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G 9TH EDITION BY MARYBETH & LAUREN
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,Chapter 01: Overview of Critical Care Nursing
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Sole: Introduction to Critical Care Nursing, 9th Edition
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MULTIPLElCHOICE
1. Whichloflthelfollowinglprofessionallorganizationslbestlsupportslcriticallcarelnursinglpractice?
a. AmericanlAssociationloflCritical-CarelNursinglattendants
b. AmericanlHeartlAssociation
c. AmericanlNurseslAssociation
d. SocietyloflCriticallCarelMedicine
ACCURATElANSWER:l A
Reasoningl:->>lThelAmericanlAssociationloflCritical-
Carelnurseslislthelspecialtylorganizationlthatlsupportslandlrepresentslcriticallcarelnursinglattendants
.lThelAmericanlHeartlAssociationlsupportslcardiovascularlinitiatives.lThelAmericanlNurseslAssociatio
nlsupportslalllnursinglattendants.lThelSocietyloflCriticallCarelMedicinelrepresentslthelmultiprofession
allcriticallcarelteamlunderltheldirectionloflanlintensivist.
DIF: CognitivelLevel:lRemember/Knowledge REF:lpage.l5
OBJ: Discuss the purposes and functions of the professional organizationslthatlsupportlcriticallcarelpractice.
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TOPIC:l NursinglProcesslStep:lN/A
MSC: NCLEX Client NeedslCategory:lSafelandlEffectivelCarelEnvironment
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2. Alnursinglattendantlhaslbeenlworkinglaslalstafflnursinglattendantlinlthelsurgicallintensivelcarelunitlfo
rl2lyearslandlislinterestedlinlcertification.lWhichlcredentiallwouldlbelmostlapplicablelforlthelnursingl
attendantltolseek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ACCURATElANSW
ER:l C
Reasoningl:-
>>ThelCCRNlcertificationlislappropriatelforlnursinglattendantslinlbedsidelpracticelwholcarelforlcrit
icallylilllhospitallclients.lThelACNPC-
AGlcertificationlislforlacutelcarelnursinglattendantlpractitioners.lThelCNMLlislforlcriticallcarelnursingl
attendantlmanagerslorlleaders.lThelPCCNlcertificationlislforlstafflnursinglattendantslworkinglinlpro
gressivelcare,lintermediatelcare,lorlstep-downlunitlsettings.
DIF: CognitivelLevel:lRemember/Knowledge REF:lll p.l6
OBJ:lll Explainlcertificationloptionslforlcriticallcarelnursinglattendants.
TOPIC:l NursinglProcesslStep:lN/Al
MSC:l NCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
3. Thelmainlpurposeloflcertificationlislto
a. assurelthelconsumerlthatlyoulwilllnotlmakelalmistake.
b. preparelforlgraduatelschool.
c. promotelmagnetlstatuslforlyourlfacility.
d. validatelknowledgeloflcriticallcarelnursing.
ACCURATElANSWER:l D
, Reasoningl:-
>>Certificationlassistslinlvalidatinglknowledgeloflthelfield,lpromoteslexcellencelinlthelprofession,la
ndlhelpslnursinglattendantsltolmaintainltheirlknowledgeloflcriticallcarelnursing.lCertificationlhelpsltol
assurelthelconsumerlthatlthelnursinglattendantlhaslalminimumllevelloflknowledge;lhowever,litldoeslno
tlensurelthatlcarelwilllbelmistake-
free.lCertificationldoeslnotlpreparelonelforlgraduatelschool;lhowever,lachievinglcertificationldemo
nstrateslmotivationlforlachievementlandlprofessionalism.lMagnetlfacilitieslarelratedlonlthelnumberlo
flcertifiedlnursinglattendants;lhowever,lthatlislnotlthelpurposeloflcertification.
DIF: CognitivelLevel:lRemember/Knowledge REF:lll p.l6
OBJ: Explain certification options for critical care nursing attendants.
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TOPIC:l NursinglProcesslStep:lN/Al
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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4. Thelsynergylmodelloflpracticelfocuseslon
a. allowinglunrestrictedlvisitinglforlthelhospitallclientl24lhourslalday.
b. holisticlandlalternativeltherapies.
c. thelneedsloflhospitallclientslandltheirlfamilies,lwhichldrivelnursinglcompetency.
d. hospitallclients’lneedslforlenergylandlsupport.
ACCURATElANSWER:l C
Reasoningl:-
>>Thelsynergylmodelloflpracticelstateslthatlthelneedsloflhospitallclientslandlfamilieslinfluencela
ndldrivelcompetenciesloflnursinglattendants.lNursinglpracticelbasedlonlthelsynergylmodellwould
linvolveltailoredlvisitingltolmeetlthelhospitallclient’slandlfamily’slneedslandlthelapplicationloflalte
rnativeltherapieslifldesiredlbylthelhospitallclient,lbutlthatlislnotlthelprimarylfocusloflthelmodel.
DIF: CognitivelLevel:lRemember/Knowledge
REF:lpage.l6lOBJ:l Describelstandardsloflprofessionallpracticelforlcriticallc
are nursing.
