HIGH ACUITY EXAM 1 QUESTIONS WITH APPROVED ANSWERS
Which cstatement cabout cintermediate-care cunits cis ccorrect
A) cThey care coutdated cand cshould cnot cbe cused
B) cThey care clabor cintensive cand cnot ccost ceffective
C) cThey cprovide can cefficient cdistribution cof cresources
D) cThey care creserved cfor cpts cwith clife-threatening cillnesses c- cCORRECT cANS✔✔C) cThey cprovide can cefficient cdistribution cof
cresources
Which cpriority clevel cindicates cthat cthe cpatient cis cacutely cill cand cunstable cand crequires cintensive ctreatment cand cmonitoring
cthat ccannot cbe cprovided coutside cthe cICU c
A) cPriority c1
B) cPriority c2
C) cPriority c3
D) cPriority c4 c- cCORRECT cANS✔✔A) cPriority c1
Which cfactor chas cbeen cshown cto creduce cmortality cand clife-threatening ccomplications cin cthe chospitalized cpatient?
A) ca cnurse cpatient cratio c1:2
B) cConstant csurveillance cof cpatients cby cnurses
C) cHigh ctechnology cICUs
D) cIMCs c- cCORRECT cANS✔✔B) cConstant csurveillance cof cpatients cby cnurses
A chospital cwith can cICU cthat chas cthe ccapability cof cproviding ccomprehensive ccare cto cmost ccritically cill cpts cbut cnot cto ctrauma
cpts cmeets cthe ccriteria cfor cwhich clevel cICU
A) cI
B) cII
C) cIII
D) cIV c- cCORRECT cANS✔✔B) cII
Which cstatement cis caccurate cconcerning cunlicensed cassistive cpersonnel c(UAP)?
A) cUAP cmay cnot cwork cin chigh-acuity cenvironments
B) cUAP cmay cwork cindependently cas clong cas cthey cnotify cthe cRN cat cthe cend cof ctheir cshifts
C) cUAP cperform conly cthose ctasks cdelegated cto cthem cby ca cprofessional cnurse
D) cUAP cmay cobtain ca cpatient chealth chistory c- cCORRECT cANS✔✔C) cUAP cperform conly cthose ctasks cdelegated cto cthem cby
ca cprofessional cnurse
What cdoes cthe cdesignation cof cMagnet cstatus cindicate?
A) cThe chospital cuses cUAP cto cdeliver cmost cnursing ccare
B) cThe chospital cuses cpractice cmodels cthat cpromote cprofessional cnursing
C) cThe chospital chas clow cnurse-patient cratios
D) cThe chospital cis cnot ca cdesirable cplace cfor cprofessional cnurses cto cwork c- cCORRECT cANS✔✔B) cThe chospital cuses
cpractice cmodels cthat cpromote cprofessional cnursing
According cto csome, cICU cresources cshould cbe cused cfor cwhich cpatients?
A) cThose cwith ccancer
B) cThose cof cadvanced cage
C) cThose cwith cDNR corders
D) cThose cwho chave cthe cgreatest cpossibility cof cbenefiting c- cCORRECT cANS✔✔D) cThose cwho chave cthe cgreatest cpossibility
cof cbenefiting
Which cstatement cis ccorrect cregarding cthe cimprovement cof cthe cdeath cand cdying cexperience
A) cIt cis ca cgoal cof cmodern cmedicine
B) cIt cis cthe csole cresponsibility cof cthe chigh-acuity cnurse.
,C) cIt cis cnot ca cstandard cof ccare cin chigh-acuity cunits
D) cIt cis cthe csole cresponsibility cof cthe cpalliative ccare cteam c- cCORRECT cANS✔✔A) cIt cis ca cgoal cof cmodern cmedicine
What care cthe chazards cinherent cin cthe cuse cof ctechnology c(Select call cthat capply)
A) cFragmenting cpatients cinto csubpopulations
B) cIncreasing cthe cnurse's cstress clevel
C) cAllowing cmore ctime cfor cpatient ccontact
D) cMaking cthe cpatient coverdependent con cmonitoring cequipment c- cCORRECT cANS✔✔A) cFragmenting cpatients cinto
csubpopulations
B) cIncreasing cthe cnurse's cstress clevel
Which cstatements care ccorrect cregarding cthe cuse cof ctechnical cdevices cin chigh-acuity ccare? c(Select call cthat capply)
A) cThey cpresent cmechanical cimpediments cto ctouching
B) cThey care cusually cwell caccepted cby cpatients
C) cThey cmay cevoke cfear cin cpatients
D) cThey clead cto ca cfeeling cof cdepersonalization c- cCORRECT cANS✔✔A) cThey cpresent cmechanical cimpediments cto ctouching
C) cThey cmay cevoke cfear cin cpatients
D) cThey clead cto ca cfeeling cof cdepersonalization
What cshould cthe cnurse cuse cto cvalidate cthe ctechnologic cdata?
