Test bank for High Acuity Nursing 7th Edition by Kathleen
Dorman Wagner, Melanie Hardin-Pierce, Darlene Welsh |
9780134459295 | Chapter 1-39 | All Chapters with Answers
and Rationals
What are some of the common characteristics in high acuity setting? - ANSWER: -loss of control
-helplessness
-embarrassment
-fear
-communication limitations
-higher technology requirements
-detail focused on machines and numbers --> takes away from patient focus
-increase staff education
When there is an increase in technology what do nurses need to increase for patients? - ANSWER:
physical touch
What are some reasons physical contact may decrease in a high acuity setting? - ANSWER: family
uncertain: where/how/hazard to touch patient
limited access due to extensive machines/ tube/ lines
may not be stable for touch
If patient is stable what do we teach family when they are with their loved one in the ICU? - ANSWER:
-hold their hand
-teach family range of motion (ROM)
-wash their face
What are some stressors for patients that occur in the ICU or high-acuity environment? - ANSWER: -
sensory deprivation or overload
-sleep deprivation
-ICU psychosis
How can nurses can help with patients in high acuity? - ANSWER: -clear information
-listening
-clarification
-allowing expression of emotions
-providing resources
How do nurse humanize the situation in a high acuity setting? - ANSWER: -high tech = high touch
-maintain caring as the base of your actions
-expect that pt. and significant others may be at different stages at the same time
-patient advocacy
How do nurses provide a more therapeutic environment for patients in high acuity settings? -
ANSWER: -noise and light control
-pain and rest management
, What is the lowest level of Maslow's Hierarchy and what does it entail? - ANSWER: Physiological
Needs
-oxygen
-water
-nutrition
-body temp
-elimination
-shelter
-sexual expression
What is the second level of Maslow's Hierarchy and what does it entail? - ANSWER: Safety & Security
-physical safety
-physiological safety
What is the third level of Maslow's Hierarchy and what does it entail? - ANSWER: Love & Belonging
-affection & companionship
What is the fourth level of Maslow's Hierarchy and what does it entail? - ANSWER: Esteem
-self respect
-respect for others
What is the fifth level of Maslow's Hierarchy and what does it entail? - ANSWER: Self-Actualization
-fulfillment
For prioritization what does the acronym A, B,C'S.....D, E, F stand for and mean? - ANSWER: A- Airway
(stable patent airway)
B- Breathing (ventilation & oxygenation)
C-Circulation (VS, temp, bleeding) perfusion?
S- Safety
D-Discomfort (pain)
E-Education
F-Feelings
What is nursing process acronym? - ANSWER: ADPIE
A-Assessment
D-Diagnosis
P-Plan
I-Implementation
E-Evaluation
**plan/ interventions change often in high acuity setting bc pt. changes often
If a patient is UNSTABLE what do you do first? - ANSWER: NEVER ASSESS SOMEONE IN DISTRESS
**IMPLEMENTATION
Dorman Wagner, Melanie Hardin-Pierce, Darlene Welsh |
9780134459295 | Chapter 1-39 | All Chapters with Answers
and Rationals
What are some of the common characteristics in high acuity setting? - ANSWER: -loss of control
-helplessness
-embarrassment
-fear
-communication limitations
-higher technology requirements
-detail focused on machines and numbers --> takes away from patient focus
-increase staff education
When there is an increase in technology what do nurses need to increase for patients? - ANSWER:
physical touch
What are some reasons physical contact may decrease in a high acuity setting? - ANSWER: family
uncertain: where/how/hazard to touch patient
limited access due to extensive machines/ tube/ lines
may not be stable for touch
If patient is stable what do we teach family when they are with their loved one in the ICU? - ANSWER:
-hold their hand
-teach family range of motion (ROM)
-wash their face
What are some stressors for patients that occur in the ICU or high-acuity environment? - ANSWER: -
sensory deprivation or overload
-sleep deprivation
-ICU psychosis
How can nurses can help with patients in high acuity? - ANSWER: -clear information
-listening
-clarification
-allowing expression of emotions
-providing resources
How do nurse humanize the situation in a high acuity setting? - ANSWER: -high tech = high touch
-maintain caring as the base of your actions
-expect that pt. and significant others may be at different stages at the same time
-patient advocacy
How do nurses provide a more therapeutic environment for patients in high acuity settings? -
ANSWER: -noise and light control
-pain and rest management
, What is the lowest level of Maslow's Hierarchy and what does it entail? - ANSWER: Physiological
Needs
-oxygen
-water
-nutrition
-body temp
-elimination
-shelter
-sexual expression
What is the second level of Maslow's Hierarchy and what does it entail? - ANSWER: Safety & Security
-physical safety
-physiological safety
What is the third level of Maslow's Hierarchy and what does it entail? - ANSWER: Love & Belonging
-affection & companionship
What is the fourth level of Maslow's Hierarchy and what does it entail? - ANSWER: Esteem
-self respect
-respect for others
What is the fifth level of Maslow's Hierarchy and what does it entail? - ANSWER: Self-Actualization
-fulfillment
For prioritization what does the acronym A, B,C'S.....D, E, F stand for and mean? - ANSWER: A- Airway
(stable patent airway)
B- Breathing (ventilation & oxygenation)
C-Circulation (VS, temp, bleeding) perfusion?
S- Safety
D-Discomfort (pain)
E-Education
F-Feelings
What is nursing process acronym? - ANSWER: ADPIE
A-Assessment
D-Diagnosis
P-Plan
I-Implementation
E-Evaluation
**plan/ interventions change often in high acuity setting bc pt. changes often
If a patient is UNSTABLE what do you do first? - ANSWER: NEVER ASSESS SOMEONE IN DISTRESS
**IMPLEMENTATION
