Which of the following is an important aspect of care after a drug overdose?
t t t t t t t t t t t t t t
A. Informing the patient that suicide is the unforgiveable sin
t t t t t t t t t
B. A psychiatric consult
t t t t
C. Restraints
t t
D. Limiting visitors who could bring in drugs - ANSWER: ➡ B. A psychiatric consult
t t t t t t t t t tt t t t t
An appropriate action for a confused patient may include which of the following?
t t t t t t t t t t t t t
A. Remove the television and radio
t t t t t t
B. Ask the family to bring in family pictures and familiar objects for the room
t t t t t t t t t t t t t t
C. Use soft restraints to keep the patient in bed
t t t t t t t t t
D. Keep the lights on all the time - ANSWER: ➡ B. Ask the family to bring in family pictures and
t t t t t t t t t tt t t t t t t t t t t
familiar objects for the rooom
t t t t t
Which of the following actions would be appropriate to prevent a patient's feelings of
t t t t t t t t t t t t t
powerlessness?
t t
A. Tell the patient that you will fill out his or her diet request form
t t t t t t t t t t t t t t
B. Ask the patient what he or she would like to eat but fill out the diet request according to what
t t t t t t t t t t t t t t t t t t t t
you feel would be best
t t t t t t
C. Ask the patient what he or she would like to eat and complete the diet request form according
t t t t t t t t t t t t t t t t t t
to the stated desires
t t t t t
D. Complete the diet request form without mentioning it to the patient - ANSWER: ➡ C. Ask the
t t t t t t t t t t t t t tt t t t
patient what he or she would like to eat and complete the diet request form according to the
t t t t t t t t t t t t t t t t t t
stated desires
t t
When a patient is asked about how she usually deals with stress, she responds, "I pray a lot."
t t t t t t t t t t t t t t t t t
What would be the most appropriate response?
t t t t t t t t
A. Obtain a Bible for the patient
t t t t t t
,B. Give her times of the services in the chapel
t t t t t t t t t t
C. Offer to call her pastor or a representative of pastoral care
t t t t t t t t t t t
D. Ignore the comment - ANSWER: ➡ C. Offer to call her pastor or a representative of pastoral
t t t t t tt t t t t t t t t t t t
care
t
What are the most commonly prescribed anxiolytics used in the critical care setting?
t t t t t t t t t t t t t
A. Benzodiazepines
t t
B. Opioids
t
C. Barbiturates
t t
D. Phenothiazines - ANSWER: ➡ A. Benzodiazepines
t t t tt t t
(Diazepam- Valium, Lorazepam- Ativan, and Alprazolam- Xanax - used most often for anxiety)
t t t t t t t t t t t t
When is denial after a myocardial infarction most beneficial?
t t t t t t t t t
A. During the first 72 hours
t t t t t
B. Immediately after discharge
t t t t
C. A month after discharge
t t t t t
D. When there are recurrent cardiac symptoms - ANSWER: ➡ A. During the first 72 hours
t t t t t t t t tt t t t t t t
A patient refuses to allow the nurse to give him a sedative. If the nurse threatens to restrain him
t t t t t t t t t t t t t t t t t t
to administer the sedative, it constitutes which of the following?
t t t t t t t t t t t
A. Threat t
B. Assault
t t
C. Battery
t
D. Malpractice - ANSWER: ➡ B. Assault - to threaten a patient with bodily harm
t t t tt t t t t t t t t t t
The nurse senses that a patient is fearful about having a cardiac catheterization later today.
t t t t t t t t t t t t t t
Which of the following would be the best initial action?
t t t t t t t t t t t
A. Fully explain the procedure
t t t t t
B. Ask a patient who has had a cardiac catheterization to talk to your patient
t t t t t t t t t t t t t t
, C. Reassure your patient that it is relatively fast and simple
t t t t t t t t t t t
D. Encourage the patient to express his or her fears - ANSWER: ➡ D. Encourage the patient to
t t t t t t t t t t t tt t t t t t
express his or her fears
t t t t t
A patient's family is very anxious. Which of the following is the most important intervention in
t t t t t t t t t t t t t t t
allaying the family's anxiety?
t t t t t
A. Letting the family members stay in the room whenever they want
t t t t t t t t t t t
B. Providing fresh coffee and having restrooms and telephone available
t t t t t t t t t t
C. Keeping them informed regarding changes in the patient's status
t t t t t t t t t t
D. Letting them participate in providing care for the patient - ANSWER: ➡ C. Keeping them
t t t t t t t t t t t tt t t t
informed regarding changes in the patient's status
t t t t t t t
Monitor alarms, continuous lighting, frequent measurement of vital signs, and nurses talking
t t t t t t t t t t t
may cause which of the following?
t t t t t t t
A. Sensory deprivation
t t t
B. Sensory overload
t t t
C. Powerlessness
t t
D. Depression - ANSWER: ➡ B. Sensory overload
t t t tt t t t
When a patient is described by family as "generally pleasant and well adjusted" becomes
t t t t t t t t t t t t t
dependent and demanding when physically ill, it is an example of which of the following?
t t t t t t t t t t t t t t t t
A. Denial t t
B. Compensation
t t
C. Repression
t t
D. Regression - ANSWER: ➡ D. Regression - when a patient goes back to an earlier level of
t t t tt t t t t t t t t t t t t t
emotional development
t t
A patient experiencing alcohol withdrawal syndrome describes the swirls in the wallpaper as
t t t t t t t t t t t t
being worms. This is an example of which of the following?
t t t t t t t t t t t t
A. Delusion t t