TEST BANK For Priorities in Critical Care Nursing, 9th
Edition by Linda D. Urden, Kathleen M. Stacy
According to the transactional theories on stress, what does a person do first when
confronted by stress? - ANSWER: Determines the perceived degree of threat
imposed
Nearly 25% of people surviving a critical illness and an intensive care unit stay
subsequently exhibit symptoms of posttraumatic
stress disorder (PTSD). A patient with PTSD may manifest which behavior? -
ANSWER: Intrusive recall of the event
A subjective state in which an individual sees extremely limited or no alternatives
and is unable to mobilize energy on his or her
behalf is known as: - ANSWER: Hopelessness
Which statement regarding regression as a coping mechanism for critical care
patients is accurate? - ANSWER: It is necessary to some degree to allow staff to
administer care
Which concept supports patients and helps them endure the physical and
psychological insults of their critical illness? - ANSWER: Hope
Which therapeutic technique may be used to enhance coping in the critical care
environment? - ANSWER: Foster trust in the interprofessional health care team
Which nursing intervention can help family members who are extremely upset? -
ANSWER: Supporting the family members away from the bedside
A patient has been admitted with a severed spinal cord injury at the T2 level. The
patient has been in halo traction with
immobilization for the past week. The practitioner has explained to the patient that
the spinal cord has been severed and that the
patient will not be able to walk again. The patient states, "I can't wait until I can get
on my feet and walk again." Which defense
mechanism is the patient exhibiting in this statement? - ANSWER: Denial
An adult patient sustains third- and fourth-degree burns to more than 70% of her
body related to a house fire. The patient begins a
pattern of behavior similar to that of a young child, in which she repeatedly whines
and throws "temper tantrums" in an attempt to
keep her nurse at the bedside. What coping mechanism is the patient exhibiting? -
ANSWER: Regression
,A patient is admitted with the diagnosis of gunshot wound to the head due to a
suicide attempt. While the patient is in the critical
care unit, the plan of care should include which intervention? - ANSWER: Validating
the patient's need to talk about the incident
What happens when the critical illness is so severe that the patient or family
becomes overwhelmed? - ANSWER: Stress overload
Which medications are commonly used for alcohol withdrawal symptoms? -
ANSWER: Chlordiazepoxide and lorazepam
Prolonged periods of anxious waiting, disrupted sleep patterns, witnessing
emergency interventions, and financial concerns could
put family members at risk for developing what problem? - ANSWER: PTSD
Anxiety can cause emotional changes in which part of the brain? - ANSWER:
Neurotransmitters
A patient is admitted complaining of pain from a femur fracture and is anxious and
agitated. The patient is receiving steroids and
theophylline for exacerbation of asthma. What disorder should the nurse suspect the
patient may be experiencing? - ANSWER: Anxiety
A patient tells his family, "I don't know why I was placed on this earth just to suffer
from cancer all my life. I just want to die."
What psychosocial issue is the patient experiencing? - ANSWER: Spiritual Distress
Through what mechanism can a nurse demonstrate caring and support to a patient?
- ANSWER: Providing empathy and physical contact
What serious concern regarding the critical care environment affects the patient's
ability to cope and heal? - ANSWER: Deprivation of sleep
What type of diet would be appropriate for a patient with heart failure? - ANSWER:
Low-salt diet
The loss of exocrine function in pancreatitis results in what disorder? - ANSWER:
Malabsorption
A patient on mechanical ventilation is receiving total parenteral nutrition (TPN).
Which statement is true? - ANSWER: Excessive calorie intake can cause an increase
in PaCO2
What intervention should be included in a nutrition plan for a patient with a
myocardial infarction? - ANSWER: Monitor the effects of caffeine on the patient
, The loss of endocrine function in pancreatitis results in what disorder? - ANSWER:
Hyperglycemia
Which complication can be the result of malnutrition in the hospitalized patient? -
ANSWER: Respiratory failure
What is the rationale for careful intake and output for patients with pulmonary
alterations? - ANSWER: Fluid volume excess can lead to right-sided heart failure
A patient who has sustained a head injury has increased nutritional needs related to
what physiologic mechanism? - ANSWER: Hypermetabolism and catabolism
associated with the injury
The patient is receiving corticosteroid treatment for neurologic alterations. The
patient should be routinely monitored for what
common complication of this type of therapy? - ANSWER: Hyperglycemia
Which nutritional intervention is a priority for the patient with renal disease who is
receiving peritoneal dialysis? - ANSWER: Ensure an adequate amount of protein to
prevent catabolism
The patient management plan for an intubated patient at risk for aspiration should
include which intervention? - ANSWER: Elevate the head of the bed at least 45
degrees
A patient is admitted with severe malnutrition. A central venous catheter is placed in
the right subclavian vein and TPN is started.
For which complication should the patient be evaluated immediately after insertion
of the catheter? - ANSWER: Pneumothorax
A patient is admitted with severe malnutrition. A central venous catheter is placed in
the right subclavian vein and TPN is started.
On the third day of infusion, the patient develops symptoms of fever and chills. What
complication should the nurse suspect? - ANSWER: Catheter-related sepsis
A patient is admitted with severe malnutrition. A central venous catheter is placed in
the right subclavian vein and TPN is started.
