A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction. Age-related changes in myocardial pumping ability may be evidenced by
a. increased contractility.
b. decreased contractility.
c. decreased left ventricle afterload.
d. increased cardiac output.
Question 2A patient is in the critical care unit having undergone surgery a week ago for multiple fractures to the his right and left legs secondary to a fall from a rooftop
The patient refuses to participate in morning care activities such as brushing his own teeth or washing his face and hands. The patient yells at the nurse, You do it Can't you see that my legs are broken? The patient is exhibiting a disturbance in
a. self-concept.
b. self-esteem.
c. body image.
d. personal identity.
Question 3Place the following steps in ethical decision making in the order in which they should be carried out
1 . Identify the health problem.
2 . Implement decisions.
3 . Identify the decision maker.
4 . Define the ethical issue.
5 . Evaluate actions and decisions.
6 . Gather additional information.
7 . Examine moral and ethical principles.
8 . Explore alternative options.
a. 1, 4, 6, 7, 8, 3, 2, 5
b. 1, 4, 3, 2, 5, 6, 7, 8
c. 1, 4, 2, 3, 5, 6, 7, 8
d. 4, 1, 3, 2, 5, 6, 7, 8
Question 4A patient has been in the ICU for 20 days with a diagnosis of sepsis and acute respiratory distress syndrome
The patient is ready for transfer to the step-down unit but is apprehensive. The patient has communicated to the nurse that he does not want to leave the ICU because he is afraid that his needs will not be met on the step-down unit. Which educational objective would be best to use in this situation?
a. The patient will state two reasons why he is being transferred by the end of the day.
b. The patient will confront his fears and deal with them within 1 day of transfer.
c. The patient will state the name of his new nurse by the end of the day.
d. The patient will be introduced to at least two of his new caregivers by the time of transfer.
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