NUR 445 Exam 1 2025 questions with correct
| | | | || | | |
detailed answers |
What |is |the |difference |between |a |small |hospital |ICU |and |a |large |hospital |ICU? |- |CORRECT |ANSWER-
The |size, |resources |available, |specialized |units, |etc.
What |must |the |nurse |caring |for |the |high |acuity |patient |be |able |to |do? |- |CORRECT |ANSWER-Analyze |
critical |situations, |make |decisions |based |on |their |analysis, |and |rapidly |intervene |to |ensure |optimal |
outcomes
Who |is |the |only |member |of |the |healthcare |team |who |is |at |the |bedside |and |frequently |coordinates |
patient |care? |- |CORRECT |ANSWER-The |nurse
Who |detects |early |signs |of |an |impending |complication |with |the |patient? |- |CORRECT |ANSWER-The |
nurse
What |is |one |of |the |primary |goals |for |the |acute |care |nurse? |- |CORRECT |ANSWER-the |prevention |of |
complications
What |changes |led |to |decreased |job |satisfaction |and |nurses |leaving |practice |in |the |high |acuity |
environment? |- |CORRECT |ANSWER-Schedules, |staffing, |floating |outside |the |specialty, |hospital |
restructuring, |etc.
What |really |should |be |considered |when |making |decisions |about |nursing |staffing |patterns? |- |CORRECT |
ANSWER-The |needs |of |the |patient |and |the |skill |mix |of |the |nursing |staff
What |should |the |first |principle |of |staffing |be? |- |CORRECT |ANSWER-provide |safe |and |effective |patient |
care
What |does |the |ANCC |award |hospitals |magnet |status |for? |- |CORRECT |ANSWER-If |they |are |able |to |
create |working |environments |that |are |successful |in |recruiting |and |retaining |professional |nurses
,Which |patients |are |often |stereotyped |as |not |being |candidates |for |aggressive |treatment? |- |CORRECT |
ANSWER-Oncology |patients
Who |must |"goals |of |care" |be |discussed |with? |- |CORRECT |ANSWER-With |the |patient |and |their |family, |
allowing |ample |time |for |meaningful |discussion
What |is |a |major |advantage |of |having |technology |available |in |the |high |acuity |environment? |- |CORRECT
|ANSWER-The |patient's |status |can |be |monitored |continuously
What |is |a |major |criticism |of |nurses |who |work |in |high |acuity |environments? |- |CORRECT |ANSWER-they |
are |too |technologically |oriented
What |is |alarm |fatigue? |- |CORRECT |ANSWER-When |the |number |and |frequency |of |alarms |becomes |
overwhelming, |it |can |result |in |delayed |alarm |responses |and |deliberate |alarm |deactivations
What |does |working |in |a |healthy |environment |increase? |- |CORRECT |ANSWER-job |satisfaction |and |
provides |a |buffer |against |stress |and |burnout
Which |professional |organization |made |a |commitment |to |promote |healthy |work |environments |that |
support |quality |patient |care |and |high |levels |of |nurse |satisfaction? |- |CORRECT |ANSWER-American |
Association |of |Critical |Care |Nurses
What |are |some |standards |of |healthy |work |environments? |- |CORRECT |ANSWER-Skilled |communication,
|true |collaboration, |efficient |decision |making, |appropriate |staffing, |meaningful |recognition, |and |
authentic |leadership
Who |are |the |gatekeepers |of |patient |safety? |- |CORRECT |ANSWER-high |acuity |nurses
What |is |burnout? |- |CORRECT |ANSWER-Feelings |of |personal/professional |frustration, |job |
dissatisfaction, |job |insecurity, |emotion/physical |exertion, |emotional |exhaustion, |depersonalization, |
reduced |personal |accomplishments, |lack |of |control, |overworked, |insufficient |awards, |conflicting |values
,What |are |some |symptoms |of |burnout? |- |CORRECT |ANSWER-Withdrawal, |risk |taking, |ambivalence, |
decreased |productivity, |contemplating |career |change, |increased |use |of |caffeine/alcohol/nicotine, |
chronic |fatigue, |frequent |minor |ailments, |sleep |changes, |appetite |change, |sexual |difficulty, |attempts |
to |blame |others, |stereotyping |patients, |nightmares, |depression, |hostility, |negativism, |loss |of |
tolerance, |decreased |ability |to |make |decisions, |poor |judgement, |lack |of |initiative, |forgetfulness
