PCCN: Chapter 1 - Assessment of
Progressive Care Patients and Their
Families Exam Review Questions and
Answers 100% Pass | Graded A+
David Mungai [Date] [Course title]
, PCCN: Chapter 1 - Assessment of
Progressive Care Patients and Their
Families Exam Review Questions and
Answers 100% Pass | Graded A+
Why is assessment of acutely ill patients and their families
essential? - Answer>> information obtained identifies immediate
and future needs so a plan of care can be initiated
Traditional approaches to Patient Assessment include: -
Answer>> - include a complete evaluation of patient history
- comprehensive physical exam of all body systems
Progressive care clinicians must balance: - Answer>> -need to
gather data
-prioritizing and providing care
Collection of assessment data is obtained in: - Answer>> -phased
or staged manner
-consistent with pt care priorities
What is the crucial element to developing competence in
assessing progressive care patients? - Answer>> -consistent and
systematic approach
Discuss the importance of a consistent and systematic approach
to assessment of progressive care pt and families? - 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): - Answer>> -patient (focal
point of practitioner's attention)
-technology (augments info obtained from direct
,assessment)
What are the TWO standard approaches to assessing patients? -
Answer>> -head-to-toe approach
-body systems approach
Most progressive care nurses use a (2): - Answer>> -combination
systems approach
-applied in a top-to-bottom manner
Assessment of the progressive care patient begins (2) -
Answer>> -moment nurse aware of pending admission/transfer
-continues until transitioning to next phase of care
The pre-arrival assessment helps the nurse (3): - 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): - Answer>> -allows nurse to adequately prepare
environment
-meet specialized needs of pt/family
When should the arrival quick check assessment be obtained? -
Answer>> -immediately upon arrival to the unit
What assessment acronym is used in the arrival quick check
assessment? - Answer>> _"ABCDE"
Define what the letters in the assessment acronym, "ABCDE"
represent. - 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: - 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: -
Answer>> -validates that basic cardiac and respiratory function is
sufficient
When is a comprehensive assessment done? - Answer>> As
soon as possible
The timing of the comprehensive assessment is dictated by: -
Answer>> -degree of physiologic stability
-emergent treatment needs
When the patient is admitted directly to PCU from OUTSIDE the
hospital, the comprehensive assessment includes: - 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: - Answer>> -
review of admission assessment data
-comparison to the current assessment
The comprehensive assessment is VITAL because: - Answer>> -
it influences successful outcomes
-provides invaluable insight into proactive interventions
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