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ACNP Exam: Questions With Correct Solutions (100%)
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ACNP Exam: Questions With Correct Solutions (100%)
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ACNP Exam: Questions With Correct Solutions (100%)Define mentoring/coaching Right Ans - instructing patients in how to
successfully manage their own conditions
Examples of mentoring/coaching: Right Ans - 1. Instructing patients with
asthma on how to manage exacerbation
2. instructing patients with diabetes mellitus on how to control blood glucose
via diet and exercise
Define role modeling Right Ans - instructing patient through examples of
health care processes in action
Example of Role Modeling Right Ans - may be done through NP instructing
patient in healthy behaviors or through role modeling examples in other
patients
Define Counseling Right Ans - Instructing patients in how to responsibly
mange medications, conditions, and courses of treatment
Define Health literacy Right Ans - the degree to which health care
professional have the capacity to obtain, process, and understand basic health
care information and services necessary to make appropriate healthcare
decisions
What is considered the single best predictor of one's health status? Right
Ans - Health Literacy
What grade does the average adult reads at Right Ans - Eight
Joint Commission lays out Right Ans - Accreditation guidelines and
National Patient Safety Goals
Joint Commission Acute/Critical Care goals: Right Ans - 1. Proper
identification of patients and relevant health data
2. Proper staff communication
3. Safe use of medication-proper labeling, proper care when treating patients
taking anticoagulants, proper knowledge and patient counseling
4. Ensuring alarms are easily heard and responded too
,5. Infection prevention--maintaining st standards of hygiene, guidelines to
treat resistant infections, CAUTI CLABS, Post/op Infections
6. Avoiding surgical errors
What are institutional bylaws Right Ans - rules laid out by the institution
that may provide further qualification and restrictions on the role of
healthcare staff (duties, responsibility, and privileges of AGACNPs)
How does an ACNP best get involved in an Multidisciplinary response Team
Right Ans - Pre-enroll in disaster response team efforts
EMR Technology help Right Ans - improve quality, efficiency and safety
reduce health care disparities
engage patients and family members in course of care
improve care coordination
maintain privacy and safety of patient health information
QI is a process of..... Right Ans - monitoring, evaluating and continuously
reviewing to improve the quality of health care delivery and health status of
patients.
Quality and Safety Education for Nurses (QSEN) Right Ans - an initiative
aimed at providing future nurses with the knowledge, skills, and attitude
necessary to ensure continuous improvement in quality and safety of their
respective healthcare systems
QSEN competencies Right Ans - Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics
Depression Screen Right Ans - The PHQ-9 ranks 9 S/S over last 2 weeks
1-4 minimal depression
10-14 moderate
20-27 severe depression
,Screening tool for generalized anxiety disorder Right Ans - GAD-7 self-
administered screening tool that identifies whether a complete assessment for
anxiety is indicated
7 S/S over last 2 weeks
5-9 mild
10-14 moderate
15-21 severe
score of > 10 indicates a probable Dx. of generalized anxiety disorder
Drug and alcohol screening Right Ans - CAGE-AID
Self-reported questionnaire designed to quickly assess whether an alcohol or
drug assessment is needed
ansering yes to two or more questions warrants a complete assessment:
C: have you ever felt the need to cut down on drinking/drug
A: have people annoyed you about your habits?
G: ever felt guilty?
E:ever had a drink/drug first thing in the morning
Tool to use for pain assessment when language barrier is present. Right
Ans - Wong-Baker Faces
Ramsay Sedation Scale (RSS) Right Ans - assess conscious state of pt.
if awake:
1: anxious, agitated, restless
2: cooperative, oriented, tranquil
3: responsive to commands only
If asleep:
4: response to loud stimulus, glabellar tap
5: sluggish to loud auditory or glabellar tap
6: no response to loud auditory or glabellar tap
brief pain inventory (short form) Right Ans - assesses severity of pain and
impact of pain on daily functions
- self report survey
- used for chronic pain or acute conditions
, Richmond Agitation Sedation Scale (RASS) Right Ans - A 10 point scale to
assess levels of anxiety, agitation, and sedation
+4 combative
+3 very agitated
+2 agitated
+1 restless
0 alert and calm
-1 drowsy
-2 light sedation
-3 moderate sedation
-4 deep sedation
-5 unarousable
Sedation-Agitation Scale (SAS) Right Ans - 7: dangerous agitation: pulling
at ET tube
6: very agitated: requires restraints or verbal reminding, biting
5: agitated: anxious, physically agitated
4: calm cooperative: calm, easily arousable, follows commands
3: sedated: difficult to arouse, wakens with verbal stimuli
2: very sedated: arouses to physical stimuli but does not communicate
1: unarousable: does not
The CPOT score looks at what four indicators? Right Ans - Facial
expression, body movement, muscle tension, compliance with vent or
vocalization
Each category is scored 0,1,2
CAM ICU test Right Ans - TOol designed to be used in the critical care unit
to assess for delirium, including AMS and disorganized thinking
4 features:
1. acute onset of mental statue changes or fluctuating course
2. inattention
3. disorganized thinking
4. altered level of consciousness
Should be conducted every shift
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