High-Acuity Nursing

Question 1

What is the confusion assessment method for the ICU used to assess?

Answer 1

Delirium

Question 2

How many levels are there for ICU centers?

Answer 2

three (I,II, and III)

Question 3

What is the benefit of having intermediate care units?

Answer 3

They provide an efficient distribution of resources

Question 4

Which priority level indicates that the client is acutely ill and unstable and requires intensive treatment and monitoring that cannot be provided outside the ICU?

Answer 4

Priority 1

Question 5

Evidence suggests that which factor reduces mortality and life-threatening complications in the hospitalized client?

Answer 5

Constant surveillance of clients by nurses

Question 6

A hospital with an ICU that has the capability of providing comprehensive care to most critically ill clients but not to trauma clients meets the criteria for which level ICU?

Answer 6

II

Question 7

What is the most significant development that contributed to the shortage of nurses?

Answer 7

The passing of the Affordable Care Act in 2010

Question 8

Who needs to be contacted before life support may be removed?

Answer 8

Donor Network

Question 9

When can a UAP perform tasks?

Answer 9

UAP perform only those tasks delegated to them by a professional nurse

Question 10

What does the designation of Magnet status indicate?

Answer 10

The hospital uses practice models that promote professional nursing.

Question 11

According to some, ICU resources should be used for which clients?

Answer 11

Those who have the greatest possibility of benefiting

Question 12

What is a major advantage of having technology available in a high acuity environment?

Answer 12

the patient’s status can be continuously monitored

Question 13

Why may technological devices lead to a feeling of depersonalization?

Answer 13

Little surface area may be left over for physical contact of the patient once all of the devices are connected

Question 14

What are the hazards in the inherit use of technology?

Answer 14

Fragmenting clients into subpopulations,
Increasing the nurse’s stress level, and increasing nurse dependence on machines for decision making

Question 15

What are negative effects of using technological devices in the high acuity setting?

Answer 15

They present mechanical impediments to touching.
They may evoke fear in clients.
They lead to a feeling of depersonalization.
They may increase client anxiety

Question 16

What should be the focus of care of the high-acuity client?

Answer 16

Individual client needs

Question 17

What should the nurse use to validate the technologic data?

Answer 17

Nursing assessment data

Question 18

What are the six standards identified by the AACN to create and sustain a healthy practice environment for nurses?

Answer 18

skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition, and authentic leadership

Question 19

What are some current reasons for burnout in the nursing profession?

Answer 19

decreased staffing, long working hours, and loss of concentration

Question 20

What is a structured group discussion that occurs within several days following a crisis that is designed to address symptoms of stress, assess the need for follow up and provide a sense of closure?

Answer 20

Critical incident stress debriefing

Question 21

What are the components of a healthy work environment?

Answer 21

True collaboration
Appropriate staffing
Authentic leadership
Skilled communication

Question 22

Critical incident stress debriefings (CISDs) can be used for which purposes?

Answer 22

Address staff symptoms of stress
Provide staff with a sense of closure
Assess the need for follow-up

Question 23

The term burnout refers to which feelings?

Answer 23

Personal and professional frustration
Physical and emotional exhaution
Job dissatisfaction

Question 24

Which factors can help buffer the negative effects of stress?

Answer 24

Positive social climate
Managerial support
Cohesiveness among staff

Question 25

What are healthcare errors considered?

Answer 25

A public health problem

Question 26

What is the Joint Commission’s mission?

Answer 26

to continuously improve the safety and quality of care provided to the public

Question 27

What does TJC recommend when the person preparing a medication differs from the one administering it?

Answer 27

all medication labels be verified both verbally and visually by two people

Question 28

What is the goal of a rapid response team?

Answer 28

enable healthcare staff members to directly request additional assistance from a specially trained individual when the patient’s condition seems to be worsening

Question 29

What is confirmed during a time out?

Answer 29

the correct patient, site, positioning, and procedure are identified; all relevant documents (such as a consent form) have been signed; and necessary equipment is available

Question 30

What does a computerized provider order entry (CPOE) do?

Answer 30

block incorrect medication orders, warn against drug interactions, allergies, and overdoses

Question 31

What do the current client safety and healthy work environment cultures in the high-acuity environment promote?

Answer 31

An increase in error reporting and systems improvement

Question 32

Which factors contribute to medical errors?

Answer 32

Staffing ratios
Overtime
Excessive documentation

Question 33

What must be done to ensure client safety before a percutaneous tracheostomy is placed at the bedside?

Answer 33

The correct client, site, and procedure should be identified during a time-out.

Question 34

What is the proper procedure to ensure client safety when the nurse is preparing a medication that will be administered to the client by another person?

Answer 34

Labels should be verbally verified by the two healthcare providers.
Labels should be visually verified by the two healthcare providers