Exam (elaborations)
ACNP 1: Questions And Accurate Solutions (Pass!)
- Course
- Institution
ACNP 1: Questions And Accurate Solutions (Pass!)
[Show more]
Content preview
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $28.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now