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For Critical Care Nursing: A Holistic Approach 10th Edition
By Ph.D. Morton, Patricia Gonce, R.N.Latest Update Graded A+
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10TH EDITION
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,Chapter 1 The Patient’s Experience With Critical Illness
1. The Critical Care Unit Environment Is Very Stressful For Patients, Families, And Staff.
What Nursing Action Is Directed At Reducing Environmental Stress?
A) Constant Evaluation Of Patient Status
B) Limiting Visits To Immediate Family
C) Bathing All Patients During Hours Of Sleep
D) Maintaining Quiet During Hours Of Sleep
2. A Patient Is Transferred To The Icu From The Birth Center Of The Hospital In The
Middle Of The Night After Experiencing Complications During Delivery Of Her Baby.
The Patients Husband Is Anxious And Explains To The Icu Nurse That He Doesnt
Understand Why His Wife Has Been Moved To The Icu. She Is Going To Die, Isnt She?
He Asks The Nurse. What Is The Nurses Best Response?
A) Explain That Every Measure Will Be Taken To Provide His Wife With The
Best Care Possible.
B) Explain That The Nurse Is Fully Trained And Has Years Of Experience.
C) Offer The Husband A Place To Relax.
D) Have Appropriate Staff Discuss His Health Insurance With Him.
3. A Patient Is Admitted To The Icu With Injuries Sustained From A Fall From A Third-
Story Window. The Patient Is Conscious, His Breathing Is Labored, And He Is
Bleeding Heavily From The Abdomen. He Groans Constantly And Complains Of
Severe Pain, But His Movements Are Minimal. His Heart Rate Is Elevated. Which Of
These Is A Sign That He Is In The Second Phase Of The Stress Response? Select All
That Apply.
A) Bleeding Heavily From His Abdomen
B) Labored, Slow Breathing
C) Severe Pain
D) Elevated Heart Rate
E) Minimal Movement
4. A Patient In The Icu Is Recovering From Open-Heart Surgery. The Nurse Enters His
Room And Observes That His Daughter Is Performing Effleurage On His Arms And
Talking In A Low Voice About An Upcoming Family Vacation That Is Planned. The
Room Is Dimly Lit, And She Hears The Constant Beeping Of His Heart Monitor. From
The Hall She Hears The Cries Of A Patient In Pain. Which Of The Following Are
Likely Stressors For The Patient? Select All That Apply.
A) His Daughters Conversation
B) His Daughters Effleurage
C) The Beeping Of The Heart Monitor
,D) The Dim Lighting Of The Room
E) The Cries Of The Other Patient From The Hall
, 5. A Patient In The Icu Is Complaining That He Is Not Sleeping Well At Night Because
Of Anxiety. Which Of The Following Would Be The Most Helpful Intervention For
The Nurse To Make?
A) Provide The Patient With A Bath Immediately Following His First 90-Minute
Rem Sleep Cycle.
B) Increase The Patients Pain Medication.
C) Provide The Patient With 5 Minutes Of Effleurage And Then Minimize Disruptions.
D) Monitor The Patients Brain Waves By Polysomnography To Determine His
Sleep Pattern.
6. A Nurse Walks Into A Patients Room And Begins Preparing A Syringe To Perform A
Blood Draw On The Patient. The Nurse Observes That The Patient Is Firmly Gripping
The Side Of The Bed, Averting Her Eyes, And Sweating From Her Forehead When She
Sees The Needle. What Would Be The Best Intervention For The Nurse To Make?
A) Proceed With Blood Draw As Quickly As Possible, To Get It Over With.
B) Offer To Come Back Later To Perform The Blood Draw.
C) Encourage The Patient To Deep Breathe.
D) Describe Briefly The Blood Draw Procedure And Explain Why It Is Necessary.
7. A 15-Year-Old Boy Is In The Icu And Preparing For An Appendectomy. He Is Clearly
Anxious And Fidgets With His Iv Constantly. He Complains That He Doesnt Want To
Be There And He Is Sick Of Everyone Telling Him What To Do. What Would Be The
Best Way For The Nurse To Address This Patients Anxiety?
A) Use Physical Restraints To Keep Him From Pulling Out His Iv.
B) Offer Him The Remote To The Television.
C) Lower The Head Of His Bed So That He Can Rest More Easily.
D) Explain To The Patient In Detail What The Appendectomy Will Consist Of.
8. A Nurse In A Burn Unit Observes That A Patient Is Tensed Up And Frowning But
Silent. The Nurse Asks The Patient, Can You Tell Me What You Are Thinking Now?
The Patient Responds, I Cant Take This Pain Any More! I Feel Like Im About To Die.
What Would Be The Best Response For The Nurse To Give To The Patient,
Considering That The Patient Is Already Receiving The Maximum Amount Pain
Medication That Is Safe?
A) Try To Get Rid Of Those Negative Thoughtsthey Only Make It Worse.
B) Try Thinking Instead, This Pain Will Go Away; I Can Overcome It.
C) Your Pain Medication Is Already At The Highest Possible Dose.
D) Would You Like Me To Raise The Head Of Your Bed?
