Question 1

Which of the following techniques may be used to enhance coping?

Accepted Answer

A)  Encouraging the patient to let the staff have total control of the patient's care 
B)  Encouraging denial of the illness 
C)  Letting the patient know everything will be all right 
D)  Fostering trust in the health care team 
A)  Encouraging the patient to let the staff have total control of the patient's care 
B)  Encouraging denial of the illness 
C)  Letting the patient know everything will be all right 
D)  Fostering trust in the health care team D

Question 2

A patient is admitted into the ICU with the diagnosis of gunshot wound to the head,suicide attempt.While the patient is in the ICU the nurse's interventions should include

Accepted Answer

A)  limiting interaction with the patient due to antisocial behaviors exhibited by the suicidal attempt. 
B)  ignoring the patient's need to talk about the incident. 
C)  validating the patient's worth and self-esteem. 
D)  discontinuing any psychotropic medications. 
A)  limiting interaction with the patient due to antisocial behaviors exhibited by the suicidal attempt. 
B)  ignoring the patient's need to talk about the incident. 
C)  validating the patient's worth and self-esteem. 
D)  discontinuing any psychotropic medications. C

Question 3

Regression as a coping mechanism for critical care patients

Accepted Answer

A)  is necessary to some degree to allow staff to administer care. 
B)  indicates deterioration of the physical state. 
C)  is adaptive when the patient calls the nurse every 15 minutes, even for trivial matters. 
D)  is best avoided to ensure successful recovery. 
A)  is necessary to some degree to allow staff to administer care. 
B)  indicates deterioration of the physical state. 
C)  is adaptive when the patient calls the nurse every 15 minutes, even for trivial matters. 
D)  is best avoided to ensure successful recovery. A

Question 4

Commonly used medications for withdrawal symptoms include

Accepted Answer

A)  chlordiazepoxide and folic acid. 
B)  chlordiazepoxide and lorazepam. 
C)  lorazepam and promethazine. 
D)  promethazine and thiamine. 
A)  chlordiazepoxide and folic acid. 
B)  chlordiazepoxide and lorazepam. 
C)  lorazepam and promethazine. 
D)  promethazine and thiamine.

Question 5

An intervention for a patient with learned helplessness is to

Accepted Answer

A)  maintain control of the environment. 
B)  set limits on the behavior. 
C)  maintain a routine schedule so that the patient can anticipate activities. 
D)  prepare the patient for transfer to the medical floor. 
A)  maintain control of the environment. 
B)  set limits on the behavior. 
C)  maintain a routine schedule so that the patient can anticipate activities. 
D)  prepare the patient for transfer to the medical floor.

Question 6

A patient has recently been weaned off mechanical ventilation after 3 weeks of treatment.The patient is now refusing to have the ventilator removed from the room.What type of alteration is the patient experiencing?

Accepted Answer

A)  Disturbed self-esteem 
B)  Regression 
C)  Hopelessness 
D)  Disturbed body image 
A)  Disturbed self-esteem 
B)  Regression 
C)  Hopelessness 
D)  Disturbed body image

Question 7

A patient is admitted to the CCU complaining of pain from a femur fracture and is anxious and agitated.The patient is receiving steroids and theophylline for exacerbation of asthma.The nurse should assess the patient for

Accepted Answer

A)  anxiety. 
B)  low self-esteem. 
C)  regression. 
D)  suicidal ideations. 
A)  anxiety. 
B)  low self-esteem. 
C)  regression. 
D)  suicidal ideations.

Question 8

Psychologic and spiritual interventions have the power to engage a patient's

Accepted Answer

A)  hope. 
B)  fear. 
C)  will to survive. 
D)  energy. 
E)  ability to meet life's challenges. 
A)  hope. 
B)  fear. 
C)  will to survive. 
D)  energy. 
E)  ability to meet life's challenges.

Question 9

_____ occurs when the critical illness is so severe that the patient or family becomes overwhelmed.

Accepted Answer

A)  Anxiety 
B)  Spiritual distress 
C)  Stress overload 
D)  Hopelessness 
A)  Anxiety 
B)  Spiritual distress 
C)  Stress overload 
D)  Hopelessness

Question 10

Because of the nature of the environment,_____ is a serious concern in the critical care environment.

Accepted Answer

A)  family involvement 
B)  use of complementary therapies 
C)  sleep deprivation 
D)  calm environment 
A)  family involvement 
B)  use of complementary therapies 
C)  sleep deprivation 
D)  calm environment

Question 11

Patients with an external locus of control

Accepted Answer

A)  believe that they can influence the outcome of their illness. 
B)  should be forced to take control of their discharge planning. 
C)  usually start out with an internal locus of control until a major illness occurs. 
D)  believe that events are related to chance or fate. 
A)  believe that they can influence the outcome of their illness. 
B)  should be forced to take control of their discharge planning. 
C)  usually start out with an internal locus of control until a major illness occurs. 
D)  believe that events are related to chance or fate.

Question 12

A nurse can demonstrate caring and support to a patient through demonstration or expression of

Accepted Answer

A)  superior clinical skills. 
B)  uncertainty with prognosis. 
C)  empathy and physical contact. 
D)  prioritizing care. 
A)  superior clinical skills. 
B)  uncertainty with prognosis. 
C)  empathy and physical contact. 
D)  prioritizing care.

