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AACN CCNS (ACCNS-A) Practice Tests & Test Prep by Exam Edge - Topics



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Understanding what is on the AACN CCNS exam is crucial step in preparing for the exam. You will need to have an understanding of the testing domain (topics covered) to be sure you are studying the correct information.

  • Directs your study efforts toward the most relevant areas.
  • Ensures efficient and adequate preparation.
  • Helps identify strengths and weaknesses.
  • Allows for a focused approach to address gaps in understanding.
  • Aligns your preparation with the exam's expectations.
  • Increases the likelihood of success.
  • Keeps you informed about your field's current demands and standards.
There is no doubt that this is a strategic step in achieving certification and advancing your career.

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AACN Adult Acute Care Clinical Nurse Specialist Certification Exam Blueprint

AACN Adult Acute Care Clinical Nurse Specialist Certification - Exam Topics Sample Questions

You are conducting an assessment with a patient. He notes that he has lost a great deal of weight since his wife died, in part because he just does not enjoy cooking for one person. He tends to nibble throughout the day rather than eating meals. Which of the following is an appropriate nursing diagnosis for this patient?

Correct Answer:
altered nutrition, less than bodily needs, r/t change in family situation (spousal death)


when assessing a patient who has experienced significant weight loss following the death of a spouse, it is critical to consider the multifaceted impact this event has on his nutritional status. the nursing diagnosis of "altered nutrition, less than bodily needs, related to change in family situation (spousal death)" accurately reflects the situation. this diagnosis considers both the physical and emotional components affecting the patient's eating habits and overall health.

the key factors leading to this diagnosis include the patient's reported disinterest in cooking for himself and his tendency to nibble rather than consume full meals. these behaviors suggest a decrease in regular, balanced meal intake which is crucial for meeting the body's nutritional needs. the death of his spouse not only alters his social and emotional environment but also disrupts his daily routines, potentially reducing his motivation or ability to maintain adequate nutrition.

it's also important to recognize the role of grief in this context. grief can significantly impact mental health and daily functioning, potentially leading to decreased appetite or neglect of personal care, including nutrition. thus, the diagnosis addresses the underlying cause—grief and adjustment to a new life situation—while focusing on the observable issue: inadequate nutrition.

by identifying this specific nursing diagnosis, healthcare providers can tailor interventions that address both the emotional and nutritional needs of the patient. potential interventions might include arranging for grief counseling, providing resources or referrals for meal support services, or even initiating social activities that could encourage the patient to engage more with others during meals.

ultimately, the selected nursing diagnosis guides the development of a holistic care plan that not only aims to improve the patient's nutritional intake but also supports his emotional and psychological recovery after his significant loss. this comprehensive approach is crucial in helping the patient regain his health and adapt to life changes more effectively.