ThefCriticalfCarefNursingfCarefforfthefCriticallyfIl
lfPatient
nursefidentifiesfafpatientfinfthefcriticalfcarefunitfasfhavingf"resiliency."fWha
tfcharacteristicfhasfthefnursefidentifiedfinfthefpatient?f
1.fMotivationftofreducefanxietyfthroughfpositivefself-talk
2.fAbilityftofbouncefbackfquicklyfafterfanfinsult
3.fPhysicalfstrengthftofendurefextremefphysicalfstressors
4.fAbilityftofreturnftofafstatefoffequilibriumf-
fCORRECTfANSWER✔CorrectfAnswer:f2
Rationalef1:fThisfisfnotfafdefinitionfoffresiliency.f
Rationalef2:fThefcorrectfdefinitionfoff"resiliency"fisfthefabilityftofbouncefba
ckfquicklyfafterfanfinsult.fThefdegreefoffresiliencyfisfplacedfalongfafcontinu
umfbetweenfbeingfunableftofmountfafresponseftofhavingfstrongfreserves.f
Rationalef3:fThisfisfnotfafdefinitionfoffresiliency.f
Rationalef4:fThisfisfnotfafdefinitionfoffresiliency.
Whilefcaringfforfafpatientfinfthefcriticalfcarefunit,fthefnursefrealizesfthatfthef
patient'sfcarefneedsfmustfbefafbalancefbetweenfthefpatient'sflong-
termfprognosisfandftheffamily'sfexpectationsfoffrecovery.fWhichfoffthefAA
CNfSynergyfModel'sfcharacteristicsfdoesfthisfsituationfdescribe?f
1.fComplexity
2.fPredictability
3.fParticipationfinfcare
4.fResourcefavailabilityf-fCORRECTfANSWER✔CorrectfAnswer:f1
,Rationalef1:fThisfsituationfdescribesfthefcharacteristicfoffcomplexityfthatfisf
thefintricatefentanglementfofftwoforfmorefsystems;fforfexample,fafpatient'sfi
llnessfwithfcomplexffamilyfdynamics.f
Rationalef2:fThisfsituationfdoesfnotfdescribefpredictability.f
Rationalef3:fThisfsituationfdoesfnotfdescribefparticipationfinfcare.f
Rationalef4:fThisfsituationfdoesfnotfdescribedfresourcefavailability.
Thefnursefrealizesfthatfwhichfstressorfisfonefoffthefprimaryfconcernsfoffcriti
callyfillfpatientsfandfshouldfbefroutinelyfincludedfduringfassessments?f
1.fInabilityftofcontrolfelimination
2.fLackfofffamilyfsupport
3.fHunger
4.fAlteredfabilityftofcommunicatef-
fCORRECTfANSWER✔CorrectfAnswer:f4
Rationalef1:fThefinabilityftofcontrolfeliminationfisfnotfidentifiedfasfafprimar
yfconcernfoffcriticallyfillfpatients.f
Rationalef2:fLackfofffamilyfsupportfisfnotfidentifiedfasfafprimaryfconcernfof
fcriticallyfillfpatients.f
Rationalef3:fHungerfisfnotfidentifiedfasfafprimaryfconcernfoffcriticallyfillfpa
tients.f
Rationalef4:fAlteredfabilityftofcommunicatefisfidentifiedfasfafprimaryfconce
rnfoffcriticallyfillfpatients.
Afpatientfhasfjustfcompletedfafpreoperativefeducationfsessionfpriorftofunder
goingfcoronaryfarteryfbypassfsurgery.fWhichfpatientfstatementsfindicatefth
atfteachingfhasfbeenfeffective?f
, Note:fCreditfwillfbefgivenfonlyfiffallfcorrectfchoicesfandfnofincorrectfchoice
sfarefselected.
StandardfText:fSelectfallfthatfapply.
1.f"IfunderstandfthatfIfwillfhaveftofblinkfmyfeyesftofrespondfafterfthefbreathi
ngftubefisfinfmyfthroat."