What |can |serve |as |a |buffer |against |the |negative |effects |of |stress? |- |CORRECT |ANSWER-a |positive |
social |climate |characterized |by |strong |managerial |support |and |cohesiveness |among |the |staff
What |are |critical |incident |stress |debriefings? |- |CORRECT |ANSWER-structured |group |discussions |
occurring |within |several |days |following |a |crisis, |designed |to |address |symptoms |of |stress, |assess |the |
need |for |follow-up, |and |provide |a |sense |of |closure
What |is |TJC? |- |CORRECT |ANSWER-The |Joint |Commission
What |is |the |TJCs |mission? |- |CORRECT |ANSWER-to |continuously |improve |the |safety |and |quality |of |care
|provided |to |the |public |through |the |provision |of |healthcare |accreditation |that |supports |process |
improvement |in |healthcare |organizations
What |are |the |national |patient |safety |goals? |- |CORRECT |ANSWER-patient |identifiers, |staff |
communication, |medication |safety, |alarm |safety, |infection |prevention, |risk |identification, |and |timeout
What |are |some |factors |that |inhibit |learning |and |barriers |to |communication |for |the |high |acuity |
patient? |- |CORRECT |ANSWER-Fatigue, |barriers |to |communication, |pain, |drugs
What |takes |precedence |over |the |need |to |know |and |understand? |- |CORRECT |ANSWER-physiologic |
needs
What |are |some |of |the |educational |needs |of |ICU |patients |and |families? |- |CORRECT |ANSWER-current |
info |about |patient |progress, |informed |decision |making, |acknowledgement |of |past, |optimal |learning |
environment, |orientation |to |routines |and |care, |motivation
What |is |transfer |anxiety? |- |CORRECT |ANSWER-transferring |to |a |less |acute |unit |creates |anxiety |as |they
|move |to |an |unfamiliar |environment
, What |are |some |components |of |ICU |patient |and |family |centered |care? |- |CORRECT |ANSWER-Open |
visitation, |inclusion |in |decision |making, |education |about |healthcare, |and |inclusion |of |families |in |
designing |comfortable |spaces
What |is |reduced |for |the |ICU |patient |when |the |family |is |at |the |bedside? |- |CORRECT |ANSWER-anxiety |
and |hallucinations
How |can |the |family |help |the |ICU |patient |and |nursing |staff? |- |CORRECT |ANSWER-they |can |comfort |
patients |in |ways |not |open |to |staff, |as |well |as |provide |info |to |help |the |nurse |individualize |care
Historically, |why |have |families |been |restricted |from |the |ICU? |- |CORRECT |ANSWER-Harmful |
physiological |consequences, |interferes |with |time |nurses |need |to |spend |caring |for |patients, |delays |in |
care
What |are |some |advantages |to |having |family |present |during |CPR? |- |CORRECT |ANSWER-Family |grasps |
seriousness |of |condition, |sees |firsthand |everything |was |done |for |the |patient, |helps |with |grieving, |
doubt |is |removed, |less |fear |and |anxiety, |a |sense |of |closure,
What |is |cultural |competence? |- |CORRECT |ANSWER-Being |mindful |of |your |own |beliefs |and |attitudes, |
without |letting |personal |bias |influence |the |care |of |patients |with |different |backgrounds
Why |is |culturally |competent |care |essential? |- |CORRECT |ANSWER-to |achieve |equitable |outcomes |for |
all |patients
Why |is |it |important |for |nurses |to |recognize |and |address |barriers |to |culturally |competent |care? |- |
CORRECT |ANSWER-to |convey |respect |for |the |patient's |uniqueness, |discussing |language |preferences, |
educational |material |at |their |level, |address |sensitivity
Which |senses |are |involved |in |sensory |output? |- |CORRECT |ANSWER-visual, |auditory, |olfactory, |
gustatory, |tactile
What |are |the |3 |sensory |perceptual |alterations? |- |CORRECT |ANSWER-sensory |overload/deprivation, |
delirium, |sleep |deprivation
| | | | || | | |
detailed answers |
What |is |the |difference |between |a |small |hospital |ICU |and |a |large |hospital |ICU? |- |CORRECT |ANSWER-
The |size, |resources |available, |specialized |units, |etc.