What medical interventions may be initiated with the onset of hyperglycemia? -
ANSWER: Adding insulin to the TPN
A tracheostomy patient is experiencing regurgitation of tube feeding formula. What
should be the nurse's first priority? - ANSWER: Checking to make sure the
tracheostomy cuff is inflated during tube feedings
A patient is mechanically ventilated and is receiving enteral nutrition via a
nasogastric tube. Which intervention should be included
Edition by Linda D. Urden, Kathleen M. Stacy
According to the transactional theories on stress, what does a person do first when
confronted by stress? - ANSWER: Determines the perceived degree of threat
imposed
Nearly 25% of people surviving a critical illness and an intensive care unit stay
subsequently exhibit symptoms of posttraumatic
stress disorder (PTSD). A patient with PTSD may manifest which behavior? -
ANSWER: Intrusive recall of the event
A subjective state in which an individual sees extremely limited or no alternatives
and is unable to mobilize energy on his or her
behalf is known as: - ANSWER: Hopelessness
Which statement regarding regression as a coping mechanism for critical care
patients is accurate? - ANSWER: It is necessary to some degree to allow staff to
administer care
Which concept supports patients and helps them endure the physical and
psychological insults of their critical illness? - ANSWER: Hope
Which therapeutic technique may be used to enhance coping in the critical care
environment? - ANSWER: Foster trust in the interprofessional health care team
Which nursing intervention can help family members who are extremely upset? -
ANSWER: Supporting the family members away from the bedside
A patient has been admitted with a severed spinal cord injury at the T2 level. The
patient has been in halo traction with
immobilization for the past week. The practitioner has explained to the patient that
the spinal cord has been severed and that the
patient will not be able to walk again. The patient states, "I can't wait until I can get
on my feet and walk again." Which defense
mechanism is the patient exhibiting in this statement? - ANSWER: Denial
An adult patient sustains third- and fourth-degree burns to more than 70% of her
body related to a house fire. The patient begins a
pattern of behavior similar to that of a young child, in which she repeatedly whines
and throws "temper tantrums" in an attempt to
keep her nurse at the bedside. What coping mechanism is the patient exhibiting? -
ANSWER: Regression
,A patient is admitted with the diagnosis of gunshot wound to the head due to a
suicide attempt. While the patient is in the critical
care unit, the plan of care should include which intervention? - ANSWER: Validating
the patient's need to talk about the incident
What happens when the critical illness is so severe that the patient or family
becomes overwhelmed? - ANSWER: Stress overload
Which medications are commonly used for alcohol withdrawal symptoms? -
ANSWER: Chlordiazepoxide and lorazepam
Prolonged periods of anxious waiting, disrupted sleep patterns, witnessing
emergency interventions, and financial concerns could
put family members at risk for developing what problem? - ANSWER: PTSD
Anxiety can cause emotional changes in which part of the brain? - ANSWER:
Neurotransmitters
A patient is admitted complaining of pain from a femur fracture and is anxious and
agitated. The patient is receiving steroids and
theophylline for exacerbation of asthma. What disorder should the nurse suspect the
patient may be experiencing? - ANSWER: Anxiety
A patient tells his family, "I don't know why I was placed on this earth just to suffer
from cancer all my life. I just want to die."
What psychosocial issue is the patient experiencing? - ANSWER: Spiritual Distress
Through what mechanism can a nurse demonstrate caring and support to a patient?
- ANSWER: Providing empathy and physical contact
What serious concern regarding the critical care environment affects the patient's
ability to cope and heal? - ANSWER: Deprivation of sleep
What type of diet would be appropriate for a patient with heart failure? - ANSWER:
Low-salt diet
The loss of exocrine function in pancreatitis results in what disorder? - ANSWER:
Malabsorption
A patient on mechanical ventilation is receiving total parenteral nutrition (TPN).
Which statement is true? - ANSWER: Excessive calorie intake can cause an increase
in PaCO2
What intervention should be included in a nutrition plan for a patient with a
myocardial infarction? - ANSWER: Monitor the effects of caffeine on the patient
, The loss of endocrine function in pancreatitis results in what disorder? - ANSWER:
Hyperglycemia
Which complication can be the result of malnutrition in the hospitalized patient? -
ANSWER: Respiratory failure
What is the rationale for careful intake and output for patients with pulmonary
alterations? - ANSWER: Fluid volume excess can lead to right-sided heart failure
A patient who has sustained a head injury has increased nutritional needs related to
what physiologic mechanism? - ANSWER: Hypermetabolism and catabolism
associated with the injury
The patient is receiving corticosteroid treatment for neurologic alterations. The
patient should be routinely monitored for what
common complication of this type of therapy? - ANSWER: Hyperglycemia
Which nutritional intervention is a priority for the patient with renal disease who is
receiving peritoneal dialysis? - ANSWER: Ensure an adequate amount of protein to
prevent catabolism
The patient management plan for an intubated patient at risk for aspiration should
include which intervention? - ANSWER: Elevate the head of the bed at least 45
degrees
A patient is admitted with severe malnutrition. A central venous catheter is placed in
the right subclavian vein and TPN is started.
For which complication should the patient be evaluated immediately after insertion
of the catheter? - ANSWER: Pneumothorax
A patient is admitted with severe malnutrition. A central venous catheter is placed in
the right subclavian vein and TPN is started.
On the third day of infusion, the patient develops symptoms of fever and chills. What
complication should the nurse suspect? - ANSWER: Catheter-related sepsis
A patient is admitted with severe malnutrition. A central venous catheter is placed in
the right subclavian vein and TPN is started.
What medical interventions may be initiated with the onset of hyperglycemia? -
ANSWER: Adding insulin to the TPN
A tracheostomy patient is experiencing regurgitation of tube feeding formula. What
should be the nurse's first priority? - ANSWER: Checking to make sure the
tracheostomy cuff is inflated during tube feedings
A patient is mechanically ventilated and is receiving enteral nutrition via a
nasogastric tube. Which intervention should be included
