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Critical Care QUIZ 1
QUIZ 1 Units 1 - 3
| Question | Answer |
|---|---|
| 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 |