ANCC IQ Domain 2: Advanced Practice Skills
Study online at https://quizlet.com/_d6sff0
When child, adult partner, or elder abuse is suspected, the
PMHNP needs to conduct an abuse assessment screen
in privacy, away from the partner, the child's parents or
guardians, or the elder person's relative or companion.
Within the past year, have you been hit, slapped, kicked or
Simple, direct questions in a nonjudgmental interview are
otherwise physically hurt by someone?
indicated. Which of the following would be an appropriate
abuse screening question?
Rationale: This response is one of four items on a stan-
a. Within the past year, have you been hit, slapped, kicked
dardized abuse assessment screen. The other items are
or otherwise physically hurt by someone?
part of a danger assessment that may be used following a
b. Within the past year, has anyone ever forced you to do
positive response to one of the abuse assessment screen-
something by threatening you with a gun?
ing questions.
c. Within the past year, have you ever threatened or tried
to commit suicide to escape the abuse?
d. Within the past year, has anyone ever threatened to kill
you?
A patient was started on an antipsychotic medication two
weeks ago and is now experiencing the following symp-
toms: inability to sit still, pacing, and feelings of restless-
ness. he does not complain of any anxiety or being wor-
Answer: the BARS.
ried about anything in particular. Which of the following
Rationale: The patient is experiencing symptoms consis-
rating scales would be the most appropriate to assess
tent with Akathisia. The BARS can be very useful in system-
these symptoms?
atically assessing patients in identifying akathisia, assess
a. Simpson Angus EPS Scale
its severity, and monitor change in symptoms.
b. Barnes Akathisia Rating Scale (BARS)
c. Dyskinesia Identification System Condensed User Scale
(DISCUS)
d. Abnormal Involuntary Movement Scale (AIMS)
A female client has gradually assumed increasing respon-
sibility for the care of her aging parents. Her mother was Answer: D. Patient safety
diagnosed with Alzheimer's type dementia three years Although all four are improtant aspects related to care,
ago and is increasingly disoriented to her home sur-
, ANCC IQ Domain 2: Advanced Practice Skills
Study online at https://quizlet.com/_d6sff0
roundings. Her father insists on keeping her mother at
home to provide care until she dies. What is the first pri- patient safety must take pririty before the other three
ority in counseling this couple and their caretaking adult responses. In counseling about safety issues regarding
daughter? risk for wandering, leaving stove burner on unattended,
a. Caregiver strain slips or falls, the PMHNP can introduce the other areas
b. Patient and family education of education, anticipatory guidance, and community re-
c. Anticipatory guidance sources.
d. Patient safety
A 67-year-old Vietnamese immigrant, who has been a
resident in the U.S. for 3 years, comes to your clinic for
an evaluation. Her first language is Vietnamese, but she B. Health Literacy
does speak some English. She has problems with reading
and writing, as she did not finish high school, or earn a Rationale: Adults meeting the following criteria are most
GED (General Educational Development) equivalency. As liekely to have limited health literacy, which has been re-
the PMHNP, what is your priority disparity to address with lated to health outcomes: one, over age 65 from racial and
this patient? ethnic groups other than white; two, recent refugees and
a. Age immigrants; three, less than a high school degree or GED;
b. Health literacy four, low income; and five, non-native speaker of English.
c. Reading level
d. Race
Appraisal of the patient's suicidal ideation, plan, method,
intent, and access to implement plan would be document- Answer: Mental Status Exam
ed in which part of the standard psychiatric evaluation?
a. History of Presenting Illness Rationale: Current suicidal ideation, plan, method, intent,
b. Diagnosis and access to implement plan is documented in the Men-
c. Mental Status Exam tal Status Exam under the section for thought content.
d. Review of Systems
Which of the following screening tests has high sensitiv-
The Clock Drawing Test (CDT) is highly correlated with
ity and specificity for identifying cognitive impairment in
the Mini-Mental Status Exam (MMSE), the Global Dete-
older adults while requiring the least amount of time to
rioration Scale, and the Dementia Rating Scale, yet takes
administer in a clinical setting?
