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ACNP 1: Questions And Accurate Solutions (Pass!)
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ACNP 1: Questions And Accurate Solutions (Pass!)
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ACNP 1: Questions And Accurate Solutions (Pass!)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 idnetifies 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
Mini-Mental State Examination (MMSE) Right Ans - Brief 30-point
questionnaire test that is used to screen for cognitive impairment; commonly
used to screen for dementia.
Clock Drawing Test Right Ans - The client is asked to reproduce the face of
a clock set to a specific time. This test may detect difficulties with visuospatial
skills, visual perception, selective attention, memory, abstract thinking, and
executive functioning.
Geriatric Depression Scale Right Ans - a tool to assess for risk of depression
in older adults
can be used on cognitively intact and those with mild to moderate cognitive
impairment
consist of 15 yes/no questions; score >5 suggest depression
get up and go test Right Ans - Time it takes for a person to rise from an
armchair, walk 10 feet, turn, walk back and sit down
(Average healthy adult >60 years can do it in 10 seconds)
> 3 indicates risk of falling
Pain assessment in Advanced Dementia Scale Right Ans - tool used to
measure pain in older patients with dementia
fiver behaviors of the patient are observed: breathing, negative vocalization,
facial expression, body language, and inconsolablity
each behavior is scored of 0 to 2 with 0 indicating no pain.
1-3 mild pain
4-6 moderate pain
7-10 severe pain
Crisis intervention Right Ans - Ensure safety/boundaries
establish trust/rapport
, put distance between you and patient
advance directives Right Ans - A legal document designed to indicate a
person's wishes regarding care in case of a terminal illness or during the
dying process
Health Care directive Right Ans - type of advance directive that may (or
may not) include a living will and/or specifications regarding durable power
of attorney in one or two separate documents
durable power of attorney for health care Right Ans - A type of advance
directive executed by a competent adult that appoints another individual to
make medical treatment decisions on his or her behalf in the event that the
person making the appointment loses decision-making capacity.
Living Wills Right Ans - written compilation of statements in document
format that specifies which life-prolonging measures one does and does not
want to be taken if he becomes incapacitated
living wills often include granting durable power of attorney to a significant
other to act as a healthcare proxy
Confidentiality vs duty to warn Right Ans - Duty to warn supersedes the
right to confidentiality if a patients condition may endanger others.
The duty to protect a patient from harming him/herself supersedes the right
to confidentiality.
invasion of privacy Right Ans - damaging one's reputation as a result of
information being shared without the patient's permission.
Transferring patients to a tertiary facility Right Ans - assess all injuries,
stabilize, and assess the capabilities of our facility, and then transfer
HIPPA Title I Right Ans - protects health insurance coverage for workers
and their families when they lose their jobs. Coverage under COBRA for 18
months
HIPPA Title 2 Right Ans - establishment of safe electronic transactions
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