practices to support protection of health information. Assignment 2: Appropriate Use of Health Information (Essay Paper).
Evaluation Criteria for Assignment 2
Articulate why privacy of health information is important (3 marks)
Describe the legal requirements set out in the legislation to protect privacy (3 marks)
Discuss practices established in your practice setting to protect privacy of health information (3 marks)
Articulate and provide rationale for 4 actions that can be taken by nurses to strengthen practices that support protection of health information (8 marks)
Provide evidence of application of course concepts from Units 4 to 7 and include references to sources (e.g., journal articles, web-based materials) beyond those offered in the course materials (3 marks)
Demonstrate scholarly format including:
5-6 pages in length excluding title page and Reference list (1 mark)
Scholarly language and professional tone (2 marks)
Correct grammar, spelling and punctuation (2 marks)
Effective introduction and conclusion (2 marks)
Include accurate APA (6th edition) formatting including:
Title page, headings, and subheadings (1 mark)
Reference citations and reference list (2 marks) Assignment 2: Appropriate Use of Health Information (Essay Paper)
Total possible marks = 30.
Assignment 2: Appropriate Use of Health Information (Paper)
Introduction
In recent years, health records and use of other information and communication technologies has been heightened in health care institutions and by healthcare professionals, including nurses. As a result, the need for maintaining patients’ privacy, while storing and communicating patient information becomes a necessity. Various safeguards can be put in place to ensure confidentiality of information. The following discussion is aimed at identifying why there is a need for maintaining privacy of patients’ information by identifying the various legislative measures governing health information in Alberta. It will also focus on a reflection of practices experienced in ensuring patient information confidentiality and safety, and recommendations for improvement in guaranteeing there is no breach of confidentiality of patients’ information.
Why Privacy of Health Information Is Important
Privacy of medical information is vitally important. If it is maintained, many lives are likely to be saved because; people may have a tendency to avoid life- saving and life- enhancing treatments (McGraw, 2009).
In addition, whether it is right or wrong, many illnesses come along with a form of stigma (McGraw, 2009). Consequently, many people may be reluctant to seek medical attention if they are not guaranteed of their privacy. To some extent, some insured patients may fail to seek medical attention until their condition worsens while at the same time they may fail to reveal their health condition to care givers and medical staffs if they are not certain of privacy of their information (Born, 2013). Assignment 2: Appropriate Use of Health Information (Essay Paper)
Finally, some patients in search of medical attention may withhold crucial information, which could otherwise aid in their treatment, for fear of lack of privacy. As a result, they may not receive full and/or appropriate form of treatment (Born, 2013).
Legislation Governing Protection of Health Information in Alberta
Alberta health legislature provides the health information Act, whose provision with regard to protection of health information includes:
First, The Health Information Act involved in the establishment of the rules followed by custodians of information in their collection, disclosure, protection and use (Alberta Queen’s Printer, 2010). Individuals are also provided with a right to access their health information, as well as the right to make a request for amendment or correction of this information (Alberta Queen’s Printer, 2010). The act also provides the individual’s right to oversight over the legislation (Alberta Queen’s Printer, 2010). Assignment 2: Appropriate Use of Health Information (Essay Paper)
Secondly, Health Information Regulation helps in the provision of additional rules to the custodians of health information with reference to use, collection and disclosure (Alberta Queen’s Printer, 2010).
Thirdly, Alberta Electronic Health Record Regulation also referred to as Alberta Netcare and gives all details pertaining Alberta Electronic Health Record (Alberta Queen’s Printer, 2010).
In addition, Designation Regulation designates ethics to be followed in research in line with health information act’s division 3 provisions (Alberta Queen’s Printer, 2010).
Finally is the Alberta’s Queen’s Printer that entails the official sources of Alberta legislation copies as well as regulation and Health Information Act (Alberta Queen’s Printer, 2010)
A Reflection of Practices Experienced In Ensuring Patient Information Privacy
Since data breaches in health care come in different ways, many organisations have embarked on ways to protect health information. Here are some of these methods I experienced in a student capacity: Assignment 2: Appropriate Use of Health Information (Essay Paper)
Network protection where the Health Information Technology Department used different tools to try and keep out intruders, e.g. antivirus software and firewalls, network segregation (which was meant for reducing damage in case of an attack limiting ability of an intruder accessibility of information in a different area from the one he/she has intruded).
