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TEST BANK FOR INTRODUCTION TO CRITICAL CARE NURSIN2
TEST BANK FOR INTRODUCTION TO CRITICAL CARE NURSIN2
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TEST BANK FOR INTRODUCTION TO CRITICALCARE NURSING, 8TH EDITION, MARY LOU SOLE,
DEBORAH KLEIN, MARTHE MOSELEY,
What is critical care nursing? - ANSWER - Managing physiologic, psychosocial, and
ethical alterations for patients with complex, life-threatening conditions.
- Providing compassionate, patient-and-family-centered care.
- Using cutting edge technology.
Goal of critical care - ANSWER - To promote optimal outcomes for the patient and
family
- For the patient to "get better" and learn to live their life to the fullest extent that they
are able
- For the patient and family to experience a "good death"
Evidence-Based Practice - ANSWER - The best available research
- Experiential knowledge
- Patient/family preferences
- To support decision making
Healthy Work Environment - ANSWER Optimization of professional collaboration
and nursing practice that promotes employee satisfaction.
Standard 1 - ANSWER Nurses must be as proficient in communication skills as they
are in clinical skills.
Standard 2 - ANSWER Nurses must be relentless in pursuing and fostering true
collaboration.
Standard 3 - ANSWER Nurses must be valued and committed partners in making
policy, directing and evaluating clinical care, and leading organizational operations.
Standard 4 - ANSWER Staffing must ensure the effective match between patient
needs and nurse competencies.
Standard 5 - ANSWER Nurses must be recognized and must recognize others for
the value each brings to the work of the organization.
Standard 6 - ANSWER Nurse leaders must fully embrace the imperative of a healthy
work environment, authentically live it, and engage others in its achievement.
Synergy Model underlying promises - ANSWER - Patient's characteristics are of
concern to nurses
- Nurse's competencies are important to patients
- Patient's characteristics drive nurses' competencies
, - When patient's characteristics and nurses' competencies match, outcomes for the
patient are optimal!
Managing anxiety of patients and their families - ANSWER - Foster trust
- Provide accurate information
- Ensure privacy
- Allow control
Assisting families through crisis - ANSWER - Identify and meet the family's needs
- Facilitate visitation
- Discuss presence during invasive procedures and resuscitation
- Facilitate family conferences
- Practice cultural sensitivity
- Support spirituality
- Begin discharge planning on the day of admission
Sleep deprivation - ANSWER - Creates stress
- Can lead to altered cognition, confusion and difficulty with ventilator weaning.
Restraints - ANSWER Used to prevent accidental disruptions in therapy and to
ensure a patient's safety
Alternatives to physical restraints - ANSWER Environmental modifications,
therapeutic interventions, diversionary activities, therapeutic use of self
Physical restraints nursing care q 2 hours - ANSWER - ROM
- Check pulse and skin integrity
- Let them eat, drink, and bathroom
- Turn
New restraint order by MD - ANSWER Every 24 hours
Barriers to Patient and Family Education - ANSWER - Effects of critical care
environment
- Emotional and environmental distractions
- Language barriers (translators)
- Sensory deficits (blind, deaf)
Providing Patient and Family Education - ANSWER - Assess learning needs
- Develop effective teaching strategies
- Evaluate teaching and learning
- Document teaching and learning
Nonmaleficence - ANSWER Do no harm (deliberately)
Beneficence - ANSWER Promote the welfare of others, maximizes the benefits and
minimising harm
Respect for Autonomy - ANSWER Respect choices of patients and families
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