NUR 445 Module 1 Review Questions and Correct Answers
2 views 0 purchase
Course
NUR 445
Institution
NUR 445
Difference between ICUs in large and small hospitals -Large medical centers have multiple ICUs defined by specialty -Small hospital's may only have one ICU designed to care for a
What must nurses caring for high acuity patients be able to do? Must be able to analyze clinical situations, make decis...
NUR 445 Module 1 Review Questions
and Correct Answers
Difference between ICUs in large and small hospitals ✅-Large medical centers have
multiple ICUs defined by specialty
-Small hospital's may only have one ICU designed to care for a
What must nurses caring for high acuity patients be able to do? ✅Must be able to
analyze clinical situations, make decisions based on this analysis, and rapidly intervene
to ensure optimal patient outcomes
Who is the only member of the healthcare team who is at the bedside and frequently
coordinates patient care? ✅Nurses
Who detects early signs of an impending complication with the patient? ✅Nurses
What is one of the primary goals for the acute care nurse? ✅The prevention of
complications
What changes led to decreased job satisfaction and nurses leaving practice in the high
acuity environment? ✅Nurses required to cross-train and "float" to care for patients
outside their specialty areas. Unlicensed assistive personnel were trained and
supervised by nurses to complete patient care tasks. Fewer young people are choosing
nursing as a career. As population continues to age more patients will require high-
acuity care causing nursing shortage.
What really should be considered when making decisions about nursing staffing
patterns? ✅The needs of patient and the skill mix of the nursing staff must be
considered when making decisions about staffing patterns. Adequate resources must
be available to evaluate the patient/family response to treatment, education, and pharm
interventions.
What should the first principle of staffing be? ✅Safe and effective patient care.
What does the ANCC award hospitals Magnet designation for? ✅If they are able to
create working environments that are successful in recruiting and retaining professional
nurses.
Which patients are often stereotyped as not being candidates for aggressive treatment?
✅Oncology patients
Who must "goals of care" be discussed with and what must be ensured? ✅Goals for
care must be discussed with the patient and family, allowing ample time for meaningful
, discussion; and facilitating these decisions requires adequate training, excellent
communication skills, and a collaborative effort by the interdisciplinary team.
What is a major advantage of having technology available in the high acuity
environment? ✅The patient status can be monitored continuously, using sensitive
physiologic indicators changing status. In unstable patients, the ability to assess a
possible problem before it becomes a full-blown complication may make the difference
between life and death for the patient.
What is a major criticism of nurses who work in high acuity environments? ✅Nurses
who work with high-acuity patients is that they are too technologically oriented. The
focus nursing care in high-acuity care is on monitoring patients for subtle physiologic
changes
What is alarm fatigue? ✅Occurs when the number and frequency of alarms becomes
overwhelming, resulting in delayed alarm responses and deliberate alarm deactivations,
both of which adversely affect patient safety
What does working in a healthy environment increase? ✅Working in a healthy
environment increases job satisfaction and provides a buffer against stress and burnout
Which professional organization made a commitment to promote healthy work
environments that support quality patient care and high levels of nurse satisfaction?
✅The American Association of Critical Care Nurses (AACN) made a commitment to
promote healthy work environments that support quality patient care and high levels of
nurse satisfaction.
Who are the gatekeepers of patient safety? ✅High-acuity nurses
What is burnout? ✅Feelings of personal and professional frustration, job
dissatisfaction, job insecurity, and emotion and physical exertion. It is a syndrome of
emotional exhaustion, depersonalization, and reduced personal accomplishments that
occurs among individuals who work with people on a daily basis.
Symptoms of burnout ✅a. Behavioral
i. Withdrawal, ambivalence, decreased productivity, increased substance use
b. Physiologic
i. Sleep changes, sexual difficulty, appetite change
c. Psychologic
i. Depression, hostility
d. Cognitive
i. Forgetfulness, poor judgement
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
