Introduction to critical care nursing
l l l l
7thleditionlbylsole
Chapterl1ltol21
TESTBANK l
,TABLElOFlCONTENT
1. OverviewloflCriticallCarelNursing
2. PatientlandlFamilylResponseltolthelCriticallCarelExperience
3. EthicallandlLegallIssueslinlCriticallCarelNursing
4. PalliativelandlEnd-of-LifelCare
5. ComfortlandlSedation
6. NutritionallTherapy
7. DysrhythmialInterpretationlandlManagement
8. HemodynamiclMonitoring
9. VentilatorylAssistance
10. RapidlResponselTeamslandlCodelManagement
11. OrganlDonation
12. Shock,lSepsis,landlMultiplelOrganlDysfunctionlSyndrome
13. CardiovascularlAlterations
14. NervouslSystemlAlterations
15. AcutelRespiratorylFailure
16. AcutelKidneylInjury
17. HematologicallandlImmunelDisorders
18. GastrointestinallAlterations
19. EndocrinelAlterations
20. TraumalandlSurgicallManagement
21. Burns
,Chapterl01:lOverviewloflCriticallCarelNursing
MULTIPLElCHOICE
1. Whichloflthelfollowinglprofessionallorganizationslbestlsupportslcriticallcarelnursingl practice?
a. AmericanlAssociationloflCritical-Carel Nurses
b. AmericanlHeartlAssociation
c. AmericanlNurseslAssociation
d. SocietyloflCriticallCarelMedicine
ANS:lA
ThelAmericanlAssociationloflCritical-
CarelNurseslislthelspecialtylorganizationl thatlsupportslandlrepresentslcriticallcarelnurses.lThelAm
ericanlHeartlAssociationl supportslcardiovascularlinitiatives.lThelAmericanlNurseslAssociationlsupp
ortslalll nurses.lThelSocietyloflCriticallCarelMedicinelrepresentslthelmultiprofessionall criticallcarelt
eamlunderltheldirectionloflanlintensivist.
DIF: CognitivelLevel:lRemember/Knowledge REF:lllp.l5
OBJ:ll Discusslthelpurposeslandlfunctionsloflthelprofessionallorganizationslthatlsupportl criticallcarelpract
ice. TOP:ll NursinglProcesslStep:lN/A
MSC:l NCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
2. Alnurselhaslbeenlworkinglaslalstafflnurselinlthelsurgicallintensivelcarelunitlforl2l yearslandlislintere
stedlinlcertification.lWhichlcredentiallwouldlbelmostl applicablelforlthelnurseltolseek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS:lC
ThelCCRNlcertificationlislappropriatelforlnurseslinlbedsidelpracticelwholcarelforl criticallylilllpatien
ts.lThelACNPC-
AGlcertificationlislforlacutelcarelnursel practitioners.lThelCNMLlislforlcriticallcarelnurselmanagerslor
lleaders.lThelPCCNl certificationlislforlstafflnurseslworkinglinlprogressivelcare,lintermediatelcare,lo
rl step-downlunitlsettings.
DIF: CognitivelLevel:lRemember/Knowledge REF:lllp.l6
OBJ:ll Explainlcertificationloptionslforlcriticallcarelnurses.l TOP:ll NursinglProcesslStep:l N/AlMSC:l NCLEXlC
lientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
3. Thelmainlpurposeloflcertificationlislto
a. assurelthelconsumerlthatlyoulwilllnotlmakelal mistake.
b. preparelforlgraduatelschool.
c. promotelmagnetlstatuslforlyourlfacility.
d. validatelknowledgeloflcriticallcarelnursing.
ANS:lD
Certificationlassistslinlvalidatinglknowledgeloflthelfield,l promoteslexcellencelinl thelprofession,lan
dlhelpslnursesltolmaintainltheirlknowledgeloflcriticallcarel nursing.lCertificationlhelpsltolassurelthel
consumerlthatlthelnurselhaslalminimuml levelloflknowledge;lhowever,litldoeslnotlensurelthatlcarelwi
lllbelmistake-free.
