Progressive Care Patients And Their Families PCCN Chapter 1 Exam With 100% Correct And Verified Answers 2024
Why is assessment of acutely ill patients and their families essential? - Correct Answer-
information obtained identifies immediate and future needs so a plan of care can be initiated
Traditional approaches to Patient Assessment include: - Correct Answer-- include a complete evaluation of patient history - comprehensive physical exam of all body systems
Progressive care clinicians must balance: - Correct Answer--need to gather data
-prioritizing and providing care
Collection of assessment data is obtained in: - Correct Answer--phased or staged manner
-consistent with pt care priorities
What is the crucial element to developing competence in assessing progressive care patients? - Correct Answer--consistent and systematic approach
Discuss the importance of a consistent and systematic approach to assessment of progressive care pt and families? - Correct Answer-- helps avoid missing subtle signs or
details that identify actual or potential problem
-indicate a pt's changing status
Assessments should first focus on (2): - Correct Answer--patient (focal point of practitioner's attention)
-technology (augments info obtained from direct assessment)
What are the TWO standard approaches to assessing patients? - Correct Answer--
head-to-toe approach
-body systems approach
Most progressive care nurses use a (2): - Correct Answer--combination systems approach
-applied in a top-to-bottom manner
Assessment of the progressive care patient begins (2) - Correct Answer--moment nurse
aware of pending admission/transfer -continues until transitioning to next phase of care
The pre-arrival assessment helps the nurse (3): - Correct Answer--paint an initial picture
- to anticipate physiologic and psychological needs
-determine appropriate resources needed
The information received in the prearrival phase is crucial because (2): - Correct Answer--allows nurse to adequately prepare environment
-meet specialized needs of pt/family
When should the arrival quick check assessment be obtained? - Correct Answer--
immediately upon arrival to the unit
What assessment acronym is used in the arrival quick check assessment? - Correct Answer-_"ABCDE"
Define what the letters in the assessment acronym, "ABCDE" represent. - Correct Answer-A = Airway
B = Breathing
C = Circulation, Cerebral Perfusion and Chief Complaint
D = Drugs and Diagnostic tests
E = Equipment
The FOCUS of the quick check assessment is a quick overview of the: - Correct Answer--adequacy of ventilation and perfusion
-to ensure early intervention for life threatening situations
-(obtaining a quick overview of the key life-sustaining systems)
Why is the arrival quick check is ESSENTIAL because: - Correct Answer--validates that basic cardiac and respiratory function is sufficient
When is a comprehensive assessment done? - Correct Answer-As soon as possible
The timing of the comprehensive assessment is dictated by: - Correct Answer--degree of physiologic stability
-emergent treatment needs
When the patient is admitted directly to PCU from OUTSIDE the hospital, the comprehensive assessment includes: - Correct Answer--an in depth assessment of PMH and social hx
-complete physical exam of each body system If the patient is TRANSFERRED to PCU from another area in the hospital the comprehensive assessment includes: - Correct Answer--review of admission assessment data
-comparison to the current assessment
The comprehensive assessment is VITAL because: - Correct Answer-- it influences successful outcomes
-provides invaluable insight into proactive interventions
What follows the conclusion of the comprehensive assessment? - Correct Answer-- Ongoing assessments begin
Define: ongoing assessment - Correct Answer--an abbreviated version of the comprehensive assessment that are more focused and driven by the stability of the pt
What do the ongoing assessments determine? - Correct Answer--TRENDS
-response to therapy
-identify new problems
-changes from baseline
Name the FOUR types of assessments performed: - Correct Answer--pre-arrival assessment
-arrival quick check assessment
-comprehensive initial assessment
-ongoing assessment
Identify the assessment priorities for each of the four types of assessment: - Correct Answer-Pre-arrival = prepare environment
Quick Check = validates basic cardiac/respiratory function is adequate
-Comprehensive = vital to successful outcomes by providing insight into proactive interventions
-Ongoing = re-evaluates pt's specific condition, treatments & response to therapy
Admission of an acutely ill pt can be chaotic and staff must be cognizant of: - Correct Answer--accurate assessments & data gathering to ensure the pt is cared for safely with appropriate interventions.
Obtaining inaccurate information on admission can lead to: - Correct Answer--ongoing errors that may not be easily rectified or discovered
-lead to poor pt outcomes
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 Vendarsol. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.