Additionally, Staff education on Information Technology Security Programs incorporated employees through training them on practices that could lead to violation of the health care information Act provisions. Besides, employees were advised on how to use secure passwords as well as training on phishing protection techniques including social engineering among others.
Moreover, Encryption of portable device where the health cares facility emphasized on the need to encrypt portable devices that contained health care information. The devices encrypted, included laptops, smart phones, USB drivers, as well as tablets. There was an effort to acculturate employee’s tendencies of carrying data on encrypted personal devices.
Lastly is the physical security controls. In as much as there was a lot of paperless storage of data, paper storage was still in use in the organisation. As a result, physical control mechanisms were still practiced, e.g. locking of file cabinets and ensuring secure doors. Assignment 2: Appropriate Use of Health Information (Essay Paper)
Actions That Can Be Taken By Nurses to Strengthen Practices That Support Protection of Health Information
In their everyday operations, nurses deal with private information belonging to the patients; whether in their nursing stations, exam rooms, in offices or in patients’ bedsides (Health Information Technology, 2007). As a result, they may become desensitized to how important it is to maintain patients’ information privacy (Health Information Technology, 2007). However, there are different practices that can be applied by nurses in ensuring protection of health information. These practices and the rationale behind them include:
The most important thing that nurses can do to ensure that patient’s information privacy is guaranteed is creating a means for authentication. This is where; anybody accessing the information can only do so upon entry of a password to an already created nurse portal from which he or she can be able to access any information they want (Borten, 2016). The portal serves as a ‘gate’ in accessing electronic health records and the user name and password as the ‘key’. Consequently, anybody who does not have the necessary authentication means cannot be able to access the information (Borten, 2016).
However, there is need for the users of the information to be inducted on the best methods of creating strong passwords that cannot be hacked by unauthorised persons (Borten, 2016). It is the role of the information communication technology to install and teach the nurses on the appropriate use of the electronic records. Similarly, there is need for cautioning the nurses on the best way to use the authentication tools (Borten, 2016). For example, they should be constantly reminded that they should log-out from their portal after they are done so as to prevent unauthorised access to the electronic rerecords by unauthorised persons using the already opened portal (Borten, 2016).
In addition to the use of passwords and usernames, the institutions can institute biometric means such as finger prints, voice and face recognition systems and/or iris scanning systems to increase enhanced identification of individual access into the records (Borten, 2016). The use of these more advanced means (biometrics) are more secure because they require the physical presence of a an individual as compared to the password and username authentication means of prohibiting access which can be used even in the absence of a nurse (Borten, 2016).
Besides, accessibility to electronic systems for electronic health records is at risk of being exposed to unauthorised persons, especially for desktop, tablet, Smartphone sand laptop screens, whether on a working station, on mobile carts or in exam rooms (Angst, Block, D’Arcy, & Kelley, 2017). This has the potential of increasing the chances of visual hacking (Angst, Block, D’Arcy, & Kelley, 2017). As a result, there need to protect the electronic data from unauthorised intrusion or damage when environmental hazards arises (Health Information Technology, 2007). Nurses should ensure that they place these devices in such a way that they do not facilitate visual hacking, either through side-angle viewing or any other means (Health Information Technology, 2007). Besides, after using these devices, they should return them to the designated special rooms specifically built in such a way to protect data from external hazards such as fire (Borten, 2016).
Furthermore, there is need for constant administrative control measures to ensure that all the systems put in place for maintaining privacy are functional at all times. For example, it is the role of the administration to conduct periodic reviews of all the systems in order to identify areas that may create chances of the information being privy to unauthorised personnel (Borten, 2016). As a result, if any system is not working as expected, impromptu rectification measures should be undertaken. This will ensure that the electronic records do not get to the wrong hands (Borten, 2016).
Importantly, there is need for constant training and revision of security measures to deal with routine measure that can be traced by unauthorised persons. For example, the passwords should be changed at some point (Borten, 2016). Besides, constant training of nurses by the information communication technology on the best and accurate use of systems is important. The training should be thoroughly done at the implementation stage and conducted throughout the use of a system. This can be either through the use of screen savers or notices (at the walls). For example, the nurses should be constantly reminded that they are supposed to log-out of their portal after use (Borten, 2016).