Certificationldoeslnotlpreparelonelforlgraduatelschool;lhowever,lachievingl certificationldemonst
rateslmotivationlforlachievementlandlprofessionalism.l Magnetlfacilitieslarelratedlonlthelnumberl
oflcertifiedlnurses;lhowever,lthatlislnotl thelpurposeloflcertification.
, DIF: CognitivelLevel:lRemember/Knowledge REF:lllp.l6
OBJ:ll Explainlcertificationloptionslforlcriticallcarelnurses.l TOP:ll NursinglProcesslStep:l N/AlMSC:l NCLEXl
ClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
4. Thelsynergylmodelloflpracticelfocuseslon
a. allowinglunrestrictedlvisitinglforlthelpatientl24lhourslalday.
b. holisticlandlalternativeltherapies.
c. thelneedsloflpatientslandltheirlfamilies,lwhichldrivelnursingl competency.
d. patients’lneedslforlenergylandlsupport.
ANS:lC
Thelsynergylmodelloflpracticelstateslthatlthelneedsloflpatientslandlfamiliesl influencelandldrivelco
mpetenciesloflnurses.lNursinglpracticelbasedlonlthel synergylmodellwouldlinvolveltailoredlvisitingl
tolmeetlthelpatient’slandlfamily’sl needslandlthelapplicationloflalternativeltherapieslifldesiredlbyl
thelpatient,lbutl thatlislnotlthelprimarylfocusloflthelmodel.
DIF: CognitivelLevel:lRemember/Knowledge
REF:ll p.l6l OBJ:ll Describelstandardsloflprofessionallpracticelforlcriticallcar
el nursing.
TOP:ll NursinglProcesslStep:lN/A
MSC:l NCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
5. Thelfamilyloflyourlcriticallylilllpatientltellslyoulthatltheylhavelnotlspokenlwithlthel physicianlinloverl
24lhourslandlthatltheylhavelsomelquestionsltheylwantll clarified.lDuringlmorninglrounds,lyoulconve
ylthislconcernltolthelattendingl intensivistlandlarrangelalmeetinglwithlthelfamilylatl4:00lPM.lWhich
lcompetencyl oflcriticallcarelnursingldoeslthislrepresent?
a. Advocacylandlmorallagencylinlsolvinglethicallissues
b. Clinicalljudgmentlandlclinicallreasoninglskills
c. Collaborationlwithlpatients,lfamilies,landlteaml member
s
d. Facilitationlofllearninglforlpatients,lfamilies,landlteaml members
ANS:lC
Althoughlonelmightlconsiderlthatlallloflthesel competencieslarelbeingladdressed,l communicationlan
dlcollaborationlwithlthelfamilylandlphysicianlbestlexemplifylthel competencyloflcollaboration.
DIF: CognitivelLevel:lAnalyze/Analysis REF:ll p.l6l|lFigl1-3l|lBoxl 1-
1lOBJ:ll Describelstandardsloflprofessionallpracticelforlcriticallcarelnursing.
TOP:ll NursinglProcesslStep:lN/A
MSC:l NCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
6. ThelAACNlStandardslforlAcutelandlCriticallCarelNursinglPracticeluselwhatl frameworkltol
guidelcriticallcarelnursinglpractice?
a. Evidence-
basedl practice
b. Healthylworkl e
nvironment
c. NationallPatientlSafetyl G
oals
d. Nursinglprocess
ANS:lD
ThelAACNlStandardslforlAcutelandlCriticallCarelNursinglPracticeldelineatelthel nursinglprocessla
slappliedltolcriticallylilllpatients:lcollectldata,ldeterminel diagnoses,lidentifylexpectedloutcomes,ld
eveloplalplanloflcare,limplementl interventions,landlevaluatelcare.lAACNlpromoteslalhealthylwor
klenvironment,l butlthislislnotlincludedlinlitslstandards.lThelJointlCommissionlhaslestablishedl Nation
allPatientlSafetylGoals,lbutltheselarelnotlthelAACNlstandards.
