NUR 445 EXAM 1 NEWEST 2025/2026 ACTUAL EXAM
NUR 445 EXAM 1 NEWEST 2025/2026 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE OF NURSING
What are some of the educational needs of ICU patients and families? - Correct
Answer-current info about patient progress, informed decision making,
acknowledgement of past, optimal learning environment, orientation to routines
and care, motivation
What is transfer anxiety? - Correct Answer-transferring to a less acute unit creates
anxiety as they move to an unfamiliar environment
What are some components of ICU patient and family centered care? - Correct
Answer-Open visitation, inclusion in decision making, education about healthcare,
and inclusion of families in designing comfortable spaces
What is reduced for the ICU patient when the family is at the bedside? - Correct
Answer-anxiety and hallucinations
How can the family help the ICU patient and nursing staff? - Correct Answer-they
can comfort patients in ways not open to staff, as well as provide info to help the
nurse individualize care
Historically, why have families been restricted from the ICU? - Correct Answer-
Harmful physiological consequences, interferes with time nurses need to spend
caring for patients, delays in care
1|Page
, NUR 445 EXAM 1 NEWEST 2025/2026 ACTUAL EXAM
What are some advantages to having family present during CPR? - Correct
Answer-Family grasps seriousness of condition, sees firsthand everything was
done for the patient, helps with grieving, doubt is removed, less fear and anxiety,
a sense of closure,
What is cultural competence? - Correct Answer-Being mindful of your own beliefs
and attitudes, without letting personal bias influence the care of patients with
different backgrounds
Why is culturally competent care essential? - Correct Answer-to achieve equitable
outcomes for all patients
Why is it important for nurses to recognize and address barriers to culturally
competent care? - Correct Answer-to convey respect for the patient's uniqueness,
discussing language preferences, educational material at their level, address
sensitivity
Which senses are involved in sensory output? - Correct Answer-visual, auditory,
olfactory, gustatory, tactile
What are the 3 sensory perceptual alterations? - Correct Answer-sensory
overload/deprivation, delirium, sleep deprivation
How can nurses act as an advocate in providing rest and sleep? - Correct Answer-
control the environment and ensure rest throughout the day/night
2|Page
, NUR 445 EXAM 1 NEWEST 2025/2026 ACTUAL EXAM
What are a few interventions nurses can do to promote uninterrupted rest
periods? - Correct Answer-Relaxing music, ear plugs, control pain, silencing pagers
and alarms, lowering lights, limit visitation, help patient mentally prepare for
bedtime
What are some methods of nonverbal communication used by high acuity
patients? - Correct Answer-vitals, facial expressions, hand gestures, written
messages, computer keyboards, pointing to letters, coded eye-blink system
What is palliative care? - Correct Answer-interdisciplinary approach to relieve
suffering and improve QOL
What are common symptoms addressed by the palliative care team? - Correct
Answer-shortness of breath, fatigue, constipation, nausea, loss of appetite,
difficulty sleeping
What is the goal of palliative care? - Correct Answer-to improve quality of life
Who can initiate a consult to the palliative care team? - Correct Answer-a nurse,
physician, family member, patient, social worker, or case manager
What are the benefits of palliative care in the ICU? - Correct Answer-decreased
length of stay, decreased use of ineffective treatments, decreased
anxiety/depression, increased family satisfaction and understanding, increased
symptom assessment, increased comfort
3|Page
, NUR 445 EXAM 1 NEWEST 2025/2026 ACTUAL EXAM
Who meets to formulate the palliative care plan? - Correct Answer-palliative care
team, ICU nurse, other team members
What is included in a palliative care plan? - Correct Answer-meet psychological,
social, cultural, and spiritual needs
Who defines who is family to the patient? - Correct Answer-The patient defines
who they identify as family
What is the FICA Spiritual History Tool? - Correct Answer-Faith and Belief,
Importance, Community, Address in care
What are the 4 elements of decision-making capacity? - Correct Answer-the ability
to understand information about options for care, ability to reason and consider
options being offered, ability to communicate a choice, ability to describe
consequences of the decision
What is the proxy decision maker "charged with?" - Correct Answer-Making
decisions that the patient would make if they were able to make them
What does offering a menu of choices for code status lead to? - Correct Answer-
Confusion and inconsistent choices
What is the goal of AND? - Correct Answer-to prevent unnecessary suffering and
allow nature to take its course
