TEST BANK FOR PRIORITIES IN CRITICAL CARE
NURSING 8TH EDITION BY LINDA D. URDEN;
KATHLEEN M. STACY; MARY E. LOUGH ISBN
9780323531993 CHAPTER 1-27 | COMPLETE GUIDE A+
According to the transactional theories on stress, what does a person do first when confronted by
stress? - (ANSWER)Determines the perceived degree of threat imposed
Nearly 25% of people surviving a critical illness and an intensive care unit stay subsequently
exhibit symptoms of posttraumatic
stress disorder (PTSD). A patient with PTSD may manifest which behavior? -
(ANSWER)Intrusive recall of the event
A subjective state in which an individual sees extremely limited or no alternatives and is unable
to mobilize energy on his or her
behalf is known as: - (ANSWER)Hopelessness
Which statement regarding regression as a coping mechanism for critical care patients is
accurate? - (ANSWER)It is necessary to some degree to allow staff to administer care
Which concept supports patients and helps them endure the physical and psychological insults of
their critical illness? - (ANSWER)Hope
Which therapeutic technique may be used to enhance coping in the critical care environment? -
(ANSWER)Foster trust in the interprofessional health care team
Which nursing intervention can help family members who are extremely upset? -
(ANSWER)Supporting the family members away from the bedside
,A patient has been admitted with a severed spinal cord injury at the T2 level. The patient has
been in halo traction with
immobilization for the past week. The practitioner has explained to the patient that the spinal
cord has been severed and that the
patient will not be able to walk again. The patient states, "I can't wait until I can get on my feet
and walk again." Which defense
mechanism is the patient exhibiting in this statement? - (ANSWER)Denial
An adult patient sustains third- and fourth-degree burns to more than 70% of her body related to
a house fire. The patient begins a
pattern of behavior similar to that of a young child, in which she repeatedly whines and throws
"temper tantrums" in an attempt to
keep her nurse at the bedside. What coping mechanism is the patient exhibiting? -
(ANSWER)Regression
A patient is admitted with the diagnosis of gunshot wound to the head due to a suicide attempt.
While the patient is in the critical
care unit, the plan of care should include which intervention? - (ANSWER)Validating the
patient's need to talk about the incident
What happens when the critical illness is so severe that the patient or family becomes
overwhelmed? - (ANSWER)Stress overload
Which medications are commonly used for alcohol withdrawal symptoms? -
(ANSWER)Chlordiazepoxide and lorazepam
Prolonged periods of anxious waiting, disrupted sleep patterns, witnessing emergency
interventions, and financial concerns could
put family members at risk for developing what problem? - (ANSWER)PTSD
Anxiety can cause emotional changes in which part of the brain? - (ANSWER)Neurotransmitters
, A patient is admitted complaining of pain from a femur fracture and is anxious and agitated. The
patient is receiving steroids and
theophylline for exacerbation of asthma. What disorder should the nurse suspect the patient may
be experiencing? - (ANSWER)Anxiety
A patient tells his family, "I don't know why I was placed on this earth just to suffer from cancer
all my life. I just want to die."