Recommendations That Can Be Put In Place to Strengthen Protection Practices for Health Information
To ensure breach of patients’ information privacy is minimised, the following measures can be further undertaken (This is in addition to the already existing mechanisms): Assignment 2: Appropriate Use of Health Information (Essay Paper)
Conducting an annual security risk analysis
Due to the constant changes in a health environment, for instance, employee’s turnover, restructuring and information technology, infrastructure enhancement among others, privacy of patient information may be vulnerable with time (Angst, Block, D’Arcy, & Kelley, 2017). As a result, it is important to conduct a non-technical vulnerability check that identifies areas that need rectification. Remedies should be administered instantly (Angst, Block, D’Arcy, & Kelley, 2017).
Besides, investing in protection awareness to the workforce since lack of protection awareness by the workforce is one of the worst risks that can be experienced in an organisation (Health Information Technology, 2017). As a result, it is important to conduct situational training, as well as tracking of what people normally do while in their respective stations in order to identify vulnerable areas. Duty indicators, posters, monthly tips, screen-saver reminders among others, should be introduced to ensure that workers remember of their role in privacy protection. Assignment 2: Appropriate Use of Health Information (Essay Paper)
Conclusion
In a recap, even though many health care institutions have embarked on measures to protect both electronic and paper documented patient information, breach of this information still happens in daily operations; whether as a result of negligent or accidental. However, it is very important to introduce policies that complement the provisions of different legislative provisions on privacy of information. Besides, strict adherence to these policies is important to ensure effectiveness and efficiency in healthcare provision. It is important to always bear in mind the importance of patient information confidentiality in order to safeguard them from the vulnerabilities of disclosure.
References
Angst, C. M., Block, E. S., D’Arcy, J., & Kelley, K. (2017). WHEN DO IT SECURITY INVESTMENTS MATTER? ACCOUNTING FOR THE INFLUENCE OF INSTITUTIONAL FACTORS IN THE CONTEXT OF HEALTHCARE DATA BREACHES. MIS Quarterly, 41(3), 893-A8.
Alberta Queen’s Printer (2010) ALBERTA HEALTH ACT: Statutes of Alberta, 2010. Chapter A-19.5, Province o f Alberta
BORN, J. (2013). PROTECTING THE PRIVACY AND SECURITY OF HEALTH INFORMATION. South Carolina Business, 34(2), 18.
Borten, K. (2016) The Role of Nurses in HIPAA Compliance, Healthcare Security
https://healthitsecurity.com/news/the-role-of-nurses-in-hipaa-compliance-healthcare-security
Health Information Technology: Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy: GAO-07-238. (2007). GAO Reports, 1McGraw, D. (2009). Privacy and Health Information Technology. Journal Of Law, Medicine & Ethics, 37121-149. doi:10.1111/j.1748-720X.2009.00424.x
Medical Privacy: Privacilla.Org. Your Source For Privacy Policy For Free Market. Pro Technology Perspective.
http://www.privacilla.org/business/medical/medicalimportance.html
Assignment 2: Appropriate Use of Health Information (Essay Paper)
May 30, | nursing, med, NURS, Paper
NR 509 WEEK 1-7 QUIZ
NR 509 Week 1 Quiz (25 Points) – Question and Answers
A patient tells the FNP that he is very nervous, that he is nauseated, and that he “feels hot”. This type of data would be:
The patient’s record, laboratory studies, objective data, and subjective data combine to form the:
The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice?
A 59-year-old patient tells the FNP that he has ulcerative colitis. He has been having black stools for the last 24 hours. How would the FNP best document his reason for seeking care?
A 29-year-old woman tells the FNP that she has excruciating pain in her back. Which would be an appropriate response by the FNP to the woman statement?
In recording the childhood illnesses of a patient who denies having had any, which note by the FNP would be most accurate?
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If a female patient tells the FNP that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the FNP record this information?
Which of these statements represents subjective data the FNP obtained from the patient regarding the patient’s skin?
The FNP is obtaining a history for a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient? NR 509 WEEK 1-7 QUIZ
Which statement indicates that the FNP understands the pain experienced by an elderly person?
The FNP is performing a vision examination. Which of these charts is most widely used for visual examination?
During a complete health assessment, how would the FNP test the patients hearing? nr 509 week 1 quiz
The FNP has just completed an examination of a patient’s extra-ocular muscles. When documenting the findings, the FNP should document the assessment of which cranial nerves?
A patient’s uvula rises midline when she says “ahh” and she has a positive gag reflex. The FNP has just tested which cranial nerve?
During an examination the FNP notices that a patient is unable to stick out his tongue. Which cranial nerve is involved with successful performance of this action?
