PCCN: Chapter 1 - Assessment of Progressive Care Patients and Their Families-199 Questions with Complete Solutions

PCCN: Chapter 1 - Assessment of Progressive Care Patients and Their Families-199 Questions with Complete Solutions Why is assessment of acutely ill patients and their families essential? - CORRECT ANSWER information obtained identifies immediate and future needs so a plan of care can be initiated Traditional approaches to Patient Assessment include: - CORRECT ANSWER - include a complete evaluation of patient history - comprehensive physical exam of all body systems Progressive care clinicians must balance: - CORRECT ANSWER -need to gather data -prioritizing and providing care Collection of assessment data is obtained in: - CORRECT ANSWER -phased or staged manner -consistent with pt care priorities What is the crucial element to developing competence in assessing progressive care patients? - CORRECT ANSWER -consistent and systematic approach Discuss the importance of a consistent and systematic approach to assessment of progressive care pt and families? - CORRECT ANSWER - helps avoid missing subtle signs or details that identify actual or potential problem -indicate a pt's changing status Assessments should first focus on (2): - CORRECT ANSWER -patient (focal point of practitioner's attention) -technology (augments info obtained from direct assessment) What are the TWO standard approaches to assessing patients? - CORRECT ANSWER -head-to-toe approach -body systems approach Most progressive care nurses use a (2): - CORRECT ANSWER -combination systems approach -applied in a top-to-bottom manner Assessment of the progressive care patient begins (2) - CORRECT ANSWER -moment nurse aware of pending admission/transfer -continues until transitioning to next phase of care The pre-arrival assessment helps the nurse (3): - CORRECT ANSWER -paint an initial picture - to anticipate physiologic and psychological needs -determine appropriate resources needed The information received in the prearrival phase is crucial because (2): - CORRECT ANSWER -allows nurse to adequately prepare environment -meet specialized needs of pt/family When should the arrival quick check assessment be obtained? - CORRECT ANSWER - immediately upon arrival to the unit What assessment acronym is used in the arrival quick check assessment? - CORRECT ANSWER _"ABCDE" Define what the letters in the assessment acronym, "ABCDE" represent. - CORRECT ANSWER A = Airway B = Breathing C = Circulation, Cerebral Perfusion and Chief Complaint D = Drugs and Diagnostic tests E = Equipment The FOCUS of the quick check assessment is a quick overview of the: - CORRECT ANSWER -adequacy of ventilation and perfusion -to ensure early intervention for life threatening situations -(obtaining a quick overview of the key life-sustaining systems)