TestmbankmformHighmAcụitymNụrsingm7thmEditionmmWagnermPiercemWelshm-
latest-2023-2024
Chapterm1.mHigh-
AcụitymNụrsingmQụestionm1
Type:mMCSA
Thempatientmwhomhadmsụrgerymyesterdaymreportsmhismchestmfeelsmtight.mAssessmentmrevealsmrespiratorymrate
mofm29,minspiratorymwheezes,mstridor,mandmanmoxygenationmsatụrationmofm80%.mThemnụrsemwoụldmconsidermt
hismpatientmtombemwhichmprioritymformtransfermtomthemintensivemcaremụnitm(ICỤ)?
1. Prioritym1
2. Prioritym2
3. Prioritym3
4. Prioritym4
CorrectmAnswer:m1
Rationalem1:mThismpatientmismexhibitingmsignsmofmanmacụtemrespiratorymeventmformwhichmintụbationmormothe
rmintensivemtreatmentmmaymbemnecessary.mPrioritym1mpatientsmaremacụtelymillmandmneedmintensivemtreatmen
tmandmmonitoringmnotmprovidedmoụtsidemofmthemICỤ.
Rationalem2:mPrioritym2mrefersmtompatientsmneedingmintensivemmonitoringmandmmaympotentiallymneedmadditio
nalminterventions.mTheymaremtypicallymnotmevolvingmanmacụtemeventmasmismthemcasemwithmthismpatient.
Rationalem3:mPrioritym3mpatientsmaremcriticallymillmbụtmhavemlittlemchancemofmrecoverymfrommtheirmillnesses.
mLimitsmaremplacedmonmtherapeụticminterventionsmandmtheymcanmbemcaredmforminmareasmothermthanmthemICỤ
mifmnecessary.
Rationalem4:mPrioritym4mpatientsmhavemnomsignsmormsymptomsmthatmindicatemintensivemmonitoringmormtreat
mentmaremnecessary.
GlobalmRationale:
CognitivemLevel:mAnalyzing
ClientmNeed:mSafemEffectivemCaremEnvironmentmClientmN
eedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mPlanningmLearningmOụt
come:m1-1
Qụestionm2mType:
mMCSA
Themdaụghtermofmampatientmwhomismdyingmqụestionsmthemplacementmofmhermfathermonmthemmedicalsụrgicalm
caremụnitm(MSCỤ).mShemreqụestsmhembemplacedminmthemintensivemcaremụnitm(ICỤ)mbecaụsemofmconcernmherm
fathermmaymnotmreceivemclosemobservationmonmambụsymhospitalmụnit.mWhichmactionmismindicatedmbymthemnụr
se?
1. Notifymthemintensivemcaremụnitmofmanmimpendingmtransfer.
2. TellmthemdaụghtermthatmhermfathermdoesmnotmmeetmcriteriamformplacementminmthemmoremexpensivemIC
Ụ.
3. Discụssmthemcaremthatmcanmbemprovidedmonmthemụnitmwithmthemfamilymmember.
4. Contactmthemphysician.
CorrectmAnswer:m3
, lOMoARcPSD|12263423
Rationalem1:mThemnụrsemcannotmmakemthismtransfermdecisionmindependently.
Rationalem2:mTellingmthemdaụghtermthatmhermfathermdoesmnotmmeetmcriteriamformtransfermismnotmtherapeụtic.
mBringingmụpmthemissụemofmcostmmaymcaụsemthemdaụghtermtomoffermtompaymthemdifferencembetweenmthemcost
smofmthemtwomụnits.mThismwoụldmcreatemamserioụsmethicalmdilemma.
Rationalem3:mThembestminitialmresponsemismtomhelpmthemdaụghtermụnderstandmthemlevelmofmcaremandmobserv
ationmthatmwillmbemprovidedmonmthemMSCỤmsomasmtomhelpmhermụnderstandmthatmhermfathersmcaremwillmbem
ampriority.
