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ANCC FNP Board Questions and well detailed answers

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You have a 35-year-old female patient who is complaining of wrist pain. She is an administrative assistant who does a great deal of computer work in her job. You will test her for carpal tunnel syndrome. When you tap at the volar surface of the wrist you are performing which of the following tests? - ANSWERTinel's sign A gastrinoma located on the pancreas or the stomach which secretes gastrin, stimulating high levels of acid production in the stomach is which of the following? - ANSWERZollinger-Ellison syndrome A 16-year-old male is in the office. He has a insect bite on his left forearm and you suspect a brown recluse spider bite. What medical management would you provide? - ANSWERice pack and elevation of the area In addition to being overweight, the American Diabetes Association recommends type 2 diabetes mellitus testing in adults who: - ANSWERhave an HDL level of 35 mg/dL Which of the following found on an ECG would confirm atrial fibrillation? - ANSWER- absent P waves -irregular ventricular rate

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PN 259 FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS/ALREADY
GRADED A+

Anxiety - ANSWER>>can be caused by financial problems related to
housing and medical expenses. Fear of the unknown. Show as
confusion, behavior changes or withdrawal.

Types of anxiety - ANSWER>>generalized anxiety disorder, phobic
disorders, OCD, PTSD

Possible symptoms of anxiety - ANSWER>>fatigue, headache,
Increased HR and BP, difficulty breathing

Nursing interventions (anxiety) - ANSWER>>build trust, restore
comfort, modify communication, adjust teaching, help problem solve,
ensure safety.

Mood disorder Types, symptoms, interventions -
ANSWER>>Secondary Depression, Major Depression, Seasonal
Affective Disorder, Suicidology, Bipolar Symptoms (mood disorders):
Sad mood, Appetite changes, Disturbed sleep, Apathy, Energy
changes, Suicidal thoughts Nurse interventions: Client teaching,
Implementing suicide precautions (if necessary), Completing
Assessments, Family teaching

Eating Disorders types, symptoms, interventions -
ANSWER>>Anorexia nervosa, bulimia nervosa, binge eating disorder,
compulsive eating. Symptoms: Underweight, lanugo, feeling cold, oral
health changes, overweight, hyperlipidemia, sleep apnea, difficulty
regulating emotion. Nurse interventions: implement weight
management plans, client and family teaching

,Chemical dependence types, symptoms, interventions -
ANSWER>>alcohol, nicotine, cocaine, methamphetamine, opioid
dependence. Symptoms: social changes, enlarged liver, pancreatitis,
dental deterioration, facial lesions/scars. Nurse interventions:
counseling/discussion, providing information, completing detox
protocol, monitor vitas throughout detox.

Discuss gerontological and client diversity considerations when
planning care for mental health challenges - ANSWER>>Economically
disadvantaged, immigrants and refugees, indigenous community,
LGBTQ community.

Cognitive - ANSWER>>Remembering: the ability to learn new
information and reprieve knowledge from long-term memory
Understanding: the ability to construct the meaning of learned
material Applying: the use of abstract, newly learned ideas in a
practical situation Analyzing: the breaking down of information into
organized parts and determining how the parts relate to one another
Evaluating: making judgements based on criteria and standards
Creating: combining elements to form a coherent and functional
whole

Affective - ANSWER>>Receiving: the willingness to attend to another
person's words Responding: active participation through listening
and reacting verbally and nonverbally Valuing: attachment of worth to
an object, concept, or behaviour, demonstrated by the learners
actions Organizing: development of a value system by identifying and
organizing values and resolving conflicts Characterizing: action and
response with a consistent value system

Psychomotor - ANSWER>>Perception: awareness of objects or
qualities through the use of sense organs Set: a readiness (mental,
physical, or emotional) to take a particular action Guided response:
the performance of an act under the guidance of an instructor,

, involving imitation of a demonstrated act Mechanism: a higher level
of behaviour by which a person gains confidence and skill in
performing a behaviour that is more complex or involves several
more steps than does a guided response Complex overt response:
the smooth and accurate performance of a motor skill that requires a
complex movement pattern Adaptation: the ability to change motor
response when unexpected problems occur Origination : use of
existing psychomotor skills and abilities to perform a highly complex
motor act that involves creating new movement pattern

CARE PLAN TEACHING - ANSWER>>Assess: Learning needs, Ability
to learn, Motivation to learn, Teaching environment, Resources for
learning Nursing Diagnosis: Interpret assessment data to form an
accurate health focus Plan (lesson plan): Develop learning objectives,
Set priorities, Timing, Organization, Maintain attention & promote
participation, Build on existing knowledge, Select teaching method &
resources, Write teaching plan

Common musculoskeletal system health challenges -
ANSWER>>Bone weakness (osteoporosis, fractures), posture
(compression of vertebrae), muscle atrophy, increase in collagen
(fibrosis), tendons are less elastic, loss of strength, decrease reaction
time, decreased muscle tone, more prone to falls, stiffness, reduced
flexibility. Deformity of muscle, weak joints, connective tissue
disorders, osteoporosis, etc.

Explain the risk factors contributing to musculoskeletal system health
challenges - ANSWER>>Hormonal levels, injury, decreased intake of
certain proteins (calcium especially), gerontological considerations,
mineral levels, vitamin deficiency, decreased mobility, diabetes.

Osteoarthritis - ANSWER>>comes with stiffness and pain, decreased
ROM, caused by wear and tear, cartilage breaks off and this, bones of
the joint rub together causing destruction, pain, swelling and loss of
motion.

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