A) cNursing cassessment cdata
B) cThe chealthcare cprovider
C) cOther ctechnologic cdata
D) cAnother cnurse c- cCORRECT cANS✔✔A) cNursing cassessment cdata
What cshould cbe cthe cfocus cof cthe ccare cof cthe chigh-acuity cpatient?
A) cBedside cmachines
B) cIndividual cpatient cneeds
C) cThe calarms con cthe cmachines
D) cThe cnurse's cneeds c- cCORRECT cANS✔✔B) cIndividual cpatient cneeds
What care cthe ccomponents cof ca chealthy cwork cenvironment? c(Select call cthat capply)
A) cTrue ccollaboration
B) cAppropriate cstaffing
C) cAuthentic cleadership
D) cIndividual cpriorities c- cCORRECT cANS✔✔A) cTrue ccollaboration
B) cAppropriate cstaffing
C) cAuthentic cleadership
Which cfactors ccan chelp cbuffer cthe cnegative ceffects cof cstress c(select call cthat capply)
A) cEnvironmental cuncertainty
B) cPositive csocial cclimate
C) cManagerial csupport
D) cCohesiveness camong cstaff c- cCORRECT cANS✔✔B) cPositive csocial cclimate
C) cManagerial csupport
D) cCohesiveness camong cstaff
CISDs ccan cbe cused cfor cwhich cpurposes? c(Select call cthat capply)
A) cAssess chigh cacuity cpatients
B) cHelp cfamilies ccope cwith cstress
C) cAddress cstaff csymptoms cof cstress
D) cProvide cstaff cwith ca csense cof cclosure c- cCORRECT cANS✔✔C) cAddress cstaff csymptoms cof cstress
D) cProvide cstaff cwith ca csense cof cclosure
The cterm cburnout crefers cto cwhich cfeelings? c(Select call cthat capply)
A) cPersonal cand cprofessional cfrustration
B) cLoss cof cself-esteem
C) cPhysical cand cemotional cexertion
D) cJob cdissatisfaction c- cCORRECT cANS✔✔A) cPersonal cand cprofessional cfrustration
C) cPhysical cand cemotional cexertion
D) cJob cdissatisfaction
What cdo cthe ccurrent cpatient csafety cand chealthy cwork cenvironment ccultures cin cthe chigh cacuity cenvironment cpromote?
A) cAn cincrease cin cerror creporting cand csystems cimprovement
B) cA cdecrease cin cerror creporting
C) cA cculture cof cblame
D) cThe cfailure cto cpublicly cdisclose cmedical cerrors c- cCORRECT cANS✔✔A) cAn cincrease cin cerror creporting cand csystems
cimprovement
Which cfactors ccontribute cto cmedical cerros?
A) cStaffing cratios
B) cOvertime
C) cExcessive cdocumentation
D) cSpecialty ccertification c- cCORRECT cANS✔✔A) cStaffing cratios
B) cOvertime
, C) cExcessive cdocumentation
What cmust cbe cdone cto censure cpatient csafety cbefore ca cpercutaneous ctracheostomy cis cplace cat cthe cbedside?
