Clinical Guidelines in Primary Care 3rd Edition Hollier Test Bank

Clinical Guidelines in Primary Care 3rd Edition Hollier Test Bank

Clinical Guidelines in Primary Care 3rd edition HollierChapter 1 Cardiovascular DisordersMULTIPLE CHOICE1.The nurse is aware that the muscle layer of the heart, which is responsible for the heartscontraction, is the:a. endocardium.b. pericardium.c. mediastinum.d. myocardium.ANS: DThe myocardium is the specialized muscle layer that allows the heart to contract.2.The nurse clarifies that the master pacemaker of the heart is the:a. left ventricle.b. atrioventricular (AV) node.c. sinoatrial (SA) node.d. bundle of His.ANS: CThe SA node is the master pacemaker of the heart.3.The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ inwomen because acute chest pain is not present. Women are frequently misdiagnosed as having:a. hepatitis A.b. indigestion.c. urinary infection.d. menopausal complications.ANS: BIndigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses forwomen having an MI.4.The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound ofthe:a. AV valves closing.b. closure of the semilunar valves.c. contraction of the papillary muscles.d. contraction of the ventricles.ANS: AThe LUBB is the first sound of a low pitch heard when the AV valves close.5.A patient is admitted from the emergency department. The emergency department physiciannotes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)classification of IV. This indicates the patients condition as:a. moderate heart failure.b. severe heart failure.c. congestive heart failure.d. negligible heart failure.ANS: BClass IV: Severe; patient unable to perform any physical activity without discomfort. Angina orsymptoms of cardiac inefficiency may develop at rest.6.The nurse assesses that the home health patient has no signs or symptoms of heart failure, butdoes have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus.The nurse is aware that using the American College of Cardiology and the American HeartAssociation (ACC/AHA) staging, this patient would be a:a. stage A.b. stage B.c. stage C.d. stage D.ANS: AThe ACC/AHA staging describes stage A as a person without symptoms of heart failure, butwith primary conditions associated with the development of the disease.7.The nurse caring for a patient recovering from a myocardial infarct who is on remote telemetryrecognizes the need for added instruction when the patient says:a. I can ambulate in the hallway with this gadget on.b. I always take off the telemetry device when I shower.c. My EKG is being watched by one of the nurses in CCU on the home unit.d. I am able to sleep just fine with this device on.ANS: BRemote telemetry allows the patient to be on a separate unit, but be monitored in a centrallocation. The patients can be ambulatory and can sleep with the monitor on. Theyshould not remove the monitor to shower.8.The nurse assesses pitting edema that can be depressed approximately inch and refills in 15seconds. The nurse would document this assessment as:a. 1 edema.b. 2 edema.c. 3 edema.d. 4 edema.ANS: BA 2 edema can be documented if the skin can be depressed inch and respond within 15seconds.9.What do dark or cold spots on a thallium scan indicate?a. Tissue with adequate blood supplyb. Dilated vesselsc. Areas of neoplastic growthd. Tissue that has inadequate perfusionANS: DThallium scans show adequate perfused areas by the collection of thallium. Dark spots or coldspots indicate tissues that have inadequate perfusion.10.The nurse recognizes the echocardiogram report that shows an ejection factor of 42% as anindication of:a. normal heart action.b. mild heart failure.c. moderate heart failure.

Clinical Guidelines in Primary Care 3rd Edition by Amelie Hollier – Test Bank

Overview: “Clinical Guidelines in Primary Care, 3rd Edition” by Amelie Hollier is a comprehensive resource designed for primary care providers, including nurse practitioners, physician assistants, and other healthcare professionals. This edition offers up-to-date clinical guidelines that are essential for diagnosing, managing, and treating common conditions encountered in primary care settings. The test bank accompanying this textbook is an invaluable tool for educators and students, providing a wide range of questions that assess understanding and application of the clinical guidelines.