2.f"IfwillfbefgivenffrequentfmouthfcareftofhelpfmefwhenfIfamfthirsty."
3.f"Ifwillfbefableftofmovefaboutffreelyfinfbedfandfintofthefchairfwithoutfhelpf
whilefconnectedftofthefelectronicfequipmentfforfmonitoring."
4.f"Ifmayfneedfsomethingftofhelpfmefrestfdueftofthefunfamiliarflightsfandfso
undsfoffthefICUfunit."
5.f"Ifmightfnotfbehaveflikefmyfusualfselffafterfthefsurgeryfbutfitfwillfbefbeca
usefoffthefmedicationsfandfmyfillness."f-
fCORRECTfANSWER✔CorrectfAnswer:f1,2,4,5
Rationalef1:fAnfalternatefmethodfoffcommunicationfdiscussedfinfadvancefo
fftubefplacementfwillfassistfinfbetterfcommunicationfafterftheftubefisfinserte
dftofaidfthefbreathingfprocess.f
Rationalef2:fWhilefintubated,foralfhygienefisfneededftofpreventfmucosalfdr
yingfdueftofthefinabilityfoffthefpatientftoftakeforalffluids.f
Rationalef3:fThisfstatementfindicatesfthatfadditionalfteachingfisfrequiredfbe
causefthefpatientfwillfnotfbefableftofmoveffreelyfinfbedfandfintofafchairfwitho
utfassistancefwhilefbeingfelectronicallyfmonitored.f
Rationalef4:fDueftofenvironmentalflights,fsounds,fandfdifferencefinfsleepin
gfenvironment,fadditionalfaids,fsuchfasfdrugfmanagement,fmayfbefneededft
ofassistfthefpatientftofrestfatfnight.
Rationalef5:fAfpatientfconcernfinfthefcriticalfcarefareafisfthefinabilityftofcont
rolfself.fThisfstatementfindicatesfthefpatient'sfunderstandingfoffthefteaching
.
lfPatient
nursefidentifiesfafpatientfinfthefcriticalfcarefunitfasfhavingf"resiliency."fWha
tfcharacteristicfhasfthefnursefidentifiedfinfthefpatient?f
1.fMotivationftofreducefanxietyfthroughfpositivefself-talk
2.fAbilityftofbouncefbackfquicklyfafterfanfinsult
3.fPhysicalfstrengthftofendurefextremefphysicalfstressors
4.fAbilityftofreturnftofafstatefoffequilibriumf-
fCORRECTfANSWER✔CorrectfAnswer:f2
Rationalef1:fThisfisfnotfafdefinitionfoffresiliency.f
Rationalef2:fThefcorrectfdefinitionfoff"resiliency"fisfthefabilityftofbouncefba
ckfquicklyfafterfanfinsult.fThefdegreefoffresiliencyfisfplacedfalongfafcontinu
umfbetweenfbeingfunableftofmountfafresponseftofhavingfstrongfreserves.f
Rationalef3:fThisfisfnotfafdefinitionfoffresiliency.f
Rationalef4:fThisfisfnotfafdefinitionfoffresiliency.
Whilefcaringfforfafpatientfinfthefcriticalfcarefunit,fthefnursefrealizesfthatfthef
patient'sfcarefneedsfmustfbefafbalancefbetweenfthefpatient'sflong-
termfprognosisfandftheffamily'sfexpectationsfoffrecovery.fWhichfoffthefAA
CNfSynergyfModel'sfcharacteristicsfdoesfthisfsituationfdescribe?f
1.fComplexity
2.fPredictability
3.fParticipationfinfcare
4.fResourcefavailabilityf-fCORRECTfANSWER✔CorrectfAnswer:f1
,Rationalef1:fThisfsituationfdescribesfthefcharacteristicfoffcomplexityfthatfisf
thefintricatefentanglementfofftwoforfmorefsystems;fforfexample,fafpatient'sfi
llnessfwithfcomplexffamilyfdynamics.f
Rationalef2:fThisfsituationfdoesfnotfdescribefpredictability.f
Rationalef3:fThisfsituationfdoesfnotfdescribefparticipationfinfcare.f
Rationalef4:fThisfsituationfdoesfnotfdescribedfresourcefavailability.
