Purpose: The aim of this assignment is to critically think through each question, provide
rationales for your responses, and deepen your understanding of the simulation scenario to help
you achieve the scenario objectives. This will enhance your decision-making skills, foster a
psychologically safe environment, and maximize your learning during the simulation.
Instructions: Use the following pre-simulation activities and readings to complete the
questions below. Each question must be answered with at least three complete sentences.
Your responses must demonstrate thoughtful and thorough analysis of each question.
Your instructor will review this assignment during the simulation pre-brief.
Objectives of Simulation
Overview: Mary Richards, an 82-year-old female, is a frequent hospital visitor due to hypertension and heart
failure. She was admitted to the Progressive Care Unit (PCU) overnight following a heart failure
exacerbation. Her medical history includes myocardial infarction, hypertension, and congestive heart failure.
Currently, she is receiving oxygen at 4 liters per minute via nasal cannula but continues to experience
shortness of breath, persistent coughing, and exertional dyspnea.
Objectives of the Simulation
1. Perform accurate assessment on a patient with acute decompensated heart failure.
2. Develop an appropriate plan of care for a patient with acute decompensated heart failure
3. Execute appropriately prioritized interventions for a patient with decompensated heart failure.
Pre-Simulation Preparation Activity Where to Find
1. Interactive Case Study: Practice & Learn - Heart CoursePoint +
Failure
2. One Minute Nurse: Heart Failure
3. Watch and Learn: Caring for a Patient with Heart
Failure
4. Concepts in Action: Congestive Heart Failure
Heart Failure Hinkle and Cheever: Brunner and Suddarth's Textbook
of Medical-Surgical Nursing, Fifteenth Edition.
Heart Failure Morton and Thurman: Critical Care Nursing: A Holistic
Approach, Twelfth Edition
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