A patient is unable to shrug her shoulders against the FNP‘s resistant hands. What cranial nerve is involved with successful shoulder shrugging?
During an examination, the patient has just successfully completed the finger to nose and rapid alternating movements test and is able to run each heel down the opposite shin. The FNP would conclude that the patient’s___ function is intact
A five-year-old child is in the clinic for checkup. The FNP would expect him to:
When the FNP performs the confrontation test the FNP has assessed: nr 509 week 1 quiz
Which of these statements is true regarding the complete physical assessment?
…. recording of data from the history and physical examination?
… in assessment of general appearance? nr 509 week 1 quiz
The FNP is performing a review of symptoms. Which of these questions are appropriate as Health promotion questions to ask during this time? NR 509 WEEK 1-7 QUIZ
The FNP is incorporating a person’s spiritual values into the health history. Which of these questions illustrates the community portion of the FICA questions?
The FNP is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins?
NR 509 Week 2 Quiz (25 Points) – Question and Answers
A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be:
During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most likely results from:
The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The FNP suspects Damage to:
When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands
A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds with the examination by____
When examining a patient’s cranial nerve function, the FNP remembers that the muscles in the neck that are innervated by CN XI are the:
The patient’s laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the _____ gland
A patient says that she has recently noticed a lump in the front of her neck below her “Adams apple” that seems to be getting bigger. During the assessment, the finding that leaves the FNP to suspect that this may not be a cancerous thyroid nodule is that the lump:
The FNP notices that the patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the FNP would assess the patient’s:
The FNP is aware that the four areas in the body were lymph nodes accessible are the: nr 509 week 2 quiz
A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The FNP should know that floaters are usually not significant and are caused by:
The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP proceed?
A patient’s vision is recorded as 20/30 when the Snellen eye chart is used. The FNP interprets these results to indicate that:
A patient is unable to read even the largest letters on the Snellen chart. The FNP should take which action next:
A patient’s vision is ……as 20/80 in each eye. The FNP interprets this finding to mean that nr 509 week 2 quiz
When performing the corneal light reflex assessment, the FNP notes that the light is …..at 2 o’clock in each eye. The FNP should
The FNP is performing the diagnostic positions test. Normal findings would be which of these results? nr 509 week 2 quiz
During an assessment of the sclera of an African-American patient, the FNP would consider which of these an expected finding?
A 60-year-old man is at the clinic for an examination. The FNP suspects that he has ptosis of one eye. How should the FNP check for this?
The FNP is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale gray and swollen. What would be the most appropriate question to ask the patient?
The FNP is palpating the sinus areas. If the findings are normal, then the patient should report which sensation?
During an oral assessment of a 30-year-old African-American patient, the FNP notices bluish lips and a dark line along the gingival margin. What would the FNP do in response to these findings
During an assessment of a 20-year-old patient with a three day history of nausea and vomiting the FNP notices dry mucous and deep vertical fissures on the tongue. These findings are reflective of:
The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate FNP reflects a correct understanding of tactile fremitus?
The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? During pregnancy:
NR 509 Week 3 Quiz (25 Points) – Question and Answers
A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the girl complains:
A patient has been diagnosed with osteoporosis and asked the FNP “what is osteoporosis?” The FNP explains to the patient that osteoporosis is defined as:
Patient states, “I can hear a crunching or grating sound when I kneel”. She also states “that it is very difficult to get out of bed in the morning because of stiffness and pain in my joints”. The FNP should assess for signs of what problem?
When taking the history on a patient with a seizure disorder the FNP assesses whether the patient has an aura. Which of these would be the best question for obtaining this information?
The FNP is teaching a class on osteoporosis prevention to a group of post menopausal women. A participant shows that she needs more instruction when she states I will:
The FNP is performing a neurological assessment on a 41-year-old woman with a history of diabetes. When testing her ability to feel the vibrations of a tuning fork the FNP notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally, but she is able to feel vibrations on both patella. Given this information what would the FNP suspect?
And 80-year-old woman is visiting the clinic for a check up. She states “I can’t walk as much as I used to”. The FNP is observing from motor dysfunction in her hip and should have her:
The FNP is testing the function of cranial nerve XI. Which of these best describes the response the FNP should expect if the nerve is intact? The patient:
A 50-year-old woman is in a clinic for weakness in her left arm and leg that she noticed for the past week. The FNP should perform which type of neurologic examination?
