Introduction to Critical Care Nursing New
Practice Questions and Answers | Complete
Exam Prep Resource | A+ Pass Guaranteed
• Alternatives to physical restraints -✓✓Environmental modifications, therapeutic
interventions, diversionary activities, therapeutic use of self
• Assisting families through crisis -✓✓- Identify and meet the family's needs
- Facilitate visitation
- Discuss presence during invasive procedures and resuscitation
- Facilitate family conferences
- Practice cultural sensitivity
- Support spirituality
- Begin discharge planning on the day of admission
• Barriers to Patient and Family Education -✓✓- Effects of critical care environment
- Emotional and environmental distractions
- Language barriers (translators)
- Sensory deficits (blind, deaf)
• Beneficence -✓✓Promote the welfare of others, maximizes the benefits and
minimising harm
• Civil law -✓✓- Private party files suit against another
- Negligence
- Malpractice
- Assault and battery
• Common Ethical Dilemmas -✓✓- Withholding or withdrawing treatment (DNR)
- Limits to treatment and "Futility of care"
(Inappropriate treatment, tx that wont help the patient's condition)
- Allocation decisions (Organ transplant list, Bed openings in ICU)
• Criminal law -✓✓- Local, state or federal government files a suit against an individual
- Criminal assault and battery
- Negligent homicide
- Murder
• CV Consequences of pain -✓✓Sympathetic nervous system activation (fight or flight)
• Delivering bad news -✓✓- Many different types of bad news
- Keep an honest, open line of communication
- Avoid surprises (update family)
, • DNR -✓✓- Orders written by a physician, signed, dated and reviewed very 24 - 72
hours per facility protocol
- Patient still receives appropriate care
- "Slow code" is never appropriate
• End-of Life Care -✓✓Communication between the healthcare team, patient and family
is essential
• Ethics Committee -✓✓- Provide education to professional staff and the community
- Serve as a resource for institutional policies , consult at the bedside, begin a dialogue,
make recommendations for resolution of an ethical problem or present morally
acceptable options and assist in choosing a course of action
• Evidence-Based Practice -✓✓- The best available research
- Experiential knowledge
- Patient/family preferences
- To support decision making
• Fidelity -✓✓Keeping promises and commitments
• GI/nutrition Consequences of pain -✓✓Decreased gastric emptying, increased motility
• Goal of critical care -✓✓- To promote optimal outcomes for the patient and family
- For the patient to "get better" and learn to live their life to the fullest extent that they
are able
- For the patient and family to experience a "good death"
• Healthy Work Environment -✓✓Optimization of professional collaboration and nursing
practice that promotes employee satisfaction.
• Immune Consequences of pain -✓✓Suppressed immune system function
• Informed consent -✓✓- Nurse signature is witness that the MD gave the teaching
- Patient cannot sign when they are cognitive, sedated, a minor family signs then (order)
- If no family to sign or emergency MDs can override or advanced practice providers
- Family phone consent with 2 nurse witnesses
• Justice -✓✓Obligation to be fair to all patients...
• Managing anxiety of patients and their families -✓✓- Foster trust
- Provide accurate information
- Ensure privacy
- Allow control
Practice Questions and Answers | Complete
Exam Prep Resource | A+ Pass Guaranteed
• Alternatives to physical restraints -✓✓Environmental modifications, therapeutic
interventions, diversionary activities, therapeutic use of self
• Assisting families through crisis -✓✓- Identify and meet the family's needs
- Facilitate visitation
- Discuss presence during invasive procedures and resuscitation
- Facilitate family conferences
- Practice cultural sensitivity
- Support spirituality
- Begin discharge planning on the day of admission
• Barriers to Patient and Family Education -✓✓- Effects of critical care environment
- Emotional and environmental distractions
- Language barriers (translators)
- Sensory deficits (blind, deaf)
• Beneficence -✓✓Promote the welfare of others, maximizes the benefits and
minimising harm
• Civil law -✓✓- Private party files suit against another
- Negligence
- Malpractice
- Assault and battery
• Common Ethical Dilemmas -✓✓- Withholding or withdrawing treatment (DNR)
- Limits to treatment and "Futility of care"
(Inappropriate treatment, tx that wont help the patient's condition)
- Allocation decisions (Organ transplant list, Bed openings in ICU)
• Criminal law -✓✓- Local, state or federal government files a suit against an individual
- Criminal assault and battery
- Negligent homicide
- Murder
• CV Consequences of pain -✓✓Sympathetic nervous system activation (fight or flight)
• Delivering bad news -✓✓- Many different types of bad news
- Keep an honest, open line of communication
- Avoid surprises (update family)
, • DNR -✓✓- Orders written by a physician, signed, dated and reviewed very 24 - 72
hours per facility protocol
- Patient still receives appropriate care
- "Slow code" is never appropriate
• End-of Life Care -✓✓Communication between the healthcare team, patient and family
is essential
• Ethics Committee -✓✓- Provide education to professional staff and the community
- Serve as a resource for institutional policies , consult at the bedside, begin a dialogue,
make recommendations for resolution of an ethical problem or present morally
acceptable options and assist in choosing a course of action
• Evidence-Based Practice -✓✓- The best available research
- Experiential knowledge
- Patient/family preferences
- To support decision making
• Fidelity -✓✓Keeping promises and commitments
• GI/nutrition Consequences of pain -✓✓Decreased gastric emptying, increased motility
• Goal of critical care -✓✓- To promote optimal outcomes for the patient and family
- For the patient to "get better" and learn to live their life to the fullest extent that they
are able
- For the patient and family to experience a "good death"
• Healthy Work Environment -✓✓Optimization of professional collaboration and nursing
practice that promotes employee satisfaction.
• Immune Consequences of pain -✓✓Suppressed immune system function
• Informed consent -✓✓- Nurse signature is witness that the MD gave the teaching
- Patient cannot sign when they are cognitive, sedated, a minor family signs then (order)
- If no family to sign or emergency MDs can override or advanced practice providers
- Family phone consent with 2 nurse witnesses
• Justice -✓✓Obligation to be fair to all patients...
• Managing anxiety of patients and their families -✓✓- Foster trust
- Provide accurate information
- Ensure privacy
- Allow control