, ANCC IQ Domain 2: Advanced Practice Skills
Study online at https://quizlet.com/_d6sff0
a. Dementia Rating Scale
minimum amount of time to administer (2-4 minutes). It
b. Mini-Mental Status Exam
is well-suited for clinical practice settings to screen and
c. Global Deterioration Scale
monitor progression of cognitive decline in older adults.
d. Clock Drawing Test
Anabolic steroid use poses the greatest risk of the four
lifestyle drug use patterns. Anabolic steroid use is as-
sociated with increased irritability and aggression, eu-
phoria, increased energy, sexual arousal, mood swings,
distractibility, forgetfulness, and confusion. With time, an-
Which of the following lifestyle factors poses the greatest abolic steroid use is associated with increased risk for
risk for depression, irritability, liver problems, and hyper- heart attacks, strokes, blood clotting, cholesterol changes,
tension in a college student? hypertension, depressed mood, fatigue, restlessness. loss
a. Marijuana use of appetite, insomnia, reduced libido, muscle and joint
b. Binge drinking pain, and severe liver problems, including hepatic can-
c. Cocaine use cer. Males can have reduced sperm production, shrinking
d. Anabolic steroid use of the testes, and difficulty or pain urinating. There can
be breast enlargement in men and masculinization of
women's bodies. Both sexes can experience hair loss and
acne. Intravenous or intramuscular use of the drug and
needle sharing puts users at risk for HIV, hepatitis B and
C, and endocarditis.
Answer: C. What is your experience in sexual relation-
ships?
A 14-year-old girl admitted to a psychiatric unit following
an overdose on alcohol and benzodiazepines after the
Although the other three responses can open the topic,
breakup of a relationship has made seductive comments
they are close-ended and can be answered simply by "yes"
to her roommate, which is upsetting her roommate. In
or "no" response. The open-ended question introduces
assessing the girl's behavior toward her roommate, the
the topic in a broad, nonjudgmental way that affords the
Psychiatric-Mental Health Nurse Practitioner needs to in-
respondent to provide prior history of relationships both
clude the topic of sexual orientation. What is the best
heterosexual and same-sex, possible history of abuse, and
her thoughts and feelings about her experience. Changes
Study online at https://quizlet.com/_d6sff0
When child, adult partner, or elder abuse is suspected, the
PMHNP needs to conduct an abuse assessment screen
in privacy, away from the partner, the child's parents or
guardians, or the elder person's relative or companion.
Within the past year, have you been hit, slapped, kicked or
Simple, direct questions in a nonjudgmental interview are
otherwise physically hurt by someone?
indicated. Which of the following would be an appropriate
abuse screening question?
Rationale: This response is one of four items on a stan-
a. Within the past year, have you been hit, slapped, kicked
dardized abuse assessment screen. The other items are
or otherwise physically hurt by someone?
part of a danger assessment that may be used following a
b. Within the past year, has anyone ever forced you to do
positive response to one of the abuse assessment screen-
something by threatening you with a gun?
ing questions.
c. Within the past year, have you ever threatened or tried
to commit suicide to escape the abuse?
d. Within the past year, has anyone ever threatened to kill
you?
A patient was started on an antipsychotic medication two
weeks ago and is now experiencing the following symp-
toms: inability to sit still, pacing, and feelings of restless-
ness. he does not complain of any anxiety or being wor-
Answer: the BARS.
ried about anything in particular. Which of the following
Rationale: The patient is experiencing symptoms consis-
rating scales would be the most appropriate to assess
tent with Akathisia. The BARS can be very useful in system-
these symptoms?
atically assessing patients in identifying akathisia, assess
a. Simpson Angus EPS Scale
its severity, and monitor change in symptoms.
b. Barnes Akathisia Rating Scale (BARS)
c. Dyskinesia Identification System Condensed User Scale
(DISCUS)
d. Abnormal Involuntary Movement Scale (AIMS)
A female client has gradually assumed increasing respon-
sibility for the care of her aging parents. Her mother was Answer: D. Patient safety
diagnosed with Alzheimer's type dementia three years Although all four are improtant aspects related to care,
ago and is increasingly disoriented to her home sur-
, ANCC IQ Domain 2: Advanced Practice Skills
Study online at https://quizlet.com/_d6sff0
roundings. Her father insists on keeping her mother at
home to provide care until she dies. What is the first pri- patient safety must take pririty before the other three
ority in counseling this couple and their caretaking adult responses. In counseling about safety issues regarding
daughter? risk for wandering, leaving stove burner on unattended,
a. Caregiver strain slips or falls, the PMHNP can introduce the other areas
b. Patient and family education of education, anticipatory guidance, and community re-
c. Anticipatory guidance sources.