During the neurological assessment of a healthy 35-year-old patient the FNP asks him to relax his muscles completely. The FNP then moves each extremity through full range of motion. Which of these results would the FNP expect to find?
A woman who is 8 months pregnant comments that she has noticed a change in posture and is having lower back pain. The FNP tells her that during pregnancy women have a posture shift to compensate for the enlarging fetus. This shift and posture is known as
A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasm’s. The FNP should suspect:
A professional tennis player comes into the clinic complaining of a sore elbow. The FNP will assess for tenderness at the:
The FNP suspect that a patient has carpal tunnel syndrome and wants to perform the Phalens test. To perform this task the FNP should instruct the patient to:
During the history a patient tells the FNP that “it feels like the room is spinning around me”. The FNP would document this as: nr 509 week 3 quiz
The assessment of a 60-year-old patient has taken longer than anticipated. In testing his pain perception the FNP decides to complete the test as quickly as possible. When the FNP applies the sharp point of a pin on his arm several times he is only able to identify these as one very sharp prick. What would be the most accurate explanation for this?
An 85-year-old patient comments during his annual physical that “he seems to be getting shorter as he ages”. The FNP should explain that decrease height occurs with aging because:
A patient is complaining of pain in his joints that is worse in the morning, is better after he has moved around for a while, and then gets worse again if he sits for long periods of time. The FNP should assess for other signs of what problem?
When the FNP asks a 68-year-old patient to stand with feet together and arms at his side with his eyes closed he starts to sway and moves his feet farther apart. The FNP would document this finding as:
During an assessment of the cranial nerves the FNP finds the following asymmetry when the patient smiles or frowns, uneven lifting of eyebrows, sagging of lower eyelids, and escape of air when the FNP presses against the right path cheek. This would indicate dysfunction of which of these cranial nerves? nr 509 week 3 quiz
The FNP is teaching a class on osteoporosis prevention to a group of postmenopausal women which of these actions is the best way to prevent or delay bone loss in this group?
In obtaining a history on a 74 year old patient the FNP notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold thing. With this information what should the FNP‘s response be?
During a history of a 78-year-old man his wife states that “he occasionally has problems with short-term memory loss and confusion. He can’t even remember how to button his shirt”. In doing the assessment of his sensory system which action of the FNP‘s is most appropriate?
While obtaining a history of a 3 month old infant from the mother the FNP asks about the infants ability to suck and grass the mothers finger. What is the FNP assessing? nr 509 week 3 quiz
The FNP is doing an assessment on a 29-year-old woman who visits the clinic complaining of always dropping things and falling down. While testing rapid alternating movements the FNP notices that the woman is unable to pat both her knees. Her response is very slow and she misses frequently. What should the FNP suspect?
NR 509 Week 4 Quiz (25 Points)
A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
The direction of blood flow through the heart is best described by which of these
In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would
When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are
The sack that surrounds and protects the heart is called the
When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true?
The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next?
During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process?
The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have?
In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history?
The FNP is assessing the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a____pulse NR 509 WEEK 1-7 QUIZ
A patient complains of leg pain that wakes him at night. … states that he has been having problems with his legs. He has pain in his legs when they are … and disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing
During an assessment the FNP uses the profile sign to detect nr 509 week 4 quiz
… these statements describes the closure of the valves in a normal cardiac cycle?
When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next
A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing
In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. nr 509 week 4 quiz Which of these findings can … explained by expected hemodynamic changes related to age?
The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect?
The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test?
A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true?
Findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is … 45°. The FNP knows that this finding indicate:
The component of the conduction system referred to as the pacemaker of the heart is the nr 509 week 4 quiz
The FNP is reviewing anatomy and physiology of the heart. Which statement best describes what is … by atrial kick?
A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be NR 509 WEEK 1-7 QUIZ
When assessing a patient the FNP notes that the left femoral pulse as diminished 1+/4+. What should the FNP do next?
NR 509 Week 5 Quiz (25 Points) – Question and Answers
An older patient has been diagnosed with pernicious anemia. The FNP knows that this condition could be related to
The FNP is examining a patient who tells the FNP “I sure sweat a lot especially on my face and feet but it doesn’t have an odor”. The FNP knows that this could be related to
During an abdominal assessment the FNP elicits tenderness on light palpation in the right lower quadrant. The FNP interprets that this finding could indicate a disorder which of these structures?
