PCCN: Chapter 1 - Assessment of Progressive Care:
Questions With Correct Answers.
Why is assessment of acutely ill patients and their families essential? -
accurate answers-information obtained identifies immediate and future needs
so a plan of care can be initiated
Traditional approaches to Patient Assessment include: - accurate answers--
include a complete evaluation of patient history
- comprehensive physical exam of all body systems
Progressive care clinicians must balance: - accurate answers--need to gather
data
-prioritizing and providing care
Collection of assessment data is obtained in: - accurate answers--phased or
staged manner
-consistent with pt care priorities
What is the crucial element to developing competence in assessing
progressive care patients? - accurate answers--consistent and systematic
approach
Discuss the importance of a consistent and systematic approach to assessment
of progressive care pt and families? - accurate answers-- 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): - accurate answers--patient (focal point
of practitioner's attention)
-technology (augments info obtained from direct
assessment)
What are the TWO standard approaches to assessing patients? - accurate
answers--head-to-toe approach
-body systems approach
,Most progressive care nurses use a (2): - accurate answers--combination
systems approach
-applied in a top-to-bottom manner
Assessment of the progressive care patient begins (2) - accurate answers--
moment nurse aware of pending admission/transfer
-continues until transitioning to next phase of care
The pre-arrival assessment helps the nurse (3): - accurate answers--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): -
accurate answers--allows nurse to adequately prepare environment
-meet specialized needs of pt/family
When should the arrival quick check assessment be obtained? - accurate
answers--immediately upon arrival to the unit
What assessment acronym is used in the arrival quick check assessment? -
accurate answers-_"ABCDE"
Define what the letters in the assessment acronym, "ABCDE" represent. -
accurate answers-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: -
accurate answers--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: - accurate answers--
validates that basic cardiac and respiratory function is
, sufficient
When is a comprehensive assessment done? - accurate answers-As soon as
possible
The timing of the comprehensive assessment is dictated by: - accurate
answers--degree of physiologic stability
-emergent treatment needs
When the patient is admitted directly to PCU from OUTSIDE the hospital, the
comprehensive assessment includes: - accurate answers--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: - accurate answers--review of admission
assessment data
-comparison to the current assessment
The comprehensive assessment is VITAL because: - accurate answers-- it
influences successful outcomes
-provides invaluable insight into proactive interventions
What follows the conclusion of the comprehensive assessment? - accurate
answers-- Ongoing assessments begin
Define: ongoing assessment - accurate answers--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? - accurate answers--TRENDS
-response to therapy
-identify new problems
-changes from baseline
Name the FOUR types of assessments performed: - accurate answers--pre-
arrival assessment
-arrival quick check assessment
-comprehensive initial assessment
Questions With Correct Answers.
Why is assessment of acutely ill patients and their families essential? -
accurate answers-information obtained identifies immediate and future needs
so a plan of care can be initiated
Traditional approaches to Patient Assessment include: - accurate answers--
include a complete evaluation of patient history
- comprehensive physical exam of all body systems
Progressive care clinicians must balance: - accurate answers--need to gather
data
-prioritizing and providing care
Collection of assessment data is obtained in: - accurate answers--phased or
staged manner
-consistent with pt care priorities
What is the crucial element to developing competence in assessing
progressive care patients? - accurate answers--consistent and systematic
approach
Discuss the importance of a consistent and systematic approach to assessment
of progressive care pt and families? - accurate answers-- 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): - accurate answers--patient (focal point
of practitioner's attention)
-technology (augments info obtained from direct
assessment)
What are the TWO standard approaches to assessing patients? - accurate
answers--head-to-toe approach
-body systems approach
,Most progressive care nurses use a (2): - accurate answers--combination
systems approach
-applied in a top-to-bottom manner
Assessment of the progressive care patient begins (2) - accurate answers--
moment nurse aware of pending admission/transfer
-continues until transitioning to next phase of care
The pre-arrival assessment helps the nurse (3): - accurate answers--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): -
accurate answers--allows nurse to adequately prepare environment
-meet specialized needs of pt/family
When should the arrival quick check assessment be obtained? - accurate
answers--immediately upon arrival to the unit
What assessment acronym is used in the arrival quick check assessment? -
accurate answers-_"ABCDE"
Define what the letters in the assessment acronym, "ABCDE" represent. -
accurate answers-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: -
accurate answers--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: - accurate answers--
validates that basic cardiac and respiratory function is
, sufficient
When is a comprehensive assessment done? - accurate answers-As soon as
possible
The timing of the comprehensive assessment is dictated by: - accurate
answers--degree of physiologic stability
-emergent treatment needs
When the patient is admitted directly to PCU from OUTSIDE the hospital, the
comprehensive assessment includes: - accurate answers--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: - accurate answers--review of admission
assessment data
-comparison to the current assessment
The comprehensive assessment is VITAL because: - accurate answers-- it
influences successful outcomes
-provides invaluable insight into proactive interventions
What follows the conclusion of the comprehensive assessment? - accurate
answers-- Ongoing assessments begin
Define: ongoing assessment - accurate answers--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? - accurate answers--TRENDS
-response to therapy
-identify new problems
-changes from baseline
Name the FOUR types of assessments performed: - accurate answers--pre-
arrival assessment
-arrival quick check assessment
-comprehensive initial assessment
