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Overview of Critical Care nursing (Chapters 1-5) 10 Questions And Answers 2025
Typology: Exams
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AACN Certification Corporation oversees - correct answers ✅✅the critical care certification process CCRN certification is available for - correct answers ✅✅nurses who provide care of critically ill adult, pediatric, or neonatal populations CCRN-E credential is available for - correct answers ✅✅nurses working in the eICUs PCCN is for - correct answers ✅✅nurses who provide acute care in progressive care, telemetry, and similar units Built Environment - correct answers ✅✅physical layout of a critical care unit has a subtle but profound effect on patients, families, and the critical care team Sensory overload could be a result of - correct answers ✅✅The noise level alone is enough stimulation to cause a patient discomfort and sleep deprivation, and it is a major factor contributing to sensory overload Sensory deprivation has been connected to an increase in ... and what could decrease this? - correct answers ✅✅- perceptual disturbances such as hallucinations, especially in older adults
♣ Each solution must carry equal weight and must be ethically defensible autonomy - correct answers ✅✅states that all persons should be free to govern their lives to the greatest degree possible; this means to respect their freedom of choice and to allow them to make their own Beneficence - correct answers ✅✅the duty to provide benefits to others when in a position to do so and to help balance harms and benefits Nonmaleficence - correct answers ✅✅the explicit duty to not inflict harm on others intentionally Justice - correct answers ✅✅requires that health care resources be distributed fairly and equitably among groups of people Veracity - correct answers ✅✅states that persons are obligated to tell the truth in their communication with others Fidelity - correct answers ✅✅requires that one has a moral duty to be faithful to the commitments made to others Moral distress - correct answers ✅✅occurs when the nurse knows the ethically appropriate action to take but is unable to act on it
or when the nurse acts in a manner contrary to personal and professional values Informed Consent - correct answers ✅✅based on the principle of autonomy; competent adults have the right to self-determination or to make decisions regarding their acceptance or rejection of treatment What elements must be present for a person to consent or decline treatment - correct answers ✅✅o Competence o Voluntariness - without coercion o Disclosure of information Competence (or capacity) - correct answers ✅✅refers to a person's ability to understand information regarding a proposed medical or nursing treatment; it is a legal term and is determined in court Advanced 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
Pain - correct answers ✅✅an unpleasant sensory and emotional experience associated with actual or potential tissue damage; subjective experience; the patient becomes the true authority on the pain that is being experienced Anxiety - correct answers ✅✅a state marked by apprehension, agitation, autonomic arousal, fearful withdrawal, or any combination of these; a prolonged state of apprehension in response to a real or perceived fear Fast (sharp) pain signals are transmitted to the spinal cord by - correct answers ✅✅slowly conducting, thinly myelinated A-delta afferent fibers Slow (burning;chronic) pain is transmitted by - correct answers ✅✅the unmyelinated polymodal C fibers, which are activated by a variety of high-intensity mechanical, chemical, hot, and cold stimulus Somatic Pain - correct answers ✅✅results from irritation or damage to the nervous system Visceral Pain - correct answers ✅✅diffuse, poorly localized, and often referred Dyssynchrony - correct answers ✅✅the patient "fights" with the mechanical ventilator which can result in further alveolar damage
Agitated (RASS) - correct answers ✅✅frequent non-purposeful movements; fights ventilator 2+ Restless (RASS) - correct answers ✅✅anxious or apprehensive but movements are not aggressive or vigorous 1+ Alert and Calm will get you a (RASS) score of - correct answers ✅✅ 0 Drowsy (RASS) - correct answers ✅✅not full alert, but has sustained (>10 sec) wakening, with eye contact, to loud voice
Light Sedation (RASS) - correct answers ✅✅briefly awakens (< sec) with eye contact to loud voice
Moderate Sedation (RASS) - correct answers ✅✅any movement (but no eye contact) to loud voice
Deep Sedation (RASS) - correct answers ✅✅no response to voice, but any movement to physical stimulation
Unarousable (RASS) - correct answers ✅✅no response to voice or physical stimulation
Delirium (acute brain dysfunction) - correct answers ✅✅characterized by an acutely changing or fluctuating mental status, inattention, disorganized thinking, and altered levels of consciousness Hyperactive delirium - correct answers ✅✅Agitation, restlessness, attempts to remove catheters or tubes, hitting, biting, and/or emotional lability