ATI RN
Critical Care Nursing Practice Questions Questions
Question 1 of 5
Noise in the critical care unit can have negative effects on the patient. Which of the following interventions assists in reducing noise levels in the criticala cbiarbr.ec osme/ttetisnt g? (Select all that apply.)
Correct Answer: A
Rationale: Step 1: Bringing in the patient's i-Pod with favorite music can provide personalized, soothing sounds, reducing stress and anxiety for the patient. Step 2: Familiar music can create a calming environment, distracting the patient from external noise. Step 3: Listening to music may improve patient comfort and overall experience in the critical care unit. Summary: Option A is correct as it directly addresses noise reduction by providing a personalized, calming environment for the patient. Options B, C, and D do not specifically target noise reduction but focus on other aspects of care or facility improvement.
Question 2 of 5
Which organization requires a mechanism for addressing ethical issues?
Correct Answer: D
Rationale: The correct answer is D, The Joint Commission, because it is a regulatory body that accredits healthcare organizations and requires them to have mechanisms for addressing ethical issues to ensure patient safety and quality of care. The other choices (A, B, C) are professional organizations that focus on specific areas of healthcare practice and do not have the authority to set regulatory standards for addressing ethical issues in healthcare organizations.
Question 3 of 5
When addressing an ethical dilemma, contextual, physiolo gical, and personal factors of the situation must be considered. Which of the following is an example of a personal factor?
Correct Answer: C
Rationale: The correct answer is C because the patient's expressed beliefs and wishes regarding quality of life are personal factors that directly influence the ethical dilemma. This factor reflects the individual's values, beliefs, and preferences, which are essential in making ethical decisions that respect the patient's autonomy. Considering the patient's beliefs helps healthcare professionals navigate complex ethical situations by aligning the care provided with the patient's values. Choices A, B, and D do not directly relate to personal factors but rather focus on hospital policies, physiological symptoms, and the provider's perspective, respectively. Personal factors are crucial in ethical decision-making as they center on the patient's autonomy and preferences.
Question 4 of 5
The nurse is caring for a patient whose condition has deter iorated and is now not responding to standard treatment. The primary health care provider ca lls for an ethical consultation with the family to discuss potential withdrawal versus aggressivabei rtbr.ceoamtm/teestn t. The nurse understands that applying a model for ethical decision making involves which of the following? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Burden versus benefit. In ethical decision-making, considering the burden of treatment on the patient versus the potential benefits is crucial. This involves weighing the risks, benefits, and potential harm of treatment options. Family's wishes (B) and patient's wishes (C) are important factors but may not always align with what is ethically best for the patient. Potential outcomes of treatment options (D) are relevant but do not directly address the ethical dilemma of balancing burden and benefit. Therefore, A is the correct choice as it directly relates to the ethical principles guiding decision-making in this scenario.
Question 5 of 5
What were the findings of the Study to Understand Progno ses and Preferences for Outcomes and Risks of Treatment (SUPPORT)?
Correct Answer: C
Rationale: The correct answer is C because the SUPPORT study revealed disparities between patients' care preferences and the actual care provided. This is supported by the findings that many patients did not receive treatments aligned with their preferences. Choice A is incorrect because the study actually highlighted communication challenges between patients and healthcare providers. Choice B is incorrect as the study showed that critical care units often do not meet the needs of dying patients and their families. Choice D is incorrect as the study found that pain and suffering of patients at the end of life are not always well controlled in hospitals.