Patients and Their Families exam with comprehensive
questions and well elaborated correct answers graded
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,Why is assessment of acutely ill patients and their families essential? - correct ans:information obtained
identifies immediate and future needs so a plan of care can be initiated
Traditional approaches to Patient Assessment include: - correct ans:- include a complete evaluation of
patient history
- comprehensive physical exam of all body systems
Progressive care clinicians must balance: - correct ans:-need to gather data
-prioritizing and providing care
Collection of assessment data is obtained in: - correct ans:-phased or staged manner
-consistent with pt care priorities
What is the crucial element to developing competence in assessing progressive care patients? - correct
ans:-consistent and systematic approach
Discuss the importance of a consistent and systematic approach to assessment of progressive care pt
and families? - correct ans:- helps avoid missing subtle signs or details that identify
actual or potential problem
-indicate a pt's changing status
Assessments should first focus on (2): - correct ans:-patient (focal point of practitioner's attention)
-technology (augments info obtained from direct
assessment)
What are the TWO standard approaches to assessing patients? - correct ans:-head-to-toe approach
-body systems approach
Most progressive care nurses use a (2): - correct ans:-combination systems approach
-applied in a top-to-bottom manner
,Assessment of the progressive care patient begins (2) - correct ans:-moment nurse aware of pending
admission/transfer
-continues until transitioning to next phase of care
The pre-arrival assessment helps the nurse (3): - correct ans:-paint an initial picture
- to anticipate physiologic and psychological needs
-determine appropriate resources needed
The information received in the prearrival phase is crucial because (2): - correct ans:-allows nurse to
adequately prepare environment
-meet specialized needs of pt/family
When should the arrival quick check assessment be obtained? - correct ans:-immediately upon arrival to
the unit
What assessment acronym is used in the arrival quick check assessment? - correct ans:_"ABCDE"
Define what the letters in the assessment acronym, "ABCDE" represent. - correct ans:A = Airway
B = Breathing
C = Circulation, Cerebral Perfusion and Chief Complaint
D = Drugs and Diagnostic tests
E = Equipment
The FOCUS of the quick check assessment is a quick overview of the: - correct ans:-adequacy of
ventilation and perfusion
-to ensure early intervention for life threatening
situations
-(obtaining a quick overview of the key life-sustaining
systems)
, Why is the arrival quick check is ESSENTIAL because: - correct ans:-validates that basic cardiac and
respiratory function is
sufficient
When is a comprehensive assessment done? - correct ans:As soon as possible
The timing of the comprehensive assessment is dictated by: - correct ans:-degree of physiologic stability
-emergent treatment needs
When the patient is admitted directly to PCU from OUTSIDE the hospital, the comprehensive assessment
includes: - correct ans:-an in depth assessment of PMH and social hx
-complete physical exam of each body system
If the patient is TRANSFERRED to PCU from another area in the hospital the comprehensive assessment
includes: - correct ans:-review of admission assessment data
-comparison to the current assessment
The comprehensive assessment is VITAL because: - correct ans:- it influences successful outcomes
-provides invaluable insight into proactive interventions
What follows the conclusion of the comprehensive assessment? - correct ans:- Ongoing assessments
begin
Define: ongoing assessment - correct ans:-an abbreviated version of the comprehensive assessment
that are more focused and driven by the stability of the pt
What do the ongoing assessments determine? - correct ans:-TRENDS
-response to therapy
-identify new problems