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Critical Care QUIZ 1

QUIZ 1 Units 1 - 3

QuestionAnswer
Protocols Are more directive and rigid than pathways or guidelines
Practice Guidelines Used as a resource in formulating a pathway or alogorithm
Algorithm a step wise decision making flow chart for a specific care process or processes
Case Management Process of overseeing the care of patients and organizing services is collaboration with the pts physician or pcp
Holistic Care Focuses on human integrity & stresses that the body, mind & spirit are interdependent & inseparable
cultural competance evidenced by incorporating knowledge about bio-cultural, psycho-social & linguistic differences in diverse populations into the pts plan of care
What action can assist the nurse into becoming a better communicator becoming authentic, becoming reflective, becoming mindful
Example of evidenced based nursing care Suctioning endotrachael tube every 2 hours
Autonomy The freedom to make decisions about ones own body
Beneficence Doing good and preventing harm
Fidelity Confidentiality and privacy are inherent in this principle
Justice Often used synonymously with allocation of resources
Nonmaleficence Preventing harm
Veracity Truth telling
Steps in the ethical decision making process Identify the health problem, define the ethical issue, gather additional info, delineate the decision maker, examine ethical and moral issues, explore alternate options, implement decisions, evaluate & modify actions
Ethical Dilema is a situation where there are multiple options and the choice of one compromises the others
Advance directives include living wills and durable powers of attorney for health care
DNR should include Documentation in the chart by the appropriate physician, doc of the pts wishes or family consensus, doc addressing patient prognosis
What is slander oral form of defamation
Res ipsa loquitur means the thing speaks for itself
What are legal duties of the nurse assess the pt and report any changes, carry out all reasonable and prudent physician orders, ensure patient safety, follow hospital policy and procedure, document care provided
the teaching method that allows exchange and feedback btwn the teacher and the learner is called Discussion
Coughing and deep breathing or taking a carotid pulse is best taught using Demonstration
Assessment of ___ and ___ are key components of developing and implementing and education plan ability and readiness to learn
Family members often become anxious while their loved one is in critical care: to lessen the anxiety you should provide them ____ about what to expect Information
Education Plan Development Needs are identified and expected outcomes are written
Assessment: information gathering Actual and potential learning needs are identified
Documentation Interventions and resources are used and recorded in the patients chart
Evaluation How well the learner met the expected outcomes and objectives
Implementation consideration of the learning environment and selection of teaching methods are imp in this step
A patient's pain should be controlled before teaching about discharge planning true
It is pointless to teach a patient that is sedated or with an altered level of consciousness False
All written materials should be composed at the eighth grade reading level False
While in the ICU, it is appropriate to explain the monitor and its function to the alert patient True
From the start, the nurse should point out that the pts stay in the ICU is temporary and emphasize that improvement leads to transfer False
What are important informational requirements of the families of critically ill patients To have questions answered honestly, to know why things are being done, to have explanations they can understand
What indicates a successful teaching session The pt indicates he/she has read the written materials provided, the patient and family appear more relaxed and less anxious
Which of the following are true about older adult learners The process information more slowly
Informal teaching opportunities Can foster patient understanding and well being
What would be appropriate topics to discuss while preparing to transfer the patient to a different level of care When and why the transfer is occurring
The critical care nurse is planning interdisciplinary team conference. What members should be included? Staff nurse, respiratory therapist, case manager, physician, physical therapist
What care management tool is designed to be directive and followed as written Nursing standards
the nurse is working on a flow chart to describe the appropriate application of a new fall risk program based on objective pt assessment. A flow chart would be considered An algorithm
Created by: bmills
 

 



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