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Title: _____ often occur(s) during the initial ICU visit by the family. Post by: Kpolizzi02 on Mar 1, 2018 _____ often occur(s) during the initial ICU visit by the family.
a. Sensory deprivation b. Discharge teaching c. Repeated questioning d. Stress and anxiety Question 2 The patient has been in the critical care unit for 3 weeks and has been on the intra-aortic balloon pump for the past 3 days The patient's condition has been serious, and hourly assessments and vital signs have been necessary. The nursing staff has noted that the patient has been unable to achieve sleep for more than 30 minutes at a time. The patient has been given diazepam (Valium) prn. Which techniques may assist in assessing the patient's sleep pattern? a. Correlating sleep time with vital signs b. Documenting sleep periods of more than 90 minutes c. Assessing degree of arousal on hourly checks d. Observing the length of NREM sleep periods Question 3 Which of the following issues should be addressed with patients who have been unconscious? a. Sensations b. Pathophysiology c. Rehabilitation d. Attitudes Question 4 A patient has been admitted to the critical care unit with a severed spinal cord injury at the T2 level The patient has been in halo traction with immobilization for the past week. The physician explains to the patient that the spinal cord has been severed and that the patient will not be able to walk again. The patient becomes overtly hostile to everyone. The patient is demonstrating a. regression. b. loss of autonomy. c. ineffective coping. d. hope. Question 5 Interventions to help family members who are extremely upset include a. encouraging the family to visit as much as possible. b. conveying what the patient is experiencing to the family. c. supporting the family members away from the bedside. d. assuring the family that the staff will take care of the technical aspects of the patient's care. Title: _____ often occur(s) during the initial ICU visit by the family. Post by: 08holtumj on Mar 1, 2018 D The ICU environment and the large amount of information that is transferred during the initial visits can cause information overload for both patients and families. Sleep deprivation and sensory overload add to the complexity of the issues that affect the patient's ability to receive and understand medical information. Mental alterations may limit the effectiveness of the teachinglearning encounter. These physical and cognitive limitations prevent patients from receiving or understanding information related to their care and impairs their ability to make informed decisions. B Keeping a sleep chart for 48 to 72 hours and documenting sleep periods greater than 90 minutes, the number and length of awakenings, and the total possible sleep time can help assess sleep patterns in the critical care unit. A Providing information regarding environment, procedures, sensations, and time of day is benevolent and may help decrease immediate physiologic stress. C Ineffective coping is defined as an impairment of a person's adaptive behaviors and problem-solving abilities when meeting life's demands and necessary roles. Manifestations of ineffective coping in critical illness include verbalization of an inability to cope, anxiety, and being unable to meet basic needs. Regression is an unconscious defense mechanism characterized by a retreat, in the face of stress, to behaviors characteristic of an earlier developmental level. Hope is a subjective, dynamic internal process essential to life. Considered to be a spiritual process, hope is an energy that arises out of a sense of being meaningfully connected to one's self, others, and powers greater than the self. C Family members, themselves in a time of crisis, are particularly sensitive to a nurse's words and actions, making it essential that the nurse convey understanding and acceptance. Although the critical care nurse rarely has the time or opportunity to perform a full family assessment or give ongoing support to all family members, he or she can observe the quality of the patient-family interaction and formulate interventions that will aid the family in supporting the patient. Title: _____ often occur(s) during the initial ICU visit by the family. Post by: Kpolizzi02 on Mar 1, 2018 Oh my goodness! Your post was awesome!
Title: _____ often occur(s) during the initial ICU visit by the family. Post by: 08holtumj on Mar 1, 2018 Haha thank you for the nice comment
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