ANCC IQ domain 2
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1. In the aftermath of a tornado that - What is your biggest concern right
destroyed over 100 homes in a rur- now? I will help you as much as
you can.
al Midwest community, the PMH- Rationale: Principles of crisis
NP draws on principles of crisis interven- tion guide the PMHNP
intervention while working with to focus on one of the individual's
an elderly couple who lost primary concerns at a time
every- offering direct, realistic informa-
thing in the storm during the night. tion, and emotional support. Do
not give
Which of the following nervosa, binging-purging type,
statements is most appropriate at during her teens and early 20's,
the initial encounter? is pregnant. She has had two
- What is your biggest concern prior sponta- neous abortions in
right now? I will help you as late 20's. She
much as you can.
- Tell me everything that hap-
pened. We'll sort through the
next steps.
- You will be able to stay in the
shelter until the FEMA trailers
ar- rive. It's going to be OK.
- What medications were you
tak- ing? Let me work on that
first.
2. 1. During an initial assessment,
the PMHNP asks the patient to
perform the serial 7's. What
aspect of the mental status exam
would the nurse practitioner be
assess- ing?
- Concentration
- Affect
- Memory
- Speech
3. A 31-year old married woman
with a history of anorexia
1/
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reassurance which blocks
commu- nication; you don't know
whether every- thing will be
resolved, and in this sce- nario,
nothing can replace a lifetime of
treasures and memories lost in
their home. Do not focus on all
implications at once or ask the
individual to describe all of the
losses or implications; this will be
too overwhelming. While concerns
about medication is important,
first the PMHNP needs to assess
what the pri- mary concern is for
this couple before addressing the
medication issue.
- Concentration
Rationale: Subtracting serial 7's
from 100 is a simple task that
requires intact concentration and
cognitive capabilities.
- 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 sup- plement, plan a 28-40#
gradual weight
2/
, ANCC IQ domain 2
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is worried whether this gain over the course of
pregnancy may trigger pregnancy. Rationale: At 120
recurrence of her pri- or eating pounds for 5'7" her Body Mass
disorder, adversely im- pact fetal Index is 18.8 (low).
development, or affect the BMI normal range for adults is
likelihood of full-term deliv- ery.19.8 - 26.0.
At 5'7" she maintains a weight of BMI = 703 x weight (lbs) = 703 x
120 pounds by running 6-10 120 = 18.8
miles daily as conditioning for [Height (in)]2 672
marathons and a 2,000 calorie Or Weight (kg)/ Stature (cm)/
dai- ly vegan diet. What lifestyle Stature (cm) x 10,000 = BMI.
modi- fications would reduce BMI = weight
risks of ex- acerbating an eating (kg) [height
disorder and increasing (m)]2
likelihood of normal fe- tal Low pre-pregnancy BMI and
development and full-term de- failure to gain recommended
livery? weight dur- ing pregnancy are
- Increase daily caloric intake by associated with in-
250 calories, reduce running to 4- creased risk for spontaneous
8 miles daily with reduction in abortions, pre-term delivery, and
sec- ond or third trimester, add low birth weight infants.
pre-na- tal vitamin, Calcium Recommended caloric intake for
supplement, and plan a 20-30#
pregnant women during pregnan-
gradual weight gain over the
cy varies from additional 150
course of pregnan- cy.
calo-
- Increase daily caloric intake by
ries in first trimester, 300 calories
1,000 calories, continue running
in second trimester, and 500
as tolerated with reduction in
calories in third trimester before
sec- ond or third trimester, add
accounting for strenuous daily
pre-na-
exercise. Recommend- ed weight
gain for pregnant women of
normal BMI is 25-35# and 28-40#
for women with low BMI as in this
patient.
tal vitamin, vitamin E supplement, The vegan diet lacks animal fat the
only
and B-complex supplement, plan - Increase daily caloric intake by
a 20-30# gradual weight gain over 500 calories, reduce running to 2-
the course of pregnancy. 4 miles daily, alternate with
3/
, ANCC IQ domain 2
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stretch- ing and yoga in second
https://quizlet.com/_a1psxy dietary source of Vitamin B-12.
and third trimesters, add pre- Addition of pre-natal vitamin and
natal vitamin and vitamin b-12 supplement of Vitamin B-12 is
supplement, plan a 28-40# indicated for vegan diet.
gradual weight gain over the - Increase daily caloric intake by
course of pregnancy. 700 calories, continue running as
tolerat- ed with reduction in
second or third trimester, add pre-
natal vitamin, vitamin E
supplement, and B-complex
supple- ment, plan a 25-35#
gradual weight gain over the
course of the pregnancy.
4/
