Question 1

_____ often occur(s)during the initial ICU visit by the family.

Accepted Answer

A)  Sensory deprivation 
B)  Discharge teaching 
C)  Repeated questioning 
D)  Stress and anxiety 
A)  Sensory deprivation 
B)  Discharge teaching 
C)  Repeated questioning 
D)  Stress and anxiety D

Question 2

Sources of physiologic stress in the acutely ill include

Accepted Answer

A)  hypotension. 
B)  hypoxia. 
C)  fever. 
D)  neurologic deficits. 
E)  eupnea. 
A)  hypotension. 
B)  hypoxia. 
C)  fever. 
D)  neurologic deficits. 
E)  eupnea. B,C,D

Question 3

Which of the following educational content areas is appropriate during the first hours of hospitalization?

Accepted Answer

A)  Pathophysiology of the admitting diagnosis 
B)  Dietary modifications 
C)  Purpose of bedside equipment 
D)  Medication side effects 
A)  Pathophysiology of the admitting diagnosis 
B)  Dietary modifications 
C)  Purpose of bedside equipment 
D)  Medication side effects C

Question 4

A patient has been in the ICU for 20 days with a diagnosis of sepsis and acute respiratory distress syndrome.The patient is ready for transfer to the step-down unit but is apprehensive.The patient has communicated to the nurse that he does not want to leave the ICU because he is afraid that his needs will not be met on the step-down unit.Which educational objective would be best to use in this situation?

Accepted Answer

A)  The patient will state two reasons why he is being transferred by the end of the day. 
B)  The patient will confront his fears and deal with them within 1 day of transfer. 
C)  The patient will state the name of his "new" nurse by the end of the day. 
D)  The patient will be introduced to at least two of his "new" caregivers by the time of transfer. 
A)  The patient will state two reasons why he is being transferred by the end of the day. 
B)  The patient will confront his fears and deal with them within 1 day of transfer. 
C)  The patient will state the name of his "new" nurse by the end of the day. 
D)  The patient will be introduced to at least two of his "new" caregivers by the time of transfer.

Question 5

The patient is asked to complete an admission form.The patient hands the form to his spouse and asks her to complete the form,stating,"I forgot my glasses." The patient's actions demonstrate:

Accepted Answer

A)  functional health literacy. 
B)  word recognition test. 
C)  low health literacy. 
D)  reading comprehension test. 
A)  functional health literacy. 
B)  word recognition test. 
C)  low health literacy. 
D)  reading comprehension test.

Question 6

Group discussion as a patient teaching strategy for educating both a patient newly diagnosed with diabetes and a patient who has had the disease for years

Accepted Answer

A)  is an efficient use of the nurse's time. 
B)  will address the same teaching topics with both patients. 
C)  will be effective because both patients undoubtedly have identical goals. 
D)  is not an appropriate teaching strategy. 
A)  is an efficient use of the nurse's time. 
B)  will address the same teaching topics with both patients. 
C)  will be effective because both patients undoubtedly have identical goals. 
D)  is not an appropriate teaching strategy.

Question 7

Which of the following statements BEST describes the teaching-learning process?

Accepted Answer

A)  It follows the distinct order of the nursing process, with each step of the process separate and without repetition. 
B)  It requires formal blocks of learning time that are planned during the shift. 
C)  It is a continuous activity that occurs during hospitalization and beyond. 
D)  It ends at the point of discharge. 
A)  It follows the distinct order of the nursing process, with each step of the process separate and without repetition. 
B)  It requires formal blocks of learning time that are planned during the shift. 
C)  It is a continuous activity that occurs during hospitalization and beyond. 
D)  It ends at the point of discharge.

Question 8

A patient is admitted to the critical care unit with the onset of tuberculosis.He was diagnosed with HIV/AIDS 1 year ago.When talking to the patient about preventing the spread of tuberculosis,the patient tells the nurse that he has not followed precautions regarding tuberculosis for patients with HIV.Which educational objective is BEST stated for this patient?