A) cOne cperson cshould cconfirm cthe corder
B) cThe ccorrect cpatient, csite, cand cprocedure cshould cbe cidentified cduring ca ctime-out
C) cTwo cpeople cshould cconfirm cthe corder
D) cVisitors cshould cbe casked cto cleave cthe croom c- cCORRECT cANS✔✔B) cThe ccorrect cpatient, csite, cand cprocedure cshould cbe
cidentified cduring ca ctime-out
What cis cthe cproper cprocedure cto censure cpatient csafety cwhen cthe cnurse cis cpreparing ca cmedication cthat cwill cbe cadministered
cto cthe cpatient cby canother cperson? c(select call cthat capply)
A) cThis cshould cnever cbe cdone
B) cConfirm cthe corder cwith cthe cHCP
C) cLabels cshould cbe cverbally cverified cby cthe ctwo chealthcare cproviders
D) cLabels cshould cbe cvisually cverified cby cthe ctwo chealthcare cproviders c- cCORRECT cANS✔✔C) cLabels cshould cbe cverbally
cverified cby cthe ctwo chealthcare cproviders
D) cLabels cshould cbe cvisually cverified cby cthe ctwo chealthcare cproviders
RM cis ca c64-year-old cwith cstage c4 cmetastatic ccolon ccancer. cShe cpresents cto cthe cemergency cdepartment cwith cshortness cof
cair. cA cchest cx-ray creveals cright clower clobe cpneumonia. cShe cis cadmitted cto cthe chospital. cShe chas cadvance cdirectives cthat
cinclude cno cintubation cor cCPR.
1. cIs cRM ca ccandidate cfor cadmission cto cthe cICU? cWhy cor cwhy cnot? c- cCORRECT cANS✔✔Answer: cOncology cpatients care
coften cstereotyped cas cunsuitable ccandidates cfor caggressive ctreatment, cbut cthese cpatients cshould cnot cbe cdenied ccare. cThey
cfrequently cbecome cacutely cill. cEven cduring ctheir cfinal chours, chigh-acuity ccare cmay cbe cappropriate cbecause cintensive cefforts
cmay cbe crequired cto censure cthat csuffering cis cminimized.
RM cis ca c64-year-old cwith cstage c4 cmetastatic ccolon ccancer. cShe cpresents cto cthe cemergency cdepartment cwith cshortness cof
cair. cA cchest cx-ray creveals cright clower clobe cpneumonia. cShe cis cadmitted cto cthe chospital. cShe chas cadvance cdirectives cthat
cinclude cno cintubation cor cCPR.
Using cthe cSCCM cprioritization cmodel, cidentify cthe cpatient's cpriority clevel cfor cICU cplacement. c- cCORRECT cANS✔✔Answer:
cPriority c3. cShe chas ca creduced clikelihood cof crecovery cbecause cof cthe cmetastatic ccolon ccancer. cShe cmay creceive coxygen
cand cantibiotics cto crelieve cthe cshortness cof cbreath cand ctreat cthe cpneumonia. cAdditionally, cshe chas cadvance cdirectives.
cPriorities c1 cand c2 cinclude cpatients cfor cwhom cthere care cno climits con cthe cextent cof cintended cinterventions. cThe cpatient cis
cnot ca cpriority c4 cat cthis ctime cbecause cshe cdoes cnot chave ca cterminal cillness; cshe cis cnot cfacing cimmediate cdeath.
CASE c2: cA cpatient cwith ca chistory cof cnew-onset cseizures cis cadmitted cto ca cLevel cIII cICU. cA cdiagnosis cof cbrain ctumor cis
cmade cand csurgery cwill cbe crequired. cThe chealth ccare cprovider c(HCP) cinforms cthe cpatient cthat che cneeds cto cbe ctransferred
cto canother chospital cthat chas ca cLevel cI cICU. c
1. cAfter cthe cHCP cleaves cthe croom, cthe cpatient csays che cdoesn't cunderstand cwhy che cneeds cto cbe ctransferred. cAs chis cnurse,
cexplain cthe creason cfor cthe cneed cfor ctransfer. c- cCORRECT cANS✔✔Answer: cLevel cIII cICUs ccan cprovide ccare cfor cpatients
cwho crequire cinitial cstabilization cand croutine cmonitoring, cbut cthey care climited cin ctheir cability cto cprovide ccomprehensive ccare
cfor call cpatients. cLevel cI cICUs chave cspecially ctrained cneurosurgeons cand cnurses cand cneurosurgical cICUs. cThey calso chave
cspecial cequipment cthat cmay cbe cneeded cfor cneurosurgical cpatients. cComprehensive csupport cservices care calso cavailable.