What |must |the |nurse |caring |for |the |high |acuity |patient |be |able |to |do? |- |CORRECT |ANSWER-Analyze |
critical |situations, |make |decisions |based |on |their |analysis, |and |rapidly |intervene |to |ensure |optimal |
outcomes
Who |is |the |only |member |of |the |healthcare |team |who |is |at |the |bedside |and |frequently |coordinates |
patient |care? |- |CORRECT |ANSWER-The |nurse
Who |detects |early |signs |of |an |impending |complication |with |the |patient? |- |CORRECT |ANSWER-The |
nurse
What |is |one |of |the |primary |goals |for |the |acute |care |nurse? |- |CORRECT |ANSWER-the |prevention |of |
complications
What |changes |led |to |decreased |job |satisfaction |and |nurses |leaving |practice |in |the |high |acuity |
environment? |- |CORRECT |ANSWER-Schedules, |staffing, |floating |outside |the |specialty, |hospital |
restructuring, |etc.
What |really |should |be |considered |when |making |decisions |about |nursing |staffing |patterns? |- |CORRECT |
ANSWER-The |needs |of |the |patient |and |the |skill |mix |of |the |nursing |staff
What |should |the |first |principle |of |staffing |be? |- |CORRECT |ANSWER-provide |safe |and |effective |patient |
care
What |does |the |ANCC |award |hospitals |magnet |status |for? |- |CORRECT |ANSWER-If |they |are |able |to |
create |working |environments |that |are |successful |in |recruiting |and |retaining |professional |nurses
,Which |patients |are |often |stereotyped |as |not |being |candidates |for |aggressive |treatment? |- |CORRECT |
ANSWER-Oncology |patients
Who |must |"goals |of |care" |be |discussed |with? |- |CORRECT |ANSWER-With |the |patient |and |their |family, |
allowing |ample |time |for |meaningful |discussion
What |is |a |major |advantage |of |having |technology |available |in |the |high |acuity |environment? |- |CORRECT
|ANSWER-The |patient's |status |can |be |monitored |continuously
What |is |a |major |criticism |of |nurses |who |work |in |high |acuity |environments? |- |CORRECT |ANSWER-they |
are |too |technologically |oriented
What |is |alarm |fatigue? |- |CORRECT |ANSWER-When |the |number |and |frequency |of |alarms |becomes |
overwhelming, |it |can |result |in |delayed |alarm |responses |and |deliberate |alarm |deactivations
What |does |working |in |a |healthy |environment |increase? |- |CORRECT |ANSWER-job |satisfaction |and |
provides |a |buffer |against |stress |and |burnout
Which |professional |organization |made |a |commitment |to |promote |healthy |work |environments |that |
support |quality |patient |care |and |high |levels |of |nurse |satisfaction? |- |CORRECT |ANSWER-American |
Association |of |Critical |Care |Nurses
What |are |some |standards |of |healthy |work |environments? |- |CORRECT |ANSWER-Skilled |communication,
|true |collaboration, |efficient |decision |making, |appropriate |staffing, |meaningful |recognition, |and |
authentic |leadership
Who |are |the |gatekeepers |of |patient |safety? |- |CORRECT |ANSWER-high |acuity |nurses
What |is |burnout? |- |CORRECT |ANSWER-Feelings |of |personal/professional |frustration, |job |
dissatisfaction, |job |insecurity, |emotion/physical |exertion, |emotional |exhaustion, |depersonalization, |
reduced |personal |accomplishments, |lack |of |control, |overworked, |insufficient |awards, |conflicting |values
,What |are |some |symptoms |of |burnout? |- |CORRECT |ANSWER-Withdrawal, |risk |taking, |ambivalence, |
decreased |productivity, |contemplating |career |change, |increased |use |of |caffeine/alcohol/nicotine, |
chronic |fatigue, |frequent |minor |ailments, |sleep |changes, |appetite |change, |sexual |difficulty, |attempts |
to |blame |others, |stereotyping |patients, |nightmares, |depression, |hostility, |negativism, |loss |of |
tolerance, |decreased |ability |to |make |decisions, |poor |judgement, |lack |of |initiative, |forgetfulness
