CRITICAL CARE NURSING 9TH EDITION
COMPREHENSIVE SOLVED QUESTIONS AND
COMPLETE ANSWERS
◉ What percentage of Americans will die in a hospital?
Answer: Approximately 35%.
◉ What is the recommended tool for monitoring delirium in ICU
patients?
Answer: The Confusion Assessment Method for ICU (CAM-ICU).
◉ What are the physiological responses to sensory overload?
Answer: Changes in RAS, irritability, increased gastric secretions,
increased blood glucose, and changes in heart rate and blood
pressure.
◉ What is the most significant sensory deprivation in ICU patients?
Answer: Lack of human touch.
◉ What are the effects of sensory deprivation in ICU patients?
Answer: Can lead to depression, anxiety, delusions, hallucinations,
and combative behavior.
,◉ What nursing interventions can help improve communication
with ICU patients?
Answer: Explain all aspects of care, use communication boards, and
identify alternatives to verbal communication.
◉ What is the role of family involvement in the care of ICU patients?
Answer: Family members can help reduce anxiety and provide
emotional support.
◉ What should be done to ensure patient safety in ICU delirium?
Answer: Ensure patients do not harm themselves and monitor using
validated assessment instruments.
◉ What percentage of Americans will die in a hospital or long-term
care facility?
Answer: Nearly 70% according to CDC 2020.
◉ What is the disease burden comparison between the US and
comparable countries?
Answer: The disease burden is higher in the US than in comparable
countries (KFF 2023).
, ◉ What percentage of adults in America had an advance directive in
2017?
Answer: About 37%.
◉ Why do families need help during end-of-life care?
Answer: Families need advocacy, information, and advisement for
loved ones without advance directives.
◉ What is the impact of family presence during resuscitation
efforts?
Answer: It yields positive outcomes for both the family and
providers.
◉ What percentage of critical care units allow family presence
during resuscitation?
Answer: Only 5% of units have a policy in place for this.
◉ What is a key aspect of having family present during
resuscitation?
Answer: A family facilitator.
◉ What are the three interrelated components of the cardiovascular
system that affect shock?
Answer: The heart, vascular tone, and blood volume.
COMPREHENSIVE SOLVED QUESTIONS AND
COMPLETE ANSWERS
◉ What percentage of Americans will die in a hospital?
Answer: Approximately 35%.
◉ What is the recommended tool for monitoring delirium in ICU
patients?
Answer: The Confusion Assessment Method for ICU (CAM-ICU).
◉ What are the physiological responses to sensory overload?
Answer: Changes in RAS, irritability, increased gastric secretions,
increased blood glucose, and changes in heart rate and blood
pressure.
◉ What is the most significant sensory deprivation in ICU patients?
Answer: Lack of human touch.
◉ What are the effects of sensory deprivation in ICU patients?
Answer: Can lead to depression, anxiety, delusions, hallucinations,
and combative behavior.
,◉ What nursing interventions can help improve communication
with ICU patients?
Answer: Explain all aspects of care, use communication boards, and
identify alternatives to verbal communication.
◉ What is the role of family involvement in the care of ICU patients?
Answer: Family members can help reduce anxiety and provide
emotional support.
◉ What should be done to ensure patient safety in ICU delirium?
Answer: Ensure patients do not harm themselves and monitor using
validated assessment instruments.
◉ What percentage of Americans will die in a hospital or long-term
care facility?
Answer: Nearly 70% according to CDC 2020.
◉ What is the disease burden comparison between the US and
comparable countries?
Answer: The disease burden is higher in the US than in comparable
countries (KFF 2023).
, ◉ What percentage of adults in America had an advance directive in
2017?
Answer: About 37%.
◉ Why do families need help during end-of-life care?
Answer: Families need advocacy, information, and advisement for
loved ones without advance directives.
◉ What is the impact of family presence during resuscitation
efforts?
Answer: It yields positive outcomes for both the family and
providers.
◉ What percentage of critical care units allow family presence
during resuscitation?
Answer: Only 5% of units have a policy in place for this.
◉ What is a key aspect of having family present during
resuscitation?
Answer: A family facilitator.
◉ What are the three interrelated components of the cardiovascular
system that affect shock?
Answer: The heart, vascular tone, and blood volume.