Question 1

Which statement regarding regression as a coping mechanism for critical care patients is accurate?

Accepted Answer

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

Question 2

Which statement regarding patients with an external locus of control is true?

Accepted Answer

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

Question 3

Which nursing intervention can help family members who are extremely upset?

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 C

Question 4

Which medications are commonly used for alcohol withdrawal symptoms?

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

A patient is admitted with the diagnosis of gunshot wound to the head due to a suicide attempt.While the patient is in the critical care unit,the plan of care should include which intervention?

Accepted Answer

A)  Limiting interaction with the patient due to antisocial behaviors exhibited by the suicidal attempt 
B)  Overlooking 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)  Overlooking the patient's need to talk about the incident 
C)  Validating the patient's worth and self-esteem 
D)  Discontinuing any psychotropic medications

Question 6

A patient with low self-esteem may manifest which 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 7

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

Accepted Answer

A)  Powerlessness 
B)  Hopelessness 
C)  Anxiety 
D)  Posttraumatic stress disorder 
A)  Powerlessness 
B)  Hopelessness 
C)  Anxiety 
D)  Posttraumatic stress disorder

Question 8

Which intervention should be included in the patient management plan for a patient with powerlessness?

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 9

Which therapeutic technique may be used to enhance coping in the critical care environment?

Accepted Answer

A)  Encourage the patient to let the staff have total control of the patient's care 
B)  Encourage the patient to deny the presence of the illness 
C)  Inform the patient that everything will be all right 
D)  Foster trust in the interprofessional health care team 
A)  Encourage the patient to let the staff have total control of the patient's care 
B)  Encourage the patient to deny the presence of the illness 
C)  Inform the patient that everything will be all right 
D)  Foster trust in the interprofessional health care team

Question 10

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 11

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." What psychosocial issue is the patient experiencing?

Accepted Answer

A)  Lost control 
B)  Spiritual distress 
C)  Anxiety 
D)  Powerlessness 
A)  Lost control 
B)  Spiritual distress 
C)  Anxiety 
D)  Powerlessness

Question 12

A patient has been admitted with a severed spinal cord injury at the T₂ level.The patient has been in halo traction with immobilization for the past week.The practitioner has explained to the patient that the spinal cord has been severed and that the patient will not be able to walk again.The patient states,"I can't wait until I can get on my feet and walk again." Which defense mechanism is the patient exhibiting in this statement?

Accepted Answer

A)  Denial 
B)  Posttraumatic stress disorder (PTS
D)  
C)  Regression 
D)  Trust 
A)  Denial 
B)  Posttraumatic stress disorder (PTS
D)  
C)  Regression 
D)  Trust

Question 13

What happens 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 14

What actions can a critical care nurse 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 15

Which concept supports patients and helps them endure the physical and psychologic insults of their critical illness?

Accepted Answer

A)  Regression 
B)  Denial 
C)  Hope 
D)  Trust 
A)  Regression 
B)  Denial 
C)  Hope 
D)  Trust

Question 16

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 17

A patient has been admitted with a severed spinal cord injury at the T₂ level.The patient has been in halo traction with immobilization for the past week.The practitioner explains to the patient that the spinal cord has been severed and that the patient will not be able to walk again.The patient becomes overtly hostile to everyone.What psychosocial concept is the patient demonstrating?

Accepted Answer

A)  Regression 
B)  Loss of autonomy 
C)  Ineffective coping 
D)  Hope 
A)  Regression 
B)  Loss of autonomy 
C)  Ineffective coping 
D)  Hope

Question 18

What outcomes do psychosocial and spiritual interventions have the power to employ in a patient?

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 19

What serious concern regarding the critical care environment affects the patient's ability to cope and heal?

Accepted Answer

A)  Lack of consistent visiting policies 
B)  Misuse of complementary therapies 
C)  Deprivation of sleep 
D)  Mishandling of integrative therapies 
A)  Lack of consistent visiting policies 
B)  Misuse of complementary therapies 
C)  Deprivation of sleep 
D)  Mishandling of integrative therapies

Question 20

Through what mechanism can a nurse demonstrate caring and support to a patient?

Accepted Answer

A)  Demonstrating superior clinical skills 
B)  Ensuring continuity of care 
C)  Providing empathy and physical contact 
D)  Organizing and prioritizing care 
A)  Demonstrating superior clinical skills 
B)  Ensuring continuity of care 
C)  Providing empathy and physical contact 
D)  Organizing and prioritizing care

Exam 6: Psychosocial and Spiritual Alterations and Management

Which statement regarding regression as a coping mechanism for critical care patients is accurate?

Which statement regarding patients with an external locus of control is true?

Which nursing intervention can help family members who are extremely upset?

Which medications are commonly used for alcohol withdrawal symptoms?

A patient is admitted with the diagnosis of gunshot wound to the head due to a suicide attempt.While the patient is in the critical care unit,the plan of care should include which intervention?

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

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

Which intervention should be included in the patient management plan for a patient with powerlessness?

Which therapeutic technique may be used to enhance coping in the critical care environment?

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 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." What psychosocial issue is the patient experiencing?

What happens when the critical illness is so severe that the patient or family becomes overwhelmed?

What actions can a critical care nurse take to decrease stressors at work?

Which concept supports patients and helps them endure the physical and psychologic insults of their critical illness?

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

What outcomes do psychosocial and spiritual interventions have the power to employ in a patient?

What serious concern regarding the critical care environment affects the patient's ability to cope and heal?

Through what mechanism can a nurse demonstrate caring and support to a patient?

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetic Issues

Patient and Family Education

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,and Delirium Management

End-Of-Life Care

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 and Oncologic Emergencies

The Obstetric Patient

The Pediatric Patient

The Older Adult Patient

The Perianesthesia Patient

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