Nursing Care for Complex Health Situations
Study online at https://quizlet.com/_hbcgvo
1. What type of care may clients with More intensive monitoring or invasive treatments, of-
complex health issues require? ten necessitating an interdisciplinary team approach.
2. Where can clients with complex In intensive care units, emergency departments, reha-
health issues receive care? bilitation areas, step-down units, or at home.
3. What does complex monitoring in- Ventilators, specialized monitoring, an interdiscipli-
volve for clients with health issues? nary team, and remote consultations with specialists.
4. What environmental factors can in- An overwhelming physical environment, lack of priva-
crease stress and anxiety for clients cy, and separation from loved ones.
in critical care?
5. What are some issues related to Overwhelming presence of wires, tubes, and machin-
the physical environment in critical ery, and constant artificial lighting disrupting circadian
care? rhythms.
6. What solutions can help im- Orient the family to equipment, keep wires untangled,
prove the physical environment for increase natural light, allow views outside, and man-
clients? age artificial light.
7. What is the optimal noise level for 35 decibels (dB) during the day and 30 dB at night.
patient care during the day and
night?
8. What problem does excessive noise Increased stress-related health alterations and risk to
in the ICU cause? hearing due to high sound levels from medical de-
vices.
9. What solutions can reduce noise in Tailor alarms to client needs, close doors to decrease
the ICU? noise, and establish quiet times.
10. What issues arise from sensory de- Separation from loved ones, loss of normal routine,
privation in critical care? and potential disorientation due to lack of time cues.
, Nursing Care for Complex Health Situations
Study online at https://quizlet.com/_hbcgvo
11. What solutions can help mitigate Allow visitors, encourage family to bring meaningful
sensory deprivation for clients? objects, reorient clients to time and place, and provide
visible clocks and calendars.
12. What was the initial experience of They were sent to the waiting room before being
John's family upon arriving at the invited to a private consultation room.
emergency department?
13. What information did June receive Details about what happened before John's arrival,
during the consultation about John? what had been done since, and his prognosis.
14. What did the nurse explain to June What to expect when they saw John in the emergency
and Ericka before they saw John? department for the first time.
15. What equipment was introduced to Infusion pumps, cardiac monitor, automated blood
June and Ericka during their visit to pressure cuff, pulse oximeter, and ventilator.
John in the ICU?
16. What did the nurses encourage Talk to John and hold his hand.
June and Ericka to do during their
visit with John?
17. What does a closed door in the ICU No visitors are allowed in at that time due to high
signify? needs of one or more clients.
18. How did the nurses maintain open By having honest discussions which kept the family
communication with John's family? involved in John's care.
19. What routine did June share with She often rubbed John's feet and lower legs to relieve
the nurses about John's care? cramps after he had been on his feet all day.
20. Spend time each evening rubbing John's feet and
legs.
, Nursing Care for Complex Health Situations
Study online at https://quizlet.com/_hbcgvo
What did the nurses encourage
June to do to promote restful sleep
for John?
21. What items did June bring from His favorite books.
home to help John feel more com-
fortable?
22. What evidence-based assessments Encouraging family visits, asking about calming rou-
did the nurses incorporate into tines, using nonverbal cues for pain assessment, play-
John's care? ing music, and adjusting bedding based on John's
preferences.
23. What was the EPICS Family Bundle? An evidence-based approach to involving the family in
the care of critically ill clients, standing for evaluate,
plan, involve, communicate, and support.
24. What are some steps included in Evaluate family background, connect the relationship
the EPICS Family Bundle? to the client, identify stressors, realize coping skills,
gauge family needs, and determine desired involve-
ment.
25. How long was John in the ICU be- Seventeen days.
fore being moved to the telemetry
unit?
26. What significant event occurred A snowstorm that left 27 inches of snow and shut down
shortly after John's discharge from most communities.
the hospital?
27. Why is it important for nurses to Family can provide tremendous support, and under-
understand family dynamics during standing dynamics helps in including them in care.
a patient's illness?
, Nursing Care for Complex Health Situations
Study online at https://quizlet.com/_hbcgvo
28. What was one of the nurses' strate- Playing his favorite country music near the head of his
gies to help John during his hospi- bed.
talization?
29. What did the nurses do to ensure Used only a top sheet after June informed them that
John's comfort regarding tempera- John always felt hot.
ture?
30. How did the nurses communicate By taking breaks to chat with them in the waiting room
with John's family about his condi- and updating them on John's progress.
tion?
31. What was the purpose of encourag- To maintain connection and support for the patient.
ing family members to visit often,
even if the patient was sedated?
32. What role does nonverbal commu- It serves as an indicator of pain and helps in assessing
nication play in nursing care for ICU the patient's condition.
patients?
33. What was one emotional response He raised his hand and waved after June rubbed his
from John during June's visit? feet.
34. What is a key benefit of involving It increases the coping ability of family members.
family in a patient's care during
hospitalization?
35. What aspect of John's care did the Involving his family and incorporating familiar rou-
nurses focus on to enhance his re- tines and items.
covery?
36. What did the nurses do to help alle- They included them in care discussions and provided
viate the stress of John's family dur- emotional support.
ing his hospitalization?
