ANCC IQ domain 5 Questions and Answers with Complete
Solutions UPDATED!!!!
Correct
Incorrect
,- Gaining permission from the patient for the student to perform the evaluation andto ensure
the quality of the evaluation.
Rationale: As a preceptor or educator, when you give an assignment to a student you are
responsible and accountable for assessing if the student is able to carry out the assignment, if
the patient is willing to have a student perform care for them, and if the care performed is up
to standard. The patient should be treated with respect and dignity. It does not matter if the
patient is happy with the outcome of the evaluation. The patient who received a diagnosis
that they do not want to get is equally upset and unhappy with their outcome. A good
evaluation tells the truth of the situation despite the happiness or unhappiness of the patient
with the outcome.
- Written material about shelters found by the perpetrator may trigger furtherviolence
Rationale: Although anxiety, depression, dissociation, and PTSD are common symptoms in
survivors of domestic violence, the greatest priority is to develop a safety plan. Restraining
orders cannot always protect someone in domestic violence situations and in some cases
may exacerbate the situation. Shelters do not always provide care for children, particularly if
they are boys over 14 years of age. Do not provide information that may not be true. It is true
that written material about shelters and domestic violence, if found by the perpetrator, can
provide an excuse for further battering or violence. The woman needs to be advised either
not to take printed material or ensure that it cannot be found by the perpetrator. It is safer to
provide shelter numbers that can accommodate her specific needs (housing for children)
without additional information.
- Incident report on medication error
Rationale: Incident reports are part of an organizational reporting mechanism for risk
management, but are not included in the medical record. The progress note is part of
the medical record that included documentation of patient encounters with the
following format: 1) reason for the encounter and relevant history; 2) physical exam
findings, prior diagnostic test results; 3) assessment, clinical impression, or diagnosis;
4) plan for care; and 5) legible identity of the provider. Additionally, if not documented
the rationale for ordering diagnostic and other ancillary services should be easily
inferred; past and present diagnoses should be accessible to the treating and/or
consulting provider; appropriate health risk factors identified; patient’s progress,
response to and changes in treatment, and revision of diagnosis should be
,documented. The progress note should reflect the type of services and diagnostic
codes
,
Solutions UPDATED!!!!
Correct
Incorrect
,- Gaining permission from the patient for the student to perform the evaluation andto ensure
the quality of the evaluation.
Rationale: As a preceptor or educator, when you give an assignment to a student you are
responsible and accountable for assessing if the student is able to carry out the assignment, if
the patient is willing to have a student perform care for them, and if the care performed is up
to standard. The patient should be treated with respect and dignity. It does not matter if the
patient is happy with the outcome of the evaluation. The patient who received a diagnosis
that they do not want to get is equally upset and unhappy with their outcome. A good
evaluation tells the truth of the situation despite the happiness or unhappiness of the patient
with the outcome.
- Written material about shelters found by the perpetrator may trigger furtherviolence
Rationale: Although anxiety, depression, dissociation, and PTSD are common symptoms in
survivors of domestic violence, the greatest priority is to develop a safety plan. Restraining
orders cannot always protect someone in domestic violence situations and in some cases
may exacerbate the situation. Shelters do not always provide care for children, particularly if
they are boys over 14 years of age. Do not provide information that may not be true. It is true
that written material about shelters and domestic violence, if found by the perpetrator, can
provide an excuse for further battering or violence. The woman needs to be advised either
not to take printed material or ensure that it cannot be found by the perpetrator. It is safer to
provide shelter numbers that can accommodate her specific needs (housing for children)
without additional information.
- Incident report on medication error
Rationale: Incident reports are part of an organizational reporting mechanism for risk
management, but are not included in the medical record. The progress note is part of
the medical record that included documentation of patient encounters with the
following format: 1) reason for the encounter and relevant history; 2) physical exam
findings, prior diagnostic test results; 3) assessment, clinical impression, or diagnosis;
4) plan for care; and 5) legible identity of the provider. Additionally, if not documented
the rationale for ordering diagnostic and other ancillary services should be easily
inferred; past and present diagnoses should be accessible to the treating and/or
consulting provider; appropriate health risk factors identified; patient’s progress,
response to and changes in treatment, and revision of diagnosis should be
,documented. The progress note should reflect the type of services and diagnostic
codes
,