Key Features:

1. Comprehensive Coverage of Primary Care Topics:
   • The book covers a broad spectrum of primary care topics, including cardiovascular, respiratory, gastrointestinal, musculoskeletal, endocrine, and infectious diseases. It also includes guidelines on preventive care, health maintenance, and patient education.
2. Evidence-Based Guidelines:
   • The clinical guidelines presented in the book are rooted in the latest evidence-based research, ensuring that healthcare providers are equipped with the most current and effective practices for patient care.
3. Diagnostic and Treatment Algorithms:
   • The text includes clear diagnostic and treatment algorithms that guide clinicians through the decision-making process, from initial assessment to treatment planning and follow-up care.
4. Patient Management Strategies:
   • Detailed management strategies are provided for a wide range of conditions, focusing on both pharmacological and non-pharmacological interventions. The guidelines also emphasize the importance of patient-centered care and shared decision-making.
5. Practical Tools and Resources:
   • The book includes practical tools such as tables, charts, and checklists that can be easily referenced during clinical practice. These resources help streamline patient care and ensure adherence to clinical guidelines.
6. Focus on Preventive Care:
   • Preventive care and health promotion are key themes throughout the book. Guidelines for screenings, immunizations, and lifestyle counseling are provided to help clinicians implement effective preventive care measures.
7. Case Studies and Clinical Scenarios:
   • The test bank includes case studies and clinical scenarios that challenge students to apply their knowledge in real-world situations. These cases help reinforce the material covered in the textbook and prepare students for clinical practice.
8. Critical Thinking and Clinical Reasoning:
   • Questions in the test bank are designed to develop critical thinking and clinical reasoning skills. Students are encouraged to think through complex clinical scenarios and make evidence-based decisions.
9. Customizable Assessments:
   • Educators can use the test bank to create customized assessments tailored to their specific course objectives. The variety of question types, including multiple-choice, true/false, and short-answer questions, allows for a comprehensive evaluation of student learning.
10. Preparation for Certification Exams:
    • The test bank serves as an excellent study aid for students preparing for certification exams. The questions mirror the format and content of national certification exams, helping students build confidence and improve their test-taking skills.

Content Breakdown:

1. Introduction to Primary Care:
   • An overview of the principles of primary care, including the role of the primary care provider, the importance of evidence-based practice, and the integration of preventive care into patient management.
2. System-Specific Guidelines:
   • The book is organized by body systems, with each chapter focusing on specific conditions within that system. For example, the cardiovascular section includes guidelines for managing hypertension, heart failure, and arrhythmias, while the respiratory section covers asthma, COPD, and pneumonia.
3. Pharmacological and Non-Pharmacological Interventions:
   • Each guideline includes recommendations for both pharmacological and non-pharmacological treatments, with detailed information on medication dosages, side effects, and contraindications.
4. Patient Education and Counseling:
   • The book emphasizes the importance of patient education and includes guidelines for counseling patients on lifestyle modifications, medication adherence, and disease prevention.
5. Special Populations:
   • Guidelines are provided for the care of special populations, including pediatrics, geriatrics, and pregnant women. These sections address the unique challenges and considerations in managing these patient groups.
6. Legal and Ethical Considerations:
   • The book includes a discussion of the legal and ethical issues that primary care providers may encounter, such as informed consent, patient confidentiality, and the use of advanced directives.
7. Health Promotion and Disease Prevention:
   • This section focuses on the implementation of preventive care measures, including screening recommendations, vaccination schedules, and strategies for promoting healthy behaviors.

Practical Applications:

• For Students:
  • The test bank is an essential study tool for students in primary care programs. It helps reinforce the material covered in the textbook and provides practice questions that prepare students for exams and clinical practice.
• For Educators:
  • Instructors can use the test bank to create exams, quizzes, and other assessments. The variety of question types allows for a comprehensive evaluation of student understanding and application of clinical guidelines.
• For Practicing Clinicians:
  • The textbook and test bank serve as a valuable reference for practicing primary care providers. The guidelines are designed to be easily accessible and applicable in everyday clinical practice, helping clinicians deliver high-quality, evidence-based care.

Conclusion:

“Clinical Guidelines in Primary Care, 3rd Edition” by Amelie Hollier is an indispensable resource for primary care providers. The accompanying test bank enhances the learning experience by providing a robust set of questions that test knowledge and application of the clinical guidelines. Whether used in an educational setting or as a reference in clinical practice, this book and its test bank offer the tools necessary to deliver effective, evidence-based primary care.