AGACNP REVIEW- PRACTICE ISSUES
EXAM WITH COMPLETE SOLUTION
6th-8th grade reading level - ANS -Medical and health information literature should be
written no higher than
MRT - ANS -Multidisciplinary Response Team Ex: Rapid response team
health literacy - ANS -Single best predictor of one's health status
How to prepare for future mass causality - ANS -Pre-enroll in disaster and response
organizations such as American red cross
MU - ANS -Meaningful Use; healthcare providers' use of certified EHR technology in
ways that can be measured in quality and in quantity.
Root cause analysis - ANS -deep investigation into a sentinel event to determine why
the event occurred, and exploring the circumstances that led to it to determine where
improvements can be made
process that is part of an effort to build a culture of safety beyond the culture of blame
Patient Health Questionnaire (PHQ-9) - ANS -1-4 minimal
5-9 Mild depression
10-14 Moderate Depression
15-19 Moderate Severe Depression
20-27 Severe Depression
A brief 9-item self-report questionnaire used as a screening tool to assess severity of
depression; widely used by health care providers, in validity is well established,
particularly for identifying severe depression.
generalized anxiety disorder-7 (GAD-7) - ANS -5-9 Mild
10-14 Moderate
15-21 Severe
>\= 10 probable positive diagnosis
patient self-ranks 7 s/s over the last 2 weeks on a scale of 0-3 with 3 indicating nearly
every day
CAGE-AID - ANS -Self-report questionnaire designed to quickly assess whether an
alcohol or drug assessment is needed
(C=cut down, a=annoy, G=guilty, E=Eye-opener, AID=altered to include drugs
, Wong-Baker FACES scale - ANS -a pain assessment tool that asks patients (often
children) to select one of several faces indicating expressions that convey a range from
no pain through the worst pain (from smiling to crying)
Brief Pain Inventory (BPI) - ANS -Used with patients with pain from chronic diseases or
acute conditions, assesses severity of pain and impact of pain on daily functions by
asking patient to fill out a survey - rates severity of pain and impact of pain on daily
function, as well as location of pain, pain meds, and amount of pain relief
Richmond Agitation Sedation Scale (RASS) - ANS -+4 combative
+3 very agitated
+2 agitated
+1 restless
0 alert and calm
-1 drowsy
-2 light sedation
-3 moderate sedation
-4 deep sedation
-5 unarousable
Critical Care Pain Observation Tool (CPOT) - ANS -Tool design to be sued for critical
care unit to assess pain, assesses 4 behavioral categories: facial expression, body
movements, muscle tension, compliance with the ventilator or vocalization (intubated
patients) Total score ranges from 0-8
Confusion Assessment Method (CAM) for ICU - ANS -Tool designed for CC to assess
for delirium. 4 features:
acute onset of AMS
inattention
disorganized thinking
altered LOC
Should be conducted every day/shift with ICU
Mini-Mental State Examination (MMSE) - ANS -Brief 30-point questionnaire test that is
used to screen for cognitive impairment; commonly used to screen for dementia.
Clock Drawing test - ANS -The client is asked to reproduce the face of a clock set to a
specific time. This test may detect difficulties with visuospatial skills, visual perception,
selective attention, memory, abstract thinking, and executive functioning. The clock is
scored 1-6, with a score of >/- 3 representing cognitive deficit
Geriatric Depression Scale (GDS) - ANS -A screening instrument used in clinical
settings to assess depression in older people. It uses a yes and no answer format. 15
yes/no questions
EXAM WITH COMPLETE SOLUTION
6th-8th grade reading level - ANS -Medical and health information literature should be
written no higher than
MRT - ANS -Multidisciplinary Response Team Ex: Rapid response team
health literacy - ANS -Single best predictor of one's health status
How to prepare for future mass causality - ANS -Pre-enroll in disaster and response
organizations such as American red cross
MU - ANS -Meaningful Use; healthcare providers' use of certified EHR technology in
ways that can be measured in quality and in quantity.
Root cause analysis - ANS -deep investigation into a sentinel event to determine why
the event occurred, and exploring the circumstances that led to it to determine where
improvements can be made
process that is part of an effort to build a culture of safety beyond the culture of blame
Patient Health Questionnaire (PHQ-9) - ANS -1-4 minimal
5-9 Mild depression
10-14 Moderate Depression
15-19 Moderate Severe Depression
20-27 Severe Depression
A brief 9-item self-report questionnaire used as a screening tool to assess severity of
depression; widely used by health care providers, in validity is well established,
particularly for identifying severe depression.
generalized anxiety disorder-7 (GAD-7) - ANS -5-9 Mild
10-14 Moderate
15-21 Severe
>\= 10 probable positive diagnosis
patient self-ranks 7 s/s over the last 2 weeks on a scale of 0-3 with 3 indicating nearly
every day
CAGE-AID - ANS -Self-report questionnaire designed to quickly assess whether an
alcohol or drug assessment is needed
(C=cut down, a=annoy, G=guilty, E=Eye-opener, AID=altered to include drugs
, Wong-Baker FACES scale - ANS -a pain assessment tool that asks patients (often
children) to select one of several faces indicating expressions that convey a range from
no pain through the worst pain (from smiling to crying)
Brief Pain Inventory (BPI) - ANS -Used with patients with pain from chronic diseases or
acute conditions, assesses severity of pain and impact of pain on daily functions by
asking patient to fill out a survey - rates severity of pain and impact of pain on daily
function, as well as location of pain, pain meds, and amount of pain relief
Richmond Agitation Sedation Scale (RASS) - ANS -+4 combative
+3 very agitated
+2 agitated
+1 restless
0 alert and calm
-1 drowsy
-2 light sedation
-3 moderate sedation
-4 deep sedation
-5 unarousable
Critical Care Pain Observation Tool (CPOT) - ANS -Tool design to be sued for critical
care unit to assess pain, assesses 4 behavioral categories: facial expression, body
movements, muscle tension, compliance with the ventilator or vocalization (intubated
patients) Total score ranges from 0-8
Confusion Assessment Method (CAM) for ICU - ANS -Tool designed for CC to assess
for delirium. 4 features:
acute onset of AMS
inattention
disorganized thinking
altered LOC
Should be conducted every day/shift with ICU
Mini-Mental State Examination (MMSE) - ANS -Brief 30-point questionnaire test that is
used to screen for cognitive impairment; commonly used to screen for dementia.
Clock Drawing test - ANS -The client is asked to reproduce the face of a clock set to a
specific time. This test may detect difficulties with visuospatial skills, visual perception,
selective attention, memory, abstract thinking, and executive functioning. The clock is
scored 1-6, with a score of >/- 3 representing cognitive deficit
Geriatric Depression Scale (GDS) - ANS -A screening instrument used in clinical
settings to assess depression in older people. It uses a yes and no answer format. 15
yes/no questions
