NR 341 WEEK 1: COMPLEX ADULT HEALTH CARE
STRATEGIES
1. What impact does the critical care environment have on clients and their @#$%^&*
loved
ones?ANSWER It can increase stress and anxiety due to loss of privacy and separa-
()_
tion.
2. What is one solution to lessen the negative impact of the physical environ- ment in
critical care?ANSWER Orient clients and families to the equipment used for care to
reduce stress and bewilderment.
3. How can artificial lighting affect clients in a critical care environment?ANSWER
It interferes with natural circadian rhythms, increasing disorientation and
agitation.
4. What is a recommended solution for managing noise in a critical care
setting?ANSWER Tailor device alarms to each client's needs to reduce false alarms
and establish quiet time.
5. What are some causes of sensory deprivation in critically ill clients?ANSWER Sep-
aration from loved ones, pain medications, sedation, being away from home, and loss
of routine.
6. What is the EPICS Family Bundle?ANSWER An evidence-based approach to
involving family in the care of critically ill clients to enhance coping.
7. What does the 'E' in EPICS stand for?ANSWER EvaluateANSWER Assess family
background, relationship to client, stressors, coping skills, and needs.
8. What does the 'P' in EPICS stand for?ANSWER PlanANSWER Determine how to
meet family needs and extent of participation.
9. What does the 'I' in EPICS stand for?ANSWER InvolveANSWER Include family
members in care, invite suggestions, and personalize the environment.
10. What does the 'C' in EPICS stand for?ANSWER CommunicateANSWER Provide
honest infor- mation, encourage conversation, and facilitate communication.
11. What does the 'S' in EPICS stand for?ANSWER SupportANSWER Advocate for the
family, offer assistance, and mediate concerns with the healthcare team.
12. What is the first step in responding to alarms in a critical care setting?ANSWER -
Assess the client's level of consciousness and activity.
,13. What should be checked after assessing the client's consciousness in response
to an alarm?ANSWER Check the endotracheal tube.
14. What should be observed during ventilation when responding to alarms?-
ANSWER The rise and fall of the chest.
15. What should be felt for after assessing the endotracheal tube?ANSWER The carotid
pulse.
16. What should be checked regarding alarms after assessing the client?ANSWER -
Check the ventilator alarm and address any issues as needed.
17. What is the importance of having a clock and calendar visible to the
client?ANSWER To help reorient the client to time and place.
,18. What should be done to personalize the environment for critically ill
clients?ANSWER Allow family to bring meaningful objects from home and place them
where visible.
19. How can family involvement impact the care of critically ill clients?ANSWER
It enhances coping for family members and provides structured steps for nurses.
20. What is one way to reduce the overwhelming nature of the physical envi-
ronment in critical care?ANSWER Increase natural lighting in the room and allow
clients to see outside.
21. What should be done to ensure a clear environment in a critical care
setting?ANSWER Keep wires and tubing untangled and out of the way.
22. How can family members be encouraged to interact with the client?ANSWER En-
courage them to speak and touch the client when present.
23. What is a key aspect of supporting families in critical care?ANSWER
Providing resources and showing concern for their needs.
24. What is the first step in assessing a client?ANSWER Assess the level of conscious-
ness and activity.
25. What does ABC stand for in client assessment?ANSWER Airway, Breathing,
Circula- tion.
26. What should be checked regarding the airway during assessment?ANSWER Ensure
the endotracheal tube is in place and connected to the ventilator tubing.
27. How can you assess breathing in a client?ANSWER Check if the client's chest
rises and falls with ventilation.
28. What indicates circulation during a client assessment?ANSWER Presence of a
carotid pulse.
29. What should be done after assessing the client?ANSWER Check the ventilator
alarm and address any issues.
30. What is the next priority after the ventilator alarm?ANSWER The telemetry alarm
31. What communication strategy is emphasized by TeamSTEP PS?ANSW
ER ISBAR
).
, (Introduction, Situation, Background, Assessment, Recommendation
32. In what situations should ISBAR be used?ANSWER Giving reports, between
shifts, transfers, medical emergencies, and communication with healthcare team
mem- bers.
33. What is the purpose of a Call-Out in emergency situations?ANSWER To
communi- cate critical information and prepare the team for next steps.
34. What is an example of a Call-Out?ANSWER Reporting vital signs during a code,
such as 'Blood pressure 78/40, heart rate 167'.
35. What is the Call-Back communication strategy?ANSWER A closed loop strategy
to verify and validate information exchanged.