What psychosocial issue is the patient experiencing? - (ANSWER)Spiritual Distress
Through what mechanism can a nurse demonstrate caring and support to a patient? -
(ANSWER)Providing empathy and physical contact
What serious concern regarding the critical care environment affects the patient's ability to cope
and heal? - (ANSWER)Deprivation of sleep
What type of diet would be appropriate for a patient with heart failure? - (ANSWER)Low-salt
diet
The loss of exocrine function in pancreatitis results in what disorder? -
(ANSWER)Malabsorption
A patient on mechanical ventilation is receiving total parenteral nutrition (TPN). Which
statement is true? - (ANSWER)Excessive calorie intake can cause an increase in PaCO2
What intervention should be included in a nutrition plan for a patient with a myocardial
infarction? - (ANSWER)Monitor the effects of caffeine on the patient
The loss of endocrine function in pancreatitis results in what disorder? -
(ANSWER)Hyperglycemia
Which complication can be the result of malnutrition in the hospitalized patient? -
(ANSWER)Respiratory failure
NURSING 8TH EDITION BY LINDA D. URDEN;
KATHLEEN M. STACY; MARY E. LOUGH ISBN
9780323531993 CHAPTER 1-27 | COMPLETE GUIDE A+
According to the transactional theories on stress, what does a person do first when confronted by
stress? - (ANSWER)Determines the perceived degree of threat imposed
Nearly 25% of people surviving a critical illness and an intensive care unit stay subsequently
exhibit symptoms of posttraumatic
stress disorder (PTSD). A patient with PTSD may manifest which behavior? -
(ANSWER)Intrusive recall of the event
A subjective state in which an individual sees extremely limited or no alternatives and is unable
to mobilize energy on his or her
behalf is known as: - (ANSWER)Hopelessness
Which statement regarding regression as a coping mechanism for critical care patients is
accurate? - (ANSWER)It is necessary to some degree to allow staff to administer care
Which concept supports patients and helps them endure the physical and psychological insults of
their critical illness? - (ANSWER)Hope
Which therapeutic technique may be used to enhance coping in the critical care environment? -
(ANSWER)Foster trust in the interprofessional health care team
Which nursing intervention can help family members who are extremely upset? -
(ANSWER)Supporting the family members away from the bedside
,A patient has been admitted with a severed spinal cord injury at the T2 level. The patient has
been in halo traction with
immobilization for the past week. The practitioner has explained to the patient that the spinal
cord has been severed and that the
patient will not be able to walk again. The patient states, "I can't wait until I can get on my feet
and walk again." Which defense
mechanism is the patient exhibiting in this statement? - (ANSWER)Denial
An adult patient sustains third- and fourth-degree burns to more than 70% of her body related to
a house fire. The patient begins a
pattern of behavior similar to that of a young child, in which she repeatedly whines and throws
"temper tantrums" in an attempt to
keep her nurse at the bedside. What coping mechanism is the patient exhibiting? -
(ANSWER)Regression
A patient is admitted with the diagnosis of gunshot wound to the head due to a suicide attempt.
While the patient is in the critical
care unit, the plan of care should include which intervention? - (ANSWER)Validating the
patient's need to talk about the incident
What happens when the critical illness is so severe that the patient or family becomes
overwhelmed? - (ANSWER)Stress overload
Which medications are commonly used for alcohol withdrawal symptoms? -
(ANSWER)Chlordiazepoxide and lorazepam
Prolonged periods of anxious waiting, disrupted sleep patterns, witnessing emergency
interventions, and financial concerns could
put family members at risk for developing what problem? - (ANSWER)PTSD
Anxiety can cause emotional changes in which part of the brain? - (ANSWER)Neurotransmitters
, A patient is admitted complaining of pain from a femur fracture and is anxious and agitated. The
patient is receiving steroids and
theophylline for exacerbation of asthma. What disorder should the nurse suspect the patient may
be experiencing? - (ANSWER)Anxiety
A patient tells his family, "I don't know why I was placed on this earth just to suffer from cancer
all my life. I just want to die."
What psychosocial issue is the patient experiencing? - (ANSWER)Spiritual Distress
Through what mechanism can a nurse demonstrate caring and support to a patient? -
(ANSWER)Providing empathy and physical contact
What serious concern regarding the critical care environment affects the patient's ability to cope
and heal? - (ANSWER)Deprivation of sleep
What type of diet would be appropriate for a patient with heart failure? - (ANSWER)Low-salt
diet
The loss of exocrine function in pancreatitis results in what disorder? -
(ANSWER)Malabsorption
A patient on mechanical ventilation is receiving total parenteral nutrition (TPN). Which
statement is true? - (ANSWER)Excessive calorie intake can cause an increase in PaCO2
What intervention should be included in a nutrition plan for a patient with a myocardial
infarction? - (ANSWER)Monitor the effects of caffeine on the patient
The loss of endocrine function in pancreatitis results in what disorder? -
(ANSWER)Hyperglycemia
Which complication can be the result of malnutrition in the hospitalized patient? -
(ANSWER)Respiratory failure
