Critical Care Guided Notes Chapter 1-4 Exam Question And Answers 2025, Exams of Nursing

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Exam Question And Answers 2025

2 professional organizations for critical care nurses - correct answers ✅✅American Association of Critical-Care Nurses (AACN) Society of Critical Care Medicine (SCCM) mission of the AACN - correct answers ✅✅focuses on assisting acute and critical care nurses to attain knowledge and influence to deliver excellence care vision of the AACN - correct answers ✅✅supports creating a health care system driven by the needs of patients and families in which critical care nurses make their optimal contributions, which is described as synergy (mixture of nurse, system, and patient along with patient characteristics and nurse competencies) values of the AACN - correct answers ✅✅accountability, advocacy, integrity, collaboration, leadership, stewardship, lifelong learning, quality, innovation, and commitment Synergy Model of Care - correct answers ✅✅focuses on the extent to which nurses' competencies match patients' characteristics goal of the synergy model - correct answers ✅✅"restore the patient to an optimal level of wellness as defined by the patient and family"

Exam Question And Answers 2025

who can get the CCRN certification - correct answers ✅✅nurses who provide care for critically ill adult, pediatric, or neonatal populations who can get the PCCN certification - correct answers ✅✅nurses who provide acute care in progressive care, telemetry, and similar units what other certifications are available after a nurse gets CCRN or PCCN certified - correct answers ✅✅subspeciality certification in cardiac medicine or cardiac surgery who can get the ACCNS certification - correct answers ✅✅acute and critical care clinical nurse specialist who can get the ACNPC-AG certification - correct answers ✅✅acute care nurse practitioners why are certifications important? - correct answers ✅✅validates knowledge of critical care nursing promotes professional excellence helps nurse to maintain a current knowledge base What 4 specific projects/organizations are in place to assist nurses in providing safe care? - correct answers ✅✅The Quality and Safety Education for Nurses (QSEN)

Exam Question And Answers 2025

what organization developed the concept of the bundle - correct answers ✅✅IHI bundle of care - correct answers ✅✅evidence-based practices that are done as a whole to improve outcomes (ex. ventilator bundle) Goal of Rapid Response Team - correct answers ✅✅identify and manage both stable and unstable patients and those at high risk for cardiopulmonary arrest to prevent unnecessary deaths bundle - correct answers ✅✅a group of interventions related to a disease process that, when executed together, result in better outcomes than when implemented individually. 4 barriers to effective handoff communication - correct answers ✅✅physical setting social setting language communication medium examples of physical setting barriers - correct answers ✅✅background noise, lack of privacy, interruptions examples of social setting communication barriers - correct answers ✅✅organizational hierarchy and status issues

Exam Question And Answers 2025

examples of language communication barriers - correct answers ✅✅differences between people of varying racial and ethnic backgrounds or geographic areas examples of communication medium communication barriers - correct answers ✅✅limitations of communications via telephone, e- mail, paper, or computerized records versus face-to-face what 4 techniques have helped prevent communication breakdown during shift change? - correct answers ✅✅ask-tell-ask tell me more SBAR crew resource management (CRM) ask-tell-ask - correct answers ✅✅strategy for encouraging nurses to assess concerns before providing more information, especially when discussing stressful issues with patients and families tell me more - correct answers ✅✅encourages information sharing in challenging situations SBAR - correct answers ✅✅Situation

Exam Question And Answers 2025

what types of things contribute to sensory deprivation in the ICU - correct answers ✅✅patients can experience this in an environment that is very different from their usual surrounding adverse effects r/t sensory deprivation in the ICU? what age range is most likely to be affected? - correct answers ✅✅perceptual disturbances (hallucinations) elderly ways nurses/hospitals can combat sensory overload - correct answers ✅✅placing patients in private rooms installing sound-absorbing ceiling tiles modifying overhead paging systems initiating programs to raise awareness among staff about their tole reducing noise "sedative" music ways nurses/hospitals can combat sensory deprivation - correct answers ✅✅encourage visitation of family and friends posting family photos providing music or television that the patient usually enjoys What age-related demographic is at a high risk for negative outcomes in the ICU? - correct answers ✅✅65+

Exam Question And Answers 2025

what types of situations --> family conflict being present - correct answers ✅✅knowing the patient's role (not knowing their role) family coping strategies (may be different throughout family members) socioeconomic status previous medical background trauma with family or themselves addressed concerns regarding the patient's condition and care underlying conflicts how can nurses support the family and help them cope - correct answers ✅✅receiving information, receiving assurance, remaining near the patient, being comfortable, and having support available strong communication with family and medical team family bundle components of the family bundle - correct answers ✅✅evaluate plan involve communicate support What is the main cause of emotional outbreak or inappropriate responses from family members? - correct answers ✅✅lack of communication/information

