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ANCC IQ Domain 2: Advanced Practice Skills Exam Questions And Answers
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ANCC IQ Domain 2: Advanced PracticeSkills Exam Questions And Answers
When child, adult partner, or elder abuse is suspected, the PMHNP
needs to conduct an abuse assessment screen in privacy, away from the
partner, the child's parents or guardians, or the elder person's relative
or companion. Simple, direct questions in a nonjudgmental interview
are indicated. Which of the following would be an appropriate abuse
screening question?
a. Within the past year, have you been hit, slapped, kicked or otherwise
physically hurt by someone?
b. Within the past year, has anyone ever forced you to do something by
threatening you with a gun?
c. Within the past year, have you ever threatened or tried to commit
suicide to escape the abuse?
d. Within the past year, has anyone ever threatened to kill you? -
correct answer ✅Within the past year, have you been hit, slapped,
kicked or otherwise physically hurt by someone?
Rationale: This response is one of four items on a standardized abuse
assessment screen. The other items are part of a danger assessment
that may be used following a positive response to one of the abuse
assessment screening questions.
A patient was started on an antipsychotic medication two weeks ago
and is now experiencing the following symptoms: inability to sit still,
pacing, and feelings of restlessness. he does not complain of any
anxiety or being worried about anything in particular. Which of the
,ANCC IQ Domain 2: Advanced Practice
Skills Exam Questions And Answers
following rating scales would be the most appropriate to assess these
symptoms?
a. Simpson Angus EPS Scale
b. Barnes Akathisia Rating Scale (BARS)
c. Dyskinesia Identification System Condensed User Scale (DISCUS)
d. Abnormal Involuntary Movement Scale (AIMS) - correct answer
✅Answer: the BARS.
Rationale: The patient is experiencing symptoms consistent with
Akathisia. The BARS can be very useful in systematically assessing
patients in identifying akathisia, assess its severity, and monitor change
in symptoms.
A female client has gradually assumed increasing responsibility for the
care of her aging parents. Her mother was diagnosed with Alzheimer's
type dementia three years ago and is increasingly disoriented to her
home surroundings. Her father insists on keeping her mother at home
to provide care until she dies. What is the first priority in counseling this
couple and their caretaking adult daughter?
a. Caregiver strain
b. Patient and family education
c. Anticipatory guidance
d. Patient safety - correct answer ✅Answer: D. Patient safety
Although all four are improtant aspects related to care, patient safety
must take pririty before the other three responses. In counseling about
,ANCC IQ Domain 2: Advanced Practice
Skills Exam Questions And Answers
safety issues regarding risk for wandering, leaving stove burner on
unattended, slips or falls, the PMHNP can introduce the other areas of
education, anticipatory guidance, and community resources.
A 67-year-old Vietnamese immigrant, who has been a resident in the
U.S. for 3 years, comes to your clinic for an evaluation. Her first
language is Vietnamese, but she does speak some English. She has
problems with reading and writing, as she did not finish high school, or
earn a GED (General Educational Development) equivalency. As the
PMHNP, what is your priority disparity to address with this patient?
a. Age
b. Health literacy
c. Reading level
d. Race - correct answer ✅B. Health Literacy
Rationale: Adults meeting the following criteria are most liekely to have
limited health literacy, which has been related to health outcomes: one,
over age 65 from racial and ethnic groups other than white; two, recent
refugees and immigrants; three, less than a high school degree or GED;
four, low income; and five, non-native speaker of English.
Appraisal of the patient's suicidal ideation, plan, method, intent, and
access to implement plan would be documented in which part of the
standard psychiatric evaluation?
a. History of Presenting Illness
, ANCC IQ Domain 2: Advanced Practice
Skills Exam Questions And Answers
b. Diagnosis
c. Mental Status Exam
d. Review of Systems - correct answer ✅Answer: Mental Status Exam
Rationale: Current suicidal ideation, plan, method, intent, and access to
implement plan is documented in the Mental Status Exam under the
section for thought content.
Which of the following screening tests has high sensitivity and
specificity for identifying cognitive impairment in older adults while
requiring the least amount of time to administer in a clinical setting?
a. Dementia Rating Scale
b. Mini-Mental Status Exam
c. Global Deterioration Scale
d. Clock Drawing Test - correct answer ✅The Clock Drawing Test (CDT)
is highly correlated with the Mini-Mental Status Exam (MMSE), the
Global Deterioration Scale, and the Dementia Rating Scale, yet takes
minimum amount of time to administer (2-4 minutes). It is well-suited
for clinical practice settings to screen and monitor progression of
cognitive decline in older adults.
Which of the following lifestyle factors poses the greatest risk for
depression, irritability, liver problems, and hypertension in a college
student?
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