NUR 425 EXAM 1 (2026/2027) NEWEST
QUESTIONS AND DETAILED CORRECT ANSWERS |
A+ GRADE VERIFIED ANSWERS
Where do we care for patients that require high acuity care? -
✔✔ANSWER✔✔-an ICU, an intermediate-care unit (IMC), or a medical-surgical
acute care unit
Characteristics of a level 1 ICU - ✔✔ANSWER✔✔-comprehensive care for
patients with a wide variety of conditions
Characteristics of a level 2 ICU - ✔✔ANSWER✔✔-comprehensive care for most
patients, but not specific populations ex. neuro, cardiothoracic, trauma
Characteristics of a level 3 ICU - ✔✔ANSWER✔✔-ability to provide initial
stabilization for critically ill patients but are limited in their care for
comprehensive patients
physical issues and stressors for the acutely ill patient - ✔✔ANSWER✔✔--pain
-lack of sleep: cluster your care
psychological issues and stressors for the acutely ill patient - ✔✔ANSWER✔✔--
powerlessness & helpless ness: patients have no autonomy, they are fed at
certain times, we give meds at certain times etc.
-fear: of the unknown, stress of wondering what is going to happen next.
Exacerbated by lack of sleep and control
,-anxiety: reduce this by good communication and involve them in care
list some issues and stressors for the acutely ill patient - ✔✔ANSWER✔✔--
environmental: not in their own space
-noise
-light
-sensory overload: too much stimuli
-sensory deprivation: not having their normal touch, family interaction ex.
covid patients in isolation rooms
issues and stressors for families - ✔✔ANSWER✔✔--high anxiety
-denial
-anger
-remorse
-grief
illness can heighten/reignite family drama or issues
issues and stressors for the nurse - ✔✔ANSWER✔✔--stressful environment:
long hours, short staffed, the trauma of watching pill ill/ be terminally ill.
Technology
-ethical issues: moral distress, being aware of your own morals and separating
that from the patient's wishes
-implementing evidence based practice: nurse are required to keep up with the
latest science
How do we help the high acuity patient and family cope? - ✔✔ANSWER✔✔-
asses: ask them what they usally do when things arent going well, how do they
usually cope with stress, suggest healthy coping mechanisms
, maintain hope: be careful not to give false reassurance, acknowledge the
situation and explain that you are there for them
true or false: restricted visiting in progressive and intensive care areas are
based on science - ✔✔ANSWER✔✔-false: it is based on tradition and
convenience
explain palliative care - ✔✔ANSWER✔✔-managing symptoms and keeping
patients comfortable. not synonymous with end of life care
explain end of life care - ✔✔ANSWER✔✔-•Many critical care patient deaths
are preceded by withholding or withdrawing life sustaining treatments
what is an advanced directive - ✔✔ANSWER✔✔-a document that lists who the
patient wants to make decisions for them and explains what measures they
want to be taken
things to stress if life support is being withdrawn - ✔✔ANSWER✔✔--care itself
is not being withdrawn
-aggressive palliation will be used to keep the patient comfortable
-*time to death is variable*
how do we manage dyspnea at end of life - ✔✔ANSWER✔✔--opioids :
systemic or IV
-oxygen: may not be use to help them phsically, but it may have a
psychological effec to calm them down and manage their breathing
-benzodiazepines: decrease SOB, alleviate anxiety
-bronchodilators ex. albuterol
QUESTIONS AND DETAILED CORRECT ANSWERS |
A+ GRADE VERIFIED ANSWERS
Where do we care for patients that require high acuity care? -
✔✔ANSWER✔✔-an ICU, an intermediate-care unit (IMC), or a medical-surgical
acute care unit
Characteristics of a level 1 ICU - ✔✔ANSWER✔✔-comprehensive care for
patients with a wide variety of conditions
Characteristics of a level 2 ICU - ✔✔ANSWER✔✔-comprehensive care for most
patients, but not specific populations ex. neuro, cardiothoracic, trauma
Characteristics of a level 3 ICU - ✔✔ANSWER✔✔-ability to provide initial
stabilization for critically ill patients but are limited in their care for
comprehensive patients
physical issues and stressors for the acutely ill patient - ✔✔ANSWER✔✔--pain
-lack of sleep: cluster your care
psychological issues and stressors for the acutely ill patient - ✔✔ANSWER✔✔--
powerlessness & helpless ness: patients have no autonomy, they are fed at
certain times, we give meds at certain times etc.
-fear: of the unknown, stress of wondering what is going to happen next.
Exacerbated by lack of sleep and control
,-anxiety: reduce this by good communication and involve them in care
list some issues and stressors for the acutely ill patient - ✔✔ANSWER✔✔--
environmental: not in their own space
-noise
-light
-sensory overload: too much stimuli
-sensory deprivation: not having their normal touch, family interaction ex.
covid patients in isolation rooms
issues and stressors for families - ✔✔ANSWER✔✔--high anxiety
-denial
-anger
-remorse
-grief
illness can heighten/reignite family drama or issues
issues and stressors for the nurse - ✔✔ANSWER✔✔--stressful environment:
long hours, short staffed, the trauma of watching pill ill/ be terminally ill.
Technology
-ethical issues: moral distress, being aware of your own morals and separating
that from the patient's wishes
-implementing evidence based practice: nurse are required to keep up with the
latest science
How do we help the high acuity patient and family cope? - ✔✔ANSWER✔✔-
asses: ask them what they usally do when things arent going well, how do they
usually cope with stress, suggest healthy coping mechanisms
, maintain hope: be careful not to give false reassurance, acknowledge the
situation and explain that you are there for them
true or false: restricted visiting in progressive and intensive care areas are
based on science - ✔✔ANSWER✔✔-false: it is based on tradition and
convenience
explain palliative care - ✔✔ANSWER✔✔-managing symptoms and keeping
patients comfortable. not synonymous with end of life care
explain end of life care - ✔✔ANSWER✔✔-•Many critical care patient deaths
are preceded by withholding or withdrawing life sustaining treatments
what is an advanced directive - ✔✔ANSWER✔✔-a document that lists who the
patient wants to make decisions for them and explains what measures they
want to be taken
things to stress if life support is being withdrawn - ✔✔ANSWER✔✔--care itself
is not being withdrawn
-aggressive palliation will be used to keep the patient comfortable
-*time to death is variable*
how do we manage dyspnea at end of life - ✔✔ANSWER✔✔--opioids :
systemic or IV
-oxygen: may not be use to help them phsically, but it may have a
psychological effec to calm them down and manage their breathing
-benzodiazepines: decrease SOB, alleviate anxiety
-bronchodilators ex. albuterol