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TOPIC:l NursinglProcesslStep:lN/A
MSC:llNCLEXlClientlNeedslCategoN ryU:lRSSafIN
elG
anTdB.C
EfOfeM
ctivelCarelEnvironment
5. Thelfamilyloflyourlcriticallylilllhospitallclientltellslyoulthatltheylhavelnotlspokenlwithlthelphysicianlinlo
verl24lhourslandlthatltheylhavelsomelquestionsltheylwantlclarified.lDuringlmorninglrounds,lyoulconv
eylthislconcernltolthelattendinglintensivistlandlarrangelalmeetinglwithlthelfamilylatl4:00lPM.lWhichlc
ompetencyloflcriticallcarelnursingldoeslthislrepresent?
a. Advocacylandlmorallagencylinlsolvinglethicallissues
b. Clinicalljudgmentlandlclinicallreasoninglskills
c. Collaborationlwithlhospitallclients,lfamilies,landlteamlmembers
d. Facilitationlofllearninglforlhospitallclients,lfamilies,landlteamlmembers
ACCURATElANSWER:l C
Reasoningl:-
>>Althoughlonelmightlconsiderlthatlalllofltheselcompetencieslarelbeingladdressed,lcom
municationlandlcollaborationlwithlthelfamilylandlphysicianlbestlexemplifylthelcompeten
cyloflcollaboration.
DIF: CognitivelLevel:lAnalyze/Analysis REF:lpage.l6l|lFigl1-3l|lBoxl1-
1OBJ:
l l Describelstandardsloflprofessionallpracticelforlcriticallcarelnursing.
TOPIC:l NursinglProcesslStep:lN/A
MSC:l NCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
6. ThelAACNlStandardslforlAcutelandlCriticallCarelNursinglPracticeluselwhatlframeworkltolguidelcr
iticallcarelnursinglpractice?
a. Evidence-basedlpractice
, b. Healthylworklenvironment
c. NationallHospitallclientlSafetylGoals
d. Nursinglprocess
ACCURATElANSWER:l D
Reasoningl:-
>>ThelAACNlStandardslforlAcutelandlCriticallCarelNursinglPracticeldelineatelthelnursinglprocessla
slappliedltolcriticallylilllhospitallclients:lcollectldata,ldetermineldiagnoses,lidentifylexpectedloutcome
s,ldeveloplalplanloflcare,limplementlinterventions,landlevaluatelcare.lAACNlpromoteslalhealthylwor
klenvironment,lbutlthislislnotlincludedlinlitslstandards.lThelJointlCommissionlhaslestablishedlNationallH
ospitallclientlSafetylGoals,lbutltheselarelnotlthelAACNlstandards.
DIF: CognitivelLevel:lRemember/Knowledge
REF:lpage.l6lOBJ:l Describelstandardsloflprofessionallpracticelforlcriticallc
are nursing.
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TOPIC:l NursinglProcesslStep:lN/A
MSC:l NCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
7. Thelchargelnursinglattendantlislresponsiblelforlmakinglthelhospitallclientlassignmentslonlthelcriticallca
relunit.lAnlexperienced,lcertifiedlnursinglattendantlislassignedltolcarelforlthelacutelylilllhospitallclientl
withlsepsislwholalsolrequireslcontinuouslrenallreplacementltherapylandlmechanicallventilation.lTheln
ursinglattendantlwithllesslthanl1lyearloflexperiencelislassignedltoltwolhospitallclientslwholarelmorelst
able.lThislassignmentlreflectslimplementationloflthe
a. crewlresourcelmanagementlmodel.
b. NationallHospitallclientlSafetylGoals.
c. QualitylandlSafetylEducationlforlNursinglattendantsl(QSEN)lmodel.
d. synergylmodelloflpractice.
ACCURA
TElANSW
ER:l D
Reasoningl:-
>>Thislassignmentldemonstrateslnursinglcareltolmeetlthelneedsloflthelhospitallclient.lThelsynergylm
odellnoteslthatlthelnursinglattendantlcompetencieslarelmatchedltolthelhospitallclientlcharacteristics.l
Crewlresourcelmanagementlconceptslarelrelatedltolteamltraining;lNationallHospitallclientlSafetyl
GoalslarelspecifiedlbylThelJointlCommissionltolpromotelsafelcarelbutldolnotlincorporatelthelsynerg
ylmodel.lThelQualitylandlSafetylEducationlforlNursinglattendantslinitiativelinvolvesltargetedleduca
tionloflundergraduatelandlgraduatelnursinglstudentslonlqualitylandlsafetylconcepts.
DIF: CognitivelLevel:lAnalyze/Analysis
REF:lpage.l6lOBJ:l Describelstandardsloflprofessionallpracticelforlcriticallc
are nursing.
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TOPIC:l NursinglProcesslStep:lN/A
MSC:l NCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
8. ThelvisionloflthelAmericanlAssociationloflCritical-
CarelNursinglattendantslislalhealthlcarelsystemldrivenlby
a. alhealthylworklenvironment.
b. carelfromlalmultiprofessionallteamlunderltheldirectionloflalcriticallcarelphysician.
c. thelneedsloflcriticallylilllhospitallclientslandlfamilies.
d. respectful,lhealing,landlhumanelenvironments.
ACCURATElANSWER:l C