l l l l
7thleditionlbylsole
Chapterl1ltol21
TESTBANK l
,TABLElOFlCONTENT
1. OverviewloflCriticallCarelNursing
2. PatientlandlFamilylResponseltolthelCriticallCarelExperience
3. EthicallandlLegallIssueslinlCriticallCarelNursing
4. PalliativelandlEnd-of-LifelCare
5. ComfortlandlSedation
6. NutritionallTherapy
7. DysrhythmialInterpretationlandlManagement
8. HemodynamiclMonitoring
9. VentilatorylAssistance
10. RapidlResponselTeamslandlCodelManagement
11. OrganlDonation
12. Shock,lSepsis,landlMultiplelOrganlDysfunctionlSyndrome
13. CardiovascularlAlterations
14. NervouslSystemlAlterations
15. AcutelRespiratorylFailure
16. AcutelKidneylInjury
17. HematologicallandlImmunelDisorders
18. GastrointestinallAlterations
19. EndocrinelAlterations
20. TraumalandlSurgicallManagement
21. Burns
,Chapterl01:lOverviewloflCriticallCarelNursing
MULTIPLElCHOICE
1. Whichloflthelfollowinglprofessionallorganizationslbestlsupportslcriticallcarelnursingl practice?
a. AmericanlAssociationloflCritical-Carel Nurses
b. AmericanlHeartlAssociation
c. AmericanlNurseslAssociation
d. SocietyloflCriticallCarelMedicine
ANS:lA
ThelAmericanlAssociationloflCritical-
CarelNurseslislthelspecialtylorganizationl thatlsupportslandlrepresentslcriticallcarelnurses.lThelAm
ericanlHeartlAssociationl supportslcardiovascularlinitiatives.lThelAmericanlNurseslAssociationlsupp
ortslalll nurses.lThelSocietyloflCriticallCarelMedicinelrepresentslthelmultiprofessionall criticallcarelt
eamlunderltheldirectionloflanlintensivist.
DIF: CognitivelLevel:lRemember/Knowledge REF:lllp.l5
OBJ:ll Discusslthelpurposeslandlfunctionsloflthelprofessionallorganizationslthatlsupportl criticallcarelpract
ice. TOP:ll NursinglProcesslStep:lN/A
MSC:l NCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
2. Alnurselhaslbeenlworkinglaslalstafflnurselinlthelsurgicallintensivelcarelunitlforl2l yearslandlislintere
stedlinlcertification.lWhichlcredentiallwouldlbelmostl applicablelforlthelnurseltolseek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS:lC
ThelCCRNlcertificationlislappropriatelforlnurseslinlbedsidelpracticelwholcarelforl criticallylilllpatien
ts.lThelACNPC-
AGlcertificationlislforlacutelcarelnursel practitioners.lThelCNMLlislforlcriticallcarelnurselmanagerslor
lleaders.lThelPCCNl certificationlislforlstafflnurseslworkinglinlprogressivelcare,lintermediatelcare,lo
rl step-downlunitlsettings.
DIF: CognitivelLevel:lRemember/Knowledge REF:lllp.l6
OBJ:ll Explainlcertificationloptionslforlcriticallcarelnurses.l TOP:ll NursinglProcesslStep:l N/AlMSC:l NCLEXlC
lientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
3. Thelmainlpurposeloflcertificationlislto
a. assurelthelconsumerlthatlyoulwilllnotlmakelal mistake.
b. preparelforlgraduatelschool.
c. promotelmagnetlstatuslforlyourlfacility.
d. validatelknowledgeloflcriticallcarelnursing.
ANS:lD
Certificationlassistslinlvalidatinglknowledgeloflthelfield,l promoteslexcellencelinl thelprofession,lan
dlhelpslnursesltolmaintainltheirlknowledgeloflcriticallcarel nursing.lCertificationlhelpsltolassurelthel
consumerlthatlthelnurselhaslalminimuml levelloflknowledge;lhowever,litldoeslnotlensurelthatlcarelwi
lllbelmistake-free.
