For Critical Care Nursing: A Holistic Approach
10th Edition By Ph.D. Morton, Patricia Gonce,
R.N.Latest Update Graded A+
,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