An Inuit visiting Nevada from anchorage has come to the clinic in July during the hottest part of the day. It so happens that the clinics air conditioning is broken and the temperature is very hot. The FNP knows that which of these statements is true about the Inuit sweating tendencies?
The FNP notices that a patient has black, tarry stool and recalls that a possible cause would be
The FNP knows that during an abdominal assessment deep palpation is used to determine
The FNP is assessing the abdomen of an aging adult. Which of these statements regarding an aging adult and abdominal assessment is true?
During examination the FNP finds that a patient has excessive dryness of the skin. The best term to describe this condition is
A FNP notices that a patient has ascites, which indicates the presence of nr 509 week 5 quiz
The FNP is performing percussion during an abdominal assessment. Percussion notes during the abdominal assessment may include
The FNP is caring for a black child who has been diagnosed with marasmus. The FNP would expect to find the
The FNP just noted from a patient’s medical record that the patient has a lesion that is confluent in nature. On examination the FNP would expect to find
The FNP is assessing the abdomen of a pregnant woman who is complaining of having acid indigestion all the time. The FNP knows that esophageal reflux during pregnancy can cause
The patient has abdominal borborygmi. The FNP knows that this term refers to nr 509 week 5 quiz
A patient has a terrible itch for several months that he has been scratching continuously. On examination the FNP might expect to find NR 509 WEEK 1-7 QUIZ
During aging process, the hair can look gray or white and begin to feel thin and fine. The FNP knows that this occurs because of a decrease in number of functioning
The FNP notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding the FNP would report this as a
During an abdominal assessment the FNP would consider which of these findings as normal?
A 52 -year-old Woman has a papule on her nose that has a rounded pearly border and a central red ulcer. She said she first noticed it several months ago and that it is slowly growing larger. The FNP suspects which condition?
The FNP is listening to bowel sounds. Which of these statements is true about bowel sounds?
The FNP is watching a new graduate FNP perform auscultation of a patient abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation proceeds percussion and palpitation of the abdomen?
A patient is complaining of a sharp pain along the costovertebral angles. The FNP knows that this symptom is most often indicative of
The patient is ….of having inflammation of the gallbladder or cholecystitis. The FNP should conduct which of these techniques to assess for this condition?
A newborn infant is in the clinic for a well baby check. The FNP observes the infant for possibility of fluid loss because of which these factors?
During an assessment of a newborn infant, the FNP recalls that pyloric stenosis would be manifested by nr 509 week 5 quiz
NR 509 Week 6 Quiz (25 Points) – Question and Answers
A woman has come to the clinic to seek help with a substance-abuse problem. She admits to using cocaine just before arrival. Which of these assessment findings would the FNP expect to find when examining the woman?
A 63-year-old Chinese American man enters the office with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflect the FNPs best course of action?
The FNP is planning to assess new memory with the patient. The best way for the FNP to do this would be
During the health history the FNP asks a female patient “how many alcoholic drinks do you have a week?” Which answer by the patient would indicate at risk drinking?
Symptoms such as pain are often influenced by a person’s cultural heritage. Which of the following is a true statement regarding pain? NR 509 WEEK 1-7 QUIZ
The FNP suspect abuse when a 10-year-old child is taken to the urgent care center for leg injury. nr 509 week 6 quiz The best way to document the history and physical findings is to
During a mental status assessment, which question by the FNP would best assess a persons judgment?
The FNP is performing a mental status assessment on a five-year-old girl. Her parents are undergoing a bitter divorce and are worried about the effect it is having on their daughter. Which action or statement might leave FNP to be concerned about the girls mental status?
During mental status examination, the FNP wants to assess a patient’s affect. The FNP should ask the patient which question?
During an examination FNP notices a patterned injury on a patients back. Which of these would cause such an injury?
The FNP is aware that intimate partner violence screening should occur with which situation?
Which statement is best for the FNP to use when preparing to administer the abuse assessment screen?
The FNP is conducting a class on alcohol and the effects of alcohol on the body. How many standard drinks (each containing 12 g alcohol) Per day are associated with increased deaths from cirrhosis, cancers of the mouth, esophagus and injuries in men?
A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asked the FNP how many drinks a day safe for my baby? The FNP‘s best response is
The FNP is performing the Denver II screen test on a 12 month old infant during a routine well child visit. The FNP should tell the infants parents that the Denver II
Which term refers to a one produced by tearing or splitting of body tissue usually from blunt impact of a bony surface NR 509 WEEK 1-7 QUIZ
When reviewing the use of alcohol by older adults the FNP notes that the older adults have several characteristics that can increase the risk of alcohol use which would increase the bioavailability of alcohol in the blood for longer periods of time in the older adult?
