Exam & Evaluation (Experiences of Previously Unconscious Patients )
Questions: Please respond to following statements.
Mr Thomas was admitted to your unit after a cardiac arrest. He is now unconscious and unresponsive. The family comes to visit him and asks what can they do. You should respond:
Keep trying to have Mr. Thomas wake up.
Talk to Mr. Thomas as if he were awake.
Don't say anything, just be there for him.
Mr Thomas's wife says his brother, whom he hasn't talked to in 5 years, wants to visit. They never got along well but he would like to see his brother "in case Mr. Thomas never wakes up." You should say:
It certainly would be all right for Mr. Thomas's brother to visit.
If the two brothers never got along, a visit at this time would probably not be the best for him.
It's all right for the brother to visit but he should be quiet when he is there.
Although not totally alert, Mr. Thomas keeps trying to pull out his intravenous tubing and get out of bed.
You increase the use of restraints
You have someone sit next to Mr. Thomas at all times to avoid restraints.
You constantly tell Mr. Thomas where he is and what is being done to him.
Mr. Thomas is now alert and oriented. He tells his wife he saw the doctors and nurses trying to revive him. He remembers one nurse had a bright pink bow in her hair. She asks you what he means when he says he "saw the resuscitation." You should say:
Millions of patients report these kinds of experiences. They are normal and common.
Don't think about it. Hallucinations are common when patients are unconscious.
You will try to see if anyone had on a bright, pink bow that day.
Mr. Thomas says he thinks he "knows what people are thinking" without them talking to him. He is worried. You tell him:
You will call his doctor and see if he will prescribe a sedative.
One of the after-effects of a near-death experience is an increased psychic ability.
Having a cardiac arrest is traumatic. This will pass with recovery.
Mrs. Thomas is concerned about taking care of her husband at home. Your best response is to say:
I'm sure you'll do fine.
Ask your doctor what he thinks.
Give her a list of local support groups.
The reticular activating system (RAS) plays a role in the following functions:
Wakefulness or arousal
Ability to direct attention toward specific areas of our conscious minds.
All of the above
Our ability to know where parts of our body are, without looking at them, is called:
When physically moving an unconscious patient, it is important to do the following, EXCEPT:
Be as quiet as possible.
Be aware that movement may stimulate increased arousal.
Treat your patient as if he or she were awake.
Patients in the perceived unconscious state can have which of the following experiences?
Sense the emotions from caregivers and visitors.
Be affected by caring approaches.
All of the above
Patients can experience hallucinations, delusions, and memory losses during an unconscious episode.
What type of paranormal or exceptional experiences can patients have while unconscious?
All of the above
The wife of your unconscious patient tells you that he "used to work until after midnight, and awake in the late morning." In planning his care, it would be best if you arrange his daily schedule to match those hours.
What percentage of patients who are unconscious have no recollection of any experiences?
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