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
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