CARE OF THE CRITICALLY ILL NURS 4673
EXAM SCRIPT WITH VERIFIED SOLUTIONS
◉ The nurse identifies a patient in the critical care unit as having
"resiliency." What characteristic has the nurse identified in the
patient?
1. Motivation to reduce anxiety through positive self-talk
2. Ability to bounce back quickly after an insult
3. Physical strength to endure extreme physical stressors
4. Ability to return to a state of equilibrium. Answer: Correct Answer:
2
Rationale 1: This is not a definition of resiliency.
Rationale 2: The correct definition of "resiliency" is the ability to
bounce back quickly after an insult. The degree of resiliency is placed
along a continuum between being unable to mount a response to
having strong reserves.
Rationale 3: This is not a definition of resiliency.
Rationale 4: This is not a definition of resiliency.
◉ While caring for a patient in the critical care unit, the nurse realizes
that the patient's care needs must be a balance between the patient's
long-term prognosis and the family's expectations of recovery. Which
of the AACN Synergy Model's characteristics does this situation
describe?
1. Complexity
2. Predictability
3. Participation in care
4. Resource availability. Answer: Correct Answer: 1
,Rationale 1: This situation describes the characteristic of complexity
that is the intricate entanglement of two or more systems; for
example, a patient's illness with complex family dynamics.
Rationale 2: This situation does not describe predictability.
Rationale 3: This situation does not describe participation in care.
Rationale 4: This situation does not described resource availability.
◉ The nurse realizes that which stressor is one of the primary
concerns of critically ill patients and should be routinely included
during assessments?
1. Inability to control elimination
2. Lack of family support
3. Hunger
4. Altered ability to communicate. Answer: Correct Answer: 4
Rationale 1: The inability to control elimination is not identified as a
primary concern of critically ill patients.
Rationale 2: Lack of family support is not identified as a primary
concern of critically ill patients.
Rationale 3: Hunger is not identified as a primary concern of critically
ill patients.
Rationale 4: Altered ability to communicate is identified as a primary
concern of critically ill patients.
◉ A patient has just completed a preoperative education session prior
to undergoing coronary artery bypass surgery. Which patient
statements indicate that teaching has been effective?
Note: Credit will be given only if all correct choices and no incorrect
choices are selected.
Standard Text: Select all that apply.
, 1. "I understand that I will have to blink my eyes to respond after the
breathing tube is in my throat."
2. "I will be given frequent mouth care to help me when I am thirsty."
3. "I will be able to move about freely in bed and into the chair
without help while connected to the electronic equipment for
monitoring."
4. "I may need something to help me rest due to the unfamiliar lights
and sounds of the ICU unit."
5. "I might not behave like my usual self after the surgery but it will
be because of the medications and my illness.". Answer: Correct
Answer: 1,2,4,5
Rationale 1: An alternate method of communication discussed in
advance of tube placement will assist in better communication after
the tube is inserted to aid the breathing process.
Rationale 2: While intubated, oral hygiene is needed to prevent
mucosal drying due to the inability of the patient to take oral fluids.
Rationale 3: This statement indicates that additional teaching is
required because the patient will not be able to move freely in bed and
into a chair without assistance while being electronically monitored.
Rationale 4: Due to environmental lights, sounds, and difference in
sleeping environment, additional aids, such as drug management, may
be needed to assist the patient to rest at night.
Rationale 5: A patient concern in the critical care area is the inability
to control self. This statement indicates the patient's understanding of
the teaching.
◉ When providing care to critically ill patients, whether they are
responsive or unresponsive, the nurse should:
1. Clearly explain what care is to be done before starting the activity.
2. Perform the activity and then let the patient rest without explaining
the care.
EXAM SCRIPT WITH VERIFIED SOLUTIONS
◉ The nurse identifies a patient in the critical care unit as having
"resiliency." What characteristic has the nurse identified in the
patient?
1. Motivation to reduce anxiety through positive self-talk
2. Ability to bounce back quickly after an insult
3. Physical strength to endure extreme physical stressors
4. Ability to return to a state of equilibrium. Answer: Correct Answer:
2
Rationale 1: This is not a definition of resiliency.
Rationale 2: The correct definition of "resiliency" is the ability to
bounce back quickly after an insult. The degree of resiliency is placed
along a continuum between being unable to mount a response to
having strong reserves.
Rationale 3: This is not a definition of resiliency.
Rationale 4: This is not a definition of resiliency.
◉ While caring for a patient in the critical care unit, the nurse realizes
that the patient's care needs must be a balance between the patient's
long-term prognosis and the family's expectations of recovery. Which
of the AACN Synergy Model's characteristics does this situation
describe?
1. Complexity
2. Predictability
3. Participation in care
4. Resource availability. Answer: Correct Answer: 1
,Rationale 1: This situation describes the characteristic of complexity
that is the intricate entanglement of two or more systems; for
example, a patient's illness with complex family dynamics.
Rationale 2: This situation does not describe predictability.
Rationale 3: This situation does not describe participation in care.
Rationale 4: This situation does not described resource availability.
◉ The nurse realizes that which stressor is one of the primary
concerns of critically ill patients and should be routinely included
during assessments?
1. Inability to control elimination
2. Lack of family support
3. Hunger
4. Altered ability to communicate. Answer: Correct Answer: 4
Rationale 1: The inability to control elimination is not identified as a
primary concern of critically ill patients.
Rationale 2: Lack of family support is not identified as a primary
concern of critically ill patients.
Rationale 3: Hunger is not identified as a primary concern of critically
ill patients.
Rationale 4: Altered ability to communicate is identified as a primary
concern of critically ill patients.
◉ A patient has just completed a preoperative education session prior
to undergoing coronary artery bypass surgery. Which patient
statements indicate that teaching has been effective?
Note: Credit will be given only if all correct choices and no incorrect
choices are selected.
Standard Text: Select all that apply.
, 1. "I understand that I will have to blink my eyes to respond after the
breathing tube is in my throat."
2. "I will be given frequent mouth care to help me when I am thirsty."
3. "I will be able to move about freely in bed and into the chair
without help while connected to the electronic equipment for
monitoring."
4. "I may need something to help me rest due to the unfamiliar lights
and sounds of the ICU unit."
5. "I might not behave like my usual self after the surgery but it will
be because of the medications and my illness.". Answer: Correct
Answer: 1,2,4,5
Rationale 1: An alternate method of communication discussed in
advance of tube placement will assist in better communication after
the tube is inserted to aid the breathing process.
Rationale 2: While intubated, oral hygiene is needed to prevent
mucosal drying due to the inability of the patient to take oral fluids.
Rationale 3: This statement indicates that additional teaching is
required because the patient will not be able to move freely in bed and
into a chair without assistance while being electronically monitored.
Rationale 4: Due to environmental lights, sounds, and difference in
sleeping environment, additional aids, such as drug management, may
be needed to assist the patient to rest at night.
Rationale 5: A patient concern in the critical care area is the inability
to control self. This statement indicates the patient's understanding of
the teaching.
◉ When providing care to critically ill patients, whether they are
responsive or unresponsive, the nurse should:
1. Clearly explain what care is to be done before starting the activity.
2. Perform the activity and then let the patient rest without explaining
the care.
