FREE Adult-Gerontology Primary Care Nurse Practitioner MCQ Questions and Answers
Dyspareunia is reported by a 69-year-old female patient. A physical examination reveals a pale, dry vagina, thin hair, and an introitus that can accommodate two fingers. The nurse practitioner who specializes in adult-gerontology primary care will advise:
Explanation:
In cases where symptoms are severe or do not improve with these measures, topical hormonal therapy with estrogen cream or other forms of estrogen replacement therapy (ERT) may be recommended.
Topical hormonal cream, such as estradiol cream, can be effective in treating vaginal dryness and other symptoms of GSM by replenishing the estrogen levels in the vaginal tissues. However, it's important to note that hormonal therapy may not be suitable for all patients and can have some potential risks and side effects.
The adult-gerontology primary care nurse practitioner who works in an urban community health center is aware that greater morbidity and death are frequently caused by asthma-related health issues for people with:
Explanation:
The adult-gerontology primary care nurse practitioner's recognition that asthma-related health issues commonly result in higher morbidity and mortality for persons with lower socioeconomic status is an important insight in addressing health disparities in the community.
Individuals with lower socioeconomic status often face a range of social determinants of health, including limited access to healthcare services, environmental pollutants, and inadequate housing conditions, which can exacerbate asthma symptoms and increase the risk of complications and death.
A 34-year-old truck driver patient presents with an acute lower back pain that becomes worse when they move around. The symptoms started following a demanding three-day road trip. Upon evaluation, the patient exhibits weakness in the extensor muscles of the big toe and has trouble walking on their heels. The initial differential diagnosis is?
Explanation:
The initial differential diagnosis of L-5 root irritation is appropriate given the patient's symptoms of lower back pain that worsens with ambulation, difficulty walking on their heels, and weakness in the extensors of their big toes. However, further assessment and diagnostic testing may be necessary to confirm the diagnosis and develop an appropriate treatment plan.
Once a diagnosis of L-5 root irritation is confirmed, treatment may involve a combination of non-pharmacologic and pharmacologic interventions. Non-pharmacologic interventions may include physical therapy, stretching exercises, and hot or cold compresses to help alleviate pain and improve mobility. Pharmacologic interventions may include nonsteroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants to help reduce inflammation and muscle spasms.
When discussing advance care planning with a patient, what factors does the adult-gerontology primary care nurse practitioner need to take into account?
Explanation:
Trust and rapport with patients are key to patient satisfaction in decisions for care. The nurse practitioner should establish a relationship of trust and open communication with the patient to ensure that they feel comfortable discussing their preferences and goals of care.
The adult-gerontology primary care nurse practitioner is working to improve clinical practice quality.
Explanation:
Disseminating research study results to colleagues is one way for the adult-gerontology primary care nurse practitioner to improve the quality of clinical practice. By sharing the latest research findings, the nurse practitioner can help ensure that colleagues are up to date on best practices and evidence-based interventions. This can ultimately lead to better patient outcomes and a higher standard of care.
A patient with cold symptoms who reports smoking half a pack of cigarettes per day and shows no desire in quitting is seen by an adult-gerontology primary care nurse practitioner. The best course of action for the nurse practitioner is to treat cold symptoms and:
Explanation:
It is appropriate for the nurse practitioner to treat the patient's cold symptoms, it is not enough to only tailor counseling on smoking cessation to the individual patient at today's visit. The nurse practitioner should take a proactive approach and consistently incorporate smoking cessation counseling into the patient's overall care plan. The nurse practitioner should also assess the patient's readiness to quit and provide support and resources to aid in smoking cessation.
Blood pressure for the 58-year-old patient is 138/85 mmHg. What is the patient instructed to undertake by the adult-gerontology primary care nurse practitioner?
Explanation:
The adult-gerontology primary care nurse practitioner may instruct the patient to make lifestyle modifications, such as reducing their daily salt intake, increasing physical activity, losing weight, and limiting alcohol consumption. They may also recommend regular blood pressure monitoring and discuss medication options if necessary. However, the specific instructions given may depend on the patient's individual health history and risk factors.