Overview Of Critical Care Nursing (Chapters 1-5) Questions With 100% Correct Answers Grade A Certified 2025/26

AACN Certification Corporation oversees - correct answersthe critical care certification process CCRN certification is available for - correct answersnurses who provide care of critically ill adult, pediatric, or neonatal populations CCRN-E credential is available for - correct answersnurses working in the eICUs PCCN is for - correct answersnurses who provide acute care in progressive care, telemetry, and similar units Built Environment - correct answersphysical layout of a critical care unit has a subtle but profound effect on patients, families, and the critical care team Sensory overload could be a result of - correct answersThe noise level alone is enough stimulation to cause a patient discomfort and sleep deprivation, and it is a major factor contributing to sensory overload Sensory deprivation has been connected to an increase in ... and what could decrease this? - correct answers- perceptual disturbances such as hallucinations, especially in older adults - Providing stimulation by interacting with the patient and encouraging visitation of friends and family can decrease its occurrence. Patients in ICU three top stressors - correct answers♣ Being in pain Not being able to sleep Financial worries Family assessment (Calgary family assessment model) three categories - correct answersStructural, Developmental, and Functional Structural Assessment - correct answersdone upon admission, and it identifies immediate family, extended family, and the decision makers Developmental Assessment - correct answersincludes information related to the family's developmental stages, tasks, and attachments Functional Assessment - correct answersreveals how family members function and behave in relation to one another Three cultural questions to be asked - correct answers- What are your specific religious and spiritual practices? - What are your beliefs about illness (and death)? - What is most important to you and your family at this time? The family bundle is based on what 5 concepts - correct answers- evaluate - plan - involve - communicate - support Value pneumonic for communication with family - correct answers• Value what the family tells you • Acknowledge family emotions • Listen to the family members • Understand the patient as a person • Elicit (ask) questions of family members ethical dilemma - correct answersis a difficult problem or situation in which conflict arise during the process of making morally justifiable decisions To identify an ethical dilemma what must be met? - correct answers♣ More than one solution must exist There is no clear "right" or "wrong" Each solution must carry equal weight and must be ethically defensible autonomy - correct answersstates that all persons should be free to govern their lives to the greatest degree possible; this means to respect their freedom of choice and to allow them to make their own Beneficence - correct answersthe duty to provide benefits to others when in a position to do so and to help balance harms and benefits Nonmaleficence - correct answersthe explicit duty to not inflict harm on others intentionally Justice - correct answersrequires that health care resources be distributed fairly and equitably among groups of people Veracity - correct answersstates that persons are obligated to tell the truth in their communication with others Fidelity - correct answersrequires that one has a moral duty to be faithful to the commitments made to others Moral distress - correct answersoccurs when the nurse knows the ethically appropriate action to take but is unable to act on it or when the nurse acts in a manner contrary to personal and professional values Informed Consent - correct answersbased on the principle of autonomy; competent adults have the right to self-determination or to make decisions regarding their acceptance or rejection of treatment What elements must be present for a person to consent or decline treatment - correct answerso Competence o Voluntariness - without coercion o Disclosure of information Competence (or capacity) - correct answersrefers to a person's ability to understand information regarding a proposed medical or nursing treatment; it is a legal term and is determined in court Advanced directive - correct answersWitnessed written document or oral statement in which instructions are given by a person to express desires related to health *care decisions*. The directive may include, but is not limited to, the designation of a health care surrogate, a living will, or an anatomic gift Living will - correct answersA witnessed written document or oral statement voluntarily executed by a person that expresses the person's *instructions concerning life-prolonging procedures* Proxy - correct answersA competent adult who has not been expressly designated to make health care decisions for an incapacitated person, but is authorized by state statute to make health care decisions for the person Surrogate - correct answersA competent adult designated by a person to make health care decisions should that person become incapacitated Do not resuscitate (DNR) order - correct answersA medical order that prohibits the use of cardiopulmonary resuscitation and emergency cardiac care to reverse signs of clinical death. The DNR order may or may not be specified in patients' advance directives Patient Self-Determination Act - correct answersthis act requires that all health care facilities that receive Medicare and Medicaid funding inform their patients about their right to initiate an advanced directive and the right to consent to or refuse medical treatment The American Association of Critical-Care Nurses (AACN) hs developed a framework for dealing with moral distress known as the - correct answers• Ask • Affirm • Assess • Act Palliation - correct answersis the provision of care interventions that are designed to relieve symptoms of illness or injury that negatively affect the quality of life of the patient or family