An ICU nurse has had many discussions with fellow nursing colleagues about allowing patient families to visit as often as the patient’s condition will allow.

Which patient and family need is the nurse considering in these conversations?

Trust.

Social Support.

Environmental considerations.

Dependence.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While trust is an important aspect of the patient-family relationship, it’s not the primary need being considered in this scenario. The nurse is discussing allowing patient families to visit as often as the patient’s condition will allow. This is more about providing emotional and social support to the patient, rather than building trust.
Choice B rationale
Social support is the primary need being considered in these conversations. Evidence shows that the unrestricted presence and participation of a support person (i.e., family as defined by the patient) can improve the safety of care and enhance patient and family satisfaction. This is especially true in the ICU, where patients are often unable to speak for themselves.
Choice C rationale
While environmental considerations are important in any care setting, they’re not the primary need being considered in this scenario. The nurse is discussing the frequency of family visits, which is more about providing social support to the patient.
Choice D rationale
Dependence is not the primary need being considered in this scenario. The nurse is discussing the frequency of family visits, which is more about providing social support to the patient.
While patients in the ICU may be dependent on medical staff for their physical needs, the presence of family can provide emotional and social support.

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Correct Answer is A

Explanation

Choice A rationale
Hildegard Peplau is recognized as the “mother of psychiatric nursing”67. She made significant contributions to nursing science, professional nursing, and psychiatric nursing through the development of the Interpersonal Relations paradigm.
Choice B rationale
Madeleine Leninger is known for her work on transcultural nursing, not psychiatric nursing.
Choice C rationale
Dorthea Orem is known for her Self-Care Deficit Nursing Theory, not psychiatric nursing.
Choice D rationale
Jean Watson is known for her Theory of Human Caring, not psychiatric nursing.

A. Respiratory acidosis. B. Respiratory alkalosis. C. Metabolic acidosis. D. Metabolic alkalosis.

Correct Answer is D

Explanation

Choice A rationale
Respiratory acidosis is characterized by a pH less than 7.35 and a PaCO2 greater than 454. In this case, the pH is 7.43, which is within the normal range, and the PaCO2 is 46, which is slightly above the normal range. Therefore, this does not indicate respiratory acidosis.
Choice B rationale
Respiratory alkalosis is characterized by a pH greater than 7.45 and a PaCO2 less than 354. In this case, the pH is 7.43, which is within the normal range, and the PaCO2 is 46, which is slightly above the normal range. Therefore, this does not indicate respiratory alkalosis.
Choice C rationale
Metabolic acidosis is characterized by a pH less than 7.35 and a HCO3 less than 224. In this case, the pH is 7.43, which is within the normal range, and the HCO3 is 35, which is above the normal range. Therefore, this does not indicate metabolic acidosis.
Choice D rationale
Metabolic alkalosis is characterized by a pH greater than 7.45 and a HCO3 greater than 264. In this case, the pH is 7.43, which is within the normal range, and the HCO3 is 35, which is above the normal range. Therefore, this indicates metabolic alkalosis.

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An ICU nurse has had many discussions with fellow nursing colleagues about allowing patient families to visit as often as the patient’s condition will allow. Which patient and family need is the nurse considering in these conversations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Who is recognized as the “mother of psychiatric nursing”?

Correct Answer is A

Explanation

Interpret the following arterial blood gas: pH 7.43: HCO3 35: Paco 46.

Correct Answer is D

Explanation

A nursing educator is utilizing case studies from one demographic to instruct a different demographic on ethical decision-making. Which ethical system does this approach exemplify?

When teaching clients about maintaining a safe environment, which statement would be most suitable to include?

Which of the following is an example of indirect care?

The nurse is providing education to the staff about delirium. Which statement made by a staff member indicates a need for further education?

What events take place during systole? Select all that apply.

Which of the following is an example of passive health promotion strategies?

A nurse is caring for a patient who is a long-term smoker and is in the early stages of COPD. The patient expresses interest in quitting smoking and has been asking about smoking cessation aids. The nurse interprets this as which stage of Lewin’s Change Theory?

The nurse observes that a patient is experiencing absolute homelessness. The nurse contacts a social worker to assist the patient with resources. Which term best describes the nurse’s actions?

An ICU nurse has had many discussions with fellow nursing colleagues about allowing patient families to visit as often as the patient’s condition will allow.

Which patient and family need is the nurse considering in these conversations?