Study online at https://quizlet.com/_hbcgvo
1. What type of care may clients with More intensive monitoring or invasive treatments, of-
complex health issues require? ten necessitating an interdisciplinary team approach.
2. Where can clients with complex In intensive care units, emergency departments, reha-
health issues receive care? bilitation areas, step-down units, or at home.
3. What does complex monitoring in- Ventilators, specialized monitoring, an interdiscipli-
volve for clients with health issues? nary team, and remote consultations with specialists.
4. What environmental factors can in- An overwhelming physical environment, lack of priva-
crease stress and anxiety for clients cy, and separation from loved ones.
in critical care?
5. What are some issues related to Overwhelming presence of wires, tubes, and machin-
the physical environment in critical ery, and constant artificial lighting disrupting circadian
care? rhythms.
6. What solutions can help im- Orient the family to equipment, keep wires untangled,
prove the physical environment for increase natural light, allow views outside, and man-
clients? age artificial light.
7. What is the optimal noise level for 35 decibels (dB) during the day and 30 dB at night.
patient care during the day and
night?
8. What problem does excessive noise Increased stress-related health alterations and risk to
in the ICU cause? hearing due to high sound levels from medical de-
vices.
9. What solutions can reduce noise in Tailor alarms to client needs, close doors to decrease
the ICU? noise, and establish quiet times.
10. What issues arise from sensory de- Separation from loved ones, loss of normal routine,
privation in critical care? and potential disorientation due to lack of time cues.
, Nursing Care for Complex Health Situations
Study online at https://quizlet.com/_hbcgvo
11. What solutions can help mitigate Allow visitors, encourage family to bring meaningful
sensory deprivation for clients? objects, reorient clients to time and place, and provide
visible clocks and calendars.
12. What was the initial experience of They were sent to the waiting room before being
John's family upon arriving at the invited to a private consultation room.
emergency department?
13. What information did June receive Details about what happened before John's arrival,
during the consultation about John? what had been done since, and his prognosis.
14. What did the nurse explain to June What to expect when they saw John in the emergency
and Ericka before they saw John? department for the first time.
15. What equipment was introduced to Infusion pumps, cardiac monitor, automated blood
June and Ericka during their visit to pressure cuff, pulse oximeter, and ventilator.
John in the ICU?
16. What did the nurses encourage Talk to John and hold his hand.
June and Ericka to do during their
visit with John?
17. What does a closed door in the ICU No visitors are allowed in at that time due to high
signify? needs of one or more clients.
18. How did the nurses maintain open By having honest discussions which kept the family
communication with John's family? involved in John's care.
19. What routine did June share with She often rubbed John's feet and lower legs to relieve
the nurses about John's care? cramps after he had been on his feet all day.
20. Spend time each evening rubbing John's feet and
legs.
, Nursing Care for Complex Health Situations
Study online at https://quizlet.com/_hbcgvo
What did the nurses encourage
June to do to promote restful sleep
for John?
21. What items did June bring from His favorite books.
home to help John feel more com-
fortable?
22. What evidence-based assessments Encouraging family visits, asking about calming rou-
did the nurses incorporate into tines, using nonverbal cues for pain assessment, play-
John's care? ing music, and adjusting bedding based on John's
preferences.
23. What was the EPICS Family Bundle? An evidence-based approach to involving the family in
the care of critically ill clients, standing for evaluate,
plan, involve, communicate, and support.
24. What are some steps included in Evaluate family background, connect the relationship
the EPICS Family Bundle? to the client, identify stressors, realize coping skills,
gauge family needs, and determine desired involve-
ment.
25. How long was John in the ICU be- Seventeen days.
fore being moved to the telemetry
unit?
26. What significant event occurred A snowstorm that left 27 inches of snow and shut down
shortly after John's discharge from most communities.
the hospital?
27. Why is it important for nurses to Family can provide tremendous support, and under-
understand family dynamics during standing dynamics helps in including them in care.
a patient's illness?
, Nursing Care for Complex Health Situations
Study online at https://quizlet.com/_hbcgvo
28. What was one of the nurses' strate- Playing his favorite country music near the head of his
gies to help John during his hospi- bed.
talization?
29. What did the nurses do to ensure Used only a top sheet after June informed them that
John's comfort regarding tempera- John always felt hot.
ture?
30. How did the nurses communicate By taking breaks to chat with them in the waiting room
with John's family about his condi- and updating them on John's progress.
tion?
31. What was the purpose of encourag- To maintain connection and support for the patient.
ing family members to visit often,
even if the patient was sedated?
32. What role does nonverbal commu- It serves as an indicator of pain and helps in assessing
nication play in nursing care for ICU the patient's condition.
patients?
33. What was one emotional response He raised his hand and waved after June rubbed his
from John during June's visit? feet.
34. What is a key benefit of involving It increases the coping ability of family members.
family in a patient's care during
hospitalization?
35. What aspect of John's care did the Involving his family and incorporating familiar rou-
nurses focus on to enhance his re- tines and items.
covery?
36. What did the nurses do to help alle- They included them in care discussions and provided
viate the stress of John's family dur- emotional support.
ing his hospitalization?
