Critical Care Exam 1 Questions
A 62 year-old man, who is s/p coronary artery bypass surgery, is about to be transferred
from the ICU to the cardiac stepdown unit. What is the most effective way for the ICU
(reporting) nurse and cardiac stepdown (receiving) nurse to ensure that essential patient
information is conveyed?
1- A face-to-face verbal report with both nurses present in a quiet room
2- The ICU nurse will provide an audio-recorded report for future reference and
documentation
3- The ICU nurse will document essential transfer information in the patient's medical record
4- The ICU nurse will accompany the patient to the stepdown unit and provide a face-to-face
report, using a unit-approved, standardized guide - correct answer-4
A common nerve injury for patients placed in the supine position during an operation is:
A. Brachial plexus injury
B. Obturator nerve injury
C. Heel decubitus
D. Pulmonary emobli - correct answer-A
According to Coleman (2003), which of the following are components of effective TCs?
(Check all that apply)
A. A detailed follow-up plan
B. Effective written and oral communication among health care providers within and across
settings
C. Medication reconciliation
D. Comprehensive patient/caregiver teaching/education
E. Each care provider having his/her own specific care plan that addresses only their unique
concerns for that patient - correct answer-A, B, C, D
According to Holly and Poletick, aside from conveying patient information what other
purpose does shift report or intershift handover of care serve? Check all that apply.
A. Provides nurses with opportunities to provide and receive support from colleagues
B. Increases team cohesion by through social interactions that lead to shared values and
development of a group identity
C. Provides nurses an opportunity to gossip about other members of the health care team
D. Provide a venue to orient new nurses to the unit culture
, E. Provide opportunities for nurses to develop workarounds of unit policies they don't like -
correct answer-A, B, D
According to Kitson et al., the following are common core elements of patient centered care
(PCC) across health policy, medicine and nursing disciplines. (Check all that apply)
A. Patient and family member involvement
B. Policies and an environment that support PCC
C. Requirement that all patients complete advance directives
D. Open, effective communication between patient and provider and among members of
health care team
E. A "zero tolerance" policy for deviations from established protocols, policies, and
procedures - correct answer-A, B, D
According to Ong et al., what challenges are unique to intrahospital transfers (versus
intershift handover)? Check all that apply
A. The coordination effort required in patient transportation
B. The difficulty in sharing information across disciplines and departments
C. Lack of standardization in the content and process of information sharing
D. Lack of training on handover practices and communication skills
E. Differences in expectations, expertise, work processes and culture among different units
or departments - correct answer-A, B, E
According to the Institute of Medicine Report (IOM) in 2001 there are 6 core ingredients of
high quality health care. Which of the following is (are) NOT on that list? (Check all that
apply).
A. Patient-centered care
B. Highly specialized care delivered exclusively in specialty care clinics
C. Care that emphasizes patient safety
D. Efficiency
E. Care provided exclusively by physician-led teams - correct answer-B, E
Adverse outcomes that result from hypothermia in the perioperative patient include all of the
following EXCEPT:
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