d. Patient safety
A 67-year-old Vietnamese immigrant, who has been a
resident in the U.S. for 3 years, comes to your clinic for
an evaluation. Her first language is Vietnamese, but she B. Health Literacy
does speak some English. She has problems with reading
and writing, as she did not finish high school, or earn a Rationale: Adults meeting the following criteria are most
GED (General Educational Development) equivalency. As liekely to have limited health literacy, which has been re-
the PMHNP, what is your priority disparity to address with lated to health outcomes: one, over age 65 from racial and
this patient? ethnic groups other than white; two, recent refugees and
a. Age immigrants; three, less than a high school degree or GED;
b. Health literacy four, low income; and five, non-native speaker of English.
c. Reading level
d. Race
Appraisal of the patient's suicidal ideation, plan, method,
intent, and access to implement plan would be document- Answer: Mental Status Exam
ed in which part of the standard psychiatric evaluation?
a. History of Presenting Illness Rationale: Current suicidal ideation, plan, method, intent,
b. Diagnosis and access to implement plan is documented in the Men-
c. Mental Status Exam tal Status Exam under the section for thought content.
d. Review of Systems
Which of the following screening tests has high sensitiv-
The Clock Drawing Test (CDT) is highly correlated with
ity and specificity for identifying cognitive impairment in
the Mini-Mental Status Exam (MMSE), the Global Dete-
older adults while requiring the least amount of time to
rioration Scale, and the Dementia Rating Scale, yet takes
administer in a clinical setting?
, ANCC IQ Domain 2: Advanced Practice Skills
Study online at https://quizlet.com/_d6sff0
a. Dementia Rating Scale
minimum amount of time to administer (2-4 minutes). It
b. Mini-Mental Status Exam
is well-suited for clinical practice settings to screen and
c. Global Deterioration Scale
monitor progression of cognitive decline in older adults.
d. Clock Drawing Test
Anabolic steroid use poses the greatest risk of the four
lifestyle drug use patterns. Anabolic steroid use is as-
sociated with increased irritability and aggression, eu-
phoria, increased energy, sexual arousal, mood swings,
distractibility, forgetfulness, and confusion. With time, an-
Which of the following lifestyle factors poses the greatest abolic steroid use is associated with increased risk for
risk for depression, irritability, liver problems, and hyper- heart attacks, strokes, blood clotting, cholesterol changes,
tension in a college student? hypertension, depressed mood, fatigue, restlessness. loss
a. Marijuana use of appetite, insomnia, reduced libido, muscle and joint
b. Binge drinking pain, and severe liver problems, including hepatic can-
c. Cocaine use cer. Males can have reduced sperm production, shrinking
d. Anabolic steroid use of the testes, and difficulty or pain urinating. There can
be breast enlargement in men and masculinization of
women's bodies. Both sexes can experience hair loss and
acne. Intravenous or intramuscular use of the drug and
needle sharing puts users at risk for HIV, hepatitis B and
C, and endocarditis.
Answer: C. What is your experience in sexual relation-
ships?
A 14-year-old girl admitted to a psychiatric unit following
an overdose on alcohol and benzodiazepines after the
Although the other three responses can open the topic,
breakup of a relationship has made seductive comments
they are close-ended and can be answered simply by "yes"
to her roommate, which is upsetting her roommate. In
or "no" response. The open-ended question introduces
assessing the girl's behavior toward her roommate, the
the topic in a broad, nonjudgmental way that affords the
Psychiatric-Mental Health Nurse Practitioner needs to in-
respondent to provide prior history of relationships both
clude the topic of sexual orientation. What is the best
heterosexual and same-sex, possible history of abuse, and
her thoughts and feelings about her experience. Changes
