Which is likely the most common recollection from a patie nt who required endotracheal intubation and mechanical ventilation?

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Question 1 of 5

Which is likely the most common recollection from a patie nt who required endotracheal intubation and mechanical ventilation?

Correct Answer: A

Rationale: The correct answer is A: Difficulty communicating. When a patient undergoes endotracheal intubation and mechanical ventilation, they are unable to speak normally. This leads to frustration and anxiety due to the inability to communicate effectively with healthcare providers and loved ones. The lack of communication can also impact their emotional well-being. Choices B, C, and D are less likely as the most common recollection because patients might not remember feeling uncomfortable, experiencing pain, or having sleep disruption during sedation and ventilation. Additionally, the inability to communicate is a primary concern for patients in this situation.

Question 2 of 5

Which nursing strategies help the patient to feel safe in the critical care setting? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A because allowing family members to remain at the bedside can provide emotional support and comfort to the patient, helping them feel safe in the critical care setting. Family presence can also facilitate communication and understanding between the healthcare team and the patient. Choice B is incorrect because consulting with the charge nurse before making patient care decisions may not directly contribute to the patient feeling safe. Choice C is incorrect because providing informal conversation about work-related topics may not address the patient's need for safety and security in the critical care setting. Choice D is incorrect because explaining how to communicate for assistance is important for patient care but may not directly contribute to the patient's sense of safety in the critical care setting.

Question 3 of 5

Which statement regarding ethical concepts is true?

Correct Answer: C

Rationale: Rationale: Choice C is correct because a surrogate is indeed a competent adult designated to make healthcare decisions for an incapacitated person. This individual is typically chosen by the person themselves through a legal document like a healthcare proxy. This ensures that someone trusted can make important decisions when the person is unable to do so. Choices A, B, and D are incorrect because a living will and healthcare proxy serve different purposes, a signed donor card does not guarantee organ donation in the event of brain death (medical criteria are also required), and a persistent vegetative state is different from brain death (brain death implies irreversible cessation of brain function while a vegetative state involves some level of brain function).

Question 4 of 5

A patient is declared brain dead and a do not resuscitate (DNR) order is put in place. The nurse caring for the patient does not agree with this manne r of care but does not express any concerns to the charge nurse. The nurse’s feeling that the p atient is being killed will likely create what response for this nurse?

Correct Answer: C

Rationale: The correct answer is C: Moral distress. In this scenario, the nurse is experiencing conflicting moral values between the decision made for the patient and their own beliefs. This internal conflict leads to moral distress, a common response when healthcare professionals feel unable to act in accordance with their ethical beliefs. This can lead to emotional turmoil, frustration, and moral residue. A: A sense of abandonment is incorrect because the nurse is still caring for the patient, so there is no physical abandonment. B: Increased family stress is incorrect as the nurse's internal conflict does not directly impact family stress. D: A sense of negligence is incorrect as negligence implies failure to provide proper care, which is not the case here.

Question 5 of 5

What term is used to describe a specific request made by a competent person that directs medical care related to life-prolonging procedures if the pa tient loses capacity to make decisions?

Correct Answer: D

Rationale: The correct answer is D, Living will. A living will is a legal document that outlines a person's preferences for medical treatment if they become unable to communicate their wishes. It specifically addresses life-prolonging procedures. Option A, Do not resuscitate order, is a specific directive to not perform CPR in case of cardiac arrest, not a comprehensive medical care directive. Option B, Healthcare proxy, is a person designated to make medical decisions on behalf of a patient who is unable to do so, not the specific directive itself. Option C, Informed consent, refers to the process of obtaining permission from a patient before conducting a healthcare intervention, not a directive for life-prolonging procedures.

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