CVADV2M2EQ
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Assessment
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Multiple Choice
Which of the following statements is TRUE regarding informed consent for patients who require a central venous access device (CVAD) inserted?
The treating clinician does not have a role in the informed consent.
Local policy states informed consent does not need to be documented.
Obtaining informed consent is the sole responsibility of the treating nurse.
Informed consent allows the patient/carer/guardian to accept or reject having a CVAD inserted based on knowledge of the benefits, risks and treatment alternatives.
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Multiple Choice
Why complete an assessment for a patient requiring a CVAD?
Note: More than one answer may be correct
To establish if a patient has any risk factors.
To establish a patient's socio-economic status.
To establish a baseline for comparison throughout treatment.
To establish a patient's understanding of the ongoing care of the CVAD.
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Multiple Choice
Which type of assessment would establish the level of a patient's coping mechanisms, social and family support, emotional well-being, knowledge of the procedure/treatment prior to proceeding, and indicate the necessity for a referral to another member of the multi-disciplinary team?
Clinical.
Psychosocial.
Physical.
Psychometric.
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Multiple Choice
When should a patient assessment be completed for a patient with a CVAD?
Note: More than one answer may be correct
Before insertion of the device.
Immediately after insertion of the device.
Prior to discharge.
Before during and after manipulation of the CVAD.
Prior to removal of the CVAD.
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Multiple Choice
Which type of assessment should be completed with regard to patients requiring a CVAD? Note: More than one answer may be correct
Psychosocial.
Financial.
Physical.
Clinical.
Demographic.
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Multiple Choice
What clinical/physical factors should be considered in a patient assessment?
Note: More than one answer may be correct
History of thrombus or lymphoedema.
Current medications.
Risk of infection.
Prior to discharge.
Pathology results – coagulation studies, presence of thrombocytopenia or neutropenia.
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Multiple Choice
What should the assessment of a patient with a CVAD cover include?
Note: More than one answer may be correct
The presence/absence of erythema, oedema, or other signs of infection.
Integrity of the skin and dressing at insertion site.
A review of any previously documented difficulties with CVAD.
A review of the patient’s blood sugar level.
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Multiple Choice
Why should an assessment be completed prior to the patient being discharged?
Note: More than one answer may be correct
To ensure the patient knows with whom, when and where to make contact should a problem arise with their CVAD while at home.
To ensure the patient has given informed consent for their treatment/procedure.
To ensure the patient and/or family is aware of follow-up appointments and ongoing care of the CVAD.
To assess a patient's need for ongoing support at home.
Education
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Multiple Choice
When should patient education be given to a patient with a CVAD?
Before insertion of the device.
Immediately after insertion of the device.
Prior to discharge.
Before during and after manipulation of the CVAD.
Prior to removal of the CVAD.
All of the above.
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Multiple Choice
Why should an educator be aware of cultural differences when educating patients with different backgrounds? Note: More than one answer may be correct
Patients from diverse backgrounds won't understand the information being given.
Some culturally diverse groups view health in different ways to the western paradigm.
The educator will be unable to answer questions that arise.
The educator needs to be aware that some cultures view using eye contact as disrespectful and impolite.
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Multiple Choice
As a general rule which language style should you use when educating patients?
Use euphemisms.
Use clear and concise language.
Use medical terminology.
Use acronyms.
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Multiple Choice
Which of the following is appropriate for delivering an education session to an adult or child?
Assess the learning needs of the patient (adult or child) and provide information relevant to their requirements and level of understanding.
Provide the same content and use the same strategies for all adults and children.
Ignore the emotional state of the patient in order to give all the relevant information.
Assess the learning needs of the adult or child and then proceed irrespective of findings.
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Multiple Choice
Which of the following statement is the most appropriate to describe the goal of educating a patient with a CVAD?
The patient will be able to look up whatever information they require on the internet.
The patient's carer will understand well enough and repeat the information to the patient.
The patient or carer/family member will have an understanding of their device, what to do in an emergency, and what support services are available.
The patient will have an understanding of the support services available and will contact them for whatever information they require.
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Multiple Choice
What should a patient education session include? Note: more than one answer may be correct
An introduction.
An awareness by the educator of differing learning needs, i.e., where patients have differing cultural backgrounds, are children, or adults.
Provision of additional resources.
An assessment of the information required, and subsequently, understood by the patient.
A summary and conclusion.
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Multiple Choice
Which location is the most ideal for an education session about CVADs?
Quiet and private to ensure confidentiality.
At the bedside of the patient.
Busy as it is important that the patient is distracted from the unpleasantness of information about their treatment.
Outside the hospital so that patient can have fresh air.
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Multiple Choice
Which of the following statements is TRUE regarding written information for patients requiring a CVAD?
Patients don't need any additional information other than the verbal education session.
Patients need to be directed to websites to find their own written information.
Patients need written information to support and reinforce the verbal education.
All patients require the same amount of information.
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Multiple Choice
What should be considered when assessing a patient’s learning needs?
Note: More than one answer may be correct
Emotional wellbeing.
Support.
Literacy and language.
Cultural needs.
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Multiple Choice
Which of the following strategies would be useful to assess your patient's level of understanding of the information you have provided?
Note: More than one answer may be correct
Repeat everything you have already told them.
Ask them to repeat relevant information back to you.
Tell them to go home and think about it.
Ask them questions relating to the content of the education session.
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Multiple Choice
Why is it important to document all aspects of an education session on CVADs?
It is a medico-legal requirement.
So that another clinician can replicate what you have already covered.
Your workplace may not have policies or guidelines regarding documentation.
To conclude the education session, summarising the main points.
,
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