The FNP is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?
The FNP is planning to assess a child using behavioral checklist. This tool is most appropriate for a(an)
The FNP is … orientation in a 79-year-old patient. Which of these responses would leave the FNP to conclude that the patient is … ?
As a mandatory reporter of elder abuse, which of these must be present before an FNP notifies the authorities?
A 30-year-old female patient is describing feelings of hopelessness and depression. She has attempted self-mutilation and has a history of prior suicide attempts. She describes difficulty sleeping at night and has lost 10 pounds in the past month. Which of these statements or questions is the FNP‘s best response in this situation? nr 509 week 6 quiz
For persons age 12 years and older which of these illicit substances was one of the most commonly used?
Which of these individuals would the FNP consider at highest risk for suicide attempt?
The FNP is assessing a patient who has … admitted for cirrhosis of the liver secondary to chronic alcohol use. nr 509 week 6 quiz During the physical assessment the FNP looks for cardiac problems that are … with chronic heavy use of alcohol such as
NR 509 Week 7 Quiz – Question and Answers
During an examination of an aging male the FNP recognizes that normal changes to expect would be:
During a health history, a 22-year-old woman asks “can I get that vaccine for HPV? I have gentle warts and I’d like them to go away!” What is the FNP‘s best response?
During a speculum inspection of the vagina the FNP would expect to see what at the end of the vaginal canal?
A 62-year-old man is experiencing fever, chills, malaise, urinary frequency and urgency. He also reports urethral discharge and a dull aching pain in the perineal and rectal area. The symptoms are most consistent with which of the following?
When performing a genital examination on a 25-year-old man the FNP notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information the FNP would:
The mother of a 10-year-old boy asks the FNP to discuss the recognition of puberty. The FNP should reply by saying:
The uterus is usually positioned tilting forward and superior to the bladder. This position is known as
A male patient with possible fertility problems asks the FNP where sperm is produced. The FNP knows that sperm production occurs in
A 15-year-old boy is seen in the clinic for complaints of dull pain and pulling in the scrotal area. On examination the FNP palpates a soft, irregular mass posterior to and above the testes on the left. This mass collapses when the patient is supine in refills when he is up right. This description is consistent with:
In performing an assessment of a woman’s axillary lymph system the FNP should assess which of these nodes?
A patient contacts the office and tells the FNP that she is … about her 10-year-old daughter having breast cancer. She describes a unilateral enlargement of the right breast with associated tenderness. She is … because the left breast is not enlarged. What would be the FNP‘s best response?
An 11-year-old girl is in the clinic for a sports physical. The FNP notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. … use which of these techniques to best assist the young girl in understanding the expected sequence for development? The FNP should: NR 509 WEEK 1-7 QUIZ
A 54-year-old woman who has just completed menopause is in the clinic today for yearly physical examination. Which of these statements should the FNP include in patient education? A post menopausal woman:
A 62-year-old man states that his doctor told him that he has an inguinal hernia. He asks the FNP to explain what a hernia is….. :
When performing a genital assessment on a middle-age man, the FNP notices multiple soft, moist, painless papules in the shape of cauliflower like patches scattered across the shaft of the penis. These lesions are characteristics of:
If a patient reports a recent breast infection, then the FNP should expect to find_____node enlargement
A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she finally ….“am I normal? I don’t seem to need a bra yet, but I have some friends who do. What if I never get breasts?” The FNP‘s best response would be:
Which of these statements about the testes this true?
During an examination FNP observes a female patients vestibule and expect to see the
A 14-year-old girl is anxious about not having reached menarche. When taking history, the FNP should ascertain which of the following? The age:
A woman who is 22 weeks pregnant has a vaginal infection. She tells the FNP that she is afraid that the infection will hurt the fetus. The FNP knows that which of these statements is true?
In performing a breast examination the FNP knows that it is especially important to examine the upper outer quadrant of the breast. The reason for this is that the upper outer quadrant
An accessory glandular structure for the male genital organs is the
…. true regarding the penis?
__ 8 weeks pregnant is in the clinic for a check up. The FNP reads on her chart that her cervix is … and looks cyanotic. The FNP knows that the woman is exhibiting____sign and _____sign NR 509 WEEK 1-7 QUIZ