Exam Question And Answers 2025

nonmaleficence - correct answers ✅✅actions intended not to harm or bring harm to others justice - correct answers ✅✅being fair or just the wider community in terms of the consequences of an action, in health care justice is described as the fair allocation or distribution of health care resources what are bioethics committees - correct answers ✅✅bioethical committees are a formal mechanism to address patients ethical concerns roles of the bioethic commity - correct answers ✅✅education and policy-making body and in some cases provide ethics consultation on a case-basis purpose of a bioethics committee - correct answers ✅✅to improve the process and outcomes of patient care by helping to identify, analyze, and resolve ethical problems what different types of professionals make up a bioethics committee - correct answers ✅✅physicians, nurses, chaplains, social workers, and if available bioethicists what types of situations warrant and ethics consult - correct answers ✅✅disagreement of conflict exists on whether to pursue aggressive life-sustaining treatment in a seriously ill patient, such

Exam Question And Answers 2025

as cardiopulmonary resuscitation, or emphasize comfort and palliative care family demands to provide life-sustaining treatment, such as mechanical ventilation or tube feeding, which the physician and nurses consider futile competing family members are present and want to make critical decisions on behalf of the patient a seriously ill patient is incapacitated and does not have a surrogate decision maker or an adcance directive what 3 factors must be present in order for informed consent to be taken - correct answers ✅✅competence (capacity) voluntariness disclosure of information what basic info must be present for decision making - correct answers ✅✅a diagnosis of the patient's specific health problem and condition the nature, duration, and purpose of the proposed treatment or procedures the probable outcome of any medical or nursing intervention

Exam Question And Answers 2025

close relationship with the pt (if there are multiple, use majority of adult relatives reasonably available for consultation)

9. a person given authority to make health decisions fo the pt by another statutory provision
10. person who had a relationship with the pt who is acting in good faith and reliably convey the pt's wishes (NOT paid caregiver or healthcare provider) When would a healthcare proxy/next of kin be used for decision making - correct answers ✅✅if the patient is not mentally capable of providing consent, informed consent is obtained from the designated health care surrogate or legal next of kin (proxy). advance directive - correct answers ✅✅witnessed written document or oral statement in which instructions are given by a person to express desires related to health care decisions. the directive may include, but is not limited to, the designation of a health care surrogate, a living will, or an anatomic gift living will - correct answers ✅✅a witnessed written document or oral statement voluntarily executed by a person that expresses the person's instructions concerning life-prolonging procedures proxy - correct answers ✅✅a competent adult who has not been expressly designated to make health care decisions for an incapacitated person, but is authorixed by stat stature to make health care decisions for the person

Exam Question And Answers 2025

surrogate - correct answers ✅✅a competent adult designated by a person to make health care decisions should that person be incapacitated terminal condition - correct answers ✅✅a condition in which there is no reasonable medical probability of recovery and can be expected to cause death without treatment Persistent Vegetative State (PVS) - correct answers ✅✅a permanent, irreversible unconsciousness condition that demonstrates an absence of voluntary action or cognitive behavior, or an inability to communicate or interact purposefully with the environment brain death - correct answers ✅✅complete and irreversible cessation of brain function DNR - correct answers ✅✅a medical order that prohibits the use of cardiopulmonary resuscitation and emergency cardiac care to reverse signs of clinical death. The DNR order may or may not be specified in patients' advance directives allow natural death - correct answers ✅✅an alternate term with less-negative connotations but essentially meaning DNR withdraw of care - correct answers ✅✅withholding of life support, withdrawing life support, BOTH

Exam Question And Answers 2025

how are palliative care and hospice care different - correct answers ✅✅palliative care is used for comfort in addition to live saving treatments while hospice care is used in place of life saving treatments what distressing symptoms does palliative care address - correct answers ✅✅pain, anxiety, hunger, thirst, dyspnea, diarrhea, nausea, confusion, agitation, and disturbance of sleep patterns s/sx seen with ventilator withdrawal - correct answers ✅✅respiratory distress; tachypnea, dyspnea, or use of accessory muscles what is the nurses' role in caring for a pt being removed from the vent at the EOL - correct answers ✅✅ensure the pt is comfortable what should the nurse assess in a pt after they are removed from the vent at the EOL? - correct answers ✅✅breathing patterns and comfort level what types of therapies are stopped durign withdrawal of care - correct answers ✅✅ventilator vasopressors, antibiotics, blood and blood products dialysis nutritional support

Exam Question And Answers 2025

where is euthanasia legal in the US - correct answers ✅✅california montana oregon vermont washington how is withdraw of care different than euthanasia - correct answers ✅✅withdrawal of care is making the patient comfortable and shifting to palliative care vs. cure