STRATEGIES
1. What impact does the critical care environment have on clients and their @#$%^&*
loved
ones?ANSWER It can increase stress and anxiety due to loss of privacy and separa-
()_
tion.
2. What is one solution to lessen the negative impact of the physical environ- ment in
critical care?ANSWER Orient clients and families to the equipment used for care to
reduce stress and bewilderment.
3. How can artificial lighting affect clients in a critical care environment?ANSWER
It interferes with natural circadian rhythms, increasing disorientation and
agitation.
4. What is a recommended solution for managing noise in a critical care
setting?ANSWER Tailor device alarms to each client's needs to reduce false alarms
and establish quiet time.
5. What are some causes of sensory deprivation in critically ill clients?ANSWER Sep-
aration from loved ones, pain medications, sedation, being away from home, and loss
of routine.
6. What is the EPICS Family Bundle?ANSWER An evidence-based approach to
involving family in the care of critically ill clients to enhance coping.
7. What does the 'E' in EPICS stand for?ANSWER EvaluateANSWER Assess family
background, relationship to client, stressors, coping skills, and needs.
8. What does the 'P' in EPICS stand for?ANSWER PlanANSWER Determine how to
meet family needs and extent of participation.
9. What does the 'I' in EPICS stand for?ANSWER InvolveANSWER Include family
members in care, invite suggestions, and personalize the environment.
10. What does the 'C' in EPICS stand for?ANSWER CommunicateANSWER Provide
honest infor- mation, encourage conversation, and facilitate communication.
11. What does the 'S' in EPICS stand for?ANSWER SupportANSWER Advocate for the
family, offer assistance, and mediate concerns with the healthcare team.
12. What is the first step in responding to alarms in a critical care setting?ANSWER -
Assess the client's level of consciousness and activity.
,13. What should be checked after assessing the client's consciousness in response
to an alarm?ANSWER Check the endotracheal tube.
14. What should be observed during ventilation when responding to alarms?-
ANSWER The rise and fall of the chest.
15. What should be felt for after assessing the endotracheal tube?ANSWER The carotid
pulse.
16. What should be checked regarding alarms after assessing the client?ANSWER -
Check the ventilator alarm and address any issues as needed.
17. What is the importance of having a clock and calendar visible to the
client?ANSWER To help reorient the client to time and place.
,18. What should be done to personalize the environment for critically ill
clients?ANSWER Allow family to bring meaningful objects from home and place them
where visible.
19. How can family involvement impact the care of critically ill clients?ANSWER
It enhances coping for family members and provides structured steps for nurses.
20. What is one way to reduce the overwhelming nature of the physical envi-
ronment in critical care?ANSWER Increase natural lighting in the room and allow
clients to see outside.
21. What should be done to ensure a clear environment in a critical care
setting?ANSWER Keep wires and tubing untangled and out of the way.
22. How can family members be encouraged to interact with the client?ANSWER En-
courage them to speak and touch the client when present.
23. What is a key aspect of supporting families in critical care?ANSWER
Providing resources and showing concern for their needs.
24. What is the first step in assessing a client?ANSWER Assess the level of conscious-
ness and activity.
25. What does ABC stand for in client assessment?ANSWER Airway, Breathing,
Circula- tion.
26. What should be checked regarding the airway during assessment?ANSWER Ensure
the endotracheal tube is in place and connected to the ventilator tubing.
27. How can you assess breathing in a client?ANSWER Check if the client's chest
rises and falls with ventilation.
28. What indicates circulation during a client assessment?ANSWER Presence of a
carotid pulse.
29. What should be done after assessing the client?ANSWER Check the ventilator
alarm and address any issues.
30. What is the next priority after the ventilator alarm?ANSWER The telemetry alarm
31. What communication strategy is emphasized by TeamSTEP PS?ANSW
ER ISBAR
).
, (Introduction, Situation, Background, Assessment, Recommendation
32. In what situations should ISBAR be used?ANSWER Giving reports, between
shifts, transfers, medical emergencies, and communication with healthcare team
mem- bers.
33. What is the purpose of a Call-Out in emergency situations?ANSWER To
communi- cate critical information and prepare the team for next steps.
34. What is an example of a Call-Out?ANSWER Reporting vital signs during a code,
such as 'Blood pressure 78/40, heart rate 167'.
35. What is the Call-Back communication strategy?ANSWER A closed loop strategy
to verify and validate information exchanged.
