Chapter 2 The Patient’s Experience With Critical Illness

Chapter 2  The Patient’s Experience With Critical Illness

Complete Chapter Questions And Answers
 

Sample Questions

1.
The critical care unit environment is very stressful for patients, families, and staff. What nursing action is directed at reducing environmental stress?
A)
Constant evaluation of patient status
B)
Limiting visits to immediate family
C)
Bathing all patients during hours of sleep
D)
Maintaining quiet during hours of sleep

2.
A patient is transferred to the ICU from the Birth Center of the hospital in the middle of the night after experiencing complications during delivery of her baby. The patient’s husband is anxious and explains to the ICU nurse that he doesn’t understand why his wife has been moved to the ICU. “She is going to die, isn’t she?” he asks the nurse. What is the nurse’s best response?
A)
Explain that every measure will be taken to provide his wife with the best care possible.
B)
Explain that the nurse is fully trained and has years of experience.
C)
Offer the husband a place to relax.
D)
Have appropriate staff discuss his health insurance with him.

3.
A patient is admitted to the ICU with injuries sustained from a fall from a third-story window. The patient is conscious, his breathing is labored, and he is bleeding heavily from the abdomen. He groans constantly and complains of severe pain, but his movements are minimal. His heart rate is elevated. Which of these is a sign that he is in the second phase of the stress response? Select all that apply.
A)
Bleeding heavily from his abdomen
B)
Labored, slow breathing
C)
Severe pain
D)
Elevated heart rate
E)
Minimal movement

4.
A patient in the ICU is recovering from open-heart surgery. The nurse enters his room and observes that his daughter is performing effleurage on his arms and talking in a low voice about an upcoming family vacation that is planned. The room is dimly lit, and she hears the constant beeping of his heart monitor. From the hall she hears the cries of a patient in pain. Which of the following are likely stressors for the patient? Select all that apply.
A)
His daughter’s conversation
B)
His daughter’s effleurage
C)
The beeping of the heart monitor
D)
The dim lighting of the room
E)
The cries of the other patient from the hall

5.
A patient in the ICU is complaining that he is not sleeping well at night because of anxiety. Which of the following would be the most helpful intervention for the nurse to make?
A)
Provide the patient with a bath immediately following his first 90-minute REM sleep cycle.
B)
Increase the patient’s pain medication.
C)
Provide the patient with 5 minutes of effleurage and then minimize disruptions.
D)
Monitor the patient’s brain waves by polysomnography to determine his sleep pattern.

Answer Key

1.
D
2.
A
3.
C, E
4.
C, E
5.
C