Accepted Answer

A)  Patient will know at least two ways to prevent the spread of tuberculosis within 1 week. 
B)  Patient will understand how HIV is spread within 3 days. 
C)  Patient will realize that improper precautions will spread his disease to others. 
D)  Patient will verbalize two methods of transmission for tuberculosis within 2 days. 
A)  Patient will know at least two ways to prevent the spread of tuberculosis within 1 week. 
B)  Patient will understand how HIV is spread within 3 days. 
C)  Patient will realize that improper precautions will spread his disease to others. 
D)  Patient will verbalize two methods of transmission for tuberculosis within 2 days.

Question 9

Identify which of the following questions a nurse could use to obtain assessment information.

Accepted Answer

A)  "How can we help you today?" 
B)  "Can you tell me why you take each medication?" 
C)  "Are you in pain?" 
D)  "Are these people your main support system?" 
E)  "How well do you understand the directions?" 
A)  "How can we help you today?" 
B)  "Can you tell me why you take each medication?" 
C)  "Are you in pain?" 
D)  "Are these people your main support system?" 
E)  "How well do you understand the directions?"

Question 10

Acute illness disrupts the patient's and family's normal routines.Coping mechanisms include

Accepted Answer

A)  denial. 
B)  adaptation. 
C)  values. 
D)  anger. 
E)  disbelief. 
A)  denial. 
B)  adaptation. 
C)  values. 
D)  anger. 
E)  disbelief.

Question 11

A mechanically ventilated patient with an endotracheal tube in the critical care unit is being actively weaned and is off sedation medication.As he begins to wake up for the first time since his admission,he becomes increasingly agitated,pulling at his gown,kicking his feet,and grimacing.The nurse responds to the situation by

Accepted Answer

A)  medically treating the patient to sedate him again. 
B)  putting him in restraints because his issues are behavioral. 
C)  telling him to stop moving around before he extubates himself. 
D)  quickly providing emotional comfort to reduce the patient's anxiety and telling him simple facts to help him understand the situation. 
A)  medically treating the patient to sedate him again. 
B)  putting him in restraints because his issues are behavioral. 
C)  telling him to stop moving around before he extubates himself. 
D)  quickly providing emotional comfort to reduce the patient's anxiety and telling him simple facts to help him understand the situation.

Question 12

How should a nurse respond when a patient asks if he or she is going to die?

Accepted Answer

A)  Avoid the question by leaving the room. 
B)  Defer the question to the physician. 
C)  Answer honestly and sensitively with information that is understandable and in simple terms. 
D)  Speak with the family first before answering the patient. 
A)  Avoid the question by leaving the room. 
B)  Defer the question to the physician. 
C)  Answer honestly and sensitively with information that is understandable and in simple terms. 
D)  Speak with the family first before answering the patient.

Question 13

A 79-year-old patient received a liver transplant 3 days ago.The patient is extubated and hemodynamically stable.His spouse is coming for a visit,and the nurse has some time to discuss immune suppression drug therapy with both of them.The patient is hearing and sight impaired.The spouse brought the patient's hearing aids 2 days ago and will bring the patient's glasses today.Which of the following teaching strategies would be least effective in the ICU setting?

Accepted Answer

A)  Patient education channel 
B)  Written materials 
C)  Lecture 
D)  Discussion 
A)  Patient education channel 
B)  Written materials 
C)  Lecture 
D)  Discussion

Question 14

A patient is scheduled for a cardiac catheterization this afternoon.The nurse wants to provide her with some basic information before going in the room to talk about her specific procedure.Which teaching strategy is most appropriate for this situation?

Accepted Answer

A)  Discussion 
B)  Demonstration and practice 
C)  Audiovisual media 
D)  Written 
A)  Discussion 
B)  Demonstration and practice 
C)  Audiovisual media 
D)  Written

Question 15

A lack of true understanding can often be misread by the nurse as noncompliance.Which of the following statements demonstrate effective questioning methods to assess a patient's understanding?

