Which of the following statements describes the core conc ept of the synergy model of practice?- Skildor

Question 1 of 5

Which of the following statements describes the core conc ept of the synergy model of practice?

A. All nurses must be certified in order to have the synerg y model implemented. B. Family members must be included in daily interdisciplaibnirabr.cyo mro/teusnt ds. C. Nurses and physicians must work collaboratively and synergistically to influence care. D. Unique needs of patients and their families influence nursing competencies.

Correct Answer: D

Rationale: Rationale: D is correct because the synergy model focuses on individualized care based on patients' unique needs. This model emphasizes tailoring nursing competencies to address these needs, promoting holistic care. A is incorrect as certification is not a requirement. B involves family inclusion but does not capture the core concept. C mentions collaboration but does not specifically address individualized care.

Question 2 of 5

The nurse is caring for a patient who is being evaluated clianbiircba.clolmy/ tfeostr brain death by a primary care provider. Which assessment findings by the nurse sup port brain death?

A. Absence of a corneal reflex B. Unequal, reactive pupils C. Withdrawal from painful stimuli D. Core temperature of 100.8� F

Correct Answer: A

Rationale: The correct answer is A, absence of a corneal reflex, because in brain death, all brainstem reflexes, including the corneal reflex, are absent. This indicates complete loss of brain function. Choice B, unequal reactive pupils, is incorrect as it suggests some level of brainstem function. Choice C, withdrawal from painful stimuli, is also incorrect as it is a spinal reflex and can occur even in the absence of brain function. Choice D, core temperature of 100.8� F, is irrelevant to assessing brain death.

Question 3 of 5

The patient�s spouse is very upset because the patient, who is near death, has dyspnea and restlessness. The nurse explains what options to decrease the discomfort?

A. Respiratory therapy treatments B. Opioid medications given as needed C. Incentive spirometry treatments D. Increased hydration.

Correct Answer: B

Rationale: The correct answer is B: Opioid medications given as needed. Opioids are indicated for managing dyspnea and restlessness in palliative care by providing relief from symptoms. They act as potent analgesics and can help decrease the distress associated with difficult breathing and restlessness. Respiratory therapy treatments (A) and incentive spirometry treatments (C) may not address the immediate discomfort caused by dyspnea and restlessness. Increased hydration (D) may not directly alleviate the symptoms and could potentially worsen the patient's discomfort.

Question 4 of 5

Which of the following patients is at the greatest risk of developing acute kidney injury? A patient who

A. has been on aminoglycosides for the past 6 days B. has a history of controlled hypertension with a blood pressure of 138/88 mm Hg C. was discharged 2 weeks earlier after aminoglycoside therapy of 2 weeks D. has a history of fluid overload as a result of heart failure

Correct Answer: D

Rationale: The correct answer is D because a patient with a history of fluid overload due to heart failure is at the greatest risk of developing acute kidney injury. Heart failure can lead to decreased kidney perfusion causing acute kidney injury. In this scenario, the patient's fluid overload exacerbates the situation, further compromising kidney function. Choice A is incorrect as aminoglycosides can cause kidney injury but the duration of 6 days is less concerning compared to chronic fluid overload from heart failure in choice D. Choice B is incorrect because controlled hypertension does not directly increase the risk of acute kidney injury. Choice C is incorrect as the patient being discharged 2 weeks earlier after aminoglycoside therapy does not necessarily indicate a higher risk compared to chronic fluid overload.

Question 5 of 5

The nurse is assessing the patient�s pain using the Critical Care Pain Observation Tool (CPOT). Which of the following assessments would indicate the greatest likelihood of pain and need for nursing intervention?

A. Absence of vocal sounds B. Fighting the ventilator C. Moving legs in bed D. Relaxed muscles in upper extremities

Correct Answer: B

Rationale: The correct answer is B: Fighting the ventilator. This behavior indicates the patient is experiencing discomfort and struggling against the ventilator, suggesting a high likelihood of pain. The CPOT assesses pain through behaviors like grimacing, vocalization, and muscle tension, which are all present when a patient is fighting the ventilator. Absence of vocal sounds (Choice A) does not necessarily indicate pain as some patients may be silent even when in pain. Moving legs in bed (Choice C) could be due to restlessness rather than pain. Relaxed muscles in upper extremities (Choice D) do not reflect pain as the CPOT focuses on behaviors indicating discomfort.

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Critical Care Nursing Questions and Answers PDF

Skildor

ATI RN