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Critical Care Exam 1 | Comprehensive
Questions And Answers For Certification
Success
The nurse is managing the hospice care for the patient (Jill) and her family. Over
the next 2 months Jill's physical condition deteriorates and she is unable to get out
of bed. Her sister chooses to sleep in a recliner at her bedside. She explains to the
nurse that Jill wakes up in the middle of the night in pain, but she is afraid that if
she gives Jill pain medication then she might not wake up in the morning. How
should the nurse respond to the sister's concerns?
A. It is impossible to overdose a client who is dying of cancer because they have
built up a tolerance to the medication
B. We can collaborate with the primary healthcare provider to try to find a dose of
pain medication that works for Jill.
C. It is very difficult for clients with terminal cancer to have all of their pain
relieved, so Jill may have to endure pain during the night.
D. You may give Jill pain medication anytime unless her respirations ar - correct-
answer -B
According to the Institute of Medicine Report (IOM) in 2001 there are 6 core
ingredients of high quality health care. Which of the following is (are) NOT on that
list? (Check all that apply).
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A. Patient-centered care
B. Highly specialized care delivered exclusively in specialty care clinics
C. Care that emphasizes patient safety
D. Efficiency
E. Care provided exclusively by physician-led teams - correct-answer -B, E
According to Kitson et al., the following are common core elements of patient
centered care (PCC) across health policy, medicine and nursing disciplines. (Check
all that apply)
A. Patient and family member involvement
B. Policies and an environment that support PCC
C. Requirement that all patients complete advance directives
D. Open, effective communication between patient and provider and among
members of health care team
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E. A "zero tolerance" policy for deviations from established protocols, policies,
and procedures - correct-answer -A, B, D
Kitson and colleagues concluded that although there was consensus around some
facets of PCC, there were differences among the disciplines with respect to areas
of focus on PCC. Which statement best summarizes the unique focus of nursing as
it applies to PCC?
A. Primary importance on the individual nurse-patient relationship
B. Personal qualities such as politeness, being respectful, and having good
manners, are more important than competence in delivering patient care
C. Focus on the patient, not on the caregiver or family members
D. Protecting the patient from interference by other disciplines
E. The need for a systematic and comprehensive assessment of patient needs and
respect for patient values and preferences - correct-answer -E
ased on the readings and your experience to-date, which of the following
concepts are essential to patient-centered care planning? (Check all that apply)
Critical Care Exam 1 | Comprehensive
Questions And Answers For Certification
Success
The nurse is managing the hospice care for the patient (Jill) and her family. Over
the next 2 months Jill's physical condition deteriorates and she is unable to get out
of bed. Her sister chooses to sleep in a recliner at her bedside. She explains to the
nurse that Jill wakes up in the middle of the night in pain, but she is afraid that if
she gives Jill pain medication then she might not wake up in the morning. How
should the nurse respond to the sister's concerns?
A. It is impossible to overdose a client who is dying of cancer because they have
built up a tolerance to the medication
B. We can collaborate with the primary healthcare provider to try to find a dose of
pain medication that works for Jill.
C. It is very difficult for clients with terminal cancer to have all of their pain
relieved, so Jill may have to endure pain during the night.
D. You may give Jill pain medication anytime unless her respirations ar - correct-
answer -B
According to the Institute of Medicine Report (IOM) in 2001 there are 6 core
ingredients of high quality health care. Which of the following is (are) NOT on that
list? (Check all that apply).
,2|Page
A. Patient-centered care
B. Highly specialized care delivered exclusively in specialty care clinics
C. Care that emphasizes patient safety
D. Efficiency
E. Care provided exclusively by physician-led teams - correct-answer -B, E
According to Kitson et al., the following are common core elements of patient
centered care (PCC) across health policy, medicine and nursing disciplines. (Check
all that apply)
A. Patient and family member involvement
B. Policies and an environment that support PCC
C. Requirement that all patients complete advance directives
D. Open, effective communication between patient and provider and among
members of health care team
, 3|Page
E. A "zero tolerance" policy for deviations from established protocols, policies,
and procedures - correct-answer -A, B, D
Kitson and colleagues concluded that although there was consensus around some
facets of PCC, there were differences among the disciplines with respect to areas
of focus on PCC. Which statement best summarizes the unique focus of nursing as
it applies to PCC?
A. Primary importance on the individual nurse-patient relationship
B. Personal qualities such as politeness, being respectful, and having good
manners, are more important than competence in delivering patient care
C. Focus on the patient, not on the caregiver or family members
D. Protecting the patient from interference by other disciplines
E. The need for a systematic and comprehensive assessment of patient needs and
respect for patient values and preferences - correct-answer -E
ased on the readings and your experience to-date, which of the following
concepts are essential to patient-centered care planning? (Check all that apply)
