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Journal of Neuroscience Nursing:
doi: 10.1097/JNN.0b013e3181d5a6a3
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Nursing Interventions for Critically Ill Traumatic Brain Injury Patients

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GENERAL PURPOSE STATEMENT: To familiarize the registered professional nurse with research on nursing interventions for critically ill traumatic brain injury (TBI) patients.

LEARNING OBJECTIVES: After reading this article and completing the test the nurse will be able to:

1. Describe elements of nursing research conducted by the author and others.

2. List, categorize, and prioritize nursing interventions identified in the study.

1. The purpose of the research study undertaken by the authors was to

a. encourage more intensive care unit (ICU) nurses to care for traumatic brain injury (TBI) patients.

b. reduce the cost of care for TBI patients.

c. advocate for better training of ICU nurses caring for TBI patients.

d. describe interventions routinely performed when caring for TBI patients.

2. Findings by Fonteyn and Fisher (1994) are considered limited because

a. the research is old.

b. the sample size was small.

c. the data are qualitative in nature.

d. no control group was used in the study.

3. Consulting with other health professionals about critically ill TBI patients is less likely by nurses who

a. work the day shift.

b. work the evening shift.

c. work the night shift.

d. rotate shifts.

4. The authors invited nurses to participate in the study who, among other criteria,

a. worked full time and had ever provided care to TBI patients.

b. had been employed in an ICU for a minimum of 6 months.

c. worked either fulltime, part-time, or per diem in an ICU that admitted critically ill TBI patients.

d. worked in a hospital that admitted a minimum of 2,000 trauma patients annually.

5. What size study sample was required to detect a medium small effect size of 0.20 with a power of 0.80?

a. N = 50

b. N = 60

c. N = 70

d. N = 80

6. The one free text question on the survey asked nurses to

a. identify the psychosocial parameters used in caring for the TBI patient.

b. identify the interventions they performed in caring for the TBI patient.

c. describe the patient family interactions noted in caring for the TBI patient.

d. describe their areas of concern in caring for the TBI patient.

7. Descriptive data analyses performed on the fixed response questions included

a. means, standard deviations, and frequencies.

b. mode, range, and standard deviation.

c. maximum values, averages, and measures of variation.

d. median, frequency, and range.

8. Sixty-four percent of the nurses who participated in the study ranged in age between

a. 20 and 25 years.

b. 26 and 40 years.

c. 41 and 50 years.

d. 51 and 65 years.

9. The majority of study participants had worked with TBI patients for

a. 0 to 10 years.

b. 11 to 20 years.

c. 21 to 30 years.

d. 31 years or more.

10. Which activity was not categorized as an injury prevention intervention?

a. turning and repositioning

b. monitoring restraint use

c. reorienting patient

d. managing ventilator

11. Which parameters were identified by 100% of the study participants as their responsibility to manage?

a. intracranial pressure (ICP) and cerebral perfusion pressure (CPP)

b. ICP and temperature

c. oxygen saturation (O2sat) and temperature

d. blood pressure (BP) and CPP

12. Almost one third of the 67 patients described in the study ranged in age between

a. 18 to 35 years.

b. 36 to 65 years.

c. 66 to 85 years.

d. over 85 years.

13. The majority of interventions reported by nurses in the study were classified as

a. psychosocial.

b. injury prevention.

c. maintaining therapeutic milieu.

d. neurophysiological.

14. The most significant variables influencing ICU nurse judgments when caring for the TBI patient were

a. O2sat, temperature, and BP.

b. ICP, serial lab work, and fluid status.

c. CPP, O2sat, and ICP.

d. neuro checks, BP, and serial lab work.

15. Research reveals that the key priority for ICU nurses when caring for the critically ill TBI patient is

a. injury prevention.

b. neurophysiological maintenance.

c. psychosocial intervention.

d. maintaining a therapeutic milieu.

16. Generalizability of this study's findings is limited by the

a. age of participants.

b. gender of participants.

c. number of participants.

d. geographic location of participants.

17. The author states that data obtained by this study are necessary for

a. future research on the impact of nursing interventions on outcomes in TBI.

b. developing standing orders for the care of TBI patients.

c. developing guidelines for the management of TBI patients.

d. evaluating nursing judgment in the care of TBI patients.

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© 2010 American Association of Neuroscience Nurses


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