4|Page
NUR 445 EXAM 1 NEWEST 2025/2026 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE OF NURSING
What are some of the educational needs of ICU patients and families? - Correct
Answer-current info about patient progress, informed decision making,
acknowledgement of past, optimal learning environment, orientation to routines
and care, motivation
What is transfer anxiety? - Correct Answer-transferring to a less acute unit creates
anxiety as they move to an unfamiliar environment
What are some components of ICU patient and family centered care? - Correct
Answer-Open visitation, inclusion in decision making, education about healthcare,
and inclusion of families in designing comfortable spaces
What is reduced for the ICU patient when the family is at the bedside? - Correct
Answer-anxiety and hallucinations
How can the family help the ICU patient and nursing staff? - Correct Answer-they
can comfort patients in ways not open to staff, as well as provide info to help the
nurse individualize care
Historically, why have families been restricted from the ICU? - Correct Answer-
Harmful physiological consequences, interferes with time nurses need to spend
caring for patients, delays in care
1|Page
, NUR 445 EXAM 1 NEWEST 2025/2026 ACTUAL EXAM
What are some advantages to having family present during CPR? - Correct
Answer-Family grasps seriousness of condition, sees firsthand everything was
done for the patient, helps with grieving, doubt is removed, less fear and anxiety,
a sense of closure,
What is cultural competence? - Correct Answer-Being mindful of your own beliefs
and attitudes, without letting personal bias influence the care of patients with
different backgrounds
Why is culturally competent care essential? - Correct Answer-to achieve equitable
outcomes for all patients
Why is it important for nurses to recognize and address barriers to culturally
competent care? - Correct Answer-to convey respect for the patient's uniqueness,
discussing language preferences, educational material at their level, address
sensitivity
Which senses are involved in sensory output? - Correct Answer-visual, auditory,
olfactory, gustatory, tactile
What are the 3 sensory perceptual alterations? - Correct Answer-sensory
overload/deprivation, delirium, sleep deprivation
How can nurses act as an advocate in providing rest and sleep? - Correct Answer-
control the environment and ensure rest throughout the day/night
2|Page
, NUR 445 EXAM 1 NEWEST 2025/2026 ACTUAL EXAM
What are a few interventions nurses can do to promote uninterrupted rest
periods? - Correct Answer-Relaxing music, ear plugs, control pain, silencing pagers
and alarms, lowering lights, limit visitation, help patient mentally prepare for
bedtime
What are some methods of nonverbal communication used by high acuity
patients? - Correct Answer-vitals, facial expressions, hand gestures, written
messages, computer keyboards, pointing to letters, coded eye-blink system
What is palliative care? - Correct Answer-interdisciplinary approach to relieve
suffering and improve QOL
What are common symptoms addressed by the palliative care team? - Correct
Answer-shortness of breath, fatigue, constipation, nausea, loss of appetite,
difficulty sleeping
What is the goal of palliative care? - Correct Answer-to improve quality of life
Who can initiate a consult to the palliative care team? - Correct Answer-a nurse,
physician, family member, patient, social worker, or case manager
What are the benefits of palliative care in the ICU? - Correct Answer-decreased
length of stay, decreased use of ineffective treatments, decreased
anxiety/depression, increased family satisfaction and understanding, increased
symptom assessment, increased comfort
3|Page
, NUR 445 EXAM 1 NEWEST 2025/2026 ACTUAL EXAM
Who meets to formulate the palliative care plan? - Correct Answer-palliative care
team, ICU nurse, other team members
What is included in a palliative care plan? - Correct Answer-meet psychological,
social, cultural, and spiritual needs
Who defines who is family to the patient? - Correct Answer-The patient defines
who they identify as family
What is the FICA Spiritual History Tool? - Correct Answer-Faith and Belief,
Importance, Community, Address in care
What are the 4 elements of decision-making capacity? - Correct Answer-the ability
to understand information about options for care, ability to reason and consider
options being offered, ability to communicate a choice, ability to describe
consequences of the decision
What is the proxy decision maker "charged with?" - Correct Answer-Making
decisions that the patient would make if they were able to make them
What does offering a menu of choices for code status lead to? - Correct Answer-
Confusion and inconsistent choices
What is the goal of AND? - Correct Answer-to prevent unnecessary suffering and
allow nature to take its course
4|Page
