Chapter 3 The Family’s Experience With Critical Illness

Chapter 3  The Family’s Experience With Critical Illness

Complete Chapter Questions And Answers
 

Sample Questions

1.
A patient has just been admitted to the ICU after being in a severe auto accident and losing one of her legs. Her husband has his hand over his heart and complains of a rapid heart rate. The nurse recognizes his condition as a sign of which stage of the general adaptation syndrome to stress?
A)
Alarm stage
B)
Exhaustion stage
C)
Resistance stage
D)
Adaptation stage

2.
The nurse observes that an elderly woman, whose granddaughter has been admitted to the ICU, is struggling to manage her two great-grandsons, who are toddlers, in the waiting room. What is the most likely explanation for the woman’s inability to manage the children in this situation?
A)
She is senile.
B)
She is in the exhaustion stage of the general adaptation syndrome to stress.
C)
She is assuming the role of caregiver in place of the patient, a role she is not used to.
D)
She has macular degeneration and cannot see well.

3.
A nurse needs to communicate with a patient’s family regarding consent to treat an unconscious patient in the ICU. Which member of the group should the nurse approach first?
A)
A man she recognizes as the patient’s brother
B)
A teenage boy who approaches the nurse
C)
A woman who originally escorted the patient in
D)
A woman in the group whom the others look at and call over when the nurse approaches

4.
A new nurse has recently joined the ICU from a different hospital, which had a much stricter policy regarding visiting hours. She expresses concern about the impact of open visiting hours on patient well-being. Which of the following would be the best explanation for the purpose of open visiting hours? Select all that apply.
A)
To better provide rest and quiet
B)
To strengthen the relationship between the family and health care provider
C)
To control the number of visitors for a patient
D)
To provide an undisturbed environment
E)
To decrease the patient’s anxiety
F)
To increase the satisfaction of the family with the experience

5.
A nurse observes that a 38-year-old single father whose 11-year-old daughter is in the ICU is struggling to explain to his 6-year-old son the likelihood that the daughter will die. The young boy asks what will happen to his sister when she dies, but the father breaks down in tears and seems unable to respond. Which of the following would be the most appropriate intervention for the nurse to make?
A)
Suggest that the father contact his pastor, rabbi, or other spiritual leader for counsel for him and his son
B)
Sit down with the father and son and share her own religious beliefs
C)
Ask the patient’s doctor to explain to the father the odds of the daughter surviving
D)
Leave the father and son to grieve alone

Answer Key

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