NSG517 Quizlet Study Guide- Chapter 15

CHAPTER 15

Question 1The federal government’s criterion to establish health professional shortage areas (HPSAs) is based on which of the following statistics?

  An area in which there are more than 3500 individuals for every primary care physician (PCMD)

  An area in which there are more than 4500 individuals for every primary care physician (PCMD)

  An area in which there are less than 500 individuals for every primary care physician (PCMD)

  Average family income less than two-thirds of national poverty level

  Average family income less than half of national poverty level

Question 2What is a downfall of the HPSA’s calculation?

  Does not adjust for inflation

  Is only recalculated every 10 years

  Does not include other PCP designations (PAs, NPs)

  Has a lower weighted average for NP versus MD providers

Question 3Some community health centers can apply for a special designation if they are an entity that serves a population that is medically underserved or a specially medically underserved population comprised of migratory and seasonal agricultural workers, the homeless, and residents of public housing. What is this designation?

  Federally qualified health center (FQHC)

  School-based health center (SBHC)

  Patient-centered medical home (PCMH)

  Nurse-led health center (NLHC)

Question 4Which of the following is not a common characteristic of a school-based health center (SBHC)?

  Located in schools or on school grounds

  No parental requirement for consent for treatment

  Comprised of a multidisciplinary team

  Close integration with the school

Question 5A nurse practitioner provides care at a veteran’s clinic managed by the Department of Veterans Affairs. The state in which he or she practices prohibits many procedures. Which of the following is most accurate regarding the care the NP provides?

  State practice regulations override VA regulations

  Full practice authority is allowed inside the VA system

  Additional licensure is required to practice in VA systems by the state

  NP must be supervised for all skills

Question 6Medical care provided by primary care providers (PCMD, PCNP) as part of the patient-centered medical home (PCMH) model encompasses the full spectrum of primary care including standards of accessibility, continuity, comprehensiveness, integrated care, and interprofessional care. This model was first defined for what population group?

  Geriatrics

  Pediatrics

  Gynecology

  Mental health

Question 7A medical visit that comprises several patients in a group with similar conditions where patients discuss their health status, therapeutic regimes, behavioral modifications, and how to handle them is called:

  Convenient care clinics

  Shared medical appointments

  Project ECHO

  Group therapy

Question 8According to the American Association of Nurse Practitioners: 2017 NP Fact Sheet, NPs have been in practice an average of how many years?

  7 years

  9 years

  11 years

  14 years

Question 9According to the American Association of Nurse Practitioners: 2017 NP Fact Sheet, which of the following is the largest area of certification?

  Acute care

  Psychiatric/mental health

  Primary care

  Pediatrics

  Tertiary Care

Question 10According to the American Association of Nurse Practitioners: 2017 NP Fact Sheet and the AANP National Nurse Practitioners Database, approximately how many NPs are licensed in the United States?

  1,26,000

  2,34,000

  3,18,000

  3,81,000

  4,08,000

Question 11Which of the following has shown promising outcomes for NPs in achievement of competence, confidence, and mastery as well as increased levels of NP satisfaction?

  NP Postgraduate Residency Programs

  Increased NP Pay

  Advancement of NP care practices

  Work in Underserved population areas

  Decreased malpractice claims

Question 12The American Academy of Pediatrics questioned which of the following negative outcomes of Community Care Clinics (CCCs)? (Select all that apply.)

  Incentives to overprescribe

  Lack of longitudinal relationships with providers

  Uneven EHR interoperability with community primary care providers

  Increased patient satisfaction

  Decreased wait times