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Test Bank for Priorities in Critical Care Nursing
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Test Bank for Priorities in Critical Care Nursing
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Test Bank for Priorities in Critical Care Nursing:Diagnosis and Management, 9th Edition by Linda D.
Urden, Kathleen M. Stacy,
According to the transactional theories on stress, what does a person do first when
confronted by stress? - ANSWER Determines the perceived degree of threat
imposed
Nearly 25% of people surviving a critical illness and an intensive care unit stay
subsequently exhibit symptoms of posttraumatic
stress disorder (PTSD). A patient with PTSD may manifest which behavior? -
ANSWER Intrusive recall of the event
A subjective state in which an individual sees extremely limited or no alternatives
and is unable to mobilize energy on his or her
behalf is known as: - ANSWER Hopelessness
Which statement regarding regression as a coping mechanism for critical care
patients is accurate? - ANSWER It is necessary to some degree to allow staff to
administer care
Which concept supports patients and helps them endure the physical and
psychological insults of their critical illness? - ANSWER Hope
Which therapeutic technique may be used to enhance coping in the critical care
environment? - ANSWER Foster trust in the interprofessional health care team
Which nursing intervention can help family members who are extremely upset? -
ANSWER Supporting the family members away from the bedside
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? - ANSWER Denial
An adult patient sustains third- and fourth-degree burns to more than 70% of her
body related to a house fire. The patient begins a
pattern of behavior similar to that of a young child, in which she repeatedly whines
and throws "temper tantrums" in an attempt to
keep her nurse at the bedside. What coping mechanism is the patient exhibiting? -
ANSWER Regression
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? - ANSWER Validating
the patient's need to talk about the incident
What happens when the critical illness is so severe that the patient or family
becomes overwhelmed? - ANSWER Stress overload
Which medications are commonly used for alcohol withdrawal symptoms? -
ANSWER Chlordiazepoxide and lorazepam
Prolonged periods of anxious waiting, disrupted sleep patterns, witnessing
emergency interventions, and financial concerns could
put family members at risk for developing what problem? - ANSWER PTSD
Anxiety can cause emotional changes in which part of the brain? - ANSWER
Neurotransmitters
A patient is admitted complaining of pain from a femur fracture and is anxious and
agitated. The patient is receiving steroids and
theophylline for exacerbation of asthma. What disorder should the nurse suspect the
patient may be experiencing? - ANSWER Anxiety
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? - ANSWER Spiritual Distress
Through what mechanism can a nurse demonstrate caring and support to a patient?
- ANSWER Providing empathy and physical contact
What serious concern regarding the critical care environment affects the patient's
ability to cope and heal? - ANSWER Deprivation of sleep
What type of diet would be appropriate for a patient with heart failure? - ANSWER
Low-salt diet
The loss of exocrine function in pancreatitis results in what disorder? - ANSWER
Malabsorption
A patient on mechanical ventilation is receiving total parenteral nutrition (TPN).
Which statement is true? - ANSWER Excessive calorie intake can cause an
increase in PaCO2
What intervention should be included in a nutrition plan for a patient with a
myocardial infarction? - ANSWER Monitor the effects of caffeine on the patient
The loss of endocrine function in pancreatitis results in what disorder? - ANSWER
Hyperglycemia
Which complication can be the result of malnutrition in the hospitalized patient? -
ANSWER Respiratory failure
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