CASE c3: cYou cwould clike cto cwork cin ca chigh-acuity cunit cthat chas ca chealthy cwork cenvironment cthat csupports cquality cpatient
ccare cand chigh clevels cof cnurse csatisfaction. cYou care caware cof cthe csix cstandards cidentified cby cAACN cthat care ccritical cto
ccreating cand csustaining ca chealthy cwork cenvironment. c
1. cProvide cat cleast cone cexample cof chow cyou cmight csee ceach cof cthe csix cstandards coperationalized cin cthe chigh-acuity cunit. c-
cCORRECT cANS✔✔Skilled ccommunication c
• cThere cis ca cuniform cchange-of-shift creport.
• cNurses cuse ca cstructured cformat cto ccommunicate cchanges cin cpatient ccondition cto cHCPs.
• cThere cis copen ccommunication cduring cchange-of-shift creport cand ctime cto cask cand canswer cquestions.
• cThe cunit chas ca ccode cof cconduct, cand cvalues cand cexpectations care cclear.
• cThere cis ca cmonthly cunit cnewsletter.
True ccollaboration c
• cMultidisciplinary cpatient ccare crounds care cheld.
• cThe cword c"we" cis cused cduring crounds cto cidentify cpatient cgoals.
• cNurses ccollaborate cwith ceach cother con ccomplex cpatient ccare cissues.
• cThere cis ca cmultidisciplinary cprocess cimprovement cteam.
• cThere cis ca ctime-out cpolicy cfor cinvasive cprocedures.
• cRNs cfeel crespected.
Effective cdecision cmaking c
• cNurses care cmembers cof ckey cmultidisciplinary cunit ccommittees.
• cUnit-based ccouncils care cchaired cby cstaff cnurses.
• cThere cis ca cmechanism cfor cstaff cnurses cto cvoice copinions con chow ccare cin cthe cunit ccan cbe cimproved.
Appropriate cstaffing c
• cThere care cstaffing cpolicies cthat care cfairly cadministered.
• cThere cis cevidence cthat cpatient cneeds care cmatched cwith cnurse ccompetencies.
• cStaff cnurses cactively cparticipate cin cplanning cstaffing cneeds.
Meaningful crecognition c
• cThere ca crecognition cprogram, csuch cas ca c"Nurse cHero cof cthe cMonth" cbulletin cboard.
Which cstatement cabout cintermediate-care cunits cis ccorrect
A) cThey care coutdated cand cshould cnot cbe cused
B) cThey care clabor cintensive cand cnot ccost ceffective
C) cThey cprovide can cefficient cdistribution cof cresources
D) cThey care creserved cfor cpts cwith clife-threatening cillnesses c- cCORRECT cANS✔✔C) cThey cprovide can cefficient cdistribution cof
cresources
Which cpriority clevel cindicates cthat cthe cpatient cis cacutely cill cand cunstable cand crequires cintensive ctreatment cand cmonitoring
cthat ccannot cbe cprovided coutside cthe cICU c
A) cPriority c1
B) cPriority c2
C) cPriority c3
D) cPriority c4 c- cCORRECT cANS✔✔A) cPriority c1
Which cfactor chas cbeen cshown cto creduce cmortality cand clife-threatening ccomplications cin cthe chospitalized cpatient?
A) ca cnurse cpatient cratio c1:2
B) cConstant csurveillance cof cpatients cby cnurses
C) cHigh ctechnology cICUs
D) cIMCs c- cCORRECT cANS✔✔B) cConstant csurveillance cof cpatients cby cnurses
A chospital cwith can cICU cthat chas cthe ccapability cof cproviding ccomprehensive ccare cto cmost ccritically cill cpts cbut cnot cto ctrauma
cpts cmeets cthe ccriteria cfor cwhich clevel cICU
A) cI
B) cII
C) cIII
D) cIV c- cCORRECT cANS✔✔B) cII
Which cstatement cis caccurate cconcerning cunlicensed cassistive cpersonnel c(UAP)?
A) cUAP cmay cnot cwork cin chigh-acuity cenvironments
B) cUAP cmay cwork cindependently cas clong cas cthey cnotify cthe cRN cat cthe cend cof ctheir cshifts
C) cUAP cperform conly cthose ctasks cdelegated cto cthem cby ca cprofessional cnurse
D) cUAP cmay cobtain ca cpatient chealth chistory c- cCORRECT cANS✔✔C) cUAP cperform conly cthose ctasks cdelegated cto cthem cby
ca cprofessional cnurse
What cdoes cthe cdesignation cof cMagnet cstatus cindicate?