What |can |serve |as |a |buffer |against |the |negative |effects |of |stress? |- |CORRECT |ANSWER-a |positive |
social |climate |characterized |by |strong |managerial |support |and |cohesiveness |among |the |staff
What |are |critical |incident |stress |debriefings? |- |CORRECT |ANSWER-structured |group |discussions |
occurring |within |several |days |following |a |crisis, |designed |to |address |symptoms |of |stress, |assess |the |
need |for |follow-up, |and |provide |a |sense |of |closure
What |is |TJC? |- |CORRECT |ANSWER-The |Joint |Commission
What |is |the |TJCs |mission? |- |CORRECT |ANSWER-to |continuously |improve |the |safety |and |quality |of |care
|provided |to |the |public |through |the |provision |of |healthcare |accreditation |that |supports |process |
improvement |in |healthcare |organizations
What |are |the |national |patient |safety |goals? |- |CORRECT |ANSWER-patient |identifiers, |staff |
communication, |medication |safety, |alarm |safety, |infection |prevention, |risk |identification, |and |timeout
What |are |some |factors |that |inhibit |learning |and |barriers |to |communication |for |the |high |acuity |
patient? |- |CORRECT |ANSWER-Fatigue, |barriers |to |communication, |pain, |drugs
What |takes |precedence |over |the |need |to |know |and |understand? |- |CORRECT |ANSWER-physiologic |
needs
What |are |some |of |the |educational |needs |of |ICU |patients |and |families? |- |CORRECT |ANSWER-current |
info |about |patient |progress, |informed |decision |making, |acknowledgement |of |past, |optimal |learning |
environment, |orientation |to |routines |and |care, |motivation
What |is |transfer |anxiety? |- |CORRECT |ANSWER-transferring |to |a |less |acute |unit |creates |anxiety |as |they
|move |to |an |unfamiliar |environment
, What |are |some |components |of |ICU |patient |and |family |centered |care? |- |CORRECT |ANSWER-Open |
visitation, |inclusion |in |decision |making, |education |about |healthcare, |and |inclusion |of |families |in |
designing |comfortable |spaces
What |is |reduced |for |the |ICU |patient |when |the |family |is |at |the |bedside? |- |CORRECT |ANSWER-anxiety |
and |hallucinations
How |can |the |family |help |the |ICU |patient |and |nursing |staff? |- |CORRECT |ANSWER-they |can |comfort |
patients |in |ways |not |open |to |staff, |as |well |as |provide |info |to |help |the |nurse |individualize |care
Historically, |why |have |families |been |restricted |from |the |ICU? |- |CORRECT |ANSWER-Harmful |
physiological |consequences, |interferes |with |time |nurses |need |to |spend |caring |for |patients, |delays |in |
care
What |are |some |advantages |to |having |family |present |during |CPR? |- |CORRECT |ANSWER-Family |grasps |
seriousness |of |condition, |sees |firsthand |everything |was |done |for |the |patient, |helps |with |grieving, |
doubt |is |removed, |less |fear |and |anxiety, |a |sense |of |closure,
What |is |cultural |competence? |- |CORRECT |ANSWER-Being |mindful |of |your |own |beliefs |and |attitudes, |
without |letting |personal |bias |influence |the |care |of |patients |with |different |backgrounds
Why |is |culturally |competent |care |essential? |- |CORRECT |ANSWER-to |achieve |equitable |outcomes |for |
all |patients
Why |is |it |important |for |nurses |to |recognize |and |address |barriers |to |culturally |competent |care? |- |
CORRECT |ANSWER-to |convey |respect |for |the |patient's |uniqueness, |discussing |language |preferences, |
educational |material |at |their |level, |address |sensitivity
Which |senses |are |involved |in |sensory |output? |- |CORRECT |ANSWER-visual, |auditory, |olfactory, |
gustatory, |tactile
What |are |the |3 |sensory |perceptual |alterations? |- |CORRECT |ANSWER-sensory |overload/deprivation, |
delirium, |sleep |deprivation