For Critical Care Nursing: A Holistic Approach 10th Edition
By Ph.D. Morton, Patricia Gonce, R.N.Latest Update Graded A+
PRINTEND PDF|ORIGINAL DIRECT FROM PUBLISHER|100%
VERIFIED ANSWERS|DOWLOAD IMMEDIATELY AFTER THE ORDER
10TH EDITION
Complete Test Bank, All Chapter Are Included
For More Documents Search (Testbankproferssor.Stuvia)
,Chapter 1 The Patient’s Experience With Critical Illness
1. The Critical Care Unit Environment Is Very Stressful For Patients, Families, And Staff.
What Nursing Action Is Directed At Reducing Environmental Stress?
A) Constant Evaluation Of Patient Status
B) Limiting Visits To Immediate Family
C) Bathing All Patients During Hours Of Sleep
D) Maintaining Quiet During Hours Of Sleep
2. A Patient Is Transferred To The Icu From The Birth Center Of The Hospital In The
Middle Of The Night After Experiencing Complications During Delivery Of Her Baby.
The Patients Husband Is Anxious And Explains To The Icu Nurse That He Doesnt
Understand Why His Wife Has Been Moved To The Icu. She Is Going To Die, Isnt She?
He Asks The Nurse. What Is The Nurses Best Response?
A) Explain That Every Measure Will Be Taken To Provide His Wife With The
Best Care Possible.
B) Explain That The Nurse Is Fully Trained And Has Years Of Experience.
C) Offer The Husband A Place To Relax.
D) Have Appropriate Staff Discuss His Health Insurance With Him.
3. A Patient Is Admitted To The Icu With Injuries Sustained From A Fall From A Third-
Story Window. The Patient Is Conscious, His Breathing Is Labored, And He Is
Bleeding Heavily From The Abdomen. He Groans Constantly And Complains Of
Severe Pain, But His Movements Are Minimal. His Heart Rate Is Elevated. Which Of
These Is A Sign That He Is In The Second Phase Of The Stress Response? Select All
That Apply.
A) Bleeding Heavily From His Abdomen
B) Labored, Slow Breathing
C) Severe Pain
D) Elevated Heart Rate
E) Minimal Movement
4. A Patient In The Icu Is Recovering From Open-Heart Surgery. The Nurse Enters His
Room And Observes That His Daughter Is Performing Effleurage On His Arms And
Talking In A Low Voice About An Upcoming Family Vacation That Is Planned. The
Room Is Dimly Lit, And She Hears The Constant Beeping Of His Heart Monitor. From
The Hall She Hears The Cries Of A Patient In Pain. Which Of The Following Are
Likely Stressors For The Patient? Select All That Apply.
A) His Daughters Conversation
B) His Daughters Effleurage
C) The Beeping Of The Heart Monitor
,D) The Dim Lighting Of The Room
E) The Cries Of The Other Patient From The Hall
, 5. A Patient In The Icu Is Complaining That He Is Not Sleeping Well At Night Because
Of Anxiety. Which Of The Following Would Be The Most Helpful Intervention For
The Nurse To Make?
A) Provide The Patient With A Bath Immediately Following His First 90-Minute
Rem Sleep Cycle.
B) Increase The Patients Pain Medication.
C) Provide The Patient With 5 Minutes Of Effleurage And Then Minimize Disruptions.
D) Monitor The Patients Brain Waves By Polysomnography To Determine His
Sleep Pattern.
6. A Nurse Walks Into A Patients Room And Begins Preparing A Syringe To Perform A
Blood Draw On The Patient. The Nurse Observes That The Patient Is Firmly Gripping
The Side Of The Bed, Averting Her Eyes, And Sweating From Her Forehead When She
Sees The Needle. What Would Be The Best Intervention For The Nurse To Make?
A) Proceed With Blood Draw As Quickly As Possible, To Get It Over With.
B) Offer To Come Back Later To Perform The Blood Draw.
C) Encourage The Patient To Deep Breathe.
D) Describe Briefly The Blood Draw Procedure And Explain Why It Is Necessary.
7. A 15-Year-Old Boy Is In The Icu And Preparing For An Appendectomy. He Is Clearly
Anxious And Fidgets With His Iv Constantly. He Complains That He Doesnt Want To
Be There And He Is Sick Of Everyone Telling Him What To Do. What Would Be The
Best Way For The Nurse To Address This Patients Anxiety?
A) Use Physical Restraints To Keep Him From Pulling Out His Iv.
B) Offer Him The Remote To The Television.
C) Lower The Head Of His Bed So That He Can Rest More Easily.
D) Explain To The Patient In Detail What The Appendectomy Will Consist Of.
8. A Nurse In A Burn Unit Observes That A Patient Is Tensed Up And Frowning But
Silent. The Nurse Asks The Patient, Can You Tell Me What You Are Thinking Now?
The Patient Responds, I Cant Take This Pain Any More! I Feel Like Im About To Die.
What Would Be The Best Response For The Nurse To Give To The Patient,
Considering That The Patient Is Already Receiving The Maximum Amount Pain
Medication That Is Safe?
A) Try To Get Rid Of Those Negative Thoughtsthey Only Make It Worse.
B) Try Thinking Instead, This Pain Will Go Away; I Can Overcome It.
C) Your Pain Medication Is Already At The Highest Possible Dose.
D) Would You Like Me To Raise The Head Of Your Bed?