Question 13

Prolonged periods of anxious waiting,disrupted sleep patterns,witnessing emergency interventions,and financial concerns could put family members at risk for developing

Accepted Answer

A)  powerlessness. 
B)  hopelessness. 
C)  anxiety. 
D)  PTSD. 
A)  powerlessness. 
B)  hopelessness. 
C)  anxiety. 
D)  PTSD.

Question 14

A patient has been admitted to the critical care unit with a severed spinal cord injury at the T2 level.The patient has been in halo traction with immobilization for the past week.The patient continually tries to get out of bed and states,"My legs are only sleeping." Which of the following nursing diagnoses would be appropriate for the patient?

Accepted Answer

A)  Disturbed body image 
B)  Powerlessness 
C)  Situational low self-esteem 
D)  Ineffective role performance 
A)  Disturbed body image 
B)  Powerlessness 
C)  Situational low self-esteem 
D)  Ineffective role performance

Question 15

Anxiety can cause emotional changes in the

Accepted Answer

A)  hypothalamus. 
B)  limbic system. 
C)  cerebral cortex. 
D)  pituitary gland. 
A)  hypothalamus. 
B)  limbic system. 
C)  cerebral cortex. 
D)  pituitary gland.

Question 16

Identify actions that a critical care nurse can take to decrease stressors at work.

Accepted Answer

A)  Request temporary assignments in a less stressful setting. 
B)  Use self-reflection when feeling overwhelmed. 
C)  Maintain good physical health. 
D)  Ignore feelings of frustration and anger. 
E)  Use stress management techniques. 
A)  Request temporary assignments in a less stressful setting. 
B)  Use self-reflection when feeling overwhelmed. 
C)  Maintain good physical health. 
D)  Ignore feelings of frustration and anger. 
E)  Use stress management techniques.

Question 17

Interventions to help family members who are extremely upset include

Accepted Answer

A)  encouraging the family to visit as much as possible. 
B)  conveying what the patient is experiencing to the family. 
C)  supporting the family members away from the bedside. 
D)  assuring the family that the staff will take care of the technical aspects of the patient's care. 
A)  encouraging the family to visit as much as possible. 
B)  conveying what the patient is experiencing to the family. 
C)  supporting the family members away from the bedside. 
D)  assuring the family that the staff will take care of the technical aspects of the patient's care.

Question 18

A patient with low self-esteem may manifest which of the following behaviors?

Accepted Answer

A)  Refusal to participate in care 
B)  Feelings that his or her body has betrayed him or her 
C)  Acceptance and ownership of problems 
D)  Disruption in the perception of the body 
A)  Refusal to participate in care 
B)  Feelings that his or her body has betrayed him or her 
C)  Acceptance and ownership of problems 
D)  Disruption in the perception of the body

Question 19

According to the transactional theories on stress,what does a person do first when confronted by stress?

Accepted Answer

A)  Determines coping mechanisms to deal with the stress 
B)  Determines the perceived degree of threat imposed 
C)  Determines what the response will be to the stress 
D)  Denies the stress exists 
A)  Determines coping mechanisms to deal with the stress 
B)  Determines the perceived degree of threat imposed 
C)  Determines what the response will be to the stress 
D)  Denies the stress exists

Question 20

A patient tells his family,"I don't know why I was placed on this earth just to suffer from cancer all my life.I just want to die." The nurse realizes the patient

Accepted Answer

A)  has lost control of the situation. 
B)  is expressing spiritual despair. 
C)  is becoming anxious with the situation. 
D)  will become withdrawn from his or her care. 
A)  has lost control of the situation. 
B)  is expressing spiritual despair. 
C)  is becoming anxious with the situation. 
D)  will become withdrawn from his or her care.

Exam 6: Psychosocial and Spiritual Alterations and Management

Which of the following techniques may be used to enhance coping?

A patient is admitted into the ICU with the diagnosis of gunshot wound to the head,suicide attempt.While the patient is in the ICU the nurse's interventions should include

Regression as a coping mechanism for critical care patients

Commonly used medications for withdrawal symptoms include

An intervention for a patient with learned helplessness is to

A patient has recently been weaned off mechanical ventilation after 3 weeks of treatment.The patient is now refusing to have the ventilator removed from the room.What type of alteration is the patient experiencing?

A patient is admitted to the CCU complaining of pain from a femur fracture and is anxious and agitated.The patient is receiving steroids and theophylline for exacerbation of asthma.The nurse should assess the patient for

Psychologic and spiritual interventions have the power to engage a patient's

_____ occurs when the critical illness is so severe that the patient or family becomes overwhelmed.

Because of the nature of the environment,_____ is a serious concern in the critical care environment.

Patients with an external locus of control

A nurse can demonstrate caring and support to a patient through demonstration or expression of

Prolonged periods of anxious waiting,disrupted sleep patterns,witnessing emergency interventions,and financial concerns could put family members at risk for developing

Anxiety can cause emotional changes in the

Identify actions that a critical care nurse can take to decrease stressors at work.

Interventions to help family members who are extremely upset include

A patient with low self-esteem may manifest which of the following behaviors?

According to the transactional theories on stress,what does a person do first when confronted by stress?

A patient tells his family,"I don't know why I was placed on this earth just to suffer from cancer all my life.I just want to die." The nurse realizes the patient

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetics and Genomics in Critical Care

Patient and Family Education

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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