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ANCC PMHNP IQ domain 2 Exam 2024 Updated Questions and Verified Answers, 100% Guarantee Pass
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ANCC PMHNP IQ domain 2 Exam 2024 Updated Questions and Verified Answers, 100% Guarantee Pass
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ANCC IQ domain 2 PMHNP.pdf file:///C:/Users/HP/Desktop/New%20folder/ANCC%20IQ%20domaANCC IQ DOMAIN 2 PMHNP
1. In the aftermath of a tornado that destroyed over 100 homes in a rural Midwest
community, the PMHNP draws on principles of crisis intervention while working with an
elderly couple who lost everything in the storm duringthe night. Which of the following
statements is most appropriate at the initialencounter?
- What is your biggest concern right now? I will help you as much as you can.
- Tell me everything that happened. We'll sort through the next steps.
- You will be able to stay in the shelter until the FEMA trailers arrive. It's goingto be OK.
- What medications were you taking? Let me work on that first.: - What is yourbiggest
concern right now? I will help you as much as you can.
Rationale: Principles of crisis intervention guide the PMHNP to focus on one of
the individual's primary concerns at a time offering direct, realistic information, andemotional
support. Do not give false reassurance which blocks communication; youdon't know whether
everything will be resolved, and in this scenario, nothing can replace a lifetime of treasures and
memories lost in their home. Do not focus on allimplications at once or ask the individual to
describe all of the losses or implications;this will be too overwhelming. While concerns about
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medication is important, first the PMHNP needs to assess what the primary concern is for this
couple before addressing the medication issue.
2. 1. During an initial assessment, the PMHNP asks the patient to perform theserial 7's.
What aspect of the mental status exam would the nurse practitionerbe assessing?
- Concentration
- Affect
- Memory
- Speech: - Concentration
Rationale: Subtracting serial 7's from 100 is a simple task that requires intactconcentration and
cognitive capabilities.
3. A 31-year old married woman with a history of anorexia nervosa, bing- ing-purging
type, during her teens and early 20's, is pregnant. She has hadtwo prior spontaneous
abortions in late 20's. She is worried whether this pregnancy may trigger recurrence
of her prior eating disorder, adversely impact fetal development, or affect the
likelihood of full-term delivery. At 5'7" she maintains a weight of 120 pounds by
running 6-10 miles daily as
conditioning for marathons and a 2,000 calorie daily vegan diet.What lifestyle
modifications would reduce risks of exacerbating an eating disorder and increasing
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likelihood of normal fetal development and full-term delivery?
- Increase daily caloric intake by 250 calories, reduce running to 4-8 miles daily
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with reduction in second or third trimester, add pre-natal vitamin, Calcium sup-plement,
and plan a 20-30# gradual weight gain over the course of pregnancy.
- Increase daily caloric intake by 1,000 calories, continue running as toleratedwith
reduction in second or third trimester, add pre-natal vitamin, vitamin E supplement, and
B-complex supplement, plan a 20-30# gradual weight gain over the course of pregnancy.
- Increase daily caloric intake by 500 calories, reduce running to 2-4 miles daily,
alternate with stretching and yoga in second and third trimesters, add pre-natal vitamin
and vitamin b-12 supplement, plan a 28-40# gradual weightgain over the course of
pregnancy.: - Increase daily caloric intake by 500 calories,reduce running to 2-4 miles daily,
alternate with stretching and yoga in second andthird trimesters, add pre-natal vitamin and
vitamin b-12 supplement, plan a 28-40#gradual weight gain over the course of pregnancy.
Rationale: At 120 pounds for 5'7" her Body Mass Index is 18.8 (low).BMI
normal range for adults is 19.8 - 26.0.
BMI = 703 x weight (lbs) = 703 x 120 = 18.8
[Height (in)]2 672
Or Weight (kg)/ Stature (cm)/ Stature (cm) x 10,000 = BMI.BMI =
weight (kg)
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