A) cThe chospital cuses cUAP cto cdeliver cmost cnursing ccare
B) cThe chospital cuses cpractice cmodels cthat cpromote cprofessional cnursing
C) cThe chospital chas clow cnurse-patient cratios
D) cThe chospital cis cnot ca cdesirable cplace cfor cprofessional cnurses cto cwork c- cCORRECT cANS✔✔B) cThe chospital cuses
cpractice cmodels cthat cpromote cprofessional cnursing
According cto csome, cICU cresources cshould cbe cused cfor cwhich cpatients?
A) cThose cwith ccancer
B) cThose cof cadvanced cage
C) cThose cwith cDNR corders
D) cThose cwho chave cthe cgreatest cpossibility cof cbenefiting c- cCORRECT cANS✔✔D) cThose cwho chave cthe cgreatest cpossibility
cof cbenefiting
Which cstatement cis ccorrect cregarding cthe cimprovement cof cthe cdeath cand cdying cexperience
A) cIt cis ca cgoal cof cmodern cmedicine
B) cIt cis cthe csole cresponsibility cof cthe chigh-acuity cnurse.
,C) cIt cis cnot ca cstandard cof ccare cin chigh-acuity cunits
D) cIt cis cthe csole cresponsibility cof cthe cpalliative ccare cteam c- cCORRECT cANS✔✔A) cIt cis ca cgoal cof cmodern cmedicine
What care cthe chazards cinherent cin cthe cuse cof ctechnology c(Select call cthat capply)
A) cFragmenting cpatients cinto csubpopulations
B) cIncreasing cthe cnurse's cstress clevel
C) cAllowing cmore ctime cfor cpatient ccontact
D) cMaking cthe cpatient coverdependent con cmonitoring cequipment c- cCORRECT cANS✔✔A) cFragmenting cpatients cinto
csubpopulations
B) cIncreasing cthe cnurse's cstress clevel
Which cstatements care ccorrect cregarding cthe cuse cof ctechnical cdevices cin chigh-acuity ccare? c(Select call cthat capply)
A) cThey cpresent cmechanical cimpediments cto ctouching
B) cThey care cusually cwell caccepted cby cpatients
C) cThey cmay cevoke cfear cin cpatients
D) cThey clead cto ca cfeeling cof cdepersonalization c- cCORRECT cANS✔✔A) cThey cpresent cmechanical cimpediments cto ctouching
C) cThey cmay cevoke cfear cin cpatients
D) cThey clead cto ca cfeeling cof cdepersonalization
What cshould cthe cnurse cuse cto cvalidate cthe ctechnologic cdata?
A) cNursing cassessment cdata
B) cThe chealthcare cprovider
C) cOther ctechnologic cdata
D) cAnother cnurse c- cCORRECT cANS✔✔A) cNursing cassessment cdata
What cshould cbe cthe cfocus cof cthe ccare cof cthe chigh-acuity cpatient?
A) cBedside cmachines
B) cIndividual cpatient cneeds
C) cThe calarms con cthe cmachines
D) cThe cnurse's cneeds c- cCORRECT cANS✔✔B) cIndividual cpatient cneeds
What care cthe ccomponents cof ca chealthy cwork cenvironment? c(Select call cthat capply)
A) cTrue ccollaboration
B) cAppropriate cstaffing
C) cAuthentic cleadership
D) cIndividual cpriorities c- cCORRECT cANS✔✔A) cTrue ccollaboration
B) cAppropriate cstaffing
C) cAuthentic cleadership
Which cfactors ccan chelp cbuffer cthe cnegative ceffects cof cstress c(select call cthat capply)
A) cEnvironmental cuncertainty
B) cPositive csocial cclimate
C) cManagerial csupport
D) cCohesiveness camong cstaff c- cCORRECT cANS✔✔B) cPositive csocial cclimate
C) cManagerial csupport
D) cCohesiveness camong cstaff
CISDs ccan cbe cused cfor cwhich cpurposes? c(Select call cthat capply)
A) cAssess chigh cacuity cpatients
B) cHelp cfamilies ccope cwith cstress
C) cAddress cstaff csymptoms cof cstress
D) cProvide cstaff cwith ca csense cof cclosure c- cCORRECT cANS✔✔C) cAddress cstaff csymptoms cof cstress
D) cProvide cstaff cwith ca csense cof cclosure
The cterm cburnout crefers cto cwhich cfeelings? c(Select call cthat capply)
A) cPersonal cand cprofessional cfrustration
B) cLoss cof cself-esteem
C) cPhysical cand cemotional cexertion
D) cJob cdissatisfaction c- cCORRECT cANS✔✔A) cPersonal cand cprofessional cfrustration
C) cPhysical cand cemotional cexertion
D) cJob cdissatisfaction
What cdo cthe ccurrent cpatient csafety cand chealthy cwork cenvironment ccultures cin cthe chigh cacuity cenvironment cpromote?
