Chapter 4 Patient and Family Education in Critical Care

Chapter 4  Patient and Family Education in Critical Care

Complete Chapter Questions And Answers
 

Sample Questions

1.
An elderly man whose wife has just been admitted to the ICU following congestive heart failure is concerned about how passage of the Affordable Care Act will impact the care of his wife. Which of the following are expected outcomes of this legislation that it would be appropriate for the nurse to share with the man? Select all that apply.
A)
The new legislation will result in a shortage of experienced critical care nurses.
B)
The new legislation will require health care workers to meet higher quality standards related to patient care.
C)
The new legislation will make it more challenging to meet the educational goals of patients and families.
D)
The new legislation will increase the length of stay of patients in the hospital.
E)
The new legislation will shift the payment structure for hospitals and health care providers from a traditional fee-for-service model to an incentive model.

2.
A young couple whose 5-year-old daughter has been admitted to the ICU approaches the nurse with looks of concern on their faces. They express frustration to the nurse that they have not been able to speak with either the physician or the surgeon and are confused as to what the next steps are for their daughter’s treatment. What would be the best intervention for the nurse to make in this situation?
A)
Offer to get ice chips for the couple to give to their daughter to empower them.
B)
Make sure that they have the cell phone numbers of the physician and surgeon.
C)
Teach the couple about the pathophysiology of the daughter’s disease.
D)
Arrange a patient care conference with the couple and the health care team.

3.
A nurse sees a group of physicians who are making teaching rounds in the hall of the ICU heading toward the room of one of her patients. The patient, who currently has a visitor, has given approval in the past to have teaching groups visit. What should the nurse do in this situation?
A)
Explain to the group of physicians that the patient currently has a visitor and ask whether they could come by later.
B)
Ask the visitor to leave so that the teaching group can discuss the patient’s case.
C)
Allow the teaching group to enter the patient’s room, as he has already given approval for them to visit.
D)
Instruct the physicians to give clear explanations of the medical jargon they use.

4.
The nurse is working with a patient from India who is recovering from a myocardial infarction. When the nurse asks the patient whether she has had a myocardial infarction before, the patient seems confused and appears not to understand the nurse, although the patient does speak English. Which of the “4 C’s of Culture” should the nurse use to better communicate with this patient?
A)
Call
B)
Cause
C)
Cope
D)
Concern

5.
A nurse needs to obtain informed consent from a deaf patient before a spinal tap procedure is performed. Which of the following would be the best method for the nurse to use to ensure effective communication?
A)
Explain the procedure verbally, speaking slowly so that the patient can read lips.
B)
Have a trained oral interpreter interpret for the nurse.
C)
Have the patient carefully read a printed copy of the informed consent document.
D)
Use diagrams to explain to the patient the details of the procedure.

Answer Key

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