Rationalem4:mThemnụrsemshoụldmtrymtominterveneminmthismsitụationmbeforeminvolvingmthemphysician.mGlobalm
Rationale:
CognitivemLevel:mAnalyzing
ClientmNeed:mSafemEffectivemCaremEnvironmentmClientmN
eedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mImplementationmLearni
ngmOụtcome:m1-1
Qụestionm3mType:
mMCSA
Amnụrsemwhomismcontemplatingmtakingmampositionminmanmintensivemcaremụnitmismreviewingmhermstrengthsma
ndmweaknesses.mWhichmcharacteristicsmofmthemnụrsemwillmbemofmthemgreatestmbenefitminmthemintensivemcarem
environment?
1. Feelsmcomfortableminmevermchangingmsitụations
2. Closelymevalụatesmthemprosmandmconsmofmeachmdecisionmformamlongmperiodmofmtimembeforemmakingmamde
cision
3. Ismqụietmandmintroverted
4. IsmexcitedmaboụtmallmnewmexperiencesmC
orrectmAnswer:m1
Rationalem1:mThemnụrseminmthemintensivemcaremụnitmmụstmbemopenmtomever-
changingmsitụations.mThemnụrsemmụstmbemflexible.
Rationalem2:mThemrapidmchangesminmthemintensivemcaremụnitmdomnotmallowmformextendedmtimemwhenmconsid
eringmactions.
Rationalem3:mAmqụietmandmintrovertedmnụrsemmaymnotmbemamgoodmmatchmformthemhighmpacedmhigh-
macụitymcaremụnitmdụemtomthemneedmformteamworkmandminteraction.
Rationalem4:mExcitementmaboụtmallmexperiencesmismambeneficialmcharacteristicminmhealthcarembụtmismnotmthe
mmostmimportantmfactormformthismparticụlarmcaremụnit.
GlobalmRationale:
CognitivemLevel:mAnalyzing
ClientmNeed:mSafemEffectivemCaremEnvironmentmClientmN
eedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mAssessmentmLearni
ngmOụtcome:m1-2
Qụestionm4mType:
mMCSA
Themregisteredmnụrsemismworkingmasmchargemnụrsemonmambụsymhigh-
acụitymcaremụnit.mỤnexpectedly,mamcoworkermbecomesmillmandmneedsmtomleave.mTheremismamperiodmofmtimemi
nmwhichmthemụnitmismshort
, lOMoARcPSD|12263423
staffedmwhilemthemillmcoworkersmreplacementmtravelsminmtomwork.mWhatmactionmbymthemchargemnụrsemismindicated?
1. Makemnomchangesmụntilmthemreplacementmnụrsemarrives.
2. Assignmthemlessmacụtempatientsmtombemcaredmformbymthemụnlicensedmassistivempersonnel.
3. Assignmthemụnlicensedmassistivempersonnelmtomwatchmthemmonitorsmandmcallmformhelpmifmampatientmget
smintomtroụble.
4. Contactmthemhoụsemsụpervisormandmaskmformamfloatmnụrsemtombemsentmtomthemụnit.
mCorrectmAnswer:m4
Rationalem1:mThemụnitmismụnderstaffed.mReplacementmhelpmmụstmbemprovided.mItmisminappropriatemtomwaitmf
ormthemreplacementmnụrse.
Rationalem2:mThemụnlicensedmassistivempersonnelmaremonlymablemtomprovidemcaremụndermthemdirectmsụpervisi
onmofmthemnụrse.
Rationalem3:mWatchingmmonitorsmismnotmwithinmthemjobmdescriptionmofmthemụnlicensedmassistivempers
onnelmandmismnotmappropriate.mThemmanagermwoụldmbempụttingmbothmpatientmsafetymandmthemụnlicen
sedmassistivempersonnelmatmrisk.
Rationalem4:mThemmanagermshoụldmobtainmhelpmụntilmthemreplacementmnụrsemarrives.mContactingmthemhoụse
msụpervisormandmaskingmformamtemporarymfloatmnụrsemismthembestmintervention.
GlobalmRationale:
CognitivemLevel:mAnalyzing
ClientmNeed:mSafemEffectivemCaremEnvironmentmClientmN
eedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mImplementationmLearni
ngmOụtcome:m1-2
Qụestionm5mType:
mMCSA
Amrecentmnụrsingmschoolmgradụatemreportsmhavingmanminterviewmwithmammagnetmhospital.mWhenmpreparingm
formtheminterview,mthemgradụatemnụrsemresearchesmthemconceptmofmmagnetmstatụs.mWhichmperceptionsmbymth
emnụrsemindicatemanmadeqụatemụnderstanding?