Thefnursefrealizesfthatfwhichfstressorfisfonefoffthefprimaryfconcernsfoffcriti
callyfillfpatientsfandfshouldfbefroutinelyfincludedfduringfassessments?f
1.fInabilityftofcontrolfelimination
2.fLackfofffamilyfsupport
3.fHunger
4.fAlteredfabilityftofcommunicatef-
fCORRECTfANSWER✔CorrectfAnswer:f4
Rationalef1:fThefinabilityftofcontrolfeliminationfisfnotfidentifiedfasfafprimar
yfconcernfoffcriticallyfillfpatients.f
Rationalef2:fLackfofffamilyfsupportfisfnotfidentifiedfasfafprimaryfconcernfof
fcriticallyfillfpatients.f
Rationalef3:fHungerfisfnotfidentifiedfasfafprimaryfconcernfoffcriticallyfillfpa
tients.f
Rationalef4:fAlteredfabilityftofcommunicatefisfidentifiedfasfafprimaryfconce
rnfoffcriticallyfillfpatients.
Afpatientfhasfjustfcompletedfafpreoperativefeducationfsessionfpriorftofunder
goingfcoronaryfarteryfbypassfsurgery.fWhichfpatientfstatementsfindicatefth
atfteachingfhasfbeenfeffective?f
, Note:fCreditfwillfbefgivenfonlyfiffallfcorrectfchoicesfandfnofincorrectfchoice
sfarefselected.
StandardfText:fSelectfallfthatfapply.
1.f"IfunderstandfthatfIfwillfhaveftofblinkfmyfeyesftofrespondfafterfthefbreathi
ngftubefisfinfmyfthroat."
2.f"IfwillfbefgivenffrequentfmouthfcareftofhelpfmefwhenfIfamfthirsty."
3.f"Ifwillfbefableftofmovefaboutffreelyfinfbedfandfintofthefchairfwithoutfhelpf
whilefconnectedftofthefelectronicfequipmentfforfmonitoring."
4.f"Ifmayfneedfsomethingftofhelpfmefrestfdueftofthefunfamiliarflightsfandfso
undsfoffthefICUfunit."
5.f"Ifmightfnotfbehaveflikefmyfusualfselffafterfthefsurgeryfbutfitfwillfbefbeca
usefoffthefmedicationsfandfmyfillness."f-
fCORRECTfANSWER✔CorrectfAnswer:f1,2,4,5
Rationalef1:fAnfalternatefmethodfoffcommunicationfdiscussedfinfadvancefo
fftubefplacementfwillfassistfinfbetterfcommunicationfafterftheftubefisfinserte
dftofaidfthefbreathingfprocess.f
Rationalef2:fWhilefintubated,foralfhygienefisfneededftofpreventfmucosalfdr
yingfdueftofthefinabilityfoffthefpatientftoftakeforalffluids.f
Rationalef3:fThisfstatementfindicatesfthatfadditionalfteachingfisfrequiredfbe
causefthefpatientfwillfnotfbefableftofmoveffreelyfinfbedfandfintofafchairfwitho
utfassistancefwhilefbeingfelectronicallyfmonitored.f
Rationalef4:fDueftofenvironmentalflights,fsounds,fandfdifferencefinfsleepin
gfenvironment,fadditionalfaids,fsuchfasfdrugfmanagement,fmayfbefneededft
ofassistfthefpatientftofrestfatfnight.
Rationalef5:fAfpatientfconcernfinfthefcriticalfcarefareafisfthefinabilityftofcont
rolfself.fThisfstatementfindicatesfthefpatient'sfunderstandingfoffthefteaching
.
