ANCC IQ Domain 2: Advanced Practice Skills (49 questions with rationales)

ANCC IQ Domain 2: Advanced Practice Skills (49 questions with rationales)ANCC IQ Domain 2: Advanced Practice Skills (49 questions with rationales) A patient comes into your office inn a full manic episode. This patient has a diagnosis of Bipolar and Alcohol Use Disorder, moderate. You have a report from the patient's chemical dependency counselor indicating that inpatient chemical dependency counseling is needed. Your patient has been on the fence about inpatient chemical dependency treatment in the past. You assess the patient and find a strong odor of alcohol, auditory and visual hallucinations, flight of ideas, lack of sleep for 3 days, suicidal ideations without a firm plan, and plans to drive to another state to gamble. The patient's brother who accompanies him corroborates this information. In order to best treat this patient you: a. Admit him to the dual diagnosis chemical dependency unit with an order for the collection of laboratory values. b. Admit him to the inpatient chemical dependency program. c. Send the patient home with his brother and a prescription for a new antipsychotic medication. d. Admit him to the local psychiatric unit, with an order for the collection of laboratory values. D 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 b. Review of Systems c. Diagnosis d. Mental Status Exam D Violence directed toward women by an intimate partner is a serious health problem worldwide. Which of the following women has the greatest risk factors for being the victim of violence? a. 26 years old, recently separated, Asian American woman living in Boston, Massachusetts b. 42 years old, divorced, Caucasian woman dating a recently divorced man in Denver, Colorado c. 17 years old, single, Native American woman living with employed boyfriend in Galena, Alaska d. 35 years old, pregnant, African American woman living with her husband in suburb of Dallas, Texas C Which of the following statements would be most likely to be effective in changing sexual behavior when counseling a sexually active 15-year-old adolescent girl? a. Always use condoms when having sex. b. Use this sample condom c. Require your partner to use a condom d. Always carry condoms in your purse. B A PMHNP is working in an integrated care clinic and his family nurse practitioner colleague asks for a consult. The family nurse practitioner asks the PMHNP what antidepressant to start for a patient who has a score of 15 on the PHQ-9. What is the appropriate response? a. A score of 15 on the PHQ9 indicates moderate depression, so the patient should be started on a selective serotonin norepinephrine reuptake inhibitor. b. A score of 15 on the PHQ9 indicates severe depression, so you should start a SSRI and an atypical antipsychotic c. A score of 15 on the PHQ9 indicates moderate depression, so y9ou can refer the patient to therapy and start an antidepressant. d. A score of 15 on the PHQ9 indicates possible moderate depression, but a follow-up interview is required to assess for depression. I can see this patient today and further assess for depression and the appropriate treatment. D A 10-year-old child lost her father to an unexpected heart attack. Normally confident, sociable and an excellent student, her teachers and mother report that she has withdrawn, become disinterested in schoolmates and schoolwork, and easily becomes tearful if anyone mentions her father. What non-pharmacological intervention would be most helpful at this time to facilitate her grieving and loss? a. Bibliotherapy S S - The Marketplace to Buy and Sell your Study Material Marketplace to Buy and Sell your Study Material b. Play therapy c. Individual therapy d. Psychoeducation group D A mother presents to the clinic with her 9-year-old daughter because she is worried about her. The mother tells you that her daughter has been waking up in the middle of the night screaming off and on for the past several months. When she goes into her daughter's room, she is sitting up in bed and is initially inconsolable but eventually will go back to sleep. The mother is crying and tells you she is unable to go back to sleep after her daughter's episodes and feels exhausted all of the time. Which is the most appropriate initial response? a. I know you are upset, but it will get better b. Are you worried that this is your fault? c. I can see this is very upsetting for you d. Tell me why you are unable to fall back asleep after your daughter does C In assessing possible sexu