Accepted Answer

A)  "Do you take your heart medication every morning?" 
B)  "Can you tell me what you know about your different heart medications?" 
C)  "Do you take all your medications?" 
D)  "Do you ever miss taking your medication?" 
A)  "Do you take your heart medication every morning?" 
B)  "Can you tell me what you know about your different heart medications?" 
C)  "Do you take all your medications?" 
D)  "Do you ever miss taking your medication?"

Question 16

Which of the following issues should be addressed with patients who have been unconscious?

Accepted Answer

A)  Sensations 
B)  Pathophysiology 
C)  Rehabilitation 
D)  Attitudes 
A)  Sensations 
B)  Pathophysiology 
C)  Rehabilitation 
D)  Attitudes

Question 17

Learning domains are identified as:

Accepted Answer

A)  knowledge, ability, and willingness to learn. 
B)  psychologic, skills, and knowledge. 
C)  knowledge, skills, and attitude. 
D)  skills, attitude, and psychologic. 
A)  knowledge, ability, and willingness to learn. 
B)  psychologic, skills, and knowledge. 
C)  knowledge, skills, and attitude. 
D)  skills, attitude, and psychologic.

Question 18

Group discussions for patients are most effective if the patients

Accepted Answer

A)  have a variety of medical diagnoses. 
B)  are in the acute phase of their illness. 
C)  are in the hospital only 3 days or less. 
D)  are at similar stages of adaptation. 
A)  have a variety of medical diagnoses. 
B)  are in the acute phase of their illness. 
C)  are in the hospital only 3 days or less. 
D)  are at similar stages of adaptation.

Question 19

According to Malcolm Knowles' andragogy,which of the following are characteristics of the adult learner?

Accepted Answer

A)  Autonomy 
B)  Experience 
C)  Instructor-driven assessments 
D)  Peer-directed motivation 
E)  Individualism 
A)  Autonomy 
B)  Experience 
C)  Instructor-driven assessments 
D)  Peer-directed motivation 
E)  Individualism

Question 20

When writing goals and outcomes,it is important to incorporate

Accepted Answer

A)  how intervention will occur. 
B)  a measurable or observable verb. 
C)  what the nurse will teach. 
D)  a brief description because this is only a guide on how to teach. 
A)  how intervention will occur. 
B)  a measurable or observable verb. 
C)  what the nurse will teach. 
D)  a brief description because this is only a guide on how to teach.

Exam 5: Patient and Family Education

_____ often occur(s)during the initial ICU visit by the family.

Sources of physiologic stress in the acutely ill include

Which of the following educational content areas is appropriate during the first hours of hospitalization?

The patient is asked to complete an admission form.The patient hands the form to his spouse and asks her to complete the form,stating,"I forgot my glasses." The patient's actions demonstrate:

Group discussion as a patient teaching strategy for educating both a patient newly diagnosed with diabetes and a patient who has had the disease for years

Which of the following statements BEST describes the teaching-learning process?

Identify which of the following questions a nurse could use to obtain assessment information.

Acute illness disrupts the patient's and family's normal routines.Coping mechanisms include

How should a nurse respond when a patient asks if he or she is going to die?

A patient is scheduled for a cardiac catheterization this afternoon.The nurse wants to provide her with some basic information before going in the room to talk about her specific procedure.Which teaching strategy is most appropriate for this situation?

A lack of true understanding can often be misread by the nurse as noncompliance.Which of the following statements demonstrate effective questioning methods to assess a patient's understanding?

Which of the following issues should be addressed with patients who have been unconscious?

Learning domains are identified as:

Group discussions for patients are most effective if the patients

According to Malcolm Knowles' andragogy,which of the following are characteristics of the adult learner?

When writing goals and outcomes,it is important to incorporate

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetics and Genomics in Critical Care

Psychosocial and Spiritual Alterations and Management

Sleep Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,Delirium: Assessment and Management

End-Of-Life Issues

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Anatomy and Physiology

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Anatomy and Physiology

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Burns

Organ Donation and Transplantation

Hematologic Disorders and Oncologic Emergencies

The Obstetric Patient

The Pediatric Patient

The Older Adult Patient

The Perianesthesia Patient

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