ATI RN
Critical Care Nursing Cardiac Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse understands that many strategies are available to address ethical issues that may occur; these strategies include which of the following? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Ethics consultation services. These services involve seeking guidance from experts to navigate complex ethical dilemmas. They provide in-depth analysis and recommendations based on ethical principles, helping healthcare professionals make informed decisions. Change-of-shift report updates (A) are essential for continuity of care but do not directly address ethical issues. Formal multiprofessional ethics committees (C) are valuable for reviewing policies and addressing systemic ethical concerns but may not be readily available for immediate guidance. Pastoral care services (D) offer spiritual support but may not always have the expertise to handle complex ethical dilemmas. Ethics consultation services (B) are the most suitable option for addressing specific ethical issues promptly and effectively.
Question 5 of 5
A statement that provides a legally recognized descriptiona obifrb a.cno min/tedsitv idual’s desires regarding care at the end of life is referred to as what?
Correct Answer: A
Rationale: The correct answer is A: Advance directive. An advance directive is a legal document that outlines a person's wishes regarding medical treatment and care at the end of life. It allows individuals to specify their preferences for medical interventions if they become unable to communicate. Summary of other choices: B: Guardianship ad item - This does not specifically pertain to an individual's end-of-life care wishes. C: Healthcare proxy - While similar to an advance directive, a healthcare proxy specifically designates a person to make medical decisions on behalf of the individual, rather than specifying their own wishes. D: Power of attorney - This grants someone the authority to make legal decisions on behalf of the individual, but it does not specifically address end-of-life care preferences.