Certificationldoeslnotlpreparelonelforlgraduatelschool;lhowever,lachievingl certificationldemonst
rateslmotivationlforlachievementlandlprofessionalism.l Magnetlfacilitieslarelratedlonlthelnumberl
oflcertifiedlnurses;lhowever,lthatlislnotl thelpurposeloflcertification.
, DIF: CognitivelLevel:lRemember/Knowledge REF:lllp.l6
OBJ:ll Explainlcertificationloptionslforlcriticallcarelnurses.l TOP:ll NursinglProcesslStep:l N/AlMSC:l NCLEXl
ClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
4. Thelsynergylmodelloflpracticelfocuseslon
a. allowinglunrestrictedlvisitinglforlthelpatientl24lhourslalday.
b. holisticlandlalternativeltherapies.
c. thelneedsloflpatientslandltheirlfamilies,lwhichldrivelnursingl competency.
d. patients’lneedslforlenergylandlsupport.
ANS:lC
Thelsynergylmodelloflpracticelstateslthatlthelneedsloflpatientslandlfamiliesl influencelandldrivelco
mpetenciesloflnurses.lNursinglpracticelbasedlonlthel synergylmodellwouldlinvolveltailoredlvisitingl
tolmeetlthelpatient’slandlfamily’sl needslandlthelapplicationloflalternativeltherapieslifldesiredlbyl
thelpatient,lbutl thatlislnotlthelprimarylfocusloflthelmodel.
DIF: CognitivelLevel:lRemember/Knowledge
REF:ll p.l6l OBJ:ll Describelstandardsloflprofessionallpracticelforlcriticallcar
el nursing.
TOP:ll NursinglProcesslStep:lN/A
MSC:l NCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
5. Thelfamilyloflyourlcriticallylilllpatientltellslyoulthatltheylhavelnotlspokenlwithlthel physicianlinloverl
24lhourslandlthatltheylhavelsomelquestionsltheylwantll clarified.lDuringlmorninglrounds,lyoulconve
ylthislconcernltolthelattendingl intensivistlandlarrangelalmeetinglwithlthelfamilylatl4:00lPM.lWhich
lcompetencyl oflcriticallcarelnursingldoeslthislrepresent?
a. Advocacylandlmorallagencylinlsolvinglethicallissues
b. Clinicalljudgmentlandlclinicallreasoninglskills
c. Collaborationlwithlpatients,lfamilies,landlteaml member
s
d. Facilitationlofllearninglforlpatients,lfamilies,landlteaml members
ANS:lC
Althoughlonelmightlconsiderlthatlallloflthesel competencieslarelbeingladdressed,l communicationlan
dlcollaborationlwithlthelfamilylandlphysicianlbestlexemplifylthel competencyloflcollaboration.
DIF: CognitivelLevel:lAnalyze/Analysis REF:ll p.l6l|lFigl1-3l|lBoxl 1-
1lOBJ:ll Describelstandardsloflprofessionallpracticelforlcriticallcarelnursing.
TOP:ll NursinglProcesslStep:lN/A
MSC:l NCLEXlClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment
6. ThelAACNlStandardslforlAcutelandlCriticallCarelNursinglPracticeluselwhatl frameworkltol
guidelcriticallcarelnursinglpractice?
a. Evidence-
basedl practice
b. Healthylworkl e
nvironment
c. NationallPatientlSafetyl G
oals
d. Nursinglprocess
ANS:lD
ThelAACNlStandardslforlAcutelandlCriticallCarelNursinglPracticeldelineatelthel nursinglprocessla
slappliedltolcriticallylilllpatients:lcollectldata,ldeterminel diagnoses,lidentifylexpectedloutcomes,ld
eveloplalplanloflcare,limplementl interventions,landlevaluatelcare.lAACNlpromoteslalhealthylwor
klenvironment,l butlthislislnotlincludedlinlitslstandards.lThelJointlCommissionlhaslestablishedl Nation
allPatientlSafetylGoals,lbutltheselarelnotlthelAACNlstandards.