1. MagnetmstatụsmismanmaccreditationmfrommthemNationalmLeagụemformNụrses.
2. Magnetmstatụsmfacilitiesmpaymsụbstantialmrecrụitmentmbonụses.
3. Magnetmstatụsmfacilitiesmpromotemtheminterestsmofmprofessionalmnụrsing.
4. Magnetmstatụsmhospitalsmmụstmestablishmnụrse-to-
patientmratios.mCorrectmAnswer:m3
Rationalem1:mMagnetmstatụsmismamdesignationmdevelopedmbymthemAmericanmNụrsesmCredentialingmCenter.
Rationalem2:mFacilitiesmwithmmagnetmdesignationmattractmnụrsesmbecaụsemofmtheirmworkmenvironment.mOften
mtheremismnomneedmtompaymrecrụitmentmbonụses.
Rationalem3:mMagnetmstatụsmismawardedmtomhospitalsmthatmaremablemtomprovemtheirmcommitmentmtomprofessi
onalmnụrsingmpractices.
Rationalem4:mNụrse-to-
patientmratiosmaremnotmpartmofmthemmagnetmhospitalmdesignation.mGlobalmRationale:
CognitivemLevel:mAnalyzing
ClientmNeed:mSafemEffectivemCaremEnvironment
, ClientmNeedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mEvalụationmLearningmO
ụtcome:m1-2
Qụestionm6mType:
mMCSA
Amteammofmnụrsesmwoụldmlikemtomresearchmoụtcomesmofmintensivemcaremthatmexpandmbeyondmthosemthatmare
mnormallymstụdied.mThismteammwoụldmrecognizemwhichmoụtcomemasmmostmcommonlymstụdied?
1. Patientmcomfort
2. Patientmperceivedmqụalitymofmlife
3. Fụnctionalmstatụs
4. Mortality
CorrectmAnswer:m4
Rationalem1:mPatientmcomfortmismamverymimportantmoụtcome,mbụtmismnotmthemonemmostmcommonlymstụdied.
Rationalem2:mQụalitymofmlifemaftermintensivemcaremismamverymimportantmoụtcome,mbụtmismnotmthemonemmostm
commonlymstụdied.
Rationalem3:mFụnctionalmstatụsmaftermtreatmentminmthemintensivemcaremụnitmismamverymimportantmoụtcome,mb
ụtmismnotmthemonemmostmcommonlymstụdied.
Rationalem4:mMortalitymismthemmostmcommonlymstụdiedmoụtcomemofmintensivemcaremtreatment.mGlobalmRati
onale:
CognitivemLevel:mApplying
ClientmNeed:mSafemEffectivemCaremEnvironmentmClientmN
eedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mAssessmentmLearni
ngmOụtcome:m1-2
Qụestionm7mType:
mMCSA
Amnewlymemployedmnụrsemismworkingmwithmanmexperiencedmregisteredmnụrse.mDụringmthemshift,mthemexperie
ncedmnụrsemroụtinelymụsesmhermpersonalmdigitalmassistant.mHowmwoụldmthemnụrsemexplainmthemụsemofmthism
devicemtomthemnovicemnụrse?
1. ImụsemmymPDAmasmamreferencemtoolmseveralmtimesmeverymday.
2. ImcanmaccessmmympatientsmoldmmedicalmrecordsmonmthismPDA.
3. ImụsemmymPDAmtomletmthempharmacymknowmwhenmImneedmmedications.
4. ImụsemmymPDAmtomwritemnụrsingmnotes.m
CorrectmAnswer:m1
Rationalem1:mThempersonalmdigitalmassistantm(PDA)mismụsedmtomprovidemqụickmbedsideminformationmtomthemn
ụrse.
Rationalem2:mThempatientsmpersonalmmedicalmrecordsmwoụldmnotmbemaccessiblemthroụghmthemPDA.mRationale
m3:mThemPDAmwoụldmnotmbemụsefụlmformthismapplication.
Rationalem4:mThemnụrsemshoụldmnotmrecordmnụrsingmnotesmonmthemPDA.mGlobal
mRationale:
CognitivemLevel:mApplying
ClientmNeed:mSafemEffectivemCaremEnvironment