A) cAn cincrease cin cerror creporting cand csystems cimprovement
B) cA cdecrease cin cerror creporting
C) cA cculture cof cblame
D) cThe cfailure cto cpublicly cdisclose cmedical cerrors c- cCORRECT cANS✔✔A) cAn cincrease cin cerror creporting cand csystems
cimprovement
Which cfactors ccontribute cto cmedical cerros?
A) cStaffing cratios
B) cOvertime
C) cExcessive cdocumentation
D) cSpecialty ccertification c- cCORRECT cANS✔✔A) cStaffing cratios
B) cOvertime
, C) cExcessive cdocumentation
What cmust cbe cdone cto censure cpatient csafety cbefore ca cpercutaneous ctracheostomy cis cplace cat cthe cbedside?
A) cOne cperson cshould cconfirm cthe corder
B) cThe ccorrect cpatient, csite, cand cprocedure cshould cbe cidentified cduring ca ctime-out
C) cTwo cpeople cshould cconfirm cthe corder
D) cVisitors cshould cbe casked cto cleave cthe croom c- cCORRECT cANS✔✔B) cThe ccorrect cpatient, csite, cand cprocedure cshould cbe
cidentified cduring ca ctime-out
What cis cthe cproper cprocedure cto censure cpatient csafety cwhen cthe cnurse cis cpreparing ca cmedication cthat cwill cbe cadministered
cto cthe cpatient cby canother cperson? c(select call cthat capply)
A) cThis cshould cnever cbe cdone
B) cConfirm cthe corder cwith cthe cHCP
C) cLabels cshould cbe cverbally cverified cby cthe ctwo chealthcare cproviders
D) cLabels cshould cbe cvisually cverified cby cthe ctwo chealthcare cproviders c- cCORRECT cANS✔✔C) cLabels cshould cbe cverbally
cverified cby cthe ctwo chealthcare cproviders
D) cLabels cshould cbe cvisually cverified cby cthe ctwo chealthcare cproviders
RM cis ca c64-year-old cwith cstage c4 cmetastatic ccolon ccancer. cShe cpresents cto cthe cemergency cdepartment cwith cshortness cof
cair. cA cchest cx-ray creveals cright clower clobe cpneumonia. cShe cis cadmitted cto cthe chospital. cShe chas cadvance cdirectives cthat
cinclude cno cintubation cor cCPR.
1. cIs cRM ca ccandidate cfor cadmission cto cthe cICU? cWhy cor cwhy cnot? c- cCORRECT cANS✔✔Answer: cOncology cpatients care
coften cstereotyped cas cunsuitable ccandidates cfor caggressive ctreatment, cbut cthese cpatients cshould cnot cbe cdenied ccare. cThey
cfrequently cbecome cacutely cill. cEven cduring ctheir cfinal chours, chigh-acuity ccare cmay cbe cappropriate cbecause cintensive cefforts
cmay cbe crequired cto censure cthat csuffering cis cminimized.
RM cis ca c64-year-old cwith cstage c4 cmetastatic ccolon ccancer. cShe cpresents cto cthe cemergency cdepartment cwith cshortness cof
cair. cA cchest cx-ray creveals cright clower clobe cpneumonia. cShe cis cadmitted cto cthe chospital. cShe chas cadvance cdirectives cthat
cinclude cno cintubation cor cCPR.
Using cthe cSCCM cprioritization cmodel, cidentify cthe cpatient's cpriority clevel cfor cICU cplacement. c- cCORRECT cANS✔✔Answer:
cPriority c3. cShe chas ca creduced clikelihood cof crecovery cbecause cof cthe cmetastatic ccolon ccancer. cShe cmay creceive coxygen
cand cantibiotics cto crelieve cthe cshortness cof cbreath cand ctreat cthe cpneumonia. cAdditionally, cshe chas cadvance cdirectives.
cPriorities c1 cand c2 cinclude cpatients cfor cwhom cthere care cno climits con cthe cextent cof cintended cinterventions. cThe cpatient cis
cnot ca cpriority c4 cat cthis ctime cbecause cshe cdoes cnot chave ca cterminal cillness; cshe cis cnot cfacing cimmediate cdeath.
CASE c2: cA cpatient cwith ca chistory cof cnew-onset cseizures cis cadmitted cto ca cLevel cIII cICU. cA cdiagnosis cof cbrain ctumor cis
cmade cand csurgery cwill cbe crequired. cThe chealth ccare cprovider c(HCP) cinforms cthe cpatient cthat che cneeds cto cbe ctransferred
cto canother chospital cthat chas ca cLevel cI cICU. c
1. cAfter cthe cHCP cleaves cthe croom, cthe cpatient csays che cdoesn't cunderstand cwhy che cneeds cto cbe ctransferred. cAs chis cnurse,
cexplain cthe creason cfor cthe cneed cfor ctransfer. c- cCORRECT cANS✔✔Answer: cLevel cIII cICUs ccan cprovide ccare cfor cpatients
cwho crequire cinitial cstabilization cand croutine cmonitoring, cbut cthey care climited cin ctheir cability cto cprovide ccomprehensive ccare
cfor call cpatients. cLevel cI cICUs chave cspecially ctrained cneurosurgeons cand cnurses cand cneurosurgical cICUs. cThey calso chave
cspecial cequipment cthat cmay cbe cneeded cfor cneurosurgical cpatients. cComprehensive csupport cservices care calso cavailable.
CASE c3: cYou cwould clike cto cwork cin ca chigh-acuity cunit cthat chas ca chealthy cwork cenvironment cthat csupports cquality cpatient
ccare cand chigh clevels cof cnurse csatisfaction. cYou care caware cof cthe csix cstandards cidentified cby cAACN cthat care ccritical cto
ccreating cand csustaining ca chealthy cwork cenvironment. c
1. cProvide cat cleast cone cexample cof chow cyou cmight csee ceach cof cthe csix cstandards coperationalized cin cthe chigh-acuity cunit. c-
cCORRECT cANS✔✔Skilled ccommunication c
• cThere cis ca cuniform cchange-of-shift creport.
• cNurses cuse ca cstructured cformat cto ccommunicate cchanges cin cpatient ccondition cto cHCPs.
• cThere cis copen ccommunication cduring cchange-of-shift creport cand ctime cto cask cand canswer cquestions.
• cThe cunit chas ca ccode cof cconduct, cand cvalues cand cexpectations care cclear.
• cThere cis ca cmonthly cunit cnewsletter.
True ccollaboration c
• cMultidisciplinary cpatient ccare crounds care cheld.
• cThe cword c"we" cis cused cduring crounds cto cidentify cpatient cgoals.
• cNurses ccollaborate cwith ceach cother con ccomplex cpatient ccare cissues.
• cThere cis ca cmultidisciplinary cprocess cimprovement cteam.
• cThere cis ca ctime-out cpolicy cfor cinvasive cprocedures.
• cRNs cfeel crespected.
Effective cdecision cmaking c
• cNurses care cmembers cof ckey cmultidisciplinary cunit ccommittees.
• cUnit-based ccouncils care cchaired cby cstaff cnurses.
• cThere cis ca cmechanism cfor cstaff cnurses cto cvoice copinions con chow ccare cin cthe cunit ccan cbe cimproved.
Appropriate cstaffing c
• cThere care cstaffing cpolicies cthat care cfairly cadministered.
• cThere cis cevidence cthat cpatient cneeds care cmatched cwith cnurse ccompetencies.
• cStaff cnurses cactively cparticipate cin cplanning cstaffing cneeds.
Meaningful crecognition c
• cThere ca crecognition cprogram, csuch cas ca c"Nurse cHero cof cthe cMonth" cbulletin cboard.
