_____ often occur(s) during the initial ICU visit by the family. ...

[OSWALD]

_____ often occur(s) during the initial ICU visit by the family.
 
  a. Sensory deprivation
  b. Discharge teaching
  c. Repeated questioning
  d. Stress and anxiety

Question 2

The patient has been in the critical care unit for 3 weeks and has been on the intra-aortic balloon pump for the past 3 days
 
  The patient's condition has been serious, and hourly assessments and vital signs have been necessary. The nursing staff has noted that the patient has been unable to achieve sleep for more than 30 minutes at a time. The patient has been given diazepam (Valium) prn. Which techniques may assist in assessing the patient's sleep pattern?
 
  a. Correlating sleep time with vital signs
  b. Documenting sleep periods of more than 90 minutes
  c. Assessing degree of arousal on hourly checks
  d. Observing the length of NREM sleep periods

[lou]

Answer to Question 1

D
The ICU environment and the large amount of information that is transferred during the initial visits can cause information overload for both patients and families. Sleep deprivation and sensory overload add to the complexity of the issues that affect the patient's ability to receive and understand medical information. Mental alterations may limit the effectiveness of the teachinglearning encounter. These physical and cognitive limitations prevent patients from receiving or understanding information related to their care and impairs their ability to make informed decisions.

Answer to Question 2

B
Keeping a sleep chart for 48 to 72 hours and documenting sleep periods greater than 90 minutes, the number and length of awakenings, and the total possible sleep time can